TABLE 3

Representative Quotes for Each Theme

ThemeQuotes
Diverse educational needs“The 2 criteria I think are most important are one, things that are common, and then 2, things that have a lot of practice variation. I think that would be the most helpful from a doc perspective.”
“So, I just want to say, I feel like there will be kind of 2 different camps. Like, you know? I’m not as concerned about all the neonatal things and the management because I work in the ED, where, you know, I think our topics might differ as far as our top 5, based on just…the clientele we’re dealing with.”
“So, I’m going to [go] off topic a little bit. I think whatever the topics are, we need real-time online videos. Because we can send all these people to these classes, but if they don’t see that [sic] our admitted patients for 2 years, they’re not going to remember it. So, for instance, if we look at respiratory distress, we need something they can click on and actually use. This is what respiratory distress looks like in a 2-year-old, and this is what you need to do, because I think we’ve all done in small places, send people to classes, they don’t remember it when they need it.”
“Pediatric assessment and skills kind of go hand in hand. How do you listen? How do you start an IV? How do you speak to the different age groups of children and deal with some…some of the moms that are really, you know, stressed, making the child anxious, and you know, the mom that seems like she doesn’t really care? And that might be frustrating too. And how do we suction safely and do venipuncture? And so, a lot of it comes from an inpatient standpoint of kids that aren’t really that sick. They’re not really any sicker than your kids at home, but there’s still a huge, uncomfortable feeling when the nurses upstairs are caring for these pediatric patients. So, kind of, just empowering and like, as us adults every day, it’s the same, but here’s the few differences that you look for.”
“And, I just would like to just ask that you really do look at your process around maybe asking the hospitals about videos because, you know, not…not just here but in lots of small hospitals that at least I’ve interacted with. And because we don’t have them, our nurses resort to YouTube, and they look at YouTube pediatric assessments and…like, they want something.”
Guidelines for telemedicine and transfer“And then how to we best prepare the patients who are being transferred, because I think we can really do a better job with that.”
“But, interventions that absolutely have to be done at [our ED] versus things that can wait to be done at [the admitting hospital] to not delay transport.”
“We transport a lot of kids out here, so it would be helpful to know if there’s any kind of algorithms or prework that should lead up to the transport, versus do we have everything? I don’t know if we have everything. What do you mean we don’t have everything? What’s going on? Which typically can happen.”
Relationship building“Are there things that the medical center wished that we knew or did that we don’t do, maybe we should do? They’ve been getting the ideas from us, but how about the reverse?”
“We’re so lucky that [the hospital’s] like mission, part of their mission is in rural outreach; we couldn’t be luckier.”
“If people are already working on sepsis at [the hospital], we’re not going to do something separate. Like, we’ll be collaborative.”