title: Establishment of Pediatric Cardiac Intensive Care Advanced Practice Provider Services.
abstract: The addition of advanced practice providers (APPs; nurse practitioners and physician assistants) to a pediatric cardiac intensive care unit (PCICU) team is a health care innovation that addresses medical provider shortages while allowing PCICUs to deliver high-quality, cost-effective patient care. APPs, through their consistent clinical presence, effective communication, and facilitation of interdisciplinary collaboration, provide a sustainable solution for the highly specialized needs of PCICU patients. In addition, APPs provide leadership, patient and staff education, facilitate implementation of evidence-based practice and quality improvement initiatives, and the performance of clinical research in the PCICU. This article reviews mechanisms for developing, implementing, and sustaining advance practice services in PCICUs.
authors.affiliation: Melnic Consulting Group, Virginia Beach, VA, USA jill@melnic.com.
authors.forename: Jill
authors.initials: J
authors.lastname: Gilliland
authors.affiliation: Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: Amy
authors.initials: A
authors.lastname: Donnellan
authors.affiliation: Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: Lindsey
authors.initials: L
authors.lastname: Justice
authors.affiliation: Heart Center, Children's Medical Center Dallas, Dallas, TX, USA.
authors.forename: Lindy
authors.initials: L
authors.lastname: Moake
authors.affiliation: Section of Critical Care Medicine, Texas Children's Hospital and Baylor College of Medicine, Houston, TX, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Mauney
authors.affiliation: Division of Cardiothoracic Surgery, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
authors.forename: Page
authors.initials: P
authors.lastname: Steadman
authors.affiliation: Cardiac Center, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
authors.forename: David
authors.initials: D
authors.lastname: Drajpuch
authors.affiliation: Ward Family Heart Center, Children's Mercy Hospital and Clinics, Kansas City, MO, USA.
authors.forename: Dawn
authors.initials: D
authors.lastname: Tucker
authors.affiliation: Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: Jean
authors.initials: J
authors.lastname: Storey
authors.affiliation: Department of Pediatrics, Lucile Packard Children's Hospital, Palo Alto, CA, USA.
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Roth
authors.affiliation: Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors.forename: Josh
authors.initials: J
authors.lastname: Koch
authors.affiliation: Section of Critical Care Medicine, Texas Children's Hospital and Baylor College of Medicine, Houston, TX, USA.
authors.forename: Paul
authors.initials: P
authors.lastname: Checchia
authors.affiliation: Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: David S
authors.initials: DS
authors.lastname: Cooper
authors.affiliation: Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA Research in Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: Sandra L
authors.initials: SL
authors.lastname: Staveski
mesh_terms: D002648:Child; D003325:Coronary Care Units / Q000458:organization & administration*; D003422:Critical Care / Q000379:methods*; D006282:Health Personnel / Q000458:organization & administration*; D006801:Humans; D015278:Intensive Care Units, Pediatric / Q000458:organization & administration*
keywords: cardiac intensive care unit; nurse practitioner; physician assistant; staffing