Abstract
Background Coordination of pediatric imaging and anesthesia is a complex logistical challenge involving anesthesiologists, nurses, anesthetists, nurse practitioners, PACU nurses, radiologists, technologists and notwithstanding schedulers and receptionists. Parents often can be stressed, due to the child’s NPO status and/or physical condition. Driving to an unfamiliar hospital and transportation difficulties can lead to an appointment no-show. We identified a high noshow rate in the formation of a pediatric cardiac imaging program and instituted process improvement changes to improve attendance in an academic center with a predominately rural population.
Highlights
Coordination of pediatric imaging and anesthesia is a complex logistical challenge involving anesthesiologists, nurses, anesthetists, nurse practitioners, PACU nurses, radiologists, technologists and notwithstanding schedulers and receptionists
We identified a high noshow rate in the formation of a pediatric cardiac imaging program and instituted process improvement changes to improve attendance in an academic center with a predominately rural population
Our 2nd step included packet of instructions sent to the parent including the following: (1) an “Engagement” letter with instructions to arrive at the registration time; (2) a cardiac MR exam information letter; (3) specific anesthesia diet instructions with the exact time for solids/ liquids and/or NPO status; (4) a letter of hospital location and parking directions, including arrows and pictures
Summary
Coordination of pediatric imaging and anesthesia is a complex logistical challenge involving anesthesiologists, nurses, anesthetists, nurse practitioners, PACU nurses, radiologists, technologists and notwithstanding schedulers and receptionists. Parents often can be stressed, due to the child’s NPO status and/or physical condition. Driving to an unfamiliar hospital and transportation difficulties can lead to an appointment no-show. We identified a high noshow rate in the formation of a pediatric cardiac imaging program and instituted process improvement changes to improve attendance in an academic center with a predominately rural population
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