[traumanurses] Re: Role of pediatricians

["Barnum, Mary" <MBarnum@asante.org>]

We are a Level 3 returning to a Level 2 status soon and we made a policy that on all "FULL" Pediatric Trauma patients, it is a mandatory notification and requirement for the on-call Pediatrician to come into the ED and evaluate, (as soon as they recieve the call.) On "Modified" Peds trauma, it is up to the ED doc to decide after initial evaluation ,if they feel they need a Pediatrician. If the ED doc feels this patient is likely to be admitted, they are at that point to call and ask the Pediatrician to come in and assist w/admitting orders etc....

This has worked very well.

 

 

Mary E. Barnum RN, BSN

RVMC Trauma Coordinator

-----Original Message-----
From: Leiding, Lisa [mailto:Lisa.Leiding@stvin.org]
Sent: Tuesday, November 18, 2003 3:08 PM
To: 'traumanurses@listserve.com'
Subject: [traumanurses] Re: Role of pediatricians

I made my MD's make a "commitment" statement before I told them about the billing opportunities for trauma.

My pediatricians stated that they wanted to be involved from the point of intake to discharge or transfer.

I then took all of the commitment statements and gave a copy to each of the services so that all the MD's would know where each other stood.

Since this time we have not had any problems with our pediatricians coming in and being involved - even at 3 am and even if we are only stabilizing and transferring - they are here and helping us locate an accepting hospital.

Lisa McLaughlin
Santa Fe, NM

-----Original Message-----
From: Casey, Linda E Ms FRANCISCAN
[mailto:Linda.Casey@nw.amedd.army.mil]
Sent: Tuesday, November 18, 2003 3:54 PM
To: 'traumanurses@listserve.com'
Subject: [traumanurses] Re: Role of pediatricians

Interesting that you brought this up at this time as we are in the same boat
although we do have a pediatric surgeon.  We have a youngster in our ICU at
this time and surgery did not consult peds (I felt strongly that they should
have).  Although the patient is a trauma patient (4 wheeler rollover and has
a head injury , he also had a high sodium with numerous facial fx's etc.).
I would also be grateful for any of this information.

-----Original Message-----
From: John Bleicher [mailto:BLEICHER@saintpatrick.org]
Sent: Tuesday, November 18, 2003 2:45 PM
To: TraumaNurses@TraumaNurseSoc.org
Subject: [traumanurses] Role of pediatricians

Hi - We're a Level II center taking care of adults and kids.  We have no
pediatric surgeons.  Kids are managed by the general surgeon with
involvement of the on-call pediatrician.  We're struggling a bit with
integration of the pediatrician - which specialty should have responsibility
for which aspects of patient care (fluids, pain meds, discharge planning,
etc.).  In other words, what should the role of the pediatrician be, both in
the resuscitative and post-resuscitative periods?  I'd sure appreciate any
help/guidance anyone could provide (protocols, relevant articles, whatever)!
Thanks, John

John Bleicher, RN
Trauma Coordinator
St. Patrick Hospital and Health Sciences Center
500 West Broadway
Missoula, MT 59802
ph: 406-329-5603
fax: 406-329-5875
bleicher@saintpatrick.org

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