Dear Amy-
Our trauma director sees all patients who require general pediatric
trauma follow-up in Trauma Clinic which is held every Friday afternoon
in the pediatric surgical clinic area. The only exception is if one of
her partners has operated on a patient- then the operating attending
typically prefers to see that patient back himself. So, Trauma Clinic
for us is mostly simple concussion and solid organ injury f/u. One of
the trauma coordinators assists with clinic. We (trauma coordinators)
do a medical record review the day before to delineate all the injuries
and note any special circumstances (inflicted injury, death of someone
else involved in the incident) as our trauma director obviously doesn't
know all of the patients. The person who registers for ped surg clinic
does our registration, and the ped surg secretaries prepare the office
charts and schedule the appointments. We see most kids back at around 4
weeks, unless they have a wound or injury that requires more timely f/u.
The 4 weeks is our baseline as that's the soonest we would allow a child
with a concussion to resume full activity. If a child is involved in
competitive sports and anxious to return to play, we refer them to the
university's Sports Concussion Clinic for specialized testing instead.
We see our solid-organ injury kids back at the number of weeks of their
grade of injury plus two weeks (i.e., we see a child with a grade 3
splenic lac back at 5 weeks as that's the soonest we will allow any
activity more than walking). Of course, we give all parents a list of
what to call about and we have a 24 hour number if anyone is having
problems in the meantime.
Hope this helps. Please let me know if there is any further information
that you need.
Chris
Chris McKenna, MSN, RN, CRNP
Benedum Pediatric Trauma Program
Children's Hospital of Pittsburgh
3705 Fifth Avenue
Pittsburgh, PA 15213
412-692-6503
christine.mckenna@chp.edu
-----Original Message-----
From: traumanurses-bounce@mailman.listserve.com
[mailto:traumanurses-bounce@mailman.listserve.com] On Behalf Of Amy Deel
Sent: Tuesday, January 11, 2005 1:01 PM
To: TraumaNurses@TraumaNurseSoc.org
Subject: [traumanurses] Follow-up Clinics
For those of you who have follow-up clinics for your trauma patients, I
am interested in any information on how this works for you i.e.
location, staffing, who sees the patients, frequency of visits, length
to discharge from the clinic.
We are also interested in developing a follow-up clinic for our spine
patients. Has anyone ever heard of or worked with consultants who
specialize in the development of these programs?
Thank you in advance,
Amy H. Deel BSN, RN
Director Trauma Services
Memorial Hospital of South Bend
615 N. Michigan St.
South Bend IN 46601
574-647-7421 (office)
574-647-7030 (fax)
adeel@memorialsb.org
Subscribers who do not comply with the rules of this listserv will be
unsubscribed. STN does not take any responsibility for the information
shared on this listserv.
CONFIDENTIALITY NOTICE. This e-mail and attachments (if any) are the sole
property of Children's Hospital of Pittsburgh and may contain information that
is confidential, proprietary, privileged or otherwise prohibited by law from
disclosure or re-disclosure. This information is intended solely for the
individual(s) or entity(ies) to whom this e-mail or attachments are addressed.
If you have received this e-mail in error, you are prohibited from using,
copying, saving or disclosing this information to anyone else. Please destroy
the message and any attachments immediately and notify the sender by return
e-mail. Thank you. <It>
Subscribers who do not comply with the rules of this listserv will be
unsubscribed. STN does not take any responsibility for the information shared
on this listserv.
|