Meals “at Your request” - Johns Hopkins Children's Center

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Inside Bloomberg Children's Center Emergency Medicine More Space for a Premier ED PEDiATRiC EMERGEnCY MEDiCinE Director Douglas Baker couldn’t be happier with the space his department has in the new Bloomberg Children’s Center. After all, it is twice the size of the former Pediatric ED with private exam rooms in a child-friendly atmosphere. Also, it’s easily accessible with a convenient drop-off area by the front entrance and a covered 12-bay ambulance area at the rear. A covered pedestrian footbridge from the parking lot to the new hospital enhances access, too. “We asked for more space and easier ways for patients and families to get here, and we got what we asked for,” says Baker. “We acquired some other features, too, that greatly enhance the ability of our staff to care for patients.” Those features include enhanced imaging capabilities in the Pediatric ED that eliminate the need to shuffle patients to and from radiology for imaging. Now pediatric radiologists are on-site in the Pediatric ED during peak hours (8 a.m. – 11 p.m.), allowing the majority of imaging to be done on the spot in the ED. Roundthe-clock ultrasound and MRI help ensure responsible imaging by allowing the most appropriate examination to be used in every case, providing the best diagnostic information at the lowest possible radiation exposure. For example, Baker notes, a child’s suspected appendicitis can often be confirmed with an ultrasound. But because many EDs do not have an ultrasound specialist at all times, CT scans are often the 32 HOPKINS CHILDreN’S | hopkinschildrens.org at their new entrance, from left to right, pediatric emergency medicine physicians elizabeth Hines, Karen schneider, Bruce Klein, C. Jean Ogborn, thuy Ngo, douglas Baker, Mitchell Goldstein, and Jennifer anders. first-line imaging choice. “While CT scans can be very helpful, other radiation-free testing options are frequently just as useful diagnostic aids,” says Baker. “Our emergency medicine physicians and pediatric radiologists will continue to work together to identify diagnostic plans that minimize risk to our patients and maximize accuracy of care.” The experience and expertise of those clinicians also greatly influence care, adds Baker, who has been growing his staff— in fact tripling it—in the years leading up to the opening of Bloomberg Children’s Center. “We’ve been recruiting national leaders in pediatric emergency medicine,” Baker says, “to build a premier emergency medicine service and to ensure the best possible outcomes for our patients.” n —GL Features > Separate triage rooms rather than one triage space to reduce waiting times and enhance patient privacy > All private exam rooms, a separate treatment room for minor emergencies, and two isolation rooms > Dedicated pediatric trauma bays > Expert management of multi-system illness and trauma > nurses educated, trained and certified in pediatric emergency nursing > A multidisciplinary Child Protection Team devoted to recognizing and treating victims of child abuse > Dedicated Child Life specialists, who help minimize psychological and emotional trauma > Staff are members of the Pediatric Emergency Care Applied Research network (PECARn), who study treatment protocols and acute illness prevention
seamless Care tailored for Children in THE OLD Children’s Center, pediatric trauma staff took care of children in trauma bays designed for adults. Also, MR imaging was located a floor below. But the new Charlotte R. Bloomberg Children’s Center features two dedicated state-of-the-art pediatric trauma bays and four adult trauma bays adaptable for children, with imaging modalities accessible on the same groundfloor level. “No longer do we have to put children on elevators to get imaging scans,” says Pediatric Trauma/Burn Program Coordinator Katie Manger. “We have 24/7 MRI and quicker access to care.” The new pediatric trauma bays also feature futuristic overhead booms that facilitate easy and quick access to trauma equipment. Also, with OR-like scrub rooms off the trauma bays, trauma surgeons can quickly perform emergency operations without transporting the patient to an OR. “We never have to leave the patient’s side,” says Pediatric Trauma/Burn Pro- gram Manager Susan Ziegfeld. Features in the new burn inpatient unit, Ziegfeld and Manger add, include all-private rooms—important in minimizing infection risks—and two large dressing rooms with the latest equipment to minimize the pain associated with dressing changes. n —GL For more information, call 888-kid-burn. NICu Design with Less movement in mind In one of the new Labor & delivery Ors, obstetrics Nurse Manager Joan diamond with NICu Nurse Manager sue Culp. FOR HiGH-RiSk neonates, unnecessary movement is the enemy—a message neonatologist Sue Aucott took to heart in helping to design Hopkins new neonatal intensive care unit (NICU). Critical to safe and efficient transport, she stressed, is a close proximity between Labor & Delivery and the NICU—The Sutland/Pakula Family Newborn Critical Care Center. “Having the units apart adds an extra challenge to moving babies, especially critically ill newborns,” Aucott says. “The less movement for the babies the better.” In the new configuration the NICU and Labor & Delivery are within a whisper of each other on the eighth floor of the new clinical building, with the obstetric ORs as a connector so that high-risk neonates will be handed off to NICU staff immediately after delivery. Of course, more than proximity went into planning, says obstetrics Nurse Manager Joan Diamond: “Our Inside Bloomberg Children's Center | Trauma & Burn the pediatric trauma/ burn team, from left to right, trauma surgeon dylan stewart, coordinator Katie Manger, manager susan Ziegfeld, nurse practitioner daniela Coelho, and social worker Mindi Lutwin. Inside Bloomberg Children's Center | neonatology units were designed as the ultimate in care, with high-risk newborns in mind.” OB census screens on NICU computers allow staff to identify high-risk moms in Labor & Delivery. And well before delivery, a neonatologist or fellow meet with those mothers-to-be and familiarize them with the NICU to prepare for their newborn’s stay. When pre-term labor begins, OB staff text the NICU’s delivery room response team—a NICU resident, fellow, respiratory therapist and admissions nurse—to prepare to pick up the newborn. Another plus: Family-friendly amenities are prominent in the new units, including all-private rooms with sleeping facilities. “Parents who are more comfortable in their surroundings make it much easier for us to care for babies,” says NICU nurse manager Sue Culp. “With a private room and decreased stimulation, they really get to focus on their baby.” n —GL Summer 2012 33
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Page 3 and 4: � Celebrating our Centennial 1912
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Page 43 and 44: a dedication For the Future By Gary
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Page 47 and 48: Sara’s Garden will be a place of
Page 49 and 50: A Room with a view for Teens Chairm
Page 51 and 52: A Quieter, Homier Home By Rebecca M

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