New England Regional PECC Toolkit

Resources to help understand the PECC role and how to support it within your institution.

• PECC Focus Area – Visit EIIC’s focus area specifically for PECCs
• PECC learning modules - Learn more about pediatric emergency care coordinators (PECCs)/pediatric champions in the ED and how they impact each domain of pediatric readiness.
• Pediatric Readiness in the Emergency Department Checklist – An informal tool to quickly check if your ED is ready to care for children.
• PECC Workforce Development Collaborative – View learning session and resources from a collaborative to develop PECCs

Below are resources to help you start protocols as recommended by the pediatric readiness checklist. This folder includes sample protocols/policies and informational resources such as Pediatric Education and Advocacy Kits (PEAKs) to help you develop your own policies and protocols. Any sample protocols or policies are to serve as a guide for you to develop ones specific to your institution.

ED Policies and Protocols

• Pediatric Readiness in the Emergency Department Checklist – A tool to quickly check if your ED is ready to care for children that includes a list of recommended policies and procedures to help you improve the care of children.

Example Protocols and Policies

Illness Injury Triage Example Protocols

• Example Illness Injury Triage Policy
• Example Policy Triage Practice Guidelines

Identification and Notification of Responsible Provider of Abnormal Pediatric Vital Signs

• Suggestions for addressing abnormal vital signs (and tips for how to perform this as a potential QI project)

Sedation

• EIIC Sedation Resource includes an example sedation guideline
• PEAK: Pain includes includes bottom line recommendations on procedural pain, general pain management, and educational videos, and podcasts.

Social Issues Example Policy and Protocol

• Example policy for social work.
• Example protocol for social work.
• A minor consent hospital policy example. Consent laws vary from state to state. If you are developing a minor consent policy for your institution, make sure to have your hospital’s legal team review to ensure it is consistent with your state’s specific laws.

Behavioral Health Issues

• PEAK: Agitation includes a treatment algorithm, medication guidelines, de-escalation tips, educational videos, and podcasts.
• PEAK: Suicide includes bottom line recommendations on how best to screen for suicide in children, suicide screening tools, and HRSA's critical crossroads toolkit (a step-by-step guide on how to establish a suicide protocol), educational videos, and podcasts.

Child Maltreatment Example Policies

• Example 1 - policy for child maltreatment.
• Example 2 - policy for child maltreatment.

Death of a Child and DNR Example Policies

• Example pediatric DNR policy.
• EIIC death of a child in the ED resources.

Family and Guardian Presence During All Aspects of Emergency Care, Including Resuscitation Example policies

• Example 1 - policy of presence of family for procedures and resuscitation.
• Example 2 - policy of family presence during resuscitation.

Patient, Family, Guardian, and Caregiver Education and Discharge Planning and Instruction Example Policies

• Example policy of patient communication and education during care.
• Example policy for patient education and discharge planning and instruction.

Pre-hospital Policies and Protocols

• The National Association of State EMS Officials: Model EMS Clinical Guidelines

Resources to support education of ED staff.

• ABCs of PEM - A course covering the fundamentals of pediatric emergency care including pediatric airway, breathing, circulation, trauma and infectious disease. This can be used to help onboard new staff and ensure baseline pediatric knowledge for all of your staff. You can use the whole course or just parts of the course as you see fit.
• Simbox – A resource to perform low-fidelity, low-cost simulations.
• Pediatric Education and Advocacy Kits (PEAKs) - PEAKS are collections of best practice educational resources for providers across disciplines. They include a variety of resource types and formats, from bottom-line recommendations and learning modules to podcasts and webinars. They cover a variety of topics including status epilepticus, agitation, child abuse, multisystem trauma, suicide and pain. New topics are added regularly so check back regularly!
• Pediatric Emergency Medicine Resource Guide (PECC) - Google Docs - This resource is a library of reliable free pediatric emergency medicine websites. The first page has general PEM educational websites, pediatric procedure videos, radiology courses, PEM EBM websites and the second page has subspecialty specific resources. It is developed and maintained by Dr. Michael Fishman at Boston Children's Hospital.

Resources containing the core concepts of quality improvement, helpful tools, and blank templates you can use for any QI projects at your institutions.

• QI Science – Learn about quality improvement science and framework.
• QI Tools and Resources – View and use tools and resources to improve your quality improvement projects. This includes blank templates that you can use for a variety of tools including fishbone diagrams, drive diagrams and PDSA templates.
• Institute of Health Improvement Open School – free, open-access courses covering quality, safety, population health, equity, health care leadership, and person- and family-centered care.

In this folder, you will find a videos on general PEM topics. In addition, all of our New England PECC grand rounds videos will be available here.

General Videos

• Approach to Agitation - This video is a part of a case review on pediatric agitation. This video reviews developmental and behavioral considerations in pediatrics and discusses de-escalation techniques, use of chemical and physical restraints and coordination of care with the team. Speakers include Dr. Amy Rasmussen, a Child and Adolescent Psychiatrist at Hasbro Children's and Dr. Kathryn Schissler, a Pediatric Emergency Medicine physician at Hasbro Children's .
• Physical Child Abuse: This lecture is a didactic reviewing physical child abuse starting from evaluation on site by pre-hospital providers through the ED visit. This includes discussion about recognition, treatment, documentation, legal implications and how to cope as a provider; given by Dr Amy Goldberg, a child abuse pediatrician and Dr Kate Schissler, a PEM physician, from Hasbro Children's.
• Bronchiolitis– This video is an overview and update about the identification and care for pediatric patients with bronchiolitis; given by Dr. Jason Fischer, a pediatric emergency medicine physician at Boston Children’s Hospital and director of pediatric emergency medicine at South Shore Hospital.

Past New England Pediatric Emergency Care Coordinators Grand Rounds

• An Unexplained Death of an Infant or Child: Resources and Supports for Emergency Providers - The unexplained death of a child is a rare but devastating event for families and emergency medical providers. This topic is of critical importance for ED and prehospital providers but, due to relative infrequent presentation, a topic that most providers have little clinical experience and are infrequently trained on. This 60-minute video will review unexplained pediatric death with a focus on how to talk to and support families and emergency staff and a resource known as Robert’s program, to help support families during the aftermath of an unexplained pediatric death by providing families with further assessment and support in the aftermath of sudden unexpected pediatric death.
• Frontside on Fractures- This lecture is a didactic reviewing common pediatric fractures from a community ED perspective including disposition; given by Dr. Megan Hannon, a pediatric emergency medicine physician at Boston Children’s Hospital and South Shore Hospital and Director of the Medical Orthopedics Program and Fellowship