Reply To: Inpatient provider staffing models

  • Jennifer Hemmeger

    Member
    January 10, 2022 at 11:08 am
    That’s similar to our model.  I’m super excited to see what’s working for everyone!
    J. Megan Hemmeger, MSN, APRN, ACPNP, CPHON
    Instructor
    Department of  Pediatric Hematology and Oncology
    Baylor College of Medicine at
    The Children’s Hospital of San Antonio
    315 N. San Saba Street Suite 1135
    San Antonio, TX 78207
    (210) 704-4275

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    Original Message:
    Sent: 1/10/2022 10:12:00 AM
    From: Dianna Holtzhauer
    Subject: RE: Inpatient provider staffing models

    This is a great topic! I would love to be part of this conversation. We are a small to medium group with 5 NP’s:
    2 full time rotating between inpatient and outpatient
    1 part time rotating between inpatient and outpatient
    1 full time outpatient hematology peds
    1 full time hematology adult
    Currently the inpatient NP will admit and manage all inpatient chemotherapy admissions Monday-Friday, passing off patients to residents in the evenings and weekends.
    In the outpatient setting the NP’s will see a variety of patients:
    The Peds Hem NP will see sickle cell patients, iron deficiencies, iron overload, hemangiomas, chronic transfusions, ITP, and so on.
    The Adult Hem NP will see Adult hemophilia patients in clinic and at outreach clinics, and manage clots
    The remaining NP’s will see chemotherapy patients on days past day one of each cycle, manage count checks with medication adjustment, address patient calls, manage oncology blood product transfusions, and so on.

    Dianna Holtzhauer, APRN
    Kentucky Children’s Hospital
    DanceBlue Pediatric Hematology-Oncology Clinic
    Lexington, Kentucky

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    Dianna Holtzhauer, BSN,CPON
    Lexington, KY
    United States
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    Original Message:
    Sent: 01-07-2022 02:28 PM
    From: Amy Newman
    Subject: Inpatient provider staffing models

    Thanks all for the interest!

    I will work with several of the members who indicated a willingness to share their models and schedule a date/time (or two) for Zoom calls and will post again in this forum!

    Take care,

    Amy

     

    Amy R. Newman, PhD, RN, CPNP-PC, CPHON

    Assistant Professor

    Marquette University College of Nursing 

    Clark Hall, Room 209

    530 N. 16th Street

    Milwaukee, WI 53233

    Phone: 414-288-4675

    Email: amy.newman@marquette.edu

     

    Sent from Mail for Windows 10

     

    Original Message:
    Sent: 1/7/2022 3:02:00 PM
    From: Susan Harvey
    Subject: RE: Inpatient provider staffing models

    I would also be interested in being a part of this call. We just hired inpatient NPs for hematology and would love to hear what others are doing as we define these roles.

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    Susan Harvey CPNP-AC, MSN, RN
    Hematology Lead Advanced Practice Provider
    Children’s National Hospital
    Washington, DC
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    Original Message:
    Sent: 01-07-2022 01:47 PM
    From: Shari Feinberg
    Subject: Inpatient provider staffing models

    Here in Brooklyn we are exploring this as well. If there is a zoom call I would love to participate.

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    Shari Feinberg, ARNP, CPNP-PC, CPON
    Pediatric Hematology Oncology Nurse Practitioner
    Maimonides Children’s Hospital
    Brooklyn, NY

    Original Message:
    Sent: 01-07-2022 01:31 PM
    From: Amy Newman
    Subject: Inpatient provider staffing models

    Hi All,

    I know I’m a bit late to the game on this conversation, but I know that this is something we are working on as well.

    I wonder if it might make sense to set up an interactive Zoom call where several of you can present what you do/what you believe works well, and then maybe others on the call can pose questions and engage in dialogue.

    I would be willing to facilitate if there was some interest.

    Amy

     

    Amy R. Newman, PhD, RN, CPNP-PC, CPHON

    Assistant Professor

    Marquette University College of Nursing 

    Clark Hall, Room 209

    530 N. 16th Street

    Milwaukee, WI 53233

    Phone: 414-288-4675

    Email: amy.newman@marquette.edu

     

    Sent from Mail for Windows 10

     

    Original Message:
    Sent: 1/3/2022 6:20:00 PM
    From: Anne Harvey
    Subject: RE: Inpatient provider staffing models

    This topic seems to be coming up quite a bit lately as teams continue to evolve. Our team at Primary Children’s Hospital in Salt Lake City has a soon to be team of 21 APP’s. We manage both inpatient and outpatient services including Hematology, Oncology and BMT. We focus our clinical practice in one area where we have great collaboration with our physician partners and nurse coordinators. I would be happy to chat about our current structure and learn from others’ experiences as well.

     

    Feel free to e-mail me directly and we could set up a time to chat.

     

    my signature

    Anne G. Harvey, DNP, CPNP

    Pediatric Nurse Practitioner

    APP Director, Pediatric Hematology/Oncology

    Utah Center for Cancer & Blood Disorders

    Primary Children’s Hospital

    Phone: 801.662.4545

    Pager: 801.914.2330

     

    Anne.Harvey@imail.org

     

     

    Original Message:
    Sent: 1/3/2022 6:09:00 PM
    From: Ann Stratton
    Subject: RE: Inpatient provider staffing models

    Hello! I would be happy to have a phone conversation and tell you what has and has not worked for us

    Ann
     
    Ann Stratton, APRN, CNP, CPHON
    Lead Practitioner
    Showers Family Center for
    Childhood Cancer and Blood Disorders
    Akron Children’s Hospital
    Office (330) 543-8943
    Pager (330) 920-5563

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    Ann Stratton, APRN, CNP, CPHON
    Lead Practitioner
    Showers Family Center for
    Childhood Cancer and Blood Disorders
    Akron Children’s Hospital
    astratton@akronchildrens.org
    Office (330) 543-8943
    Pager (330) 920-5563

    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.
    thanks,
    Jenni

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