Presenter Profile
Maisie Williams, CPST
Children's Wisconsin
Program Manager, Safety Center
mwilliams3@childrenswi.org
Program Manager, Safety Center
mwilliams3@childrenswi.org
Maisie Williams is a Child Passenger Safety Technician working at Children's Wisconsin on hospital initiatives to make sure Wisconsin's kids have a safe ride home. As a Program Manager at Children's Safety Center, Maisie works to provide education to staff and families to create a smooth and timely discharge home. She works with her work community to provide health education and safety products to various children and families. She has been trained as a CPST since 2021 and has also taken the STAC course to further her work with all children.
Presentations
Improving Timeliness of Car Seat Consults for an Inpatient Population
Maisie Williams, CPST
Robyn Woolever, MSN, BSN, RN-BC
Part of session:
Lightning Round Presentations
Saturday, December 3, 2022, 10:15 AM to
11:00 AM
Background:
Our urban level one trauma center has a comprehensive hospital based car seat program funded through our hospital and the Department of Transportation. Car seats are provided to families who are identified as not having safe transportation home. While a car seat consult should be entered into the electronic health record (EHR) at the time of admission to allow for a timely car seat distribution prior to hospital discharge that did not always occur. The purpose of our program was to develop a process to assure that car seat consults were placed at the time of admission to allow for timely patient discharge.
Methods:
Focus groups with the Clinical Nurse Specialists and the Discharge Optimization Leader were led by hospital car seat staff. We requested an EHR report to understand when car seat consults were being placed. Then we developed a Best Practice Advisory (BPA) in our EHR to improve timing of the car seat consult.
Results:
Focus groups themes included placement of a car seat consult occurring late in a child’s hospital course and this late consult delaying a child’s hospital discharge. From our EHR report from 02.14.2022 to 04.12.2022, we found that 53.3% of consults for standard car seats were entered on the day of discharge. A BPA that prompts the ‘Car/Booster Seat Available’ question was developed for patients who have been inpatient for over 24 hours and the expected discharge date is a day after tomorrow and for patients who have been inpatient for 8 hours with an expected date of discharge being tomorrow.
Conclusions:
BPA’s may be used to improve timeliness of car seat consults for inpatients. Next steps are to examine whether BPA’s improve timeliness of a car seat consult and thus a timely patient hospital discharge.
Objectives:
1. Learn about how delays in placing car seat consults at a hospital level were affecting discharge timelines.2. Explore how the car seat team with the discharge optimization leaders formulated a report to see if the word of mouth stories were true about last minute consults.
3. Understand how to craft a best practice advisory to remind inpatient staff when they need to place the car seat consult if warranted.