EMS for Children Colorado

The Role of the Nurse and Physician PECC: Importance of the Pediatric Care Coordinator Role of the Nursing PECC in the ED Role of the Physician PECC in the ED PECC Learning Modules Module 1: The Pediatric Emergency Care Coordinator (PECC) Module 2: The Role of the PECC and Pediatric Readiness Module 3: PECC Models and Best Practices Module 4: Pediatric Patient & Medication Safety Module 5: Equipment, Supplies, and Medications Module 6: Policies, Procedures, and Protocols Module 7: Care Team Competencies Module 8: Support Services Module 9: Quality and Process Improvement Click to view COPPER PECC requirements

Building Pediatric Competency in the Emergency Department Overview Competency Evaluation: Sample evaluation tool Competency Sample Checklists: Building Pediatric Competency in the Emergency Department Overview Pediatric Triage Pediatric Illness and Injury Assessment and Management Pediatric Pain Assessment and Reassessment Pediatric Burn Assessment and Management Pediatric Mental and Behavioral Health Emergency Pediatric Poisoning and Toxidrome Recognition Pediatric Airway Management Pediatric Medication Administration Pediatric Procedural Sedation and Analgesia Pediatric Triage Sample Case and Scenarios for Skill Validation and Education Pediatric ED Equipment Skills Validation Closed-Loop Communication in Emergency Care Effective Transitions of Care and Handoffs Pediatric Patient Safety Pediatric Vascular Access Pediatric Hemorrhage Control Pediatric Critical Care Monitoring Neonatal Resuscitation Pediatric Traumatic Brain Injury Pediatric Fracture Management Pediatric Recognition and Reporting of Non-Accidental Trauma (NAT) Pediatric Disaster Preparedness and Response Pediatric Patient and Family Centered Care Emergency Pediatric Procedures (useful how-to videos): How to draw up and administer small doses of Epinephrine Intranasal medication administration Airway suctioning Using a length-based tape Bag valve mask Push-pull rapid fluid administration IO insertion Pediatric Readiness Curriculum: COPPER Curriculum Guide (for small sites/sites with limited peds experience) Pediatric Advanced Life Support (PALS): EdCore PALS courses Stat Medical PALS courses Find a AHA PALS course Little Life Savers Academy (PALS, PEPP, and NRP) Pediatric Emergency Assessment, Recognition and Stabilization (PEARS): American Heart Association's PEARS Mobile Pediatric Simulation-Based Education: Rocky Mountain Hospital for Children EMS for Children Colorado / Children's Hospital Colorado Pediatric Education Upcoming Education Events On Demand Education from Children's Hospital Colorado On Demand Education from Children's Hospital Minnesota Click to view COPPER competency requirements

QI Data Collection Tools: COPPER QI data collection tool Pediatric interfacility transfer monitoring tool National Pediatric Readiness Quality Initiative (NPRQI) A free data platform that enables EDs to measure and analyze – in real-time and at the patient level – their progress on quality metrics that improve outcomes for children. Click to view COPPER QI/PI requirements

Why Weight and Standardized Systems Matter in the ED Even experienced clinicians are vulnerable to error when forced to calculate under stress. Systems, not memory, must drive safety: A Guide to Standardized Systems. Weighing Children in Kilograms: Weigh and Document in Kilograms Only (Video) Pediatric Weight in Kilograms Intervention Bundle Height and weight conversion chart  Length-based system for estimating child's weight, for example: SafeDose Tape - SafeDose PALS pediatric emergency tape Pediatape Pediatric Vital Signs: Pediatric vital sign badge cards - (emsc.colorado@cuanschutz.edu) to request these for your ED Pediatric pocket reference cards (sample) - email Mari Leyva (Angelica.Leyva@childrenscolorado.org) to request these for for your ED Safe, Weight-Based Medication Administration: Pre-calculated drug dosing and formulation guide, for example: Handtevy SafeDose Lexicomp Pediatric medication administration policy (use as a template to create your own) Tylenol and Advil dosing cards - email (RMHC.Outreach@healthonecares.com) to request these for your ED Peds medication administration exam and answer sheet Age-Appropriate Communication: Engage-Calm-Distract, a tool for emergency medical providers, caregivers and educators communicating with children and youth. It includes a companion quick reference guide titled Pediatric Emotional Distress Reference System now available as a free app. Supporting Pediatric Patients: Developmental Responses, Language, and Communication Click to view COPPER Requirements for Pediatric Patient and Medication Safety

Intake and triage assessment: Sample policy for intake and triage assessment of the pediatric patient Emergency Severity Index (ESI) Implementation Handbook (see chapter 6 for pediatric triage) Pediatric patient assessment: Sample policy on pediatric patient assessment and reassessment Sample policy on assessment and reassessment from Rocky Mountain Hospital for Children Pediatric assessment triangle (poster) - email Nicolena Mitchell (emsc.colorado@cuanschutz.edu) to request a poster for your ED Pediatric assessment lecture Pediatric assessments and intervention slide deck Documentation of vital signs and identification of abnormal vital signs: Sample policy on documentation of vital signs Pocket reference cards with pediatric vital sign ranges: email Mari Angelica (angelica.leyva@childrenscolorado.org) to request these for your ED Badge cards with pediatric vital sign ranges: contact Miranda Applegate (RMHC.Outreach@healthonecares.com) to request these for your ED Immunization status and management: CDC vaccine schedule app for providers CDC vaccine schedule (we recommend posting it in the ED or have it available for quick access) Post URL or QR code for Colorado Immunization Information System where patients can request immunization records Sedation and analgesia: Sample policy on pediatric procedural sedation/analgesia In cases where emergent sedation is needed, sites may consider calling either of the following to get recommendations from a Pediatric Emergency Medicine physician: Children’s Hospital Colorado OneCall (Aurora): 720-777-3999 Children's Hospital Colorado (Colorado Springs): 719-305-3999 Rocky Mountain Hospital for Children, 1-844-934-RMHC or 1-844-934-7642 Consent: Policy statement with key recommendations on obtaining consent for children and adolescents Sample policy on informed consent Social and Behavioral Health: Critical crossroads toolkit for pediatric mental health care in the ED Pediatric Mental Healthcare Care Access Technical Assistance Toolkit The Follow-Up Project - Colorado’s Hospital Follow-Up Project is a collaboration between CDPHE’s Office of Suicide Prevention, Rocky Mountain Crisis Partners, CDHS’ Office of Behavioral Health. Follow-up services are telephonic caring contacts offered to clients discharging from an emergency department after experiencing a mental health crisis or overdose event Use of Restraints: Sample flowchart for use of non-violent pediatric restraints Care of the Agitated Patient Flow Chart Recommendations for use of restraints among children and adolescents in the ED Child Maltreatment: COPPER sample child maltreatment policy Identification of child abuse training module Sample policy for pediatric human trafficking screening and management Identification of victims of child labor and sex trafficking Mandated reporter training Colorado Child Abuse and Neglect Hotline: 1-844-CO-4-Kids Death of a Child in the ED: Recommendations to guide the care of children, families, and staff in the event of the death of a child in the ED DNR Orders: Sample policy on end of life issues Family-Centered Care: Sample policy on family presence during invasive procedures and resuscitation Tips for family centered care Policy statement Communicating with the Primary Care Provider: Sample policy on communicating with community pediatricians Disaster Preparedness: Checklist for hospital disaster preparedness Topic brief on planning for pediatric surge Family Reunification Pediatric Disaster Champion Resource Interfacility Transfers: Interfacility transfer toolkit for pediatric patients Key recommendations from The American Academy of Pediatrics Resources Recommended for the Care of Pediatric Patients in Hospital Monitoring of the Pediatric Patient: How to read/interpret end-tidal capnography waveforms Pediatric Surge: Pediatric Surge Playbook Click to view COPPER policy, procedure, and protocol requirements

Imaging and Radiology: Sample policy on imaging and radiology for children in the ED Trauma Imaging Algorithm Poster from Children's Hospital Colorado EIIC: Best Practices in Pediatric Trauma Imaging LEGO MRI Scanner Models Click to view COPPER requirements for ED support services

Equipment Location: Pediatric code cart scavenger hunt (use as a template to create one appropriate for your ED) Broselow Code Cart virtual escape room Click to view COPPER equipment requirements

Clinical Pathways: Clinical pathways (Children's Hospital Colorado) Pediatric Assessment: Pediatric assessment triangle poster Triage: Emergency Severity Index (ESI) implementation handbook (see chapter 6 for pediatric triage) Access: Urgent access algorithm Comfort Holds resources Immunizations: CDC's immunization schedule for children and adolescents Antimicrobial Stewardship: Adult and pediatric antimicrobial stewardship guidance for healthcare providers in Colorado Trauma: Transfusion and Mass Transfusion, contact: shannon.becker@childrenscolorado.org Pediatric Trauma Resuscitation Checklist EIIC: Hemorrhagic Shock & Massive Transfusion Protocol (MTP) Pediartric Emergency Guidelines Poster Neonatal Resusitation Poster

Asthma: Using a metered dose inhaler (MDI) Asthma action plan (AAP) Nose Frida: Nose Frida (English) Nose Frida (Spanish) Tylenol and Ibuprofin Dosing English and Spanish Disaster Preparedness Guide for Caregivers Disaster Preparedness Guide for Caregivers

Upcoming Pediatric Education Events Calendar on EMS for Children Colorado website Pediatric Readiness Curriculum COPPER Curriculum Guide (for small sites/sites with limited peds experience) Care of Pediatric Patients in the Acute Care Setting Little Big Med Podcast PEM Currents: The Pediatric Emergency Medicine Podcast Treatments and Innovations for the Delivery of Pediatric Medicine: Charting Pediatrics Podcast Peditric Pandemic Network Sign up for updates Ready. Prep. Go! Podcast Emergency Pediatric Procedures (useful how-to videos) How to draw up and administer small doses of Epinephrine Intranasal medication administration Airway suctioning Using a length-based tape Bag valve mask Push-pull rapid fluid administration IO insertion Mobile Pediatric Simulation-Based Education Rocky Mountain Hospital for Children Mobile Training Center EMS for Children Colorado / Children's Hospital Colorado Mobile Simulation Lab Telesimulation SimBox & TeleSimBox - free online remote learning for everyone Pediatric Continuing Education Children's Hospital Colorado Continuing Education Rocky Mountain Hospital for Children and HCA (healthonecares.com) Denver Health Pediatric Trauma Grand Rounds On Demand Learning Cardiac Arrest and Resusitation Sudden Cardiac Death in Young Athletes Pediatric Syncope and Sudden Death Is This Sepsis? Saving a Life Starts with Asking the Question Optimizing Outcomes for Pediatric Cardiac Arrest Drowning in Pediatrics Child Abuse Human Trafficking an Overview Medical Conditions Diabetic Ketoacidosis in Youth Multisystem Inflammatory Syndrome in Children Emergency Department Evaluation & Management of MISC in Children Spotting Measles Before It Spreads Pediatric Critical Care Case Studies Mental and Behavioral Health Early Identification and Targeted Treatment of Pediatric Mental Health Concerns in a Medical Setting Addressing the Nation’s Youth Mental Health Crisis: Evidence-Based Practices for Suicide Screening and Prevention The Mental Health Crisis and Trauma Informed Care Early Identification and Targeted Treatment of Pediatric Mental Health Concerns in a Medical Setting Neonatal Emergencies Neonatal Emergencies Evaluating the Newborn for Critical Congenital Heart Disease Respiratory Distress Practical Approach to Pediatric Respiratory Distress Common Pediatric Respiratory Infections Current Recommendations for the Care of Patients with Bronchiolitis: What’s the Evidence & Why Does it Matter? Management of Pediatric Respiratory Syndromes Trauma Pediatric Dental Emergencies Evaluation and Management of Pediatric Patients with Acute Concussion Pediatric Trauma Case Studies