Seattle Children's Provider News

CMEs and Conferences: January 2021

Pediatric Nursing Update Conference: “COVID-19: Challenges and Guidance”

Jan. 29, 8 a.m. to 12:30 p.m. (virtual)

Open to nurses and allied health professionals who care for children with special healthcare needs in school, primary care, public health and other ambulatory care settings.

Course details

Register by Jan. 26 Read full post »

Grand Rounds: January 2021

Provider Grand Rounds

View full schedule and Webex/dial-in information. Topics and speakers may change. Call 206-987-5379 for updates or check our calendar online.

Jan. 7: How Can We Optimize Neonatal Clinical Trial Enrollment? Challenges, Successes and Possibilities. Elliott M. Weiss, MD, MSME, assistant professor of pediatrics, Division of Neonatology, UW; Treuman Katz Center for Pediatric Bioethics, Seattle Children’s and Seattle Children’s Research Institute.

Jan. 14: Futility and Suffering at the End of Life: Conflicts Over Goals of Care. Sconyers/Godfrey Ethics Lecture. Erica Salter, PhD, associate professor of pediatrics, Albert Gnaegi Center for Health Care Ethics, St. Louis University. Read full post »

New Medical Staff: January 2021

Medical Providers

  • Sara Berkelhamer, MD, Pediatrics, Seattle Children’s
  • Peter Napolitano, MD, Obstetrics/Gynecology, University of Washington
  • John Parker, MD, Otolaryngology, Puget Sound Ear, Nose & Throat – Proliance Surgeons

Read full post »

Rheumatology in Children and Teens: A Q&A With Dr. Susan Shenoi

Susan Shenoi, MBBS, MS, RhMSUS, is interim division chief of Rheumatology at Seattle Children’s.

What’s new in Rheumatology at Seattle Children’s?

Dr. Shenoi: We are very excited that we have established a Myositis Center of Excellence, which is one of only four in the country and the only one on the West Coast.  This began last year, in May 2019, and has been made possible with a grant from the Cure Juvenile Myositis foundation. It has been very well received by families and colleagues.

We see kids with inflammatory myositis, most of which is juvenile dermatomyositis (JM) and some of which is polymyositis and overlap syndrome. It’s a multidisciplinary clinic. Patients see a rheumatologist, a physical therapist, a research coordinator and a nurse. We have volunteer support from a Cure JM board member, Suzanne Edison, who provides additional support to families, and we are fortunate to have pilot funding for a psychologist in this program as well.

We are using validated disease activity measurement to track children’s disease status and activity over time. Because of all the research underway and high demand for our clinic, we’ve doubled our capacity over the last year to serve more kids. We now see patients once a month at the hospital and once a month at the Bellevue clinic, both in person and via telemedicine. Read full post »

New Rheumatology Algorithms and Referral Guidelines

Seattle Children’s Rheumatology has created new algorithms and other resources to support PCPs in managing some conditions that are commonly referred for specialty care.

Read full post »

COVID-19: Updates on Patient Caregiver Policies in the Hospital, Preprocedure Testing and Accepting Young Adult Transfers From Other Hospitals

Patient Caregiver Policies in the Hospital

Due to the surge in COVID-19 cases in our region and nationally, Seattle Children’s is returning to stricter guidelines regarding visitors in order to protect the health and safety of our patients, families and workforce.

Patients in both our inpatient and ambulatory settings will only be allowed a single caregiver effective Monday, Nov. 30.

Inpatient care visitor policy update:

  • All families may identify two caregivers for their child’s inpatient stay.
  • Only one caregiver may be at the bedside at a time.
  • The two caregivers will remain the primary caregivers for the entirety of the hospitalization.
  • The following exceptions will continue to apply:
    • Caregivers of patients at the end of life may request an exception
    • Patients whose caregivers are receiving discharge teaching
    • Siblings who are younger than 12 months of age and who are breastfeeding may remain in a room with the breastfeeding parent if the patient is in standard precautions

Read full post »

Mental Health Referral Service for Kids: Additional Capacity Coming in January

Research shows that COVID-19 is taking the greatest mental health toll on children and teens ages 11 to 17. Demand for counseling and treatment for this age group is high and growing. Washington’s Mental Health Referral Service for Children and Teens receives about 20 calls a day from families needing help, and the wait time to be connected to an available provider in their community is currently about 9 weeks. The service is adding more staff in January and hopes to bring wait times down to the two-week level of this summer.

“We recommend families not be daunted by the current wait and call us right away to start the process,” says Ana Clark, manager of the Partnership Access Line program (PAL). “We provide education over the phone and can get them started on the right track. Some families are able to find providers on their own after our initial guidance and recommendations. And for those families who need a little more help, they will be added to our wait list and helped as soon as we are able. Our goal is to help families as quickly as possible.” Read full post »

Consider Virtual Visits for Orthopedics and Sports Medicine

Seattle Children’s has virtual appointments readily available at the Orthopedic and Sports Medicine Clinic with little to no wait (same as in-person appointments).  Access is excellent at all our locations: Seattle, Bellevue, Everett, Federal Way, Olympia, Tri-Cities and Wenatchee. Telemedicine appointments are ideal for orthopedic and sports medicine visits that do not require a physical exam.

Types of Appointments Well-Suited to Telemedicine

  • New patient visits: When a physical exam is not needed, providers can take a history and hear the patient’s story virtually. Families can get a good idea of whether there is harm in waiting or if treatment is recommended sooner.
  • Review imaging and/or lab tests: Providers can share their screen with families and review images with them just as well as during an in-person visit, if not better.
  • Concussion follow-up visits: Providers mainly offer education and counseling when a repeat exam is not needed.
  • Some observations and pain tests: Providers can still “see” the injury or joint and assess for localization, swelling and motion. Providers can then give an opinion on next steps (i.e., whether to get imaging or to start with a specific treatment right away or if it is okay to delay interventions).
  • Cast removal: A new at-home cast-off program is available for patients with a stable fracture that won’t require new X-rays after casting. When the cast is applied, it is bivalved and resecured with medical tape.  The family removes the cast at home when it is time and self-applies a brace, without needing to come back in.  Our provider walks the patient/family through the process remotely. We observe the parent’s exam, the body part and range of motion and give advice on activities, rehab and return to sports and exercise.

Read full post »

CMEs and Conferences: December 2020

Heart of the Matter: Care Across the Continuum of the Heart Center

Dec. 9, 12:30 to 4:40 p.m. (virtual)

Experts from Seattle Children’s Heart Center will present evidence-based education on the care of pediatric cardiac surgery patients.

Speakers: Emily Moore, MSN, CPNP, CCRN; Sarah Lehecka, BSN, RN-NIC; Emily Bay, BSN, RN; Arlene Armatage, BSN, RN; Kimberly Marie Carris, BSN, RN; Kevin Charette, CCP

Register by Dec. 4, 2020

See the event flyer. Read full post »

Pediatric Nursing Update Virtual Conference

Join us for a Pediatric Nursing Update Virtual Conference to learn about “COVID-19: Challenges and Guidance.” The half-day conference will be held on Jan. 29, 2021 and is open to nurses and allied health professionals who care for children with special healthcare needs in school, primary care, public health and other ambulatory care settings. Register by Jan. 26 using this registration link or by contacting outreacheducation@seattlechildrens.org.

Course objectives:

  • Employ infectious disease updates to provide up-to-date clinical care for patients with coronavirus.
  • Examine the effects of coronavirus on the care of pediatric patients.
  • Recognize disparity and health equity issues on children and families due to the coronavirus pandemic.

Read full post »