The Acute Pain Service Nurse Practitioner: A Case Study in the Postoperative Care of the Child With Bladder Exstrophy

• Published in: Journal of pediatric health care Vol. 22; no. 6; pp. 351 - 359
• Main Author: Kozlowski, Lori J., MS, RN, CPNP
• Format: Journal Article
• Language: English
• Published: United States Mosby, Inc 01-11-2008
• Subjects: Advanced Practice Nursing; Analgesics - administration & dosage; Analgesics - therapeutic use; Bladder Exstrophy - surgery; bladder exstrophy/post-operative care; Child; Humans; Hypnotics and Sedatives - administration & dosage; Nurse Practitioners; Nursing; Pain, Postoperative - drug therapy; Pain, Postoperative - nursing; pediatric nurse practitioner role; pediatric pain management; Pediatric pain service; Pediatrics; Pediatric pain service; bladder exstrophy/post-operative care; pediatric nurse practitioner role; pediatric pain management
• ISSN: 0891-5245; 1532-656X
• DOI: 10.1016/j.pedhc.2007.08.002

Abstract Effective pain management for children requires leadership and effective interdisciplinary collaboration. At the Johns Hopkins Children's Center, a pediatric nurse practitioner–based, anesthesiologist supervised acute pain service model strives to improve the quality of pain management within the institution. A case study describing pain and sedation management of the child following bladder exstrophy repair demonstrates the integral role of the nurse practitioner in the promotion of quality outcomes for this complex patient population.