Article ; Online: C19TM: A nurse practitioner and physician assistant-led telemonitoring initiative ensures timely transfer of critically ill coronavirus disease 2019 patients.
Journal of the American Association of Nurse Practitioners
2021 Volume 33, Issue 12, Page(s) 1120–1124
Abstract: ... physician assistant (PA)-led initiative to implement telemonitoring (TM) of noncritical patients with COVID-19 ... of innovative practices in health care across the globe. We describe a nurse practitioner (NP) and ... Abstract: The coronavirus disease 2019 (COVID-19) pandemic has required swift implementation ...
| Abstract | Abstract: The coronavirus disease 2019 (COVID-19) pandemic has required swift implementation of innovative practices in health care across the globe. We describe a nurse practitioner (NP) and physician assistant (PA)-led initiative to implement telemonitoring (TM) of noncritical patients with COVID-19 by critical care NPs and PAs (C19TM) for early detection of decompensation and early transfer to the intensive care unit (ICU). Every hospitalized patient with suspected or confirmed COVID-19 received an initial telemedicine consult with a critical care NP or PA. Patients were subsequently monitored via electronic health record once every 12-hour shift for the following indicators: oxygen modality and flow, increase in oxygen requirements, sustained tachypnea, and hemodynamic instability. If signs of decompensation were noted, the NP/PA would remotely reassess the patient, provide recommendations to the hospital internal medicine team, and transfer the patient to the ICU. The primary goal was to avoid cardiopulmonary deterioration requiring aerosol-generating procedures outside of the ICU. Over 65 days, 113 patients (86 suspected and 27 confirmed) were enrolled in C19TM. As a result, there were 13 transfers to the ICU, none of which required an aerosol-generating procedure outside of the ICU. |
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| MeSH term(s) | COVID-19 ; Critical Illness ; Humans ; Nurse Practitioners ; Physician Assistants ; SARS-CoV-2 | |||||
| Language | English | |||||
| Publishing date | 2021-02-04 | |||||
| Publishing country | United States | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 2716317-9 | |||||
| ISSN | 2327-6924 ; 1745-7599 ; 2327-6886 ; 1041-2972 | |||||
| ISSN (online) | 2327-6924 ; 1745-7599 | |||||
| ISSN | 2327-6886 ; 1041-2972 | |||||
| DOI | 10.1097/JXX.0000000000000558 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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