Reply To: Inpatient provider staffing models

  • Nichole Mosher

    January 7, 2022 at 5:33 pm

    I would be interested in participating as well!

    I work inpatient at Stanford Children’s Hospital and we have had an inpatient APP team for ~4 years. We previously had 2 separate teams (chemo team covered by APPs and sick/new dx team covered by residents). We just recently restructured to combine with the resident team, which has allowed us to take patients with higher acuity (though we are still primarily doing chemo admissions). The new structure is a work in progress and has presented some challenges.  I would love to hear about the models at other facilities, especially how they combine with their resident teams.

    Also, for facilities where inpatient APPs are covering higher acuity patients (F&N, pancreatitis, etc), was there any additional training for the APPs? 

    Nichole Mosher, AC-PNP
    Inpatient Oncology
    Stanford Children’s Hospital

    Nichole Mosher, RN
    Castro Valley, CA
    United States
    Original Message:
    Sent: 01-03-2022 04:03 PM
    From: Jennifer Young
    Subject: Inpatient provider staffing models

    Good afternoon,
    I am part of a team that is currently looking at provider staffing models for our inpatient service(s). The conversation is largely related to oncology but hematology has a place in the discussion as well.
    So… I am curious, what is the inpatient provider staffing model for your hem and onc or hem/onc services? Are APRNs involved and if so, how? Are Residents involved and if so, how? Do you have split APRN and Resident services?  What is the patient mix within your model? Ex: Inpatient chemo patients are managed by APRN and other oncology related admissions are managed by Residents. Does anyone have a model that incorporates APRNs and Residents into the management of the same patient mix with different patient assignments? Also, where does hematology fit in? I know I have asked a lot of questions but more to drive thoughts and give an idea of what I am asking, so please do not feel that you need to answer every question, I am would just love to hear about various models.

    Jennifer Young
    Lead APRN
    Sickle Cell & Thalassemia Nurse Practitioner
    Nationwide Children’s Hospital