RT Book, Section
A1 Majeed, Jibran
A1 Keith, David
A1 D’Agostino, Rhonda
A2 Oropello, John M.
A2 Pastores, Stephen M.
A2 Kvetan, Vladimir
SR Print(0)
ID 1136418613
T1 Alternative Staffing Models in the ICU
T2 Critical Care
YR 1
FD 1
PB McGraw-Hill Education
PP New York, NY
SN 9780071820813
LK accessmedicine.mhmedical.com/content.aspx?aid=1136418613
RD 2024/04/18
AB KEY  POINTSThe  nationwide  shortage  of  intensivists  has  prompted  US  hospitals  to  effectively  develop  and  integrate  alternative  staffing  models  into  their  intensive  care  unit  (ICU),  including  the  use  of  nurse  practitioners  (NPs),  physician  assistants  (PAs),  and  hospitalists.Patients  managed  by  NPs,  PAs,  and  hospitalists  have  been  shown  to  have  similar  outcomes  in  hospital  mortality  and  length  of  stay  and  greater  compliance  with  evidence-based  practice  guidelines  when  compared  to  those  cared  for  by  residents.Hospitalists  may  serve  as  the  primary  providers  in  ICUs  without  critical  care  consultants  or  assist  in  the  co-management  of  patients  with  intensivists.With  the  myriad  of  ICU  practice  models  available,  additional  studies  are  needed  to  help  sculpt  styles  based  on  the  particular  needs  and  preferences  of  an  institution.Regardless  of  the  chosen  staffing  model,  the  key  determinants  for  the  success  and  growth  of  the  critical  care  workforce  will  rely  heavily  on  organization,  strategic  planning,  and  communication.