Child Life Council 26 th Annual Conference on Professional Issues

Transcription

1 Child Life Council 26 th Annual Conference on Professional Issues 37. A Children's Hospital Dream Team: The Collaborative works of Child Life and Child Advocacy in the Emergency Department Presented By: Leah Class, MS, CCLS, Child Life Specialist, St. Joseph's Children's Hospital of Tampa Stefanie Alt, MS, Senior Child Advocate, St. Joseph's Children's Hospital of Tampa

2 A Children s Hospital Dream Team: The Collaborative Works of Child Life and Child Advocacy in the Emergency Center Leah Class, M.S., CCLS Certified Child Life Specialist and Community Visiting Group Coordinator St. Joseph s Children s Hospital of Tampa (813) ext.4 leah.class@baycare.org Stefanie Alt, M.S. Practice Manager St. Joseph s Children s Hospital of Tampa (813) stefanie.alt@baycare.org

3 A Children s Hospital Dream Team: The Collaborative Works of Child Life and Child Advocacy in the Emergency Center Learning Objectives Identify statistical data supporting the need for Child Life and Child Advocacy services in an Emergency Care Center Gain understanding of the Child Life and Child Advocacy roles specific to the Emergency Care Center Identify benefits of staffing Child Life and Child Advocacy services in a pediatric Emergency Care Center Learn how to create a Dream Team of Child Life Specialists and Child Advocates for your own Emergency Care Center. National Statistics Approximately 28.3 million children and adolescents visited Emergency Centers nationwide each year between million visits were injury related 17.5 million visits were illness related Data from the National Hospital Ambulatory Medical Care Survey, National Center of Health Care Statistics

4 Who We Are One of four hospitals in the St. Joseph s-baptist Health Care system Free-standing hospital in Facts 164 Inpatient Beds 8,339 Inpatient Admissions Level II Steinbrenner Emergency/Trauma Center 336 heart surgeries Level III NICU 700 infants $4.2 million in charity care Steinbrenner Emergency/Trauma Center For Children 24-Hour Level II Pediatric Trauma Center 18 Bed Department 41,056 visits in ,383 were related to injuries Consultations from nearly 60 specialty services Fast Track for minor emergencies One Full-time Child Life Specialist One Full-time Child Advocate St. Joseph s Children s Hospital Child Life Department 6 Certified Child Life Specialists 2 Specialists dual certified in Child Life and Recreational Therapy Areas served include: All inpatient Units Day Hospital Pediatric Holding/Pre-Op area Hematology/Oncology Clinic Medically Complex Clinic Emergency Department

5 Objectives for Child Life in the EC Providing patients and families with procedural preparation and support Promoting positive coping skills in patients of all ages Diversion activities for patients and siblings Advocate for patients and families Providing staff with assessment of individual coping abilities as well as general developmental assessments Documentation Assist in increasing emergency center patient satisfaction Procedural Preparation and Support Goals: Decrease anxiety, chance of misconceptions, and stress Increase understanding and positive coping Tools: Prep Kits Prep Books Distraction Tools Common Procedures: Sutures I&D IV starts Appendicitis work-up Bone reduction and casting Diversion Activities Wait Times Waiting Room Activities Bedside Activities Volunteers Child Life Cabinet

6 Patient and Family Support Pain Prevention Parental Involvement Sibling Support Keeping Families Informed Traumas/ Bereavement Staff Education Developmental Stages Age-specific Reactions Patient and Family Assessment Family Dynamics Charting in Medical Record Statistics Sheet Documentation

7 St. Joseph s Children s Advocacy Mission To advocate for the health and well-being of all children and their families through education, awareness and safety product distribution Children s Advocacy Center 23 Child Advocates Areas of prevention expertise Unintentional Injury/Safe Kids Tampa Environmental Injury Child Passenger Safety Social Injury Emergency Center Services Mobile Immunization Services Be Our Best Health Education Program Legislative Advocacy Child Advocate in the EC Provides injury prevention education, safety devices, family support and other resources to families at their most teachable moment

8 A Teachable Moment Moment of Educational Opportunity: a time at which a person, especially a child, is likely to be particularly disposed to learn something or particularly responsive to being taught or made aware of something Source: Encarta World English Dictionary, 2007 Objectives for Child Advocate in the EC Stand as an educational resource for families visiting the emergency center to help decrease repeat visits due to preventable injuries Provide safety devices to families based on need, the child s age, the season and purpose of visit Conduct Zap Asthma program Collect injury data and track injury trends Offer family support Assist in increasing emergency center patient satisfaction Child Advocacy Assessment Identify Patients Parent Survey Identify Needs Offer education and/or safety devices Documentation Follow-up

9 Child Life and Child Advocacy Collaboration in the EC Team of Medical Staff, Child Life Specialist and Child Advocate Families receive comprehensive array of care, support and education during their visit -Medical staff treats the injury/illness -Child Life Specialist works with patient on distraction and coping skills -Child Advocate talks with parents about mechanism of injury and how to prevent future injuries Benefits Offers a complete Family Centered Care Approach Cross training of Child Life Specialist and Child Advocate Relationship Building with medical staff Follow-up with hospitalized patients Reduce stress associated with Emergency Center visit Increase Patient Satisfaction Where Do We Go From Here? Expansion of current services in EC Fundraising opportunities Expansion of services to other sister hospital emergency centers Model program for other hospitals locally and nationally

10 Start Your Own Dream Team Gain support from hospital administration Funding Marking presence in emergency center (i.e., gaining support from staff) Space issues Stay Flexible Questions How To Contact Us: Leah Class, M.S., CCLS St. Joseph s Children s Hospital of Tampa (813) ext. 4 leah.class@baycare.org Stefanie Alt, M.S. Practice Manager St. Joseph s Children s Hospital of Tampa (813) stefanie.alt@baycare.org