Seattle Children's Provider News

CME: Pediatric Anxiety, Nov. 21

Headshot of Kathy Melman

Kathy Melman

Seattle Children’s Mood and Anxiety Program is presenting a Category II CME on pediatric anxiety, featuring Kathy Melman, PhD, clinical director of Outpatient Psychiatry & Behavioral Medicine.

Date: Thursday, Nov. 21, 2019, 6 p.m

Location: Providence St. Peter’s Hospital, Conference Room 200, 413 Lilly Road NE, Olympia, WA 98506

 

Objectives:

  • How to refer for anxiety treatment at Seattle Children’s
  • Identify the critical, active ingredient in behavioral treatment of anxiety disorders
  • Understand why it is critical for parents to be actively involved in CBT treatment of pediatric anxiety disorders
  • Describe the Stepped Care Model of Anxiety Treatment at Seattle Children’s
  • Learn about the effectiveness of group treatment for anxiety disorders
  • Where to find recommended resources on anxiety disorders to share with patients and families
  • Future updates/plans at regional clinics

 

Please RSVP by Nov. 18 to patricia.kilburn@seattlechildrens.org.

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Seattle Children’s Verified as Level I Children’s Surgery Center

Seattle Children’s has been newly verified as a Level I Children’s Surgery Center by the American College of Surgeons (ACS). Seattle Children’s is the only children’s hospital in Washington, and one of only 21 in the United States, to achieve this highest level of certification for pediatric hospital surgical programs.

The Level I designation recognizes all surgical, procedural and many support programs and services at Seattle Children’s — more than 40 departments and programs in total — and represents a major accomplishment for all programs and services that interact with surgical patients.

The verification process was rigorous. Surveyors from ACS visited in March to review our surgery program’s structure, processes and clinical outcomes data in detail. Surveyors were impressed with many aspects of Seattle Children’s surgical programs, particularly the quality improvement programs and collaborative, multidisciplinary care. Read full post »

Renovated Clinic Re-opens as “Sand Point Clinic”

Seattle Children’s newly renovated Sand Point Clinic (formerly the Hartmann building, located immediately across the street from the hospital building) re-opened Oct. 23. The exterior of the building looks much the same, but the interior has been completely reconstructed to modernize the mechanical systems, improve the building’s efficiency and accommodate new clinical and administrative space.

Orthotics and Prosthetics, which used the building prior to renovation, has already moved back in and resumed seeing patients. The Endocrinology and Diabetes program will move in the first week of January. The building is better configured for the program’s new focus on providing education to newly diagnosed diabetes patients whenever possible in an outpatient setting rather than inpatient setting. Seattle Children’s has also updated its referral instructions for referring providers for the Diabetes program to require additional lab/test results before referring a newly diagnosed diabetes patient. Read full post »

New Clinical Pathway for Musculoskeletal Infections

Seattle Children’s has developed a new Musculoskeletal Infections Pathway. The purpose of the pathway is to develop and standardize an evidence-based approach for the evaluation and care of patients with musculoskeletal infections, including septic arthritis and osteomyelitis.

Pathway Recommendations:

  1. Order CBC with differential, CRP and ESR for all patients undergoing diagnostic evaluation for septic arthritis and/or osteomyelitis.
  2. Order two blood cultures (aerobic + anaerobic) for all patients undergoing diagnostic evaluation for septic arthritis and/or osteomyelitis with moderate/high likelihood of disease. Consider ordering two blood cultures (aerobic + anaerobic) for all patients undergoing diagnostic evaluation for osteomyelitis with low likelihood of disease. Blood cultures (aerobic + anaerobic) should be drawn prior to initiating antibiotics for patients with confirmed musculoskeletal infections.
  3. Order X-ray of the suspected involved bone(s)/joint(s) for all patients undergoing diagnostic evaluation for septic arthritis and/or osteomyelitis.
  4. Order ultrasound of the suspected involved joint(s) for all patients undergoing diagnostic evaluation for septic arthritis, particularly ultrasound of the hip in any patient at risk for septic arthritis of the hip joint.
  5. Empiric first-dose antibiotics for septic arthritis and/or osteomyelitis should include:
    a) Nontoxic; low risk for MRSA: cefazolin 50 mg/kg IV × 1 (max dose: 2000 mg)
    b) Nontoxic; cefazolin allergy or MRSA risk factors present: clindamycin 13.3 mg/kg IV × 1 (max dose: 600 mg)
    c) Systemically/critically ill and MRSA not yet ruled out by culture: vancomycin 15 mg/kg IV × 1 (max dose: 2000 mg)

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Seattle Children’s Opens Building Cure

Seattle Children’s almost doubled the size of its downtown Seattle pediatric research campus with the opening last month of a new 12-story, $300 million facility at Terry Avenue and Stewart Street in Seattle’s biotech corridor. Building Cure houses 10 floors of new biomedical laboratory space, including “the Cure Factory,” capable of manufacturing cell-based therapies to treat up to 1,000 children per year.  It includes a 255-seat amphitheater and Science Discovery Lab to support STEM education programs for children and teens.

 

Read Seattle Children’s press release.

Read more from GeekWire. Read full post »

Research News: Transforming Treatment for Childhood Leukemia

Headshot of Todd Cooper

Todd Cooper

Seattle Children’s is embarking on a groundbreaking clinical trial that will potentially transform treatment methods for children with relapsed acute pediatric leukemia. The trial will test multiple targeted therapies simultaneously at up to 200 clinical sites worldwide, including Seattle Children’s.

“Our goal is to get everyone to the table and work together. We’ve come to realize that’s the only way to make further progress,” says Dr. Todd Cooper of Seattle Children’s, who will head the new clinical trial. Dr. Cooper is an oncologist and director of the Seattle Children’s High-Risk Leukemia Program. He will oversee the master screening trial where children with newly diagnosed and relapsed acute leukemia can choose to have their clinical and biologic information included in an international database. The database will serve many purposes, including helping to determine an individual child’s eligibility for a number of targeted clinical trials. The data will also be used to uncover new targets for therapy and serve as a rich source for groundbreaking discoveries.

 

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New Referral Guidelines for GI, Genetics and Endocrinology

Seattle Children’s has released new referral guidelines for Gastroenterology, Endocrinology and Genetics — specialty clinics with access challenges and longer wait times for new patient appointments. Each clinic is open to new referrals.

The new guidelines are designed to improve new patients’ timely access to specialty care while redirecting patients who do not require specialty care to their medical home and primary care provider (PCP), along with resources for PCPs to assist them in managing their patients’ care.

View the new referral guidelines on the “Refer a Patient” pages for:

View the printable PDF flyers summarizing the referral guidelines changes:

Referral guidelines for other specialty clinics will be updated and posted on their “Refer a Patient” webpages as they become available. Read full post »

All in A Day’s Work: A Q&A with Dr. Kathleen Kieran

Kathleen Kieran

Kathleen Kieran

Kathleen Kieran, MD is a pediatric urologist serving patients in both Seattle and Tri-Cities.

You’re from Boston originally. What brought you to Seattle Children’s?

Dr. Kathleen Kieran, pediatric urologist, Seattle Children’s: I’ve been slowly working my way across the country from the East Coast. I grew up in the suburbs of Boston, and went to college, graduate school, and medical school there. I attended the University of Michigan for my urology residency, and then the University of Tennessee for pediatric urology fellowship. I worked in Iowa for 5 years before I came to Seattle.

The greatest impetus for my move to the West Coast was that my husband (who grew up in Puyallup and is an adult urologist in Tri-Cities) loves living in the Pacific Northwest and will absolutely not entertain the idea of living anywhere else. So I called Dr. Paul Merguerian [Seattle Children’s division chief of urology], and luckily they were about to post a position. Read full post »

Change to Diabetes Program and Referral Process

Seattle Children’s is changing the Diabetes intake and patient education protocol for newly diagnosed and otherwise healthy diabetes patients from a two- to three-day inpatient hospital stay to a two-day outpatient education program. Referral instructions have also changed and will require additional lab/test results to be provided before scheduling. Visit the Endocrinology and Diabetes “Refer a Patient” page to learn more about the new Diabetes outpatient education program, what tests and labs are now required before making a referral and more details on how to refer a patient for diabetes.

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Seattle Children’s Providing Influenza Vaccinations to Patients

Seattle Children’s is providing influenza vaccinations to inpatients and outpatients in Seattle and our regional clinics. Patients will be screened for eligibility. Seattle Children’s will also offer the vaccination to patients in the Emergency Department and our Urgent Care locations. All vaccinations given to patients are documented in the Child Profile Immunization Registry.

We will also provide flu shot vouchers to patients’ family members and household contacts age three and older during patient visits and stays; the vouchers can be used at any Bartell Drugs with no out-of-pocket cost (Bartell will bill family members’ insurance, if available, and charge any remaining balance to Seattle Children’s). This year, the vouchers will also be accepted at Samy’s Health Mart in Olympia and Rx Pharmacy in Richland, with no out-of-pocket cost. Family members and household contacts 6 months to 35 months old will need to get their flu vaccine at their primary care provider’s office.

Seattle Children’s efforts to vaccinate patients are in accordance with recommendations from the Centers for Disease Control and Prevention to increase access to the vaccine in healthcare settings.

For questions about flu vaccinations at Seattle Children’s, email Dr. Matthew Kronman, infectious diseases specialist.

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