RECENT MEETING MINUTES:
EMSC Advisory Meeting - December 3, 2018
Welcome: Beth Beckman, Chief Nursing Executive of Yale Health Systems and Jason Malia, Clinical Program Director; as well as a special thank you to Denine Baxter for all of her support, dedication and hard work over the years. Denine was recently promoted and transitioning into her new role at Yale New Haven. We wish them happiness and success in their new endeavors.
The response has been positive. We will be discussing this more as we break out into smaller groups (what your experience has been, if there are any issues, etc).
35-40 different topics offered as part of the training modules. Unfortunately, we have not had the amount of registrants that we had hoped for. If interested the modules will be available until the end of February.
STEP 1: Complete registration for program at
STEP 2: During the FIRST WEEK of the NEXT CALENDAR MONTH you will receive explicit
instructions on how to access the modules (including username and password). Your access will be for a 30 day period for that calendar month. If you do not receive this
code or have any issues please contact firstname.lastname@example.org
STEP 3: When you login to the Texas Children’s Website you will have a “dashboard”
with 37 diverse elective modules that we have collated (complete list is below). After
completing a module you can obtain CEU credit through the site.
STEP 4: Please complete the two assigned modules on status asthmatics and epilepticus and then select 2-3 additional modules that are of interest.
STEP 5: Provide feedback to CT EMSC and apply what you learned to your patients.
STEP 6: Encourage your colleagues to sign up to participate in this program!
Cristina will send an email with the training information along with this week’s tip.
National Pediatric Readiness Quality Collaborative (NPRQC)
The teams participating in the initiative have 4 bundles to choose from: Weight in Kilos, Vital Sign Cards, Interfacility Transfers and Disaster. The data is being entered in and we are awaiting reports on the compiled data. More information to come in case you are interested in implementing some of the things that are teams have tried.
The team leaders will be attending the January conference, and we will have more information to share.
Dr. Auerbach (in collaboration with Dr. Gunjan Tiyyagura and Dr. Michael Goldman) are working on a slightly different program than ECHO Child Abuse. This will dive into the challenging decisions faced when taking care of children in community hospital as well as the academic children’s centers.
The sessions will take place on the second Thursday of the month from 1-2pm. The schedule thus far:
Dec. 13th - Abdominal Pain - Dr. David Stitelman
Jan. 10th - Bronchiolitis - Dr. Michael Goldman
Feb. 14th - Vent Management - Dr. Ric Pierce
Mar. 14th - Febrile Infants - Dr. Paul Aronson
Apr. 11th - Airway/RSI - Dr. Joshua Nagler
May 9th - Seizures - Dr. Niyati Mehta
Cristina will email the information flyer along with the Tip of the Week and the Baylor modules.
Family Advisory Network (FAN)
The group is working on projects such as File of Life and Stop the Bleed; and the goal is to implement these in the new year.
Certadose – Dr. Mark Notash
Dr. Notash, Medical Director of Day Kimball, spoke about a new color-bonded kit that works well with Broselow and E-Broselow. He learned of these new kits at this year’s ACEP Conference. The syringes are color-coded and should help to eliminate dosing errors, especially in those critical moments. Some other positives are that these kits are significantly less expensive than the standard and the kits have a long shelf life.
There are two kits currently being manufactured: (1) Epinephrine and (2) PALS Syringe Holder. The PALS Syringe Holder can hold multi-doses of the meds, therefore the provider can use the same syringe to administer another 2 doses. Going forth, the company has plans to produce other kits ranging from a variety of medications.
Dr. Notash emailed the PowerPoint presentation to the EMSC group in case you are interested in purchasing these for your hospital.
10. On the Horizon for 2019
i. PEPP courses - Vicki will be teaching PEPP in Weston this coming Saturday (12/8) and next Monday (12/10). These hybrid courses include
modules and hands-on skills.
ii. Simulations - these will typically be scheduled for the third Wednesday of each month. We have already booked January, February and March.*
If you are interested in having a sim day at your hospital, please contact Vicki to schedule.
iii. Self-led Simulations
For scheduling reasons, it is not possible for us to travel to all of the CT hospitals each year. Dr. Auerbach will be launching Sim Box,
which includes an infant simulator and booklet. This will allow you to hold your own simulations as often as you would like.
iv. Vital Sign Cards
We believe that most of the hospitals in the state have received a batch of cards. If you are out of them, or have not received yours yet, please
contact Vicki. With additional grant funding, we will place a reorder of the vital sign cards.
v. Tip of the Week
We have been emailing the group a weekly tip to post and share with colleagues and staff. We have gotten some feedback that the weekly
tips can get to be a bit much. We will talk more about this when we break into small groups.
b. EMS agencies
i. PEPP Courses and PECC (Pediatric Champions) will be our focus for the coming year.
ii. Vital Sign Cards
iii. Tip of the Week
Small Workgroup Discussion
Verify regarding mixing instructions - the concentration used in the system seems to be different.
2. Baylor modules
The feedback from those that have taken the training modules said that they were of great quality and only took 15-20 minutes.
However, some issues that hospital leadership has run into are that nursing staff wanted to get compensated for the time that they worked on the
modules; and the lag time between when they registered and when they received their username/password (it was about a month turn-around).
Some suggested that we might get more users to register and use the modules if they would receive CEUs.
3. Tip of the Week
The group feels that the tips are very helpful and some said that they have created a binder so that the staff can easily refer back to them
whenever needed. However, some members mentioned that they do not always get to post/read the weekly tip as soon as it is email out. Before
you know it, they are getting another tip.
To prevent inboxes from getting inundated, some suggest that we switch to a bi-weekly tip instead of a weekly tip. Another suggestion that was
brought up is that we focus on seasonal topics, such as burn being that we are now running fireplaces and stoves.
We have heard that the care team would like to find out what happens to a patient after being transported. Dr. Goldman is currently working on a
project that would update the medical care team of a patient's status, as well as getting a summary report (both positive and negative feedback)
as to the care that medical team gave.
5. Base Camp
Some of the members attended a base camp recently and feel that the experience was extremely positive. They were able to learn while making
mistakes without having to worry about what their colleagues thought. The group asked if we could replicate the program and offer it, even if it
were on a smaller scale.
Some members asked if we could offer resources on sepsis such as a guideline and checklist.
7. Pediatric Psychiatry patients.
As the number of psychiatric issues rises, the group asked if we offer, or could we offer resources such as what to do when caring for a pediatric
psychiatry patient, and what resources are available once the patient has been discharged such as mobile vans, in-home therapy, etc.
8. Stop the Bleed
Some of the group asked if we will be offering this in the near future. This is one of the items that the FAN group will be focusing on in the new
year. Dr. Karen Della-Giustina graciously offered to be an instructor and we will put her in contact with FAN. As we know more information, we
will reach out to the group to ask if anyone else would be interested in teaching as well.
* Since the meeting, April and May 2019 have been booked. The simulation schedule is filling up quickly. Please contact Vicki if you are interested in holding a simulation at your hospital.