| |
| |
|
|
|
Pediatric Emergency Contact Notifications Made Easier
For the head of the trauma department at one of America's top pediatric facilities, Chicago's Children's Memorial Hospital, having to notifying parents that their children have been the victims of trauma or identify pediatric Jane Does, is an every day occurrence. But just because they look like they're handling it well, doesn't mean that it ever becomes routine. When a child comes into the ED without a parent, it's usually the result of an accident or traumatic event. Even though their first priority is to tend to the child's medical needs, their next priority is to identify the child. They need to get his parents or guardian down to the hospital, to give consent for his treatment, provide vital medical history and most importantly, to be at their child's side when he needs them most. You'd be surprised how often a child is brought into Children's Memorial without anything pointing to his or her identity. Many times it's the result of a car accident, where the parents are injured as well as the child, and are taken to another hospital, while the child is brought to Children's for specialized pediatric treatment. Since children don't have driver's licenses or checkbooks, identifying a child can be challenging. Just the other day, three children ranging from 8 months to 3 years were brought into the ED after a serious automobile accident. Their parents, who were in bad shape, were taken to another hospital and the paramedics had no clue about their names, ages or medical history. The trauma team began their medical evaluation and as they always do when dealing with an unidentified child, opened a trauma pack for each, using a patient number to identify them. We estimated their ages, did a full physical description including any identifying marks and clothing, then ordered a full set of x-rays, which helps to identify any conditions or injuries that aren't readily apparent. The team's biggest asset in this situation was the solid relationships that they've built with police, fire department, and other local hospitals - as they work together to get the children identified as quickly as possible. After a major accident like this, the police and fire department were already in the ED coordinating efforts. With their special emergency landline system they're instantly linked by phone with any local hospital they need to reach. As the team began calling to find out where the children's parents were taken, hospitals began to call them, to say, "I know you're looking for the mom and dad of the accident victims. They're not here," saving them precious time. In this case, we found the hospital relatively quickly and found out that even though the children's parents had been seriously injured, the children's caregiver who had also been in the accident, was fine. The hospital sent her over to Children's and she - and later on the parents - were able to give them all the information theyneeded to identify and treat the children. In the case of a completely unidentified child, especially babies, they depend on our procedures. Usually the fire department, police or DCFS dropped the child off, so they are already aware of the situation and have already begun going through the child's clothing and personal effects to gather evidence and identify the child. The trauma team will send the police or paramedics right back to the scene to gather additional information, medicine bottles, names, and to canvass the area. There is almost always someone who saw something. Someone from pastoral care automatically comes down and a social worker will get involved if it looks like any abuse was involved. Together, they take care of figuring out where to go from here, while the team takes care of the child medically. If these steps don't elicit any clues to the child's identity, the hospital will get media affairs involved. Children's will never show the face or reveal the name of any child. Instead, they photograph the child's clothing and personal effects and release it to the media along with the child's estimated age, description and the vicinity in which she was found. They work closely with detectives and DCFS to give them all the details they need to chase down any leads they get from the public. Many times just calling DCFS or the police will locate parents or bring about an identification. In the case of severe trauma, abuse or inflicted injury, Children's always balances treating the child, with carefully gathering as much evidence as possible, to help the eventual police investigation. They had a young girl a few years ago, whose brutal attacker was convicted mainly on the evidence gathered and catalogued in the trauma room. When it comes to providing emergency contact information, kids aren't always the best source. They have seven or eight year old kids come in everyday, who I'm sure are sophisticated in every other way. But get them in a trauma situation and ask them what their mom's name is and they'll say it's "mom". In this case, the first thing they'll do is look at whatever they brought in with them. School-age kids almost always have a backpack. If they don't find anything there, they'll check our records to see if the child is in the system and begin to gently probe the child for information. They ask them where their house is, what their school looks like, information about their friend's houses, maybe a familiar landmark on the corner like a 7/11 or the name of a park. If you can't find their contact information right away, try to find the name of their school. Their books will probably have the name of their school stamped inside. Schools are also a great source for emergency contact information. They'll often even list alternate people to call in an emergency if the parents are at work or hard to reach. In an emergency, schools will usually send someone directly down to the hospital with the child's emergency card and emergency consent forms. If the injury occurs at school, most schools will send someone from the school along with the child to the hospital, while someone else is calling the parent. For parents, I would suggest that every parent name someone else on the child's emergency card, who knows the child well and would be able to step in to help out during an emergency if the parents can't get there right away. So once you identify a child, how do you know if the person who comes to the hospital is really his parent or relative? It's not always easy. Remember that the parents didn't expect to have to come to the hospital today, and probably won't be carrying three forms of ID and their child's birth certificate. For people that come in and say they're related to a child who's been in the media, they get as much ID as they can, be it a driver's license, pictures or other proof. With kids, the biggest test is to watch their response when that person goes in the room. Usually you'll here a resounding "Mom!" or "Daddy!" and you know you've got the right person. If there's no response from the kid, or if they're not sure of the adult, it's probably not the right person. Or worse, the child might recoil from the adult, which could indicate an abusive situation. Treating kids also means caring for their parents. When Children's has to make a notification call they'll begin by telling the person on the phone who they are and ask them how they are related to the child. If it's the mom or dad, they'll tell them that their child has been brought to Children's Memorial Hospital. Of course the parent will immediately ask how the child is. This is always the hardest part of the call. If the child is clearly fine, they'll say "Don't worry, they're fine, we just need you to come down here." But if there is a more serious injury, or if the child hasn't survived, they say that the child has been in an accident, that they need to come down, and if necessary, that they need to get their medical history. If they refuse to get off the phone until they find out what's wrong, the trauma coordinator will say that they're very concerned about their child's health and that they need to come down right away. They'll always try to calm the person down as much as they can - tell them to go and get a pencil and paper to take down the address of the hospital, to take down the hospital's name and they're direct number. They tell them to ask for them right away when they get here so they don't have to waste any time at the desk and then try to make sure they have someone to drive them over. And they finish by reminding them that they need to drive carefully and slowly and to make sure that they get there in one piece! At Children's the top priority is the restoration of the health of every child who comes through our door, no matter who they are and where they come from. For tools you and your staff can use to facilitate pediatric notification, identification and communication, download a free copy of the Seven Steps to Successful Notification System, in PDF format, at the Next of Kin Education Project web site. Along with the Information Kit, you'll find patient chart pages and notification worksheets using the Seven Steps, that you can purchase and customize to use as part of your own charting system. You'll find them on the NOKEP web site along with reminder products like mouse pads, posters and coffee mugs, to keep the Seven Steps at your staff's fingertips. Laura Greenwald, CEO/The Next of Kin Education Project nokepinfokit@juno.com The Seven Steps Information Kit can be downloaded free of charge at http://clik.to/7steps The Reminder Products can be purchased at our NOKEP store http://www.cafeshops.com/7steps
MORE RESOURCES: Buy Website Internet Traffic. Website online advertising. Buy full page popunder advertising and increase website traffic to your sites. Bad Credit Loans - Loans for people with bad credit. Access online government grants and financial credit services instantly online. Digital Streaming Radio On Your Mobile Phone - La Vella Mobile Radio. La Vella Mobile Radio Gives You Access To Over One Hundred Of The Hottest Streaming Radio Stations From Around The World And Brings Them To The Palm Of Your Hand, Right On Your Mobile Phone. Get Streaming Radio On Your Cell Phone! Audio And Video Streaming For Multimedia Purposes. This Is A Complete Step By Step Guide To The Beginners Who Want To Install And Setup Audio And Video Streaming For Multimedia Purposes On The Internet.
|
|
|
|
RELATED ARTICLES
OxyContin Addiction: Doctors & Drug Lords OxyContin is a narcotic drug, an opiate, that has been approved by the FDA to legally treat chronic pain. Chronic pain is documented medical condition, a progressive disease of the nervous system and spine that causes constant a patient to experience constant, excruciating pain. Take Control of Your Doctor: Ten Actions To Get What You Need At Your Next Office Visit Michael Richardson, MD has some suggestions on maximizing your next doctor's visit.?Find a primary care doctor you can talk to and start building a relationship. Pharmaceuticals: The Next Frontier in America's War on Drugs America's war on drugs, which has been fought in the opium fields of Afghanistan and the cocaine plantations of Columbia, will have to reinvent itself to combat what is set to be America's biggest drug abuse problem, pharmaceuticals. One in five American's, nearly 48 million, have used prescription drugs for non-medical purposes at least once in their lives. Are Drug Companies Destroying The U.S. Health Care System? The U.S. Orthotics: Prefab or Custom-Made? If you take a simple stroll down the foot product isle at your local drug store you will find an array of foot products and inserts. You will find inserts for cushion, for comfort, for support and for control. Rheumatoid Arthritis : the time bomb The beginning is very much hard to spot as we migh just wake up in the morning and feel that the fingers on our hand do not function as they should. A little of bit of movement and everything is fine. Lunesta FAQ: Things To Know Before You Buy Lunesta Online When was the last time you enjoyed a good night's sleep? I'm talking about feeling tired, heavy, and relaxed - the times when you might say "wow! I love air conditioning" and fall right into a deep sleep. If you haven't fallen asleep quickly and woken up feeling refreshed and ready for anything, then you're not alone. Health Needs of Survivors of Domestic Violence Domestic violence is not over when the victim is safe and out of harm's way. It's not over until justice has been served. The Equine Cushings Cure Equine Cushings disease is caused by a tumor in the pituitary gland, which is responsible for the production and regulation of hormones. Symptoms include a long, shaggy coat that does not shed, excessive drinking and urination, laminitis, a tendency for recurring infections in the hoof (foot abscesses), and a loss of muscle mass, especially along the topline and rump. Are You Sometimes Confused by Written Medical Instructions? Now, imagine what it would be like if you were sick, scared and had only third grade reading skills. Your doctor tells you, "You've got to follow these instructions exactly, or you could die. Top Five FAQs About Nail Fungus What is nail fungus?Nail fungus, also known as Onychomycosis, is an organism which digests the keratin found in your fingernails and toenails. The fingernail and toenail are naturally built to be strong barriers, and resistant to fungi and other infections. How You Can Erase Low Back Pain Using the Latest Medical Techniques! "If you're one the nine out of ten adults in the United States who suffers from low back pain, I have good news for you!" states Dr. Nathan Wei, a board-certified rheumatologist and Clinical Director of the Arthritis and Osteoporosis Center of Maryland. Warning: Taking Bextra May Harm Your Health Another Vioxx-like occurrence may be on the rise, as warnings about Pfizer's arthritis pain drug, Bextra, continue to mount.According to a study of more than 1,500 patients who had previously undergone cardiac surgery, those who were treated for pain with Bextra were more likely to have heart and blood clotting problems than those who received no drug at all. Phentermine Diet Pills: When Diet and Exercise Arent Enough To Help You Lose Weight Have you been struggling to lose weight, but diet and exercise aren't giving you the results you need to be healthy? Are you sick of people telling you that you could lose weight if only you had the will-power? It may be time to ask a physician about a phentermine prescription.What is Phentermine?Remember those 50s movies in which women lost weight by taking amphetamines? We know now that amphetamines can be very dangerous, so they don't make safe weight-loss drugs. Hypertension & High Blood Pressure: How To Improve Life Threatening Weight-Related Diseases The American Heart Association estimates that one of three Americans have have hypertension. And yet many of us don't know what it is, why it's dangerous, and what the treatment options are. Are You Suffering From Addiction? Many researchers believe that addiction is a behavior that can be controlled to some extent and also a brain disease. And since some testing with functional magnetic resonance imaging (FMRI) found that all addictions tend to cause nearly the same reactions inside the brain, there could be one type of control model for addiction health-related issues. Integrative Medicine And Its Future The NBC National News, quoted the Washington Post in March 2000 about the concerns that the FDA had over the mixing of supplements and conventional medications. There was concerns that millions of people are taking supplements (considered herbs, homeopathic, vitamins, minerals, amino acids, enzymes and some diet products) and having reactions when they mix these things with common and prescribed medications. Lotronex Lawyer: Lotronex Side Effects Lawsuit Even in clinical trials, Lotronex displayed a tendency towards causing ischemic colitis in patients. From the February in which Lotronex was approved until June, the FDA received seven reports of serious complications of constipation leading to hospitalization. Sinusitis: Sinus Infection Deals a Corporate KO Sinusitis and Sinus Infection Starts with a Little SniffleYes, I hear it too. A simple sniffle in a distant cubical. Risperdal Side Effects: Neuroleptic Malignant Syndrome NMS Risperdal is an atypical anti-psychotic drug that balances the levels of dopamine and serotonin in the brain. It helps to stabilize patients with mental illness including the manic stages of bipolar disorder and schizophrenia.
|
