ED Toolkit
Clinicians Disaster EMSC Stakeholders Hospital State Partnerships Trauma- National Pediatric Readiness Project
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- Readiness Checklist & Toolkit
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About the Toolkit
The NPRP Toolkit content is organized by the seven domains of pediatric readiness: Administration and Coordination; Healthcare Provider Competencies; Quality Improvement; Policies and Procedures; Patient Safety; Support Services; and Equipment, Supplies, and Medications. The tools and resources align with the joint policy statement “Pediatric Readiness in the Emergency Department” and will assist pediatric emergency care providers to better understand and achieve the components of pediatric readiness in their emergency department (as highlighted in the NPRP Assessment).
The NPRP Toolkit also provides support and recommendations for other stakeholders involved in pediatric emergency care such as hospital directors, quality improvement leaders, family advisory network personnel, caregivers, and patients.
The materials included in this Toolkit will be updated periodically to ensure the latest recommendations and guidelines are included. Sign in or create an account to stay connected to receive notifications when new materials are added and help ensure we are meeting the needs of all users.
Use the Search bar below to find topical areas of interest.
Administration and Coordination of the ED for the Care of Children
This section contains resources regarding the qualifications and responsibilities for the physician and nursing Pediatric emergency care coodinator (PECC) staffing your emergency department (ED).
- Importance of the Pediatric Care Coordinator
- Role Responsibilities of a MD ED Coordinator
- Role Responsibilities of a Nursing ED Coordinator
- Example Job Descriptions/Policies
- Pediatric Coordinator (University of Wisconsin Hospitals and Clinics Job Description)
- Pediatric Nurse Liaison (LA County Policy)
- CEN/CPEN/CPN/CCRN
- Example Job Descriptions/Policies
- Is Your ED Ready for Children? Pediatric Emergency Care Coordinators Lead the Way to Readiness! This webinar shares data supporting the need for pediatric emergency care coordinators (PECC), as well as strategies employed to identify and assure availability of PECCs in the EDs of a large hospital system.
- Sample Elevator Pitch for Pediatric Champions
Revised in 2020 by:
- Mohsen Saidinejad, MD, MBA, FAAP, FACEP
- Sam Shahid, MBBS, MPH
Physicians, Advanced Practice Providers (APPs), Nurses, and Other ED Healthcare Providers
This section contains resources regarding the necessary skills, knowledge, and training in emergency evaluation and treatment of children of all ages among staff in your emergency department (ED).
- Equipment Competency Validation Record
- Physical Assessment Skills Checklist (Pediatric)
- Orientation Knowledge and Skills Checklist for the Registered Nurse
- Clinical Practice Pathways
- AHA: PALS and PEARS
- Lurie Children's Hospital Disaster Exercises
- SBAR Tool
- TeamSTEPPS
Revised in 2020 by:
- Marc Auerbach, MD, FAAP, MSc
- Catherine Olson, MSN, RN
- Mohsen Saidinejad, MD, MBA, FAAP, FACEP
- Theresa A. Walls, MD, MPH
Guidelines for QI/PI in the ED
This section contains resources regarding the integration of pediatric patient care-review processes into the Quality Improvement (QI)/Performance Improvement (PI) plan of your emergency department (ED).
Site Assessment and Checklist:
Disease Specific QI tools:
QI Data Analysis and QI Education:
- HCA Pediatric Readiness Gap Analysis (Example)
- Rapid-Cycle Improvement: Controlling Change
- Quality Improvement Concepts
- Pediatric Readiness Data: An Opportunity to Improve Quality of Care in Your Emergency Department. This webinar, occurring on December 17, 2014, defined quality improvement, highlighted key components of the quality improvement process, and discussed how to apply essential quality improvement methodologies to improve pediatric emergency care using the National Pediatric Readiness data.
Revised in 2020 by:
- Sujit Iyer, MD
- Elizabeth Stone, PhD, RN, FAEN, CPEN, CHSE
ED Policies, Procedures, and Protocols
The sample policies in this section are based on actual policies currently in use in emergency departments around the country. Click on the topic area to find relevant policies, procedures, or protocols.
All-Hazard Disaster Preparedness
This section contains resources regarding disaster preparedness plans for your emergency department (ED).
ENA Related Statements:
Currently under revision by:
- Steve Krug, MD
Clinical Evidence-Based Guidelines
This section contains evidence-based clinical pathways and papers to support evidence-based decision making.
- PECARN Publications
- TREKK (Translating Emergency Knowledge for Kids)
- AHA Pediatric Resuscitation
- AHA Neonatal Resuscitation
Interfacility Transfers
The Interfacility Transfer Toolkit is currently under revisions - check back soon!
The Interfacility Transfer Toolkit is currently under revisions - check back soon!
Guidelines for Improving Pediatric Patient Safety
This section contains resources regarding the delivery of pediatric care in your emergency department that reflects an awareness of unique pediatric patient safety concerns.
- eBroselow System
(Disclaimer: This is a commercial product, but the resource development working group found it to have a substantial potential to reduce medication errors.) - Pediatric Resuscitation and Emergency Medications - Excel Calculator
- Quick Reference Code Cards
(Developed by UCLA Harbor Medical Center, these code cards include reference information about pediatric sedation, intubation, vitals, medications, equipment, EKGs, and status epileptics.) - Key Points on Medication Errors
- Wong Baker FACES Pain Rating Scale
- Pediatric early warning scores (PEWS)
- Emergency Severity Index (ESI): A Triage Tool for Emergency Departments - Chapter 5. The Role of Vital Signs in ESI Triage
- The FLACC: A Behavioral Scale for Scoring Postoperative Pain in Young Children
Revised in 2020 by:
- Toni Gross, MD, MPH, FAAP
- Madeline Joseph, MD, FAAP, FACEP
Equipment, Supplies, and Medications for the Care of Pediatric Patients in the ED
This section contains a checklist of all the pediatric equipment, supplies, and medications necessary to care for children of all ages and sizes.