251 pre operative preparation bundle of care: listening to the needs of the paediatric intensive care (picu) patient and family

ABSTRACT PICU, at the Evelina Children's Hospital, is a 20 bedded general and cardiac intensive care unit. We have a team of approximately 150 staff and promote open communication

between staff, patients and families. Feedback from some of our families indicated that at times, an inconsistent approach to preparation for a PICU admission was provided. A literature

review was undertaken to explore the relevance and importance of preparation. Preparation was found to reduce anxiety, facilitate coping and improve recovery (Sutherland, 2003). Information

giving resulted in a reduction in post operative nausea, pain and even has positive implications for a reduction in length of stay (Martin 1996). With this in mind a ‘preparation bundle’ was

developed including; * • A face to face meeting with the nursing team for the child and their family * • A guided tour of the clinical area, with and an opportunity to meet the staff. * • A

family information booklet is provided. * • A checklist to gather information about the child and their individual needs * • A booklet using photographs and a storyboard prompt staff to

discuss expectations of the child and family following surgery. This care bundle has been well evaluated and changes suggested incorporated. Once well established the process will be audited

and the findings reviewed. We recognise that anxiety cannot be completely alleviated but by providing information and insight, a therapeutic relationship can be established to support a

child and family during this stressful time. ARTICLE PDF AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Paediatric Intensive Care, Evelina Children's Hospital, London, UK J V Ward

Authors * J V Ward View author publications You can also search for this author inPubMed Google Scholar RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE

Ward, J. 251 Pre Operative Preparation Bundle of Care: Listening to the Needs of the Paediatric Intensive Care (PICU) Patient and Family. _Pediatr Res_ 68 (Suppl 1), 130 (2010).

https://doi.org/10.1203/00006450-201011001-00251 Download citation * Issue Date: November 2010 * DOI: https://doi.org/10.1203/00006450-201011001-00251 SHARE THIS ARTICLE Anyone you share the

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