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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.

New Milestone for On-Campus Construction

Seattle Children’s new Building Care officially “topped out” in late March as construction workers placed the building’s top beam in position. The 310,000 square foot facility, scheduled to open in spring 2022, will serve as the new “front door” to Seattle Children’s.

COVID-19 Update For Referring Providers – March 31, 2020

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

1. Algorithms for Patient Screening at Entrances

All patients and visitors are being screened for COVID-19 at our facility entrances. As we learn more about the coronavirus and the symptoms it can cause, we’ll continue to assess our entrance screening process and make adjustments as necessary to help keep our workforce members and patients safe. Based on recent findings about the virus, we have added additional symptoms to our entrance screening process.

View our screening algorithms for:

Visitors to the Lab who screen positive will be escorted to a negative pressure room and have their labs drawn in the negative pressure room, rather than diverted to the ED.

Read full post »

COVID-19 Update: March 25, 2020

1. New Visitor Policy: “One Patient — One Visitor”

To align with the practices of many of our partners in the Children’s Hospital Association, Seattle Children’s is now allowing only one visitor at a time per patient. This applies to both inpatients and clinic patients including those visiting the ED and urgent care. This step will be challenging for our patients and families, but it is essential to limiting potential exposure to the virus that causes COVID-19. For inpatients, up to four parents or caregivers can be designated, but only one can visit at a time.

2. All Pre-Operative Patients to Be Screened for COVID-19

In order to keep our workforce safe and to preserve personal protective equipment (PPE), this week we started screening all pre-operative patients for COVID-19. This includes patients who will have a procedure in an operating room and those who need anesthesia in Radiology. These tests need to be collected 48 to 72 hours prior to surgery.

Outpatients who are scheduled for a procedure will be tested at our Sand Point Learning Center drive-through testing site. All testing is ordered by Seattle Children’s providers and is not open to the general public. The testing site remains open for Seattle Children’s workforce members also; hours of operation are 8 a.m. to 5 p.m., seven days a week.

Providers at the Pre-Anesthesia Surgical Services (PASS) Clinic, in partnership with Perioperative Services, will be reviewing the operative schedule, informing families of the testing requirement, placing the screening order and communicating the test results.  For patients already in the hospital or the Emergency Department, the PASS Clinic will work directly with the care teams to coordinate timely testing. 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 »

COVID-19 Update: March 17, 2020

Seattle Children’s has added the following information to our Provider FAQs – COVID-19.

1. Seattle Children’s has updated its COVID-19 testing guidelines

Seattle Children’s has updated its guidelines for testing pediatric patients for the coronavirus, in accordance with guidance from Public Health – Seattle & King County and uncertainty in the testing supply chain. We will continue to update our guidelines as the situation changes.

Seattle Children’s is now testing the following for COVID-19:

  • Admitted patients with any respiratory symptoms or fever of unclear etiology
  • ED/Urgent care/Ambulatory patients with:
    • Acute respiratory symptoms with or without fever AND who fall into ANY ONE of the following groups:
      • Other underlying medical conditions that place a patient at high risk for complications from a viral respiratory illness, such as immune compromised state, chronic cardiac conditions, chronic pulmonary conditions, diabetes, etc.
      • Patients frequently cared for at SCH and anticipated to have multiple visits at SCH in the following 2 weeks
      • Patients involved in an illness cluster in a care facility or institution (e.g., those who live in a long-term care facility)
  • Pre-BMT patients will be tested per SCCA protocol.

Read full post »

COVID-19 Update: March 14, 2020

Seattle Children’s has added the following information to our Provider FAQs – COVID-19.

Temporarily Canceling Elective Surgeries and Procedures

Based on new Centers for Disease Control and Prevention (CDC) recommendations for Seattle-King, Pierce and Snohomish County, Seattle Children’s will cancel all elective surgeries and procedures until further notice. The temporary cancellation of elective surgeries has gone into effect and we have been calling patient families to notify them. PCPs will be notified through our standard channels. We will continue to perform urgent surgeries and procedures during this time. We understand canceling surgeries will have a major impact on the lives of patients and families and appreciate your support while our community is going through this public health emergency.

Q: Will there be changes to ambulatory visits?

A: In response to the updated CDC recommendations, we are reaching out to families to offer telephone (i.e. non-video) or telehealth appointments, or cancel non-urgent ambulatory appointments that can be safely postponed. We will limit all new schedules to urgent and medically necessary clinic visits.

Q: Does Seattle Children’s offer drive-through testing for staff with symptoms of COVID-19?

A: On March 13, Seattle Children’s began offering testing for workforce members who have symptoms of COVID-19 (fever, cough, difficulty breathing). At this time testing is available to Seattle Children’s workforce who have a badge. Read full post »

COVID-19 Update: March 11, 2020

Seattle Children’s has added the following information to our Provider FAQs – COVID-19.

 

If families have questions about the coronavirus, please have them call Seattle Children’s only if their question relates specifically to an upcoming appointment with us.

Thank you for your partnership.

Q: Who is being tested for COVID-19?

A: Current capacity for testing is limited. Seattle Children’s is testing the following for COVID-19:

  • Admitted patients with any respiratory symptoms or fever of unclear etiology
  • ED/Urgent care patients with acute respiratory symptoms or fever of unclear etiology with high risk travel or a known COVID-19 exposure
  • Seattle Children’s ambulatory patients with acute respiratory symptoms or fever of unclear etiology and high risk travel or a known COVID-19 exposure.

The following may be tested for COVID-19:

  • ED/urgent care patients: with acute respiratory symptoms or fever of unclear etiology
  • Seattle Children’s ambulatory patients not meeting the above, but who fall into the following categories:
    • New respiratory symptoms (cough or shortness of breath, with or without fever) AND being in ANY ONE of the following groups:
      • Other underlying medical conditions that place a patient at high risk for complications from a viral respiratory illness, such as immune compromised state, chronic cardiac conditions, chronic pulmonary conditions, diabetes, etc.
      • Patients frequently cared for at SCH and anticipated to have multiple visits at SCH in the following 2 weeks

Seattle Children’s guidelines for testing will be updated as the situation changes. Read full post »

Urinary Tract Infection CSW Pathway Updated

Seattle Children’s has updated the clinical standard work pathway for Urinary Tract Infection (UTI). For more information, please reference our Urinary Tract Infection CSW Pathway.

The pathway first went live in December 2011 and completed its last periodic review in April 2015. After a review of synthesized medical literature and consensus on the recommendations, the pathway team updated the care algorithm. This was an extensive revision that included the following changes:

  • Shortened IV antibiotic duration for infants 0-1 month of age with E. coli UTI
  • Shortened IV antibiotic duration for bacteremic E. coli UTI
  • Shortened total antibiotic duration for children 2 months of age and older
  • Criteria for obtaining a renal bladder ultrasound (RBUS)
  • Criteria for obtaining a voiding cystourethrogram (VCUG)

Read full post »

Patient at Seattle Children’s North Clinic Tests Positive for COVID-19: February 28, 2020

A patient who visited Seattle Children’s North Clinic on Monday, February 24 has been tested for COVID-19. Initial test results have come back positive for COVID-19. The Center for Disease Control (CDC) is currently performing additional testing; the patient is presumed positive.

Following CDC and Public Health guidance for patients with symptoms of a respiratory infection, the patient put on a mask shortly after arriving and was put in appropriate isolation.

Visit the Washington State Department of Health site for more information.

We are reaching out to workforce members and patient families who may have been exposed with information and guidance.

Since the beginning of January, leaders at Children’s have been preparing for the possibility of a COVID-19 pandemic and planning how to care for patients who test positive.

How will you be notifying families who were potentially exposed and their PCPs?

Both Seattle Children’s and King County Public health will be contacting any families or staff who may have exposed. We will be reaching out to the PCPs of any patients who were potentially exposed.

How should PCPs refer patients with suspected COVID-19?

PCPs who are caring for a patient with suspected COVID-19 should first contact Public Health-Seattle & King County. If, after discussing with Public Health, the decision is made to send the patient to Children’s, the PCP should first notify the ED Communications Center at 206-987-8899.

The viral respiratory panel used at Seattle Children’s does not detect this virus. If the panel detects coronavirus it is due to a different strain.

Coronaviruses are a large family of viruses. They usually cause mild respiratory illnesses such as the common cold. COVID-19 is a new coronavirus that was not seen in humans prior to December 2019. For more information, please review the coronavirus information sheet.

What should families do if they think they were exposed to COVID-19?

If a family thinks they were exposed to COVID-19, they should contact their primary care provider and Public Health – Seattle & King County by calling 1-800-525-0127 and pressing #. Unless it is an emergency, families should not go to their nearest emergency room without calling ahead so Public Health can take steps to provide them with the right treatment and protect others from a possible exposure. Please direct families to the Public Health-Seattle & King County website for more information.

For the most accurate and up-to-date information about COVID-19 visit;