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Developing Clinical Protocols for Nursing Practice: Improving Nephrology Care for Children and their Families - Download article and take CE posttest
Michele Mills
Suzanne C. White
David Kershaw
Joseph T. Flynn
Patrick D. Brophy
Susan E. Thomas
William Smoyer

Improving and maintaining quality patient care through the development and implementation of clinical protocols is an important facet in our health care system. Identifying the need for clinical protocols, developing and maintaining the protocols, and defining the specific role of pediatric nephrology nurses in this process is presented herein. To illustrate the process we have included two examples of current clinical protocols utilized by our division.


Michele Mills, MS, RN, CPNP,  is Pediatric Nurse Practitioner, and Coordinator Pediatric Lupus, CKD, and Hypertension Programs, Pediatric Nephrology Division, C.S. Mott Children’s Hospital, University of Michigan Health System, Ann Arbor, MI. She is a member of the MichigANNA chapter of ANNA.
Suzanne C. White, BSN, RN,  is Clinical Nurse II, and Coordinator Growth Hormone Program, Pediatric Nephrology Division, C.S. Mott Children’s Hospital, University of Michigan Health System, Ann Arbor, MI. She is a member of the MichigANNA chapter of ANNA.
David Kershaw, MD,  is Director Pediatric Nephrology Division, and Associate Professor, Pediatric Nephrology Division, C.S. Mott Children’s Hospital, University of Michigan Health System, Ann Arbor, MI.
Joseph T. Flynn, MD, MS, is Director, Pediatric Hypertension Program, and Associate Professor of Clinical Pediatrics, Children’s Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY.
Patrick D. Brophy, MD,  is Director, Pediatric Hypertension Program, and Associate Professor of Clinical Pediatrics, Children’s Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY.
Susan E. Thomas, MD, is Medical Director, Pediatric Renal Transplant Program, and Clinical Associate Professor, Pediatric Nephrology Division, C.S. Mott Children’s Hospital, University of Michigan Health System, Ann Arbor, MI.
William Smoyer, MD, FAAP, is Professor, C.S. Mott Children’s Hospital, University of Michigan Health System, Ann Arbor, MI.