Seattle Children's Provider News

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.

Grand Rounds: April 2020

Grand Rounds will not be held in-person. We hope you can join us remotely via WebEx.  Questions can be submitted for the speaker through the chat option in the WebEx meeting window.

View the WebEx information and Online Grand Rounds Video links.

April 2, 2020: Climate Action, Seattle Children’s and You. Colleen Groll, MSN, LEED AP BD+C. manager, Sustainability Programs, Seattle Children’s.

April 9, 2020: Using Social Media for Medical Education, Networking, and Knowledge Sharing. Anita Thomas, MD, MPH. Pediatric Emergency Medicine, Seattle Children’s

April 16, 2020: You Can’t Trust a Toddler: A Contemporary Review of Aerodigestive Foreign Bodies. John Dahl, MD, PhD, MBA; assistant professor in the Department of Otolaryngology-Head and Neck Surgery, UW; Otolaryngology, Craniofacial, Vascular Anomalies, Seattle Children’s. Read full post »

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.

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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 »

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 »

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 »

COVID-19 Update: March 7, 2020

We know this is a rapidly changing situation and we will continue to provide updated information about how Seattle Children’s is preparing and managing COVID-19, and how we can support primary care providers.

Are there any changes to Seattle Children’s outpatient radiology services?

We are continuing to offer a full range of imaging services including walk-in diagnostic outpatient x-ray in Bellevue, Federal Way, Everett, and Seattle. All families will be asked a series of screening questions before they enter the building. Families who present with respiratory symptoms or influenza-like illness will be put in strict isolation. We may consider less investigative studies when applicable.

When should PCPs send patients to Seattle Children’s Emergency Department (or not)?

Please only send your patients to Seattle Children’s Emergency Department if they are sufficiently ill to need emergent treatment (i.e. they meet criteria for being admitted). Please call our ED Communications Center first at 206-987-8899.

Patients with non-emergent respiratory symptoms and concern for COVID-19 should call Public Health – Seattle & King County and quarantine at home.

Who is being tested for COVID-19?

Current capacity for testing is limited. Ambulatory or admitted patients qualify for testing if they meet the current CDC definition of PUI, which currently (as of 3/4/20) includes relevant travel exposure, contact with a known COVID case, and those admitted with fever and lower respiratory tract infection. Results typically take between 24 to 48 hours.

Is Seattle Children’s able to test for COVID-19?

The viral respiratory panel used at Seattle Children’s does not detect COVID-19. We are sending our COVID-19 panels to the University of Washington for testing and receiving results back in 24-48 hours.  Current capacity is limited.

COVID-19 testing is available only for our inpatients with respiratory symptoms and patients who meet the CDC testing criteria. 

For more information, read our complete FAQ for providers.

Additional Resources

If your patient has questions or is concerned about COVID-19, please refer to these resources from Washington State Department of Health:

For additional information to support families, see:

Read full post »