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Interprofessional ECMO telerounding: a novel approach to neonatal ECMO clinical participation and education

OBJECTIVE: Determine the feasibility, strengths, and barriers of offering extracorporeal membrane oxygenation (ECMO) telerounding to neonatal intensive care unit (NICU) care providers. STUDY DESIGN: NICU providers were invited to join ECMO rounds by teleconference. Data were collected on teleroundin...

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Autores principales: Brei, Brianna K., Gray, Megan M., Umoren, Rachel, Handley, Sarah, DiGeronimo, Robert, Sawyer, Taylor, Smith, Kendra, Billimoria, Zeenia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group US 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7505939/
https://www.ncbi.nlm.nih.gov/pubmed/32963301
http://dx.doi.org/10.1038/s41372-020-00827-4
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author Brei, Brianna K.
Gray, Megan M.
Umoren, Rachel
Handley, Sarah
DiGeronimo, Robert
Sawyer, Taylor
Smith, Kendra
Billimoria, Zeenia
author_facet Brei, Brianna K.
Gray, Megan M.
Umoren, Rachel
Handley, Sarah
DiGeronimo, Robert
Sawyer, Taylor
Smith, Kendra
Billimoria, Zeenia
author_sort Brei, Brianna K.
collection PubMed
description OBJECTIVE: Determine the feasibility, strengths, and barriers of offering extracorporeal membrane oxygenation (ECMO) telerounding to neonatal intensive care unit (NICU) care providers. STUDY DESIGN: NICU providers were invited to join ECMO rounds by teleconference. Data were collected on telerounding participation and ECMO concepts discussed. A survey was sent to all providers. RESULTS: From March 2018 to February 2020, telerounding on 24 neonatal ECMO patients (168 ECMO days) was performed in a Level IV NICU. A mean of four providers joined telerounds per ECMO day with an increase from 3 to 6 providers over the study period. Nearly all respondents felt telerounding lowered barriers to attending ECMO rounds (94%), promoted engagement (89%), and improved continuity of care (78%). Barriers to ECMO telerounding were suboptimal audio connections and limited ability to participate in the clinical discussion. CONCLUSION: ECMO telerounding is well-received by NICU providers. It can improve provider participation, complement existing in-person ECMO rounds, and ECMO education.
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spelling pubmed-75059392020-09-23 Interprofessional ECMO telerounding: a novel approach to neonatal ECMO clinical participation and education Brei, Brianna K. Gray, Megan M. Umoren, Rachel Handley, Sarah DiGeronimo, Robert Sawyer, Taylor Smith, Kendra Billimoria, Zeenia J Perinatol Article OBJECTIVE: Determine the feasibility, strengths, and barriers of offering extracorporeal membrane oxygenation (ECMO) telerounding to neonatal intensive care unit (NICU) care providers. STUDY DESIGN: NICU providers were invited to join ECMO rounds by teleconference. Data were collected on telerounding participation and ECMO concepts discussed. A survey was sent to all providers. RESULTS: From March 2018 to February 2020, telerounding on 24 neonatal ECMO patients (168 ECMO days) was performed in a Level IV NICU. A mean of four providers joined telerounds per ECMO day with an increase from 3 to 6 providers over the study period. Nearly all respondents felt telerounding lowered barriers to attending ECMO rounds (94%), promoted engagement (89%), and improved continuity of care (78%). Barriers to ECMO telerounding were suboptimal audio connections and limited ability to participate in the clinical discussion. CONCLUSION: ECMO telerounding is well-received by NICU providers. It can improve provider participation, complement existing in-person ECMO rounds, and ECMO education. Nature Publishing Group US 2020-09-22 2021 /pmc/articles/PMC7505939/ /pubmed/32963301 http://dx.doi.org/10.1038/s41372-020-00827-4 Text en © The Author(s), under exclusive licence to Springer Nature America, Inc. 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Article
Brei, Brianna K.
Gray, Megan M.
Umoren, Rachel
Handley, Sarah
DiGeronimo, Robert
Sawyer, Taylor
Smith, Kendra
Billimoria, Zeenia
Interprofessional ECMO telerounding: a novel approach to neonatal ECMO clinical participation and education
title Interprofessional ECMO telerounding: a novel approach to neonatal ECMO clinical participation and education
title_full Interprofessional ECMO telerounding: a novel approach to neonatal ECMO clinical participation and education
title_fullStr Interprofessional ECMO telerounding: a novel approach to neonatal ECMO clinical participation and education
title_full_unstemmed Interprofessional ECMO telerounding: a novel approach to neonatal ECMO clinical participation and education
title_short Interprofessional ECMO telerounding: a novel approach to neonatal ECMO clinical participation and education
title_sort interprofessional ecmo telerounding: a novel approach to neonatal ecmo clinical participation and education
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7505939/
https://www.ncbi.nlm.nih.gov/pubmed/32963301
http://dx.doi.org/10.1038/s41372-020-00827-4
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