cord.
Meredith Rodriguez: or.
Meredith Rodriguez: Anything really related to pediatric readiness in general or access to resources.
Meredith Rodriguez: So whoever would like to jump in you can use the chat box, you can come off of mute and ask your question very here for ya.
Meredith Rodriguez: Like I said you're welcome to introduce yourself in the chat box.
Stacey Lemmon: amory does this is Stacy lemon I emergency physician and cancers that are ihs hospital there, I have a question for you guys, specifically regarding the medications like the essential pediatric medications we're trying to work with our pharmacists to ensure that we have.
Stacey Lemmon: You know all the essential sort of medications I was wondering if anyone was aware of.
Stacey Lemmon: You know, a list that had been previously made or any leading guidelines that that you guys might have to make sure that we're not missing anything in our in our drug list, thank you.
Meredith Rodriguez: did a great question we actually have a pediatric readiness checklist.
Meredith Rodriguez: That has all the medications that we recommend you have listed on it i'm going to drop it in the chat so that you can access that.
Rachael Alter: Here and.
Stacey Lemmon: We we had seen that it's just that some of the some of the.
Stacey Lemmon: medications on there are more like medication groups like, for example, example like then get just as like antibiotics or something like that.
Stacey Lemmon: I just didn't know if anyone was aware of them were like specific.
Stacey Lemmon: checklists that include you know actual drugs and that kind of thing.
Meredith Rodriguez: And that's a good point I think we sometimes intentionally and waiting to specific.
Meredith Rodriguez: Recommendations but i'm curious if anyone else on the on the call has maybe a great list that they could share.
Meredith Rodriguez: person suggestions.
Meredith Rodriguez: Thanks for joining the call Lisa Lisa is actually our nurse lead for our national pediatric readiness project, and she.
Meredith Rodriguez: is very involved in the toolkit generation So these are the question was around so in the checklist and the checklist we have medications so sometimes they're often just like groups of medication so Stacy gave the example of.
Meredith Rodriguez: Like we suggest to have antibiotics, but if you're aware of, maybe any more specific or specific recommendations anywhere that weekend.
Lisa Gray: Oh gosh that's a tough one, so.
Lisa Gray: yeah that took it is not a basically incur includes for the majority for the most part.
Lisa Gray: Emergency resuscitation medications there's some respiratory medications I think.
Lisa Gray: My suggestion would be to so I can do some homework on this and see if I can find a.
Lisa Gray: list of antibiotic therapy, that would be appropriate, but also really working with your.
Lisa Gray: pharmacists to come up with most frequently used antibiotics for kids it's usually pretty a pretty small subset.
Lisa Gray: um but i'm not sure if there's a comprehensive list out there and frequently use the antibiotics that may be.
Lisa Gray: Maybe recommend it so i'm gonna have to follow up on that one i'm not sure.
Stacey Lemmon: i'm sorry that was that was just an example, I mean there are there.
Stacey Lemmon: agrees, I think I think like it's epileptics it's like there's just some that.
Lisa Gray: Were.
Stacey Lemmon: very general and we just for that we had.
Stacey Lemmon: You know what if there was if there was some recommended, you know drugs you wanted to make sure we're missing any.
we're.
Stacey Lemmon: Really limited, and we have to have everything approved or federal, so we have to everything approved well in advance and how to put on the formulary so i'm.
Stacey Lemmon: Here, to make sure that we we you know dot our i's and cross our t's so any any help you guys can provide appreciate it absolutely.
Lisa Gray: I mean now reviewing the list myself to see what's on there I can't keep it all in my head.
Lisa Gray: But when you say there are seizure medications on there yep anti-convulsants are on there.
Lisa Gray: yeah let me, let me do some more homework and i'll I can circle back.
Stacey Lemmon: Thanks a lot, I appreciate anything that you can provide to help us out a lot just you know, having any other any other resource of us make sure we don't miss something would be really appreciate it.
Lisa Gray: sure.
No problem.
Meredith Rodriguez: been anyone else any other general questions as a reminder for some of you that have done jumped on it's.
Meredith Rodriguez: This is our coaching session so it's really just an hour.
Meredith Rodriguez: No set agenda or you can come with your questions and.
Meredith Rodriguez: we're happy to answer them or trying to answer them or find new resources.
Meredith Rodriguez: you're welcome to use the chat box throughout them to come off mute and speak up.
allison bissette: hey there, this is allison visit, I am actually the tech plus coordinator for Johnson county emergency services in eastern North Carolina.
allison bissette: And my question is because we are doing some research on safely transporting feel deliveries with mom and looking at devices and things like that I didn't know if anybody had something that they were already.
allison bissette: Doing already had in place, I would love to kind of hear what other people are doing.
Rachael Alter: So that's kind of a tough one, because there's no testing standards.
Rachael Alter: But i'm going to drop a resource in the chat box, that the National Association of state, Ms officials is worked on and it's a list of devices that are out there, we can't recommend any of them, because there are no testing standards, yet.
Rachael Alter: But i'd be i'd be thrilled to hear what how other people have managed that newborn and mother scenario, because I know that has been a discussion across the country I say, sometimes I mentioned, they use the Kangaroo.
allison bissette: yeah and our current policy is, we have the ACR for so we give mom and baby if there's not a medical emergency need to transport right away.
allison bissette: We give them, you know that skin to skin contact in the field and then try and separate transport from mom and baby, so that they can both be properly restrained.
allison bissette: But we were looking at the the Kangaroo the foreigner kangaroo fix that somebody else mentioned, and I just didn't know if other people are having success you tonight, because I know there's only kind of interim gaps right now.
allison bissette: Thank you for the resource Rachel.
Rachael Alter: I know there's some states that are depending on the scenario, are trying to move to recommendations, where it would be two ambulances, depending on you know if the if the baby needs.
Rachael Alter: specific assistance as well.
allison bissette: yeah and are.
allison bissette: They say.
allison bissette: The biggest thing is saying hey don't ever let mom whoa baby for transport, for any reason, because it's just not say practice and say we're just trying to figure out.
allison bissette: A safer alternative, knowing that that suddenly inner guidance is kind of a tough tough thing to be against to recommend things for budgets and.
allison bissette: Policies and stuff when it suddenly inner goddess knowing that hopefully it will be law and common place down the road.
Meredith Rodriguez: So, for some of you that are just joining the question was around safe transport of a mom and baby and once.
Meredith Rodriguez: and sharing a pen of best practices, or what others are doing around the country.
Meredith Rodriguez: know if anyone maybe wanted to share barn thing up another Christian.
Meredith Rodriguez: Well, maybe I can see if I can do this too soon.
Meredith Rodriguez: And you guys can use the chat box to I don't know.
Meredith Rodriguez: How, how are y'all feeling about the collaborative do we feel like kind of the expectations of what needs to be accomplished is.
Meredith Rodriguez: Is is clear y'all have a kind of a clear idea of what you need to do it, what we want you to do each month that need to do nothing here is required really much like to see credit and where to find resources.
Meredith Rodriguez: kind of what the plan is going forward for the rest of the collaborative.
Rachael Alter: don't be shy, we want to make this the best possible resource for all of you.
Meredith Rodriguez: to share, I mean you can do wanted to share a story about why you joined right, this is important, what you hope to.
Meredith Rodriguez: See you.
Meredith Rodriguez: descent has a question in the chat i'm going to read it for you Jason they know you're having some like issues.
Meredith Rodriguez: So you want to track quality improvement for code whites in your ED does anyone have a good tool or resources or things to focus on and they're valid evaluating post Kuwait quality.
Victoria Barnes: of code white is usually what they call a pediatric cardiac arrest.
Victoria Barnes: Jason I can try to get you some resources from Yale new haven children's hospital at that might help, and we can send some of that out to you.
Meredith Rodriguez: What I mean so let's think about this ad for quality improvement standpoint right, so I think I kind of your first.
Meredith Rodriguez: element, you really want to define what that is is kind of what would your end so, as you know what elements of the pediatric cardiac arrest, do you really want to measure right, so you got to start with establishing your baseline so really just kind of looking at maybe.
Meredith Rodriguez: You know your time to first intervention or.
Meredith Rodriguez: I don't know some of the other markers that you might be concerned about it, or you know if they need to get admitted to the floor, how you know that time tonight, or a non sure they really see how some suggestions.
Lisa Gray: could be even as simple as who's responding in the room, do you have too many response to meet people in the room, too few people in the room.
Lisa Gray: are assigned our roles assigned.
Lisa Gray: Does each person have a job scribe compressions you know.
Lisa Gray: kind of specific duties.
Lisa Gray: um.
Lisa Gray: I think a couple people are putting some ideas in the chat so so many pieces of interest you could look at.
Lisa Gray: um but yeah kind of like meredith mentioned just kind of starting out what you want, what you're wanting to address and go from there.
Lisa Gray: As far as communication how, how is it getting communicated to your colleagues in the inter-departmental or.
Lisa Gray: outside your hospital like just even calling calling for the response team.
Meredith Rodriguez: so easy to do with.
Lisa Gray: Ideas i'm kind of just.
Lisa Gray: Talking off the top of my head.
Meredith Rodriguez: Those are good if.
Laura Garcia: I say something there this.
Laura Garcia: This is Laura Garcia from the PDL and group over in La county so we that's one of the standards that we look at as far the QA indicators that we look at.
Laura Garcia: on a monthly basis and there's some like like Victoria was saying there is some overarching things that we do look at as far as a quote as a whole.
Laura Garcia: And then, once you start looking at these charts you find trends of things that you may be not meeting and, like, for example in my facility, we we were hitting most of our marks of doing like having the right people in the room, and having.
Laura Garcia: pals code our pals dosing that, but we were seeing that we weren't, for example, using an n G tube when the child was intubated and.
Laura Garcia: We were having some issues with with ventilating, so I think, the more you look at these charts and then you start seeing trends on them, even if it's only six a year you're you're still.
Laura Garcia: By just digging down deep into these charts as the pack or as the PD land with whichever your system uses.
Laura Garcia: I think you find that you're already improving the care by by doing that because you're identifying these trends and it's helping.
Laura Garcia: improve the overall care of all those kids The other thing I would say is maybe using mock codes I think my codes help tremendously to help improve the the whole dance of what we do when we take care of these kids because we don't see them very often thankfully.
Stephanie Ashford: This is stephanie from the sea, Charles county district of Missouri one of the barriers that we came across when we deployed our pediatric pit crew resuscitation projects, a few years ago.
Stephanie Ashford: Was that our pediatric pads did not have the feedback that the adult pads did they made them, they just recently come out with them, but they were prohibitively expensive and.
Stephanie Ashford: Our budget department couldn't justify spending the extra ridiculous amount of money for each monitor to get the new adapters for the new devices.
Stephanie Ashford: I don't know if the cost has come down in the near in the recent past, but.
Stephanie Ashford: One of the workarounds we did was we trained all of our crews to use if they if the adult pads would fit on the child to use the adult pads on the child, because when they get.
Stephanie Ashford: Dynamic feedback during the course of the year, so they can improve their performance at a time when it would make a difference in the outcome.
Stephanie Ashford: And so you know I know that we don't like to say us adult stuff for kids, but if you don't have the kids stuff that's going to work right we had kid pads but if they didn't have feedback to them, they weren't doing really great presentation on.
Brent Hahn/Mont Belvieu Fire Department: Good afternoon, everybody can you hear me.
Brent Hahn/Mont Belvieu Fire Department: A message to that today this is Brian how they'll be fire department.
Brent Hahn/Mont Belvieu Fire Department: we're kind of looking at everything as it is now just now, improving our QA QA QC.
Brent Hahn/Mont Belvieu Fire Department: programs program whichever one we're going to call it a lot of the nation's out, but basically finding.
Brent Hahn/Mont Belvieu Fire Department: Not only is not what we're doing wrong what we can do to improve we all, we all have data but someone mentioned the chats is talking about the call after every you know.
Brent Hahn/Mont Belvieu Fire Department: low frequency hi cutie we don't run into a lot of pediatric arrest we don't run into a lot of pediatric you know we talked about drownings we're talking about trauma, you know we do swimming lessons and wear helmets and.
Brent Hahn/Mont Belvieu Fire Department: just go into that what we're trying to learn and using our our software is trying to put things together.
Brent Hahn/Mont Belvieu Fire Department: Ultimately, of what's going to train us better what better training in our medical involve the medical director involved and it's and it's nice to see that it's not just.
Brent Hahn/Mont Belvieu Fire Department: The ED it's the first responders is the fire departments that events that does the transports for this and that's another thing that vironment is a plus for this this this afternoon session i'm calling the lunch and learn, because where i'm at it's our lunch time.
Meredith Rodriguez: And again that's a really, really good point you bring up their brand and really kind of what our intention is, but both these coaching sessions is bringing everyone together across the continuum of care for pre hospital, all the way through the end.
Meredith Rodriguez: To really understand how some of these improvements can really take place across the continuum and working in collaboration with your partners.
Meredith Rodriguez: In the ED or vice versa, and feel it and really understanding how you can improve together, I think, is critically important been there, I.
Meredith Rodriguez: Think it's our February learning session or February focus areas all about really this collaboration communication across the continuum of care.
Meredith Rodriguez: And then, when we go into phase two all of our sessions are going to be combined like this, where we're really going to learn about the improvement projects you all implementing.
Meredith Rodriguez: From a whole system of care perspective really looking at some of the challenges that maybe your colleagues that we don't interact with super radio you're facing so that we can really understand how to collectively improve better and more informed way, so I appreciate that comment.
Stephanie Ashford: If something comes in, since we're still talking about recess and I love talking about results.
Stephanie Ashford: And the fact that, when we did our pita pit crew we implemented a stay in play, which was really hard because.
Stephanie Ashford: Our instincts as humans, when someone hands you a child who is not breathing has no false our instinct is to flee, so it really took a lot of.
Stephanie Ashford: You know, coaching and conversations to get crews to stop and resuscitated place with a pediatric it really didn't take much to get them to do that with adults but with kids it was a much, much bigger ask.
Stephanie Ashford: I can tell you that we've had an astronomical improvement and outcomes we'd have maybe one survival to discharge in five years, because we just don't want very many.
Stephanie Ashford: After we deploy picker we had four within the first 12 months, and so we saw.
Stephanie Ashford: You know, we saw improvement in all categories that we were measuring we didn't have a lot of dynamic feedback, because that switching over to the adult pads was something that emerged later in the project.
Stephanie Ashford: So we didn't have that dynamic cpr feedback, nor did we have the after the call cpr quality data, but we did we were able to measure things like time to first airway time, the first time, the first io.
Stephanie Ashford: And those all saw sharp improvements, when we implemented the do not leave the scene until you've had those three things you know the Peter and toby has a project to try to get them to work, the entire code on scene.
Stephanie Ashford: It was it was too big, of an ask for our crews to do that, so we implemented sort of a halfway measure which was don't leave the scene until you have airway access and happy.
Stephanie Ashford: And, and we were able to make that case, based on the permitted to trials, where they show that i'd be may or may not be helpful, but if it is going to work, it has to be given, and if we transport first it may not ever get given so that was totally bad English i'm sorry but.
Stephanie Ashford: You get my point was that we were able to make that.
Stephanie Ashford: That change because everybody understood that, if that is going to work, we have to give it early and we'd like to be humans, better than we'd like anybody, so we want to save that more you save the most evil.
Brent Hahn/Mont Belvieu Fire Department: hey stephanie question for you about that.
Brent Hahn/Mont Belvieu Fire Department: So you you brought What was it a.
Brent Hahn/Mont Belvieu Fire Department: Retraining based on the data or was it just kind of a.
Stephanie Ashford: weekly.
Brent Hahn/Mont Belvieu Fire Department: thing.
Stephanie Ashford: We have an ongoing.
Stephanie Ashford: resuscitation project we posted out in like 2015 was our first adult pit crew and it's been a continuous quality improvement project in combination of training.
Stephanie Ashford: We added an initial in our region anyway initially the PDF pediatric special hospital so.
Stephanie Ashford: don't come near our tiny humans with that craziness you're doing on the adults, so they were sort of excluded from the project in the beginning.
Stephanie Ashford: And then, as we started showing these really amazing recessed rates, the pain doctors will need to use it on the older kids while you try it on the kids that don't fit on the browser taping like okay yeah we can do that.
Stephanie Ashford: And then they're like no maybe you could do it on you know adolescence so puberty and above and then you know, after a couple more years they're like you know what just do it on all of them, please, and so.
Stephanie Ashford: In 2018 we pushed out a formal P version of our adult procedure and the stipulation was you know because, again we couldn't we couldn't make people's brains wrap around the idea of working a tiny human for 40 minutes.
Stephanie Ashford: on seeing that we could get them to do it for 10 we could get them to do it do it, you know and the rule we implemented was don't leave the scene until you have gotten an airway.
Stephanie Ashford: It can be a super galactic but some type of airway some type of access and at least one dose of epinephrine we prefer you to get two doses before you leave, but at least one dose.
Stephanie Ashford: And so, by doing that we're giving the kids the best chance of survival and we saw you know marked improvement and our outcome data for neurologically attack survival to discharge.
Brent Hahn/Mont Belvieu Fire Department: So that's amazing and.
Brent Hahn/Mont Belvieu Fire Department: much appreciate that, yes, thank you.
Meredith Rodriguez: You know stephanie and I just put this in the chat I think that's such a great example of how we can really approach improvement, especially when it comes to pieces, just really these.
Meredith Rodriguez: Small slow introductions of change, like you, don't have to go out and think that you're going to introduce this whole new program and everyone's going to be on board and it's going to happen instantly.
Meredith Rodriguez: is to really roll it out slowly test, you know with the smaller proportion of your patient population, a small number of providers and really growing from there.
Meredith Rodriguez: And we did this collaborative and pediatric radius quality collaborative a couple years ago now, where we had a disaster bundle.
Meredith Rodriguez: And we're really working on integrating pediatric considerations into disaster plans for hospitals and a lot of our hospitals, they went out and they did these huge drills where they had.
Meredith Rodriguez: You know, live child actors and you know it was these massive live drills and then walked away feeling completely overwhelmed in able to really implement any changes really are we had one hospitals.
Meredith Rodriguez: We literally lost kids not that they pass they had had actors that disappeared from the scene and they had no idea where they went, and so they.
Meredith Rodriguez: They ended up feeling, just like maybe this is too much, and this is too overwhelming and so really like the second yet perfection is really the enemy of progress we're talking about.
Meredith Rodriguez: try something small first you know go out there and even when we think about our disaster hospitals, there was you know patient trip, he has a patient tracking reunification.
Meredith Rodriguez: there's small test there you can deal with another company child that shows up if you're eating it doesn't have to be a disaster situation where you really test them.
Meredith Rodriguez: How well you you monitor this child and reunited them with your your third family before going out and running these huge massive drills.
Meredith Rodriguez: Can you have questions comments stories.
Rachael Alter: meredith in the chat ellen's asking about sharing the disaster bundle you just mentioned.
Meredith Rodriguez: yeah definitely I can share with you what we did for PR QC um.
Meredith Rodriguez: There is quite a bit more, as far as pediatric disaster planning coming out from us over the next five years, so the AC is part of this.
Meredith Rodriguez: Huge federal grant called regional pediatric pandemic network grant where we're going to have a total of five quality improvement collaborative is very similar to this one.
Meredith Rodriguez: But focused on pediatric disaster preparedness and really different elements of pediatric preparedness across the continuum of care so it'll be a mess, because, as well as hospital based.
Meredith Rodriguez: And I think as part of this collaborative you guys were already enrolled in our monthly newsletter.
Meredith Rodriguez: Which is where we'll announce a lot of that work coming out that you can be involved in I think are most newest one is going to launch about mid summer next year.
Meredith Rodriguez: But I will say late, but in the chat where the resources we did with the pediatric greatness quality collaborative really loves.
Rachael Alter: Thanks for putting that in the chat stephanie.
Rachael Alter: stephanie is that something we we could post on to the resources page of this collaborative site yeah sure awesome Thank you.
Rachael Alter: yeah you know I think a lot of a lot of organizations seem to be going to this more of a APP based protocol system.
Stephanie Ashford: You know I have feelings about it.
Stephanie Ashford: The absolutely good if you practice with them before it happens pulling it up on your phone during the middle of it and we train with this we do.
Stephanie Ashford: Like stress inoculation training and you know, cognitive behavioral therapy approach to this where we say you know.
Stephanie Ashford: You have to pre brief on whatever it is you're doing, because when you get there, that you have no control over the fact that your adrenaline is going to dilate your eyes and make your handshake So if you don't know.
Stephanie Ashford: What the doses you're probably not going to be able to see it on the browser tape in that tiny little print with your dilated peoples so.
Stephanie Ashford: Make sure that you are considering the dosage before you get there, we me pull up the APP pull up your.
Stephanie Ashford: cognitive AIDS, you know, whatever it is that you use to get a dose before you get to the scene visualize the syringe you're going to grab visualize stopcock you're going to use.
Stephanie Ashford: And then we we go through that and practice face to face, because you know, yes, we have these beautifully elegant Apps but they're only good if you practice with never know how to use them beforehand.
Rachael Alter: and your phone didn't die.
Right.
Meredith Rodriguez: see that push their conversation the chat about sort of these dosing tools to me, I think there was a great one shared from Michigan and I have pre hospital breakout last month i'm going to see if I can find it and drop it in there.
Rachael Alter: it's my medic.
yeah.
Rachael Alter: that's a great question Greg Can somebody answer that are the Apps.
Rachael Alter: reliant on Internet or cell service or is it something that's already downloaded your phone.
Rachael Alter: doses another one i've seen a lot of download it to your phone Okay, thank you.
Rachael Alter: jason's asking if sort of dose is an APP also I can't answer that.
Rachael Alter: who use a certain dose that might be able to a device like a syringe device that's got the colors on it that's right.
Meredith Rodriguez: let's say there is an APP.
Meredith Rodriguez: legend of visualize the tool and the correct volume, something you can do not like it's definitely talking about.
Meredith Rodriguez: me.
Meredith Rodriguez: Think about it in our first call with a link to his chat is talk to the chat.
Rachael Alter: Do you remember, if the presenter for the service was a hospital based or pre hospital based provider, he was pre hospital.
Meredith Rodriguez: yeah he was.
Go.
Meredith Rodriguez: first session great Dallas combined.
So, for all the pre hospital people on the call one of the things is emerged during our training one time was the fact that.
The browse locates that you don't have.
Here, Peter Gray module and yet.
Stephanie Ashford: It seems like that should be something everyone should know but.
Stephanie Ashford: If you don't practice and teacher crusade abrazo tape is just the answer to everything, and so, if they don't ever use it, they don't know that the smallest equipment in your rozell kit is read it says it on the browser tape, but when you're in the middle of working, a code.
Stephanie Ashford: your eyes aren't looking for the Asterix at the bottom and so.
Stephanie Ashford: We we make sure to engineer that particular error into all of our P training so that everyone had covers the fact that.
Stephanie Ashford: A Gray, a baby that measures Gray on the browser tape doesn't actually get the white module that is the closest color to grey because that's for a three year old not do newborn so again things emerge during training.
Meredith Rodriguez: Maybe i'll jump in with some other questions as guys think of maybe some questions you might have and i'm curious from the group.
Meredith Rodriguez: yeah one of our major focuses is making sure that you're connected with your state or territory msc program manager and as part of the intake questionnaire, those of you who consented to me sharing your information, with your state or territory msc program manager.
Meredith Rodriguez: She shouldn't have been contacted by now hopefully by by them and if i'm curious if that's happening, if you guys have.
Meredith Rodriguez: Really gotten to know yours state program at all are aware of your state program or what kind of resources, they can offer, and I mean they're fantastic resource for you all, as you, as you have particular about really implementing change.
Meredith Rodriguez: In your state and really.
Meredith Rodriguez: pediatric experts they're just they're wonderful resource for you.
Meredith Rodriguez: Yes, fabulous.
Rachael Alter: Jason what's what state are you located in.
Rachael Alter: California so California isn't a transition phase right now they've they're hiring a program manager, so you probably won't anybody in California probably won't be hearing.
Rachael Alter: Much from that program until they get somebody hired, unfortunately.
it's true.
Meredith Rodriguez: But there is a fantastic deal in network in the La area see nancy's on the call and know if you have you are part of that group as well and.
Meredith Rodriguez: Wisconsin not yet either okay good to know they see that yeah I Colorado we Stacy just left we Mr already asleep, but hopefully we'll get to that position soon.
Rachael Alter: Yes, we're all sad.
Rachael Alter: Yes, we'll be posting the stuff we share today meredith would it make sense to be to add that to that to the equipment section, probably for what we're discussing today.
Meredith Rodriguez: yeah really I figured on abroad, they can find it either place doesn't matter.
Meredith Rodriguez: So Jason recruitment hell is the PDL and I think it says PDL in that.
Meredith Rodriguez: me good I don't know the exact word.
Laura Garcia: it's PDL and.net.
Meredith Rodriguez: Net there you go Thank you.
Meredith Rodriguez: Really, this this concept of pediatric readiness and the concept of the pack pediatric.
Meredith Rodriguez: champion, or what is called the PDL and really originated in that area, you have.
Meredith Rodriguez: Some of our wonderful experts really kind of champion inside of the La region and it's kind of grown nationally, but I would say that really la county has really led the charge when it comes to the pediatric champions.
Meredith Rodriguez: there's a lot of involvement, the PDF group.
Rachael Alter: The la pete's ready site is a wealth of information to, I will post that link as well.
Rachael Alter: That link is very.
Rachael Alter: Emergency department focus, but you might be able to clean some resources, out of there even for a pre hospital.
Meredith Rodriguez: You know it's I don't think we've talked too much, at least in our past little breakout yet really about the pre hospital, the greatest project and kind of what is all planned and available through that i'm wondering if you wanted to share a little bit.
Rachael Alter: Sure i'd love to um so the pre hospital pizza ready project.
Rachael Alter: We kind of started I believe in.
Rachael Alter: And, in preparation for the release of the pre hospital pediatric readiness and emergency medical services systems policy statement.
Rachael Alter: which was released in January of 2020 and it was kind of it's a sister document to the emergency department pediatric readiness policy statement so speaks to how to become pediatric ready in the pre hospital world and, after that, the release of that policy statement.
Rachael Alter: We did put together a checklist was our first depth and.
Rachael Alter: I can show that real work.
Rachael Alter: And us checklist.
Rachael Alter: is in line with the policy statement.
Rachael Alter: And for the most part aligns with the focus areas of this collaborative so education equipment patient medication safety.
Rachael Alter: Patient family centered care on to policies procedures protocols QA and interactions with systems of care so it's just a real quick.
Rachael Alter: Two pager, which is a lot shorter than that ED checklist and after we compiled this checklist We then.
Rachael Alter: created a toolkit to help people.
Rachael Alter: Work on on filling in any of the gaps that they may have, from the toolkit so or from the checklist so here's our toolkit.
Rachael Alter: and
Rachael Alter: it's kind of a work in progress we're adding more resources, as we find them but.
Rachael Alter: Our third part of this project will be an pre hospital agency assessment that will roll out in 2024 so we're really hoping to get the word out that these two tools are available for MS agencies and.
Rachael Alter: You can use either either of them or or just use a toolkit to find resources if you want to, but the The assessment will be based on the checklist and you know so, in theory, we everybody's got a couple years to kind of prepare for this assessment and.
Rachael Alter: Get get the get all of the items checked it as kind of a best case scenario, you know we we don't anticipate that a lot of some of the rural agencies might be able to.
Rachael Alter: To check all the boxes, but you know, the point is just to like we've been talking make baby steps and and do what you can to.
Rachael Alter: Be as be pediatric ready there is this quick less than half an hour video that kind of dives into the tool kits and walks you through how to use the tool kit and what resources are available.
Rachael Alter: And, and we can always provide us with resources that you have that you think would be helpful to include in the toolkit as well, so.
Rachael Alter: would love it if people jumped in there, and let us know what might be missing out of the toolkit and what would be helpful for us to include in there, so.
Rachael Alter: Maybe happy to answer any questions you might have about either of those things.
Rachael Alter: i'm just catching up with the chat I noticed, we have somebody from the Philippines on Thank you so much for joining.
Meredith Rodriguez: By you join the collaborative or maybe a specific area that you're hoping to improve on at your agency or your ad in the.
Meredith Rodriguez: ways that we can be better and supporting you would always love to hear that.
Meredith Rodriguez: boy.
Meredith Rodriguez: Questions comments.
Rachael Alter: Oh, I I do maybe this is also good time to mention in that toolkit under the interactions with systems of care section.
Rachael Alter: I have uploaded some sample job descriptions for pre hospital PICs I know that was a ask during, I think, maybe even our very first session probably and i'm not sure that we've communicated out, but those were uploaded so i'll i'll drop a quick link in the chat box for a direct direct.
Rachael Alter: direct access to those.
Meredith Rodriguez: Fears a question in the chat about grant funding opportunities i'm curious.
Meredith Rodriguez: Whether it's something as positively as you have really resolved to maybe start collecting and posting more regularly it's really grant funding opportunities but i'm curious maybe what others of us are aware of a better on the call.
Rachael Alter: firehouse subs this one I.
Rachael Alter: just heard about during our pre hospital breakout session last week.
Rachael Alter: I wrote down a couple others that I.
Rachael Alter: don't have.
Rachael Alter: The right now but I plan on adding a section in the toolkit as well for grant opportunities and.
Rachael Alter: we'll definitely cross post those into the collaborative site as well.
Stephanie Ashford: For the pre test for the people on the call lexical had a webinar a week or two ago and they went through their grant Finder.
Stephanie Ashford: feature and service that they offer they have a free account that you can get to explore it, but you can also do like a small singular paid service.
Stephanie Ashford: And when you do that, you get access to like a grant writer grants specialist for administration of the grants and they have a ton of stuff in there.
Stephanie Ashford: is a really great webinar and I was trying to find a link to the actual topic itself and very successful yet, but I can post their website in the chat.
awesome Thank you.
Rachael Alter: yeah this is, this is a great reason to connect with your state msc program manager as well for the state partnership program because there are some out there, and not just with the pack plus program like in North Carolina, which is actually what.
Rachael Alter: What is a targeted issues grant.
Rachael Alter: And so, those are you those are only about four years and then the grant closes and they move on to a different project that the State partnership programs are always ongoing and some of them do have equipment.
Rachael Alter: programs grant programs or equipment replacement programs that you might be able to participate in, so a great a great reason for you to connect with your program manager and make that introduction.
Rachael Alter: Rotary Clubs are great for funding.
Rachael Alter: heard of connections with like boy scouts or girl scouts for badges to help raise funds for local agencies.
Stephanie Ashford: On the link to the grants talk, you have to create a login was prodigy that net to watch the recording it's not impossible people watch it, it was part of the conversations that matter series first watch solves post, the link to the place and it'll redirect you to prodigy watch it.
Meredith Rodriguez: They see greatest question in the chat really around you know tools to identify person with extra health care needs.
Meredith Rodriguez: there's two examples I can think of one from Oregon and one from St Louis area or no glennon that really their stars program I don't know if y'all have heard about this will try to find a link to the webinar at least the stars Program.
Meredith Rodriguez: But.
Meredith Rodriguez: Really, the idea behind the stars program is that.
Meredith Rodriguez: it's centered around children needs a special health care needs and and really each one of those is identified by a star star number and really.
Meredith Rodriguez: They work with both through Cardinal glands just the children's hospital in St Louis and then.
Meredith Rodriguez: The last agencies in the surrounding area to really identify these kids and have them even have them come into you know either.
Meredith Rodriguez: Go to the agents here, where they have the trucks ground visit them and they really walk through what their care plan is, they have a whole.
Meredith Rodriguez: system that backs up that so that they can put their stars number in and it'll bring up all this information on on the child and what their special needs are with a care plan is.
Meredith Rodriguez: Really really great model and Oregon is implementing a program very similar to this and I cannot think of the name of the program off the top of my head right now but.
Meredith Rodriguez: Really around the same idea.
Meredith Rodriguez: Of of kind of making these children known to their ideas into their responding agencies, so that they're prepared and then they know you know I think one of the crucial parts about the stars program releases they ensure that.
Meredith Rodriguez: The providers get to know these children in their normal State or in their baseline state right, so that they know when they see them hero kids Thank you Mitchell and so that they understand when they're responding me what is normal, and what is not for this child.
Meredith Rodriguez: To really great programs, you know kids and stars.
Meredith Rodriguez: And stars actually has sort of this implementation guide or little booklet on how if you wanted to replicate something similar.
Meredith Rodriguez: In your region they have sort of this little how to guide on how to get started.
Meredith Rodriguez: The program is led by trisha Casey and she i'm still trying to find this webinar where she talks about kind of how they started and it, you know it's been it was a huge long process for sure, but it's gone into something amusing.
Rachael Alter: Are you looking for meredith.
Meredith Rodriguez: There was this webinar that that treated Casey gave on the stars Program.
Meredith Rodriguez: And i'm trying to do it, I think it was in the ice rather than a recorded, but I don't know what I did at the recording.
Meredith Rodriguez: posted to the page.
Meredith Rodriguez: Well it's interesting I don't I don't know about the billing aspect that's a really, really good question i'd have to look into that.
Meredith Rodriguez: Two more minutes left if anyone has any burning questions.
Rachael Alter: got a lot of things to post.
Meredith Rodriguez: yeah okay.
Meredith Rodriguez: Well, we can wrap up.
Meredith Rodriguez: Thank you for joining us, thank you for your questions I think there's always a lot of great sharing and information, and these kind of more unstructured hours and I love that.
Meredith Rodriguez: So we'll have another one next session is December 2 on policies and procedures.
Meredith Rodriguez: And we'll have another office hours like this, the following week and we moved it up a week to the holidays so December 16 will have another open coaching session, just like this one.
Meredith Rodriguez: So this recording will be posted to the website probably later this afternoon and I think again appreciate it.
Rachael Alter: Thank you everyone.