When traumatic events strike, children are more likely to die than adults. Why? Because children vary in size and development, many facilities are ill-equipped to serve them. For example, until our efforts, many ERs didn’t have oxygen masks that would fit children! CPR protocols are different for children, as is medicine dosing. Many health workers simply don’t see enough children to retain their skills.
The 14th Annual Update in Acute and Emergency Pediatric Care conference was held in Memphis, TN. The conference was attended by nearly 200 healthcare providers. The conference focused on quality and service and the opening speaker, Jay Kaplan, delivered a spectacular message, "Quality Gets You in the Game, Service Helps You Win It", setting the tone for two days of engaging and interactive presentations from a range of experts. Tennessee led the nation with the highest overall readiness score of 89%, where the national median is 69% in the National Pediatric Readiness Project, a multi-phase quality improvement initiative to ensure that all U.S. emergency departments (ED) have the essential guidelines and resources in place to provide effective emergency care to children. TN EMSC continues to promote these great results among a myriad of statewide stakeholders,
The Communication and Leadership task force finalized a new logo, brochure and display. A video expressing our mission was created and is used for marketing and communication purposes. The orientation and buddy system previously established has assisted new members to become knowledgeable and engaged more quickly.
The Disaster task force began working with the states in the southeast region of the country to develop a plan of action when a disaster occurs and involves multiple children. The plan is to create a process for when a disaster occurs in one part of the region and the hospital is damaged or at capacity, the children's hospitals in Tennessee will be able to either provide direct aid or have children transferred to Tennessee for care. In addition, the first draft of a pediatric disaster plan has been presented to the TN Department of Health.
The Education/Data task force has created a tool entitled "Emergency Guidelines for Schools." This manual is meant to provide recommended procedures for school staff that have little or no medical/nursing training to use when the school nurse is not available. Although designed for a school environment, this resource is equally appropriate for a child care or home setting. The tool will be available for free download on our website.
The Sixth annual EMS Star of Life was held in May 2014. It is designed to honor the accomplishments of EMS personnel from all regions of Tennessee who provide exemplary life-saving care to adult and pediatric patients. The ceremony included a presentation of the actual adult or pediatric patient scenarios and reunited the EMS providers with the individuals they treated.
1. To continue to follow up with each hospital that completed the National Pediatric Readiness assessment and assist in closing their gaps as well as reach out to hospitals that did not complete the assessment to become engaged in the quality improvement process.
2.We are continuing to actively pursue development opportunities that can provide funding for equipment and training to educate hospital personnel and EMS on the unique medical needs of children and for equipment to save a child’s life. Children come in a variety of sizes and this requires special training and equipment. Recent studies suggest that acute care providers have limited exposure to critically ill children and also lack the skills to manage them. The funding raised through the capital campaign will be used to purchase child size simulators, medication dosing apps, and equipment to delivery lifesaving medication quickly to children.
As the president of the TN Emergency Medical Services for
Children (TN EMSC) Foundation, I am passionate about continuing to move forward TN EMSC’s mission of ensuring every child in
Tennessee receives the best pediatric emergency care in order to eliminate the
effects of severe illness and injury. We believe exceptional care should be
offered to every child, every time no matter where they are in the state.
The TN EMSC Foundation is a nonprofit dedicated to bettering the system of emergency care for our children. Our members include parents, teachers, hospital representatives, paramedics, nurses, doctors and more who want the best emergency care possible for children in Tennessee. Through this network of partners and advocates, we are fortunate to have access to a range of expertise that allows us to implement evidence-based care across the state.
I have spent 38 years in pediatric patient care, including 12 ½ years as a nurse in the PICU at Children’s Hospital at Erlanger. Children’s at Erlanger is one of the four Comprehensive Regional Pediatric Centers in Tennessee. CRPCs have the highest designation in the state to take care of children and serve as the foundation for an exceptional system of pediatric care. Now as a CRPC Coordinator, I help to train and support the emergency professionals and paramedics who are on the frontlines of pediatric emergency care. Along with the other CRPC Coordinators across the state, we ensure these providers have the resources and skills necessary to take care of our kids.
The Foundation is also focused on safety and accident prevention. Over the years this has included educating lawmakers about policies to keep children safe including a comprehensive seat belt law and a ban on texting while driving. We collaborate with the Tennessee Department of Health to make sure that our emergency departments are prepared to take care of the special needs that our children have when they are sick or injured. This includes assisting emergency departments with education, securing resources to get the pediatric equipment they need to care for children and reviewing what is needed per our state rules to maintain outstanding pediatric care.
I am honored to serve as the president of this wonderful organization. I invite you to take a look around the site and join us as we lead the way to a healthier and safer tomorrow for our children!
TN EMSC Foundation President
My goal as the Executive Director is to lead a diverse group of volunteer stakeholders to make a difference in the lives of critically ill and injured children and the clinicians who care for them. Our desire is to have a positive impact on the lives of children and their families throughout Tennessee by ensuring clinicians have the training and tools to deliver effective and efficient treatment.
At TN EMSC our mission is to significantly improve the survival rate of children with acute, life-threatening illness or injury every single day through:
Our innovative collaborations and relationships directly influence a child’s outcome and provide hope to their family
Our dedication to the healthcare professionals who provide care when it is most critical and
Our significant capabilities to address the needs of children through public policy
The goal of the Tennessee Emergency Medical Services for Children Foundation is to advocate for the highest quality of care for the ill and injured children who come into our hands, whether you are a physician, nurse, nurse’s aid, paramedic, EMT, social worker, hospital administrator, educator, or parent.
The Foundation works behind the scenes to coordinate communication among facilities, to seek opportunities to promote injury prevention, to formulate and implement a state plan for disaster management that addresses the specific needs of children, and to encourage an exchange of knowledge and experience between healthcare professionals, families, school systems, and government.
The purpose of the Star of Life is to reinforce best practice for emergency medical services providers (EMT, EMT-P). The patient scenario is read to the audience with specific best practices highlighted. The Star of Life program provides the opportunity to highlight best practice scenarios to the EMS professionals in attendance.
One of the eight examples was a two year old toddler that had fallen into a septic tank. The child required CPR and the use of a special measuring tape to determine the size of equipment needed for this child and the dosage for the medications. The best practice of care was delivered to this child including a special IV that had to be placed so that getting the right medicines and dosage, could be possible. The utilization of this tape measure and the subsequent care provided was highlighted at the event.
The majority of care delivered by emergency departments and ambulances are to adults. Medical care for children requires special training and equipment. Emergency care providers need to be aware of and trained on these differences.
At a rural hospital facility the emergency department staff did not know what to do with the child manikin. Once a room was found, the emergency equipment cart was brought to the room but did not have a heart monitor. The only heart monitor in the emergency department was being used on another patient. Following this mock code visit, the emergency department developed a contingency plan and purchased another heart monitor.
When mock codes first began in non children’s hospital emergency departments across the state, the child manikin was taken from the parent into an examination room and the parent was left in the waiting room. Parents are now viewed as a partner in the health care team and kept informed about the condition of the child.
Initial state legislation did not include trauma funding for the comprehensive regional pediatric centers in Tennessee. TN EMSC worked to include language in the legislation that secured trauma funding for the children’s hospitals.
TN EMSC was a key partner with AAA of Tennessee is working to ban text messaging while driving. This legislation successfully passed on its first attempt in the TN legislature in 2009.
Indirect Public Support HelpIndirect public support represents revenue received through solicitation campaigns. This includes funding United Way and other federated fundraising organizations, but does not include donor designated contributions.
Earned Revenue HelpEarned revenue represents income generated in direct exchange for a product or service.Earned income includes income from government contracts.
The dramatic achievements of public health in the 20th century have improved our quality of life in a myriad of ways, including an increase in life expectancy, worldwide reduction of infant and child mortality rates, and the elimination or reduction of many communicable diseases. In Middle Tennessee, improvements in preventive medicine and advanced medical technology have resulted in increased life expectancy and improved health for many residents. However, significant health disparities exist in our region, resulting in poor health status often related to economic status, race, and/or gender.
Copyright © 2014 The Community Foundation of Middle Tennessee
3833 Cleghorn Avenue, Nashville, TN 37215