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Home My WebLink Aboutnprp-interactive-checklist-modified-final-pediatric-readiness-ed-4-23-21Revised: March 30, 2021 Pediatric Readiness in the Emergency Department Resources and Tools – Interactive Modified Checklist This document, based on the Pediatric Readiness in the Emergency Department Checklist, provides direct links to Toolkit resources, where applicable. This interactive document is not the Checklist in its entirety. The full version of the Checklist, the Pediatric Readiness in the Emergency Department joint position statement, and all Toolkit materials can be found here. In an effort to connect the checklist with the most relevant resources found in the Readiness Toolkit, the EMSC Innovation and Improvement Center (EIIC), together with the two Pediatric Disaster Care Centers of Excellence—the Western Regional Alliance for Pediatric Emergency Management (WRAP- EM) and the Eastern Great Lakes Pediatric Consortium for Disaster Response (EGLPCDR), developed the following document for use by hospital emergency departments. Administration and Coordination of the ED for the Care of Children Checklist Item Specific Resources for Individual Items Physician Coordinator for Pediatric Emergency Care (PECC) Role Responsibilities: Physician Coordinator for Pediatric Emergency Care • Board certified/eligible in EM or PEM (preferred) EM / PEM Nurse Coordinator for Pediatric Emergency Care (PECC) Role Responsibilities: Nursing Coordinator for Pediatric Emergency Care • CPEN/CEN (preferred) CEN / CPEN • Other credentials (e.g., CPN, CCRN) CPN / CCRN General Resources Is Your ED Ready for Children? Pediatric Emergency Care Coordinators Lead the Way to Readiness! (webinar recording) Importance of the Pediatric Emergency Care Coordinator Physicians, Advanced Practice Providers (APPs), Nurses, and Other ED Healthcare Providers Checklist Item Specific Resources for Individual Items Healthcare providers who staff the ED have periodic pediatric-specific competency evaluations for children of all ages. Areas of pediatric competencies include: • Assessment and treatment (e.g., triage) Physical Assessment Skills Checklist (Pediatric) Revised: March 30, 2021 Physicians, Advanced Practice Providers (APPs), Nurses, and Other ED Healthcare Providers Checklist Item Specific Resources for Individual Items • Device/equipment safety Equipment Competency Validation Record • Critical procedures Clinical Practice Pathways • Resuscitation AHA: PALS and PEARS • Disaster drills that include children Lurie Children’s Hospital Disaster Exercises • Team training and effective communication Orientation Knowledge and Skills Checklist for the RN SBAR Tool TeamSTEPPS General Resources Orientation Knowledge and Skills Checklist for the RN Guidelines for QI/PI in the ED Checklist Item Specific Resources for Individual Items The QI/PI plan includes pediatric-specific indicators: • Data are collected and analyzed HCA Pediatric Readiness Gap Analysis (Example) • System changes are implemented based on performance Rapid-Cycle Improvement Controlling Change • System performance is monitored over time Pediatric Readiness Data: An Opportunity to Improve Quality of Care in Your ED (webinar recording) General Resources Check Your Pediatric Preparedness (Site Assessment & Checklist) Quality Improvement Concepts Example QI Plan: Illinois EMSC Pediatric Mild Traumatic Head Injury ED Policies, Procedures, and Protocols Checklist Item Specific Resources for Individual Items Policies, procedures, and protocols for the emergency care of children. (These policies may be integrated into overall ED policies if pediatric-specific issues are addressed.) Illness and injury triage Direct Link to Toolkit Pediatric patient assessment and reassessment Direct Link to Toolkit Identification and notification of the responsible provider of abnormal pediatric vital signs Direct Link to Toolkit Immunization assessment and management of the under-immunized patient Direct Link to Toolkit Revised: March 30, 2021 ED Policies, Procedures, and Protocols Checklist Item Specific Resources for Individual Items Sedation and analgesia, for procedures including medical imaging Direct Link to Toolkit Consent, including when parent or legal guardian is not immediately available Direct Link to Toolkit LA PedsReady Example Social and behavioral health issues Direct Link to Toolkit LA PedsReady Example Physical or chemical restraint of patients Direct Link to Toolkit Child maltreatment reporting and assessment Direct Link to Toolkit Death of the child in the ED Direct Link to Toolkit LA PedsReady Example Do not resuscitate (DNR) orders Direct Link to Toolkit Children with special health care needs Direct Link to Toolkit Family and guardian presence during all aspects of emergency care, including resuscitation Direct Link to Toolkit LA PedsReady Example Patient, family, guardian, and caregiver education Direct Link to Toolkit Communication with the patient’s medical home or primary care provider as needed Direct Link to Toolkit Telehealth and telecommunications Direct Link to Toolkit All-Hazard Disaster Preparedness Checklist Item Specific Resources for Individual Items The written all-hazard disaster-preparedness plan addresses pediatric-specific needs within the core domains Pediatric surge capacity for injured and non- injured children ASPR TRACIE Pediatric Surge Annex Decontamination, isolation, and quarantine of families and children of all ages AAP Decontamination REMM: Decontamination of Children (video) Minimization of parent-child separation Location for Family Reunification Checklist for Locating Families Tracking and reunification for children and families Family Sign-In and Tracking Form Unaccompanied Minor Tracking Form Disaster drills include a pediatric mass casualty incident at least every two years Disaster Planning: Preparing for Pediatric Surges Revised: March 30, 2021 All-Hazard Disaster Preparedness General Resources Checklist of Essential Pediatric Domains and Considerations for Every Hospital's Disaster Preparedness Policies LA County Family Assistance Center Plan Evidence-Based Guidelines Checklist Item Specific Resources for Individual Items Evidence-based clinical pathways, order sets or decision support available to providers in real time PECARN Publications TREKK (Translating Emergency Knowledge for Kids) AHA Pediatric Resuscitation AHA Neonatal Resuscitation Inter-facility Transfers Checklist Item Specific Resources for Individual Items Written pediatric inter-facility transfer agreements Interfacility Transfer Toolkit Written pediatric inter-facility transfer guidelines Interfacility Transfer Toolkit Example Guidelines for Improving Pediatric Patient Safety Checklist Item Specific Resources for Individual Items Pediatric patient and medication safety needs are addressed Children are weighed in kilograms only eBroselow System For children who require emergency stabilization, a standard method for estimating weight in kilograms is used (e.g., a length- based system) Pediatric Resuscitation and Emergency Medications - Excel Calculator Infants and children have a full set of vital signs recorded Quick Reference Code Cards Vital Sign Assessment Policy Example Process for safe medication delivery that includes: • Prescribing • Administration • Disposal Key Points on Medication Errors Revised: March 30, 2021 Guidelines for ED Support Services Checklist Item Specific Resources for Individual Items Medical imaging capabilities and protocols address age- or weight-appropriate dose reductions for children SAMPLE Imaging and Radiology Policy Template General Resources ACR Appropriateness Criteria® Suspected Physical Abuse—Child Radiation Risk to Children From Computed Tomography Children With Minor Blunt Head Trauma Presenting to the Emergency Department