Announcements

All Articles in the Category ‘Announcements’

Telemedicine Appointments Available for Speech, Occupational and Physical Therapy

Seattle Children’s is now offering telemedicine appointments for physical therapy (PT), occupational therapy (OT) and speech-language pathology (SLP). While it may not be intuitive that these services can be provided via telemedicine, in fact they work well in many situations. Our therapists often combine telemedicine with periodic in-person visits, which is a format that is widely used nationally and is effective for both patients and therapists.

Patients who need to be seen in person and/or use our specialized equipment rooms will still be provided with in-person appointments at our locations in Seattle, Bellevue, Everett and Federal Way, when it is safe to do so or when those appointments are considered urgent. Read full post »

Rescheduled to 2021: 16th Annual Pediatric Bioethics Conference

To help minimize the unintentional spread of COVID-19, the 16th Annual Pediatric Bioethics Conference, hosted by the Treuman Katz Center for Pediatric Bioethics, has been rescheduled to next year: July 23 and July 24, 2021. The conference theme will remain the same — “Pushing the Limits: Children, Athletics and Ethics.” For more information, visit the Pediatric Bioethics Conference page.

Events: May 2020

Caring for Transgender and Gender Diverse Youth

Saturday, June 6. Save the date and check back for details.

Grand Rounds

Provider Grand Rounds: full schedule and Webex/dial-in information

May 7, 2020: Neonatal Cholestasis: More Than Yellow Eyes and Pale Stools. Niviann Blondet, MD; acting assistant professor of Pediatrics, UW; Gastroenterology, Seattle Children’s.

May 14, 2020: Improving the EHR to Support Clinical Decision-Making and Reduce Clinician Burnout. Ari Pollack, MD, MSIM; assistant professor, Pediatrics, UW; Nephrology, Prenatal Diagnosis and Treatment, Seattle Children’s. Read full post »

COVID-19 Update for Referring Providers – April 28, 2020

Guidance on When to Obtain a Second Test for SARS-CoV2

Guidance on who should be tested for SARS-CoV-2 has been updated to include information on when providers should consider sending a second test from patients who have had one test that is negative.  Generally speaking, a second test should be reserved for patients for whom there is a high level of concern for COVID-19.

Rationale for obtaining a 2nd testing during a course of illness:

  • Well-designed PCR tests for SARS-CoV2 have high analytical sensitivity, but clinical sensitivity is unknown due to lack of clinical gold standard.
  • Clinical sensitivity is dependent on where the patient is in the course of their illness and the associated viral load (viral load decreases later in the course of illness).
  • SARS-CoV2 appears to have anatomical tropism. For instance, in general, shedding persists for longer in lower respiratory tract specimens and as a result, lower respiratory tract specimens have higher sensitivity than upper respiratory tract specimens.
  • Our testing strategy at Seattle Children’s calls for utilizing upper respiratory tract specimens as the primary specimen because it is not always possible and is often not easy to obtain a lower tract specimen from a pediatric patient.
  • However, when suspicion for SARS-CoV2 disease (COVID-19) is high, consideration should be given to obtaining a second test and preferably from the lower respiratory tract if possible.

Read full post »

Seattle Children’s Treatment Guidelines for COVID-19

A multidisciplinary group of physicians at Seattle Children’s has developed a management guideline for patients with SARS-CoV-2 infection. Although there is no treatment with proven efficacy for COVID-19, this guidance will help with risk stratification and outlines evaluation and treatment approaches that should be considered. Current evidence for various investigational agents is also included. This guidance was developed with resources and capabilities at Seattle Children’s in mind. It will be updated periodically as more evidence becomes available.

The guidelines are currently being used by a multidisciplinary group at Seattle Children’s who review and discuss each patient before making recommendations based on current guidelines. These are general guidelines; as with most guidelines, clinical correlation is required. Read full post »

COVID-19 Update For Referring Providers – April 16, 2020

For a summary of Seattle Children’s news and information about COVID-19, read our Provider FAQs.

1. COVID-19 in Kids: Seattle Children’s Testing Shows 1.5% Positivity Rate

Seattle Children’s has tested 1,757 patients as of April 15, with 19 patients testing positive and 7 inconclusive, for an overall positivity rate of 1.5%.  Seventeen patients who tested positive are recovering at home, two are hospitalized.

COVID-19 cases in children make up less than 2% of reported cases in the U.S., according to the CDC’s Morbidity and Mortality Weekly Report (April 7, 2020).

2. COVID-19 Scheduling Triage Extended to June 30

The triage standards instituted by Seattle Children’s for scheduling have been extended to June 30.  The standards provide a consistent approach to scheduling across all specialties and locations and will minimize our scheduling backlog once standard operations resume.

Please note, scheduling triage standards apply to both new and return appointments.

Tier 1:  Patients who need to be seen in person by the provider before July 1

  • Clinical situation that could be compromised by delay in care and requires physical examination to support clinical decision-making

Tier 2: Patients who can be seen with a telephone or telehealth visit — can be scheduled at any time.

  • Follow up care where the physical exam is not essential to decision making
  • Key physical exam or imaging findings may be obtained by other means (e.g., PACS, photos, etc.)
  • Referrals/consults that can be assessed with a telephone or telehealth visit

Read full post »

End of Influenza Season

Seattle Children’s is officially calling a close to the influenza season due to the significant drop-off in (non-COVID-19) respiratory viruses detected during the last two weeks of testing.

 

Classes and Events at Seattle Children’s

To help contain the spread of COVID-19 in our community, Seattle Children’s has canceled large group gatherings taking place at our facilities, including those with attendees from the community (e.g. CMEs, classes, conferences, PALS courses, etc.). Please check with event organizers if you have questions or need additional information. If you are registered for an event and it is moved to WebeEx only, event organizers will notify you.

Join us Thursday, March 26 for “COVID-19: The Seattle Children’s Experience” via Webex (8 a.m. PST)

Seattle Children’s infectious disease and emergency medicine experts will share their experiences from the front lines at the epicenter of the COVID-19 outbreak in the United States. Topics include epidemiology, clinical presentation, foreign data and lab testing availabilities; infection control issues including PPE shortages; institutional response to COVID including employee testing; emergency services preparation and care; and potential antivirals and upcoming treatment guidelines. This special Provider Grand Rounds session will conclude with a Q&A with the panel. Join in Thursday, March 26, 8 a.m. PT/11 a.m. ET. Read more. Read full post »

COVID-19 Update: March 21, 2020

Clinical Pediatric Webinar This Week

Join us Thursday, March 26 for “COVID-19: The Seattle Children’s Experience” via Webex at 8 a.m. PST. More information is available here.

 

Additional COVID-19 Clinic Scheduling Guidelines

The following triage guidelines are being used by clinics to ensure a consistent approach to scheduling ambulatory patients during COVID-19. These will be used for patients who are currently scheduled, as well as new scheduling requests. The guidelines are intended to continue to provide needed care to patients, preserve PPE, and promote social distancing for our staff, providers, and community.

Due to the uncertain duration of this pandemic situation, these guidelines will be used for current and new appointment requests until May 1. This will avoid the need to reschedule patients, decrease a scheduling backlog and access constraints, and allow for appropriate prioritization once standard operations resume.

We will provide an update in early- to mid-April letting you know whether or not this will continue through June 1. Thank you for your patience and efforts to continue providing patient care in alternative ways when possible.

Tier 1: Patients who need to be seen in person by the provider within the next 6 weeks (until May 1).

  • Clinical situation that could be compromised by delay in care and requires physical examination to support clinical decision-making

Tier 2: Patients who can be seen with a telephone or telehealth visit — can be scheduled at any time.

  • Follow up care where the physical exam is not essential to decision making
  • Key physical exam or imaging findings may be obtained by other means (e.g., PACS, photos, etc.)
  • Referrals/consults that can be assessed with a telephone or telehealth visit

Tier 3: Patients who can be rescheduled or placed in the queue for scheduling when we resume normal business operations — can be placed in a queue to schedule an in-person visit at a later date.

  • Patient condition does not suggest clinical urgency
  • Family prefers an in-person visit
  • Clinic does not have capacity to provide a telehealth or telemedicine visit
  • Referral/consult cannot be assessed with a telephone or telehealth visit

Read full post »