| Description |
Adult Level I trauma centers often lack pediatric-specific policies and training, hindering their ability to treat pediatric trauma patients effectively. Key issues include the absence of a Pediatric Emergency Care Coordinator (PECC), gaps in policies, limited staff training, inadequate supplies, institutional reluctance, financial constraints, and staff fear of litigation. Goal/Aim: This Doctor of Nursing (DNP) project aimed to identify barriers and best practices for achieving pediatric readiness in an ACS-verified adult Level I trauma center without pediatric verification. Actions Taken: The project utilized the Johns Hopkins Evidence-Based Practice model and SQUIRE 2.0 guidelines. Data collection involved reviewing pediatric standards, staff training programs, cause and effect analysis, and a benchmark survey of sixteen adult Level I trauma centers. Interventions included a literature review, stakeholder engagement, policy review, and SWOT analyses of pediatric cases, staff dialogs, and stakeholder discussions. Summary of Results: Significant gaps were identified in pediatric-specific policies, particularly in patient transport. The absence of a PECC was a critical weakness. Staff discomfort with pediatric cases was due to low exposure and limited training. Organizational resources were underutilized. Benchmark survey insights emphasized collaboration with pediatric trauma centers and the need for regular training and simulation scenarios. The pediatric case review highlighted the need for improved supply and equipment management. Conclusion: Addressing these gaps will enhance the trauma center's ability to provide high-quality pediatric trauma care, aligning with ACS standards and improving patient outcomes. |
