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DOI
https://doi.org/10.63853/JYGG4657
Description
INNOVATION & LEADERSHIP
Background: Our organization identified an opportunity to provide Continuous Renal Replacement therapy (CRRT) to more patients while simultaneously reducing time to initiation by building a dedicated CRRT team. Although CRRT has been provided for years, it lacked formal standardized education and oversight.
Implementation: Recognizing these gaps in care we formed a CRRT team in May 2024, consisting of three RN coordinators, one Advanced Practice Provider (APP), a nursing director, and a nephrology medical director. The aim was to improve CRRT delivery by authoring guidelines, providing formal in-person education for nurses and providers, creating a centralized resource hub, and contributing to research through data collection. Initial assessments revealed gaps in education, standardization and resource availability. The team developed curriculum, wrote competencies, taught classes, authored guidelines, developed and disseminated patient education and provided bedside support.
Evaluation: Since its inception the team has trained 79 nurses and 14 physician fellows. CRRT patient days increased from 504 to 1673 a 193% in the first year of the program. The average time from order to initiation showed a slight decrease from an average of 5.17 hours to 5.04 hours. Through this work, we identified key contributors to initiation delays, including IV access challenges, pre-prime procedures, and the use of reconstituted blood for circuit priming. To address this, we plan to trial eliminating pre-prime and using PRBCs alone to further reduce initiation time. The development of a structured, collaborative CRRT team has been successful in standardizing, enhancing and expanding CRRT care delivery for critically ill pediatric patients.
Publication Date
11-24-2025
Disciplines
Pediatric Nursing
Recommended Citation
Segovia, Lainey; Pena, Taelor; Zolezzi, David; Turrubiarte, Tami; and Drake, Keri, "Development of a Continuous Renal Replacement Therapies (CRRT) Team" (2025). 2025. 15.
https://scholarlycollection.childrens.com/nursing-anf2025/15
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
