Nursing at Texas Children's Hospital
Providing the finest possible patient
care is an integral part of Texas Children’s mission, and nurses
make significant contributions to this mission through the delivery
of high-quality nursing care.
The redesign of the patient care
delivery process at Texas Children’s resulted in the development of
the Care Role Model.
The model identified six specific roles
needed in the delivery of quality patient care and clarified the
responsibilities of each role. The goals of this model focus on
improved quality of care and service, improved quality of work life
for all patient-care providers and improved cost management. The
Care Model has improved the quality of personnel to whom nurses
delegate responsibilities and collaboration among all disciplines.
Practice councils provide an
interdisciplinary forum for discussion and collaboration. These
unit-based councils assess, plan, implement and evaluate practice
policies, procedures and standards of care. The goal of these
practice councils is to foster optimal productivity and to
continually improve the quality of patient care.
The consistent and effective
management of children’s pain is critical to quality patient care.
To ensure that Texas Children’s nurses are prepared to effectively
manage children’s pain, an interdisciplinary team works to ensure a
structured and consistent approach to pain management. The team
functions in three subcommittees: data collection and protocol
development; staff education; and patient and family education. A
steering committee coordinates the efforts between the three
subcommittees and monitors pain-management outcomes.
The death of a child is one of the
most devastating events a family can experience. In the period
surrounding a child’s death, families need immediate comfort and
support. They also need information about the grieving process that
will continue in the weeks and months to come. To address this need,
a group of PICU nurses, family relations representatives, social
workers, child life specialists and a chaplain developed a grief
packet. The packet is reviewed with the family, while in the
hospital, and then taken home. It contains mementos, such as
footprints or handprints, as well as valuable information for
parents, friends and relatives.
The After Hours Call Center (AHCC)
is responsible for managing patient and parent calls after hours for
a group of subscribing pediatricians throughout Houston and the
surrounding area. The department also fields all advice calls for
the Texas Children’s Emergency Center. Registered nurses manage the
AHCC using a computerized system based upon pediatric clinical
decision-making algorithms approved by the medical director.
Texas Children's nurses volunteer
their expertise at a variety of camps around the country designed to
provide common childhood experiences to children with chronic
illnesses. These camps give nurses an opportunity to interact with
and care for children outside the hospital setting.