Seattle Children's Provider News

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 »

Ways Seattle Children’s Is Zeroing in on COVID-19

When health officials learned a Seattle Children’s patient tested positive for the novel coronavirus 2019 (COVID-19) in late February, it sent a ripple through health and scientific communities nationwide. It was the first example of community transmission in the state of Washington, indicating the virus causing COVID-19 had likely been spreading in Seattle and the surrounding region undetected.

It was a moment Seattle Children’s had prepared to face since establishing an incident command center more than one month prior. From this command center, teams from across the organization met to support advance planning and coordinate actions for a potential COVID-19 surge in the region.

“Before there were any confirmed cases in the U.S., Seattle Children’s anticipated the potential for an outbreak in our region,” says CEO Dr. Jeff Sperring. “Over the past several weeks, we have provided specialized training for our team, established strict protocols for health and hygiene, and consolidated essential supplies so we would be ready to protect our patients.” Read full post »

New Referral Guidelines From Urology, Plus Algorithms and Other Resources for PCPs

Seattle Children’s Urology has updated its referral guidelines and created new resources for primary care providers to help them manage urologic conditions in primary care and know when to refer to a specialist. For details, visit Urology’s “Refer a Patient” page which includes these new resources:

Read full post »

COVID-19 Panel Discussions Are Available Online

Seattle Children’s has hosted several panel presentations on COVID-19 that are now available to view on our YouTube channel:

  • Coping During COVID-19. These are challenging times, and almost everything about our daily lives looks different. This Facebook Live panel covered how we can best manage the changes that COVID-19 brings and how to support our children during this time. Seattle Children’s also offers other resources to support mental wellness and family life during COVID-19.
  • COVID-19: The Seattle Children’s Experience. Children’s Infectious Disease, Hospital Medicine and Emergency Medicine experts shared their experiences from the front lines at the epicenter of the COVID-19 outbreak in the United States. Topics included epidemiology, clinical presentation, and lab testing availabilities; infection control issues, including PPE shortages; institutional response to COVID-19, including employee testing; emergency services preparation and care; and potential antivirals and upcoming treatment guidelines. The session concluded with a Q&A on how you can prepare.
  • Confronting Tragic Choices in the Midst of a Pandemic. Our community is facing unprecedented challenges to our healthcare system. Fortunately, our regional disaster healthcare network is one of the few in the country that has been focused on planning around a severe pandemic. This panel discussion examined how decisions are made when resources are scarce.

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.