To determine the frequency of use and scope of practice of paramedics in the pediatric emergency department (PED).
Thirty-eight question mailed survey.
One hundred eighty directors of pediatric emergency medicine departments.
One hundred twelve (62%) pediatric emergency medicine directors completed the survey of which 87 (74%) had a physically distinct PED.
The PEDs saw an mean volume of 29,563 patients per year.
Twenty-one percent of the PEDs surveyed had paramedics who were employed as allied health personnel.
Paramedic responsibilities in the PEDs included patient transport, 89% ; laboratory transport, 67% ; IV access, 78% ; medication administration, 22% ; suturing, 11% ; assisting, 94% ; intubation, 6% ; and narcotic administration, 11%. Paramedic mean starting salary was $9.55 (SD ± 1.90)/h) versus nurse mean starting salary of $15.03 (SD ± 3.58)/h (P<0.001).
PED directors who employed paramedics rated the success of their paramedic program as 7.9 (SD ± 1.7) on a scale from 1 (not at all successful) to 10 (very successful).
Paramedics can function successfully as members of the PED patient care team.
In a resource-scarce health care environment the use of paramedics may be a cost-effective adjunct to nursing support.
Mots-clés Pascal : Urgence, Service hospitalier, Pratique professionnelle, Evaluation, Equipe soignante, Analyse coût efficacité, Economie santé, Enfant, Homme
Mots-clés Pascal anglais : Emergency, Hospital ward, Professional practice, Evaluation, Health care staff, Cost efficiency analysis, Health economy, Child, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0001667
Code Inist : 002B27B14C. Création : 31/05/1999.