Review : 'A Bridge to the Future': impact on High Dependency and Intensive Care

Abstract

■ The availability and increased demand on Paediatric Intensive Care beds continues on line with the advances with medical technology.

■ The provision of District General Hospitals providing level 1 care and initiating level 2 is extremely important.

■ Critically ill children requiring transfer to a tertiary centre require an efficient retrieval team.

■ Care of critically ill children should always be provided by appropriate trained and experienced nursing staff.

■ The partnership and negotiation of care for parents and relatives should be maintained as a high priority in PICU.

Keywords

Child District General Hospitals,Experience Family High Dependency Parental involvement Qualifications Retrieval.

Get full access to this article

View all access options for this article.

References

Audit Commission. (1993) Children First: A Study of Hospital Services London: HMSO.

Barry P. (1994) An Audit of Inter-hospital Transfer of Critically Ill Children London : Personal Communication ?

Bennett NR (1995) Transfer of the critically ill child. Mini symposium Current Paediatrics; 5: 4-9.

Bion JF , Wilson IH , Taylor PA (1988) Transporting critically ill patients by ambulance : audit by sickness scoring British Medical Journal ; 296(6616): 258-260.

British Paediatric Association. (1993) The Care of Critically Ill Children. Report of a Multidisciplinary Working Party on Intensive Care London.

BPA.

Britto J. , Nadel S. , Levin M. , Habibi P. (1995) Mobile paediatric intensive care: The ethos of transferring critically ill children Care of the Critically Ill; 11(6): 235-238.

Carter MC , Miles MS , Burford TH , Hassanien RS (1985) Parental environmental stress in paediatric intensive care units Applied Nursing Research; 4(3):181-188.

Cox P. ( 1992) Children in critical care: How parents cope British Journal of Nursing ; 1(15):764-768.

Craft J. (1995) The special needs of the critically ill child Care of the Critically Ill; 11(1):13-15.

10.

Cunliffe P. , Price C. (1989) A model of care Paediatric Nursing ; 1(1):16-17.

11.

Department of Health. (1996) Paediatric Intensive Care London: DOH.

12.

Department of Health. (1997a) Paediatric Intensive Care 'A Framework for the Future" London: DOH.

13.

Department of Health. (1997b) A Bridge to the Future London: DOH.

14.

Edge WE , Kanter RK , Weigle Gcm , Walsh RF (1994) Reduction of morbidity in inter-hospital transport by specialised paediatric staff Critical Care Medicine ; 22(7):1186-1191.

15.

Fleming PJ (1994) Intensive care for children in the UK

Present problems and possible future developments

British Journal of Intensive Care; 199-202.

16.

Hazinski MF (1985) Nursing care of the critically ill child: a seven point check Paediatric Nursing; 11 (6): 453-461.

17.

Heaf DP ( 1986) Organisation of paediatric intensive care Care of the Critically Ill; 2(4):141-142.

18.

Kanter RK , Tomkins JM (1989) Adverse events during inter-hospital transfer Physiologic deterioration associated with pre transport severity of illness. Paediatrics; 84(1): 43-48.

19.

Kanter RK , Boeing NM , Hannan WP (1992) Morbidity associated with inter-hospital transport of paediatric emergencies Paediatrics; 90(6): 893-898.

20.

Levene MI (1995) The organisation of intensive care for children. Mini symposium Current Paediatrics; 5:1-3.

21.

Murdock IA , Sajjanhar T. , Morrison GC , Marsh MJ (1996) Who benefits from paediatric retrieval? Care of the Critically Ill; 12(4):141.

22.

National Health Service Executive. (1996) Paediatric Intensive Care: The Way Forward NHS Executive.

23.

National Health Service Executive. (2000) Paediatric High Dependency Care NHS Executive..

24.

Pollock MM , Alexander SR , Clark N. , Ruttiman UE , Tresselaar HM , Bacholis AC (1991) Improved outcomes from tertiary centre paediatric intensive care: A statewide comparison of tertiary and non-tertiary facilities Critical Care Medical; 19(2):150-159.

25.

Pristas LR , Rausch T. (1997) Transport considerations for the critically ill child Critical Care Nursing; 20(1):72-80.

26.

Robb JA ( 1995) Caring for children in an adult intensive care unit - Part 1 Intensive and Critical Care Nursing ; 11(2):100-110.

27.

Robb JA ( 1995) Caring for children in an adult intensive care unit - Part 2 Intensive and Critical Care Nursing ; 11 (3):161-169.

28.

Sharples PM , Storey A. , Aynsley-Green A. , Eyre JA ( 1990) Avoidable factors contributing to death of children with head injury British Medical Journal; 300(6717):87-89.

29.

Sharples A. , O'Neill M. , Dearlove O. (1996) Children are still transferred by non-specialised teams. British Medical Journal; 312(7023):120-121.