Log In

Forgot Password?
Create New Account

Loading... please wait

Abstract Details

Advanced Practice Providers in Neurocritical Care: Model for Orientation and Onboarding to Ensure Quality of Patient Care, APP Autonomy, Retention and Job Satisfaction
Neuro Trauma and Critical Care
P12 - Poster Session 12 (5:30 PM-6:30 PM)

Advanced Practice Providers (APPs) are vital members of modern neuro critical care units (NCCUs). However, Physician Assistant (PA) and Nurse Practitioner (NP) education seldom includes an in-depth teaching of neurology and critical care. 

To develop a comprehensive onboarding platform for neurocritical APPs to achieve our goal of expanding APP knowledge and autonomy, reducing APP turnover, and improving quality of patient care.

New APPs hired to our NCCU underwent 6 months of comprehensive onboarding. APPs were required to complete NIHSS and ENLS certifications within the first two weeks of training and the Neurocritical Care Society APP onboarding platform within 6 months of employment. Intubation and procedural competency was provided by our facilities anesthesiologists and Neurocritical care APPs, respectively. Patient and procedural logs were utilized and reviewed throughout. APPs underwent competency evaluations at the end of their onboarding period. APP retention was defined by at least one year of employment following orientation. Job satisfaction was measured by Glint survey scores. Quality of care was assessed by Get with The Guidelines awards.

A total of 4 APPs underwent this orientation between 2019 to 2021. 1 APP was a Physician Assistant and 3 were Nurse practitioners. All newly hired APPs had experience ranging from newly graduated to 5 years working as an APP. All APPs were retained. We achieved and maintained Get with the Guidelines Gold Plus Advanced Therapy Elite Honor Role status during the two years of this review. Our team’s Glint survey eSAT scores were over 80% for 2 consecutive years and ranked consistently higher than other departments within our organization.

A rigorous onboarding platform is essential for developing autonomous NCCU APPs and serves to optimize APP retention and job satisfaction. Furthermore, ensuring adequate APP onboarding translates to a high level of patient care provided by these APPs.  

Tyler J. Schaefer, PA
Mr. Schaefer has nothing to disclose.
Blair Cotton Blair Cotton has nothing to disclose.
Benjamin C. Grant, PA (Spectrum Health Medical Group) Mr. Grant has nothing to disclose.
Danielle Diekevers Danielle Diekevers has nothing to disclose.
Elizabeth Michel, PA (Spectrum Health Medical Group) Mrs. Michel has nothing to disclose.
No disclosure on file
No disclosure on file
No disclosure on file
No disclosure on file
Kaitlin Schoder, NP Ms. Schoder has nothing to disclose.
Trisha R. Dickey, MD (Ohio Health riverside methodist hospital) Dr. Dickey has nothing to disclose.
Hildalicia Guerra, MD Dr. Guerra has nothing to disclose.
Tia Chakraborty, MD (Corewell Health) Dr. Chakraborty has nothing to disclose.
Joseph Zachariah, DO (Spectrum Health) Dr. Zachariah has nothing to disclose.
Muhib Khan, MD, FAAN (Mayo Clinic) The institution of Dr. Khan has received research support from NINDS. The institution of Dr. Khan has received research support from Genentech. The institution of Dr. Khan has received research support from Spectrum Health-MSU alliance. Dr. Khan has received research support from NIH.