By [http://ezinearticles.com/?expert=Laura_Greenwald] Laura Greenwald For the head of the trauma department at one of Americas top pediatric facilities, Chicagos Childrens Memorial Hospital, having to notifying parents that their children have been the victims of trauma or identify pediatric Jane Does, is an every day occurrence. But just because they look like theyre handling it well, doesnt mean that it ever becomes routine. When a child comes into the ED without a parent, its usually the result of an accident or traumatic event. Even though their first priority is to tend to the childs medical needs, their next priority is to identify the child. They need to get his parents or guardian down to the hospital, to give consent for his treatment, provide vital medical history and most importantly, to be at their childs side when he needs them most. Youd be surprised how often a child is brought into Childrens Memorial without anything pointing to his or her identity. Many times its the result of a car accident, where the parents are injured as well as the child, and are taken to another hospital, while the child is brought to Childrens for specialized pediatric treatment. Since children dont have drivers licenses or checkbooks, identifying a child can be challenging. Just the other day, three children ranging from 8 months to 3 years were brought into the ED after a serious automobile accident. Their parents, who were in bad shape, were taken to another hospital and the paramedics had no clue about their names, ages or medical history. The trauma team began their medical evaluation and as they always do when dealing with an unidentified child, opened a trauma pack for each, using a patient number to identify them. We estimated their ages, did a full physical description including any identifying marks and clothing, then ordered a full set of x-rays, which helps to identify any conditions or injuries that arent readily apparent. The teams biggest asset in this situation was the solid relationships that theyve built with police, fire department, and other local hospitals as they work together to get the children identified as quickly as possible. After a major accident like this, the police and fire department were already in the ED coordinating efforts. With their special emergency landline system theyre instantly linked by phone with any local hospital they need to reach. As the team began calling to find out where the childrens parents were taken, hospitals began to call them, to say, I know youre looking for the mom and dad of the accident victims. Theyre not here, saving them precious time. In this case, we found the hospital relatively quickly and found out that even though the childrens parents had been seriously injured, the childrens caregiver who had also been in the accident, was fine. The hospital sent her over to Childrens and she and later on the parents were able to give them all the information theyneeded to identify and treat the children. In the case of a completely unidentified child, especially babies, they depend on our procedures. Usually the fire department, police or DCFS dropped the child off, so they are already aware of the situation and have already begun going through the childs clothing and personal effects to gather evidence and identify the child. The trauma team will send the police or paramedics right back to the scene to gather additional information, medicine bottles, names, and to canvass the area. There is almost always someone who saw something. Someone from pastoral care automatically comes down and a social worker will get involved if it looks like any abuse was involved. Together, they take care of figuring out where to go from here, while the team takes care of the child medically. If these steps dont elicit any clues to the childs identity, the hospital will get media affairs involved. Childrens will never show the face or reveal the name of any child. Instead, they photograph the childs clothing and personal effects and release it to the media along with the childs estimated age, description and the vicinity in which she was found. They work closely with detectives and DCFS to give them all the details they need to chase down any leads they get from the public. Many times just calling DCFS or the police will locate parents or bring about an identification. In the case of severe trauma, abuse or inflicted injury, Childrens always balances treating the child, with carefully gathering as much evidence as possible, to help the eventual police investigation. They had a young girl a few years ago, whose brutal attacker was convicted mainly on the evidence gathered and catalogued in the trauma room. When it comes to providing emergency contact information, kids arent always the best source. They have seven or eight year old kids come in everyday, who Im sure are sophisticated in every other way. But get them in a trauma situation and ask them what their moms name is and theyll say its mom. In this case, the first thing theyll do is look at whatever they brought in with them. School-age kids almost always have a backpack. If they dont find anything there, theyll check our records to see if the child is in the system and begin to gently probe the child for information. They ask them where their house is, what their school looks like, information about their friends houses, maybe a familiar landmark on the corner like a 7/11 or the name of a park. If you cant find their contact information right away, try to find the name of their school. Their books will probably have the name of their school stamped inside. Schools are also a great source for emergency contact information. Theyll often even list alternate people to call in an emergency if the parents are at work or hard to reach. In an emergency, schools will usually send someone directly down to the hospital with the childs emergency card and emergency consent forms. If the injury occurs at school, most schools will send someone from the school along with the child to the hospital, while someone else is calling the parent. For parents, I would suggest that every parent name someone else on the childs emergency card, who knows the child well and would be able to step in to help out during an emergency if the parents cant get there right away. So once you identify a child, how do you know if the person who comes to the hospital is really his parent or relative? Its not always easy. Remember that the parents didnt expect to have to come to the hospital today, and probably wont be carrying three forms of ID and their childs birth certificate. For people that come in and say theyre related to a child whos been in the media, they get as much ID as they can, be it a drivers license, pictures or other proof. With kids, the biggest test is to watch their response when that person goes in the room. Usually youll here a resounding Mom! or Daddy! and you know youve got the right person. If theres no response from the kid, or if theyre not sure of the adult, its probably not the right person. Or worse, the child might recoil from the adult, which could indicate an abusive situation. Treating kids also means caring for their parents. When Childrens has to make a notification call theyll begin by telling the person on the phone who they are and ask them how they are related to the child. If its the mom or dad, theyll tell them that their child has been brought to Childrens Memorial Hospital. Of course the parent will immediately ask how the child is. This is always the hardest part of the call. If the child is clearly fine, theyll say Dont worry, theyre fine, we just need you to come down here. But if there is a more serious injury, or if the child hasnt survived, they say that the child has been in an accident, that they need to come down, and if necessary, that they need to get their medical history. If they refuse to get off the phone until they find out whats wrong, the trauma coordinator will say that theyre very concerned about their childs health and that they need to come down right away. Theyll always try to calm the person down as much as they can tell them to go and get a pencil and paper to take down the address of the hospital, to take down the hospitals name and theyre direct number. They tell them to ask for them right away when they get here so they dont have to waste any time at the desk and then try to make sure they have someone to drive them over. And they finish by reminding them that they need to drive carefully and slowly and to make sure that they get there in one piece! At Childrens the top priority is the restoration of the health of every child who comes through our door, no matter who they are and where they come from. For tools you and your staff can use to facilitate pediatric notification, identification and communication, download a free copy of the Seven Steps to Successful Notification System, in PDF format, at the Next of Kin Education Project web site. Along with the Information Kit, youll find patient chart pages and notification worksheets using the Seven Steps, that you can purchase and customize to use as part of your own charting system. Youll find them on the NOKEP web site along with reminder products like mouse pads, posters and coffee mugs, to keep the Seven Steps at your staffs fingertips. Laura Greenwald, CEO/The Next of Kin Education Project [mailto:webmaster@nokep.org] webmaster@nokep.org The Seven Steps Information Kit can be downloaded free of charge at [http://www.nokep.org] www.nokep.org The Reminder Products can be purchased at our NOKEP store [http://www.cafeshops.com/7steps] http://www.cafeshops.com/7steps Article Source: [http://ezinearticles.com/?expert=Laura_Greenwald ] http://EzineArticles.com/?expert=Laura_Greenwald [http://ezinearticles.com/?Pediatric-Emergency-Contact-Notifications-Made-Easier&id=10223 ] http://EzineArticles.com/?Pediatric-Emergency-Contact-Notifications-Made-Easier&id=10223
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