electronic medical record for child life
DESCRIPTION
Electronic Medical Record for Child Life. It’s EPIC!. Samantha K. Garrett, MS, CCLS Senior Child Life Specialist Patient and Family Centered Care Department. Nemours Children’s Hospital. Nemours Children’s Clinic of Orlando (NCCO) was established in 1997. - PowerPoint PPT PresentationTRANSCRIPT
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Electronic Medical Record for Child Life
Samantha K. Garrett, MS, CCLS Senior Child Life SpecialistPatient and Family Centered Care Department
It’s EPIC!
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Nemours Children’s Hospital
Nemours Children’s Clinic of Orlando (NCCO) was established in 1997.
Nemours Children’s Hospital was granted Certificate of Need for 97 beds in 2007 by Florida legislature.
Key leaders for NCH were hired in 2011 including a Senior Child Life Specialist, who joined the team November 14, 2011.
October 22, 2012: NCH opened it’s doors for our first ED and inpatient patient.
Patient and Family Centered Care Department
The Patient and Family Centered Care Department is lead by our Director, who has a Social Work background. The department houses Child Life, Spiritual Care, Social Work, KidsTRACK, Service Excellence and the Advisory Councils.
– This innovative departmental structure provides an umbrella and one
budget for the psychosocial care team. Our department consists of 21 associates.
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Child Life lives here.
Nemours commitment to the EMR
Transforming Children’s Health Care Through Electronic Medical Records http://www.youtube.com/watch?v=V3954seCf_s&list=PL1F9C5DCDD7A2E93F
The Nemours enterprise—– the Healthcare Information and Management Systems Society (HIMSS)
Davies Organizational Award of Excellence recipient for 2010– HIMSS Stage 7 (Paperless for Improved Patient Quality)
Nemours Children’s Hospital – HIMSS Stage 6
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Research and Information Gathering
Child Life Council (2010). The Child Life Profession. Retrieved from http://childlife.org/The%20Child%20Life%20Profession/
Children’s Hospital of Philadelphia. (2010) Emergency Department Acuity Index
Hollen, E., & Skinner, L. (2009). Chapter 7: Assessment and Documentation in Child Life. In R. Thompson (Ed.), The Handbook of Child Life: Guide for Pediatric Care (116-136). Springfield: Charles C. Thomas, Publisher LTD.
Koller, D. (2008). Child Life Assessment: Variables Associated with a Child’s Ability to Cope with Hospitalization. Child Life Council Evidence-Based Practice Statement.
Palm, S., Skinner, L., & Wilson, J. (Eds.). (2006). Chapter Three: The Child Life Process (11-12).Guidelines for the Development of Child Life Programs in Health Care Settings. Rockville, MD: Child Life Council.
Rollins, J., Bolig, R., & Mahan, C. (2005). Meeting Children’s Psychosocial Needs Across the Health-Care Continuum. Austin, Texas: PRO-ED
Thompson, R. (2009). Chapter 7: Assessment and Documentation in Child Life. In R. Thompson (Ed.), The Handbook of Child Life: Guide for Pediatric Care (116-136). Springfield: Charles C. Thomas, Publisher LTD.
Bio-Psychosocial Assessment
– Devised a Bio-psychosocial Assessment to decrease redundancy in establishing a baseline for care.
– Introduced to PFCC members during EPIC instructor led classes.
– Implemented upon opening of the facility. – Decreased incidents of repetitive questioning by
staff regarding family dynamics, school status, medical stressors, coping and support systems for the family.
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Bio-Psychosocial Assessment
– Incorporated Child Life Needs Assessment Tool concepts for Family/Community Support and Medical Stressors.
– Secondary assessments were completed to facilitate specific discipline based information gathering.
– Document was utilized also in KidsTRACK for outpatient visits.
Is color coded for priority based on length of stay
Report View
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Green – documentation completed
White – newly admitted patient, no documentation has been done.
Yellow – documentation not done = have 24 – 48 hours to complete documentation
Red - > 48 hours with no documentation done
Green – documentation completed
White – newly admitted patient, no documentation has been done.
Yellow – documentation not done = have 24 – 48 hours to complete documentation
Red - > 48 hours with no documentation done
Family Centered Care Tab
Bio psychosocial Support– Assessment
School History History
– Contract/ Introduction– Living Situation– Family Support System– Family Strengths
Support – Medical Stressors– Family/ Community/ Spiritual Support System
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View in EPIC Bio psychosocial
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Family Centered Care Tab
Child Life – Contract/ Introduction– Assessment– Prep/ Distract– Education– Assessment/ Plan – Assessment Score (Provides numerical
representation to the information in the Needs Assessment)
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View in EPIC Child Life Screens
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Family Centered Care Tab
Pastoral Care Progress Notes
– Quick Note – Needs Assessment – Progress Note
End of Life – Legacy Materials – Support
Social Work – C.A.R.E Assessment – Psychiatric Crisis
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Case Study
4 yr old male Possible laceration Transported by Reedy Creek EMS from Blizzard Beach Mother present; sister and father on their way. EMS report: Pt was exiting the wave pool when he slipped
and landed face first. With bandage over right eye. Upon exam 2 cm lac in eyebrow. Family on vacation staying at Wilderness Lodge Resort.
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