Alternate Pediatric Page - Revision history

JenniferH: Redirected page to Category:Pediatrics

2020-11-20T11:21:58Z

← Older revision		Revision as of 11:21, 20 November 2020
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			#REDIRECT [[:Category:Pediatrics]]

	==Pediatrician Specific Practice: Description of How Pediatrics is Practiced Differently at YKHC==		==Pediatrician Specific Practice: Description of How Pediatrics is Practiced Differently at YKHC==
	YKHC is an unusual and wonderful place to practice medicine and especially pediatrics. Pediatricians at YKHC act as subspecialist extenders for all pediatric specialties that are not available in Bethel and often not in Alaska. There are many unique and interesting challenges (and frustrations) with practicing medicine in a remote region with travel and communication issues that are unique to our area. It is a lot like practicing third world medicine with much better support and infrastructure. The medicine is interesting and spans from primary care to pediatric subspecialty management to critical care with NICU/PICU patient stabilization and transport. Pediatricians at YKHC are primarily responsible for Chronic Peds Patients or complex and chronically ill kids, but we also do a variety of other patient care activities as well.		YKHC is an unusual and wonderful place to practice medicine and especially pediatrics. Pediatricians at YKHC act as subspecialist extenders for all pediatric specialties that are not available in Bethel and often not in Alaska. There are many unique and interesting challenges (and frustrations) with practicing medicine in a remote region with travel and communication issues that are unique to our area. It is a lot like practicing third world medicine with much better support and infrastructure. The medicine is interesting and spans from primary care to pediatric subspecialty management to critical care with NICU/PICU patient stabilization and transport. Pediatricians at YKHC are primarily responsible for Chronic Peds Patients or complex and chronically ill kids, but we also do a variety of other patient care activities as well.

JenniferH at 00:53, 11 November 2020

2020-11-11T00:53:11Z

Show changes

JenniferH at 23:48, 10 November 2020

2020-11-10T23:48:08Z

← Older revision		Revision as of 23:48, 10 November 2020
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	**[[Specific Types of Appointments and Procedural Processes\|Outpatient Pediatric Encounters]]		**[[Specific Types of Appointments and Procedural Processes\|Outpatient Pediatric Encounters]]
	*[[ER: Detailed Information\|Emergency Department]]		*[[ER: Detailed Information\|Emergency Department]]
	*[[Inpatient: Detailed Information\|Inpatient]]		*[[Inpatient: Detailed Information\|Inpatient]]
			**[[Common Inpatient Admissions (Peds)]]
	*[[OB/Newborn: Detailed Information\|OB/Newborn]]		*[[OB/Newborn: Detailed Information\|OB/Newborn]]
	*[[OR for Peds]]		*[[OR for Peds]]
	\|}		\|}

JenniferH at 23:52, 9 November 2020

2020-11-09T23:52:28Z

← Older revision		Revision as of 23:52, 9 November 2020
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	*[[INTRA and INTERhospital Transfers\|Admissions and Transfers]]		*[[INTRA and INTERhospital Transfers\|Admissions and Transfers]]
	*[[Pharmacy Things to Know]]		*[[Pharmacy Things to Know]]
			*[[How to remove an allergy banner]]
	*[[Emergency Stabilization Information]]		*[[Emergency Stabilization Information]]
	*[[:Category:YKHC Guidelines\|YKHC Clinical Guidelines]]		*[[:Category:YKHC Guidelines\|YKHC Clinical Guidelines]]

JenniferH at 23:02, 9 November 2020

2020-11-09T23:02:42Z

← Older revision		Revision as of 23:02, 9 November 2020
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	YKHC is an unusual and wonderful place to practice medicine and especially pediatrics. Pediatricians at YKHC act as subspecialist extenders for all pediatric specialties that are not available in Bethel and often not in Alaska. There are many unique and interesting challenges (and frustrations) with practicing medicine in a remote region with travel and communication issues that are unique to our area. It is a lot like practicing third world medicine with much better support and infrastructure. The medicine is interesting and spans from primary care to pediatric subspecialty management to critical care with NICU/PICU patient stabilization and transport. Pediatricians at YKHC are primarily responsible for Chronic Peds Patients or complex and chronically ill kids, but we also do a variety of other patient care activities as well.		YKHC is an unusual and wonderful place to practice medicine and especially pediatrics. Pediatricians at YKHC act as subspecialist extenders for all pediatric specialties that are not available in Bethel and often not in Alaska. There are many unique and interesting challenges (and frustrations) with practicing medicine in a remote region with travel and communication issues that are unique to our area. It is a lot like practicing third world medicine with much better support and infrastructure. The medicine is interesting and spans from primary care to pediatric subspecialty management to critical care with NICU/PICU patient stabilization and transport. Pediatricians at YKHC are primarily responsible for Chronic Peds Patients or complex and chronically ill kids, but we also do a variety of other patient care activities as well.

	==GENERAL INFORMATION==		{\| class="wikitable" style="margin: auto; width: 75%"
			!GENERAL INFORMATION
			!SHARED PEDIATRIC RESOURCES
			\|-
			\|
	*[[General Introduction to Pediatrics]]		*[[General Introduction to Pediatrics]]
			\|Rowspan="3"\|
	~~==SHARED PEDIATRIC RESOURCES=~~=
	*[[Chronic Pediatric Patient Definition]]		*[[Chronic Pediatric Patient Definition]]
	*[[Pediatric Consults]]		*[[Pediatric Consults]]
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	*[[Emergency Stabilization Information]]		*[[Emergency Stabilization Information]]
	*[[:Category:YKHC Guidelines\|YKHC Clinical Guidelines]]		*[[:Category:YKHC Guidelines\|YKHC Clinical Guidelines]]
			\|-
	==DETAILED PEDIATRIC DEPARTMENT WORKFLOWS==		!DETAILED PEDIATRIC DEPARTMENT WORKFLOWS
			\|-style="vertical-align:top;"
			\|
	*[[Outpatient: Detailed Information\|Outpatient]]		*[[Outpatient: Detailed Information\|Outpatient]]
	**[[Outpatient Clinic Introduction#Medication Refills\|Medication Refills]]		**[[Outpatient Clinic Introduction#Medication Refills\|Medication Refills]]
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	*[[OB/Newborn: Detailed Information\|OB/Newborn]]		*[[OB/Newborn: Detailed Information\|OB/Newborn]]
	*[[OR for Peds]]		*[[OR for Peds]]
			\|}

JenniferH at 21:25, 9 November 2020

2020-11-09T21:25:00Z

← Older revision		Revision as of 21:25, 9 November 2020
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	YKHC is an unusual and wonderful place to practice medicine and especially pediatrics. Pediatricians at YKHC act as subspecialist extenders for all pediatric specialties that are not available in Bethel and often not in Alaska. There are many unique and interesting challenges (and frustrations) with practicing medicine in a remote region with travel and communication issues that are unique to our area. It is a lot like practicing third world medicine with much better support and infrastructure. The medicine is interesting and spans from primary care to pediatric subspecialty management to critical care with NICU/PICU patient stabilization and transport. Pediatricians at YKHC are primarily responsible for Chronic Peds Patients or complex and chronically ill kids, but we also do a variety of other patient care activities as well.		YKHC is an unusual and wonderful place to practice medicine and especially pediatrics. Pediatricians at YKHC act as subspecialist extenders for all pediatric specialties that are not available in Bethel and often not in Alaska. There are many unique and interesting challenges (and frustrations) with practicing medicine in a remote region with travel and communication issues that are unique to our area. It is a lot like practicing third world medicine with much better support and infrastructure. The medicine is interesting and spans from primary care to pediatric subspecialty management to critical care with NICU/PICU patient stabilization and transport. Pediatricians at YKHC are primarily responsible for Chronic Peds Patients or complex and chronically ill kids, but we also do a variety of other patient care activities as well.

	~~'''Pediatrician Specific Practice: Description of How Pediatrics is Practiced Differently at YKHC'''~~

	Pediatricians manage approximately 1,200 chronically ill patients of mainly Yup’ik Alaskan descent with significant respiratory, genetic, metabolic, cardiac, endocrine, neuro and infectious disease issues. They act as pediatric subspecialty extenders and consultants for family medicine, emergency medicine and village health aide providers. Pediatricians manage ADHD, fetal alcohol syndrome, cerebral palsy, seizure disorders, congenital heart disease, congenital adrenal hyperplasia, asthma, aspiration syndrome, chronic lung disease, and issues related to prematurity. In clinic, we see complex-care pediatric patients, urgent, acute and well child care patients as well as ER follow up patients. The hospitalist pediatricians need to be able to stabilize, manage, and transport critical care and neonatal emergency patients. Occasionally the hospitalist pediatrician will fly on medevacs to villages for potential preterm or high-risk term infant deliveries. The pediatricians assist and collaborate with pediatric sub-specialists when they visit YKHC and via email, text and phone. Occasionally pediatricians make visits to village clinics or subregional centers.

	At YKHC, our pediatric patients get more invasive disease than children in the lower 48. We have therefore modified standard lower 48 guidelines and created some of our own for more conservative evaluation and treatment of our patients. In most places, you would not do as many labs and xrays as we do here, but many times pneumonia, bacteremia and serious infections are missed if we do not check. Kids can be running around the ER with a little cough and no significant lung exam findings and have a significant pleural effusion on CXR. Or a well-looking 2-month-old with a low grade temp will have 230 WBCs in their CSF. We also have invasive Hflu A infections with either indolent or aggressive presentations. It pays to be very, conservative, vigilant and to watch kids closely before sending them back to a village where they may get worse and not be able to return due to weather.

	~~'''Description of Pediatrician Services and Practice'''~~
	*'''[[Outpatient: Detailed Information\|Outpatient]]''': Outpatient pediatricians work in clinics providing care for routine, acute and complex care pediatric patients. They also provide consultative services to family medicine clinic providers and liaison with sub specialists plus behavioral health, developmental, educational service providers.

	*'''[[Inpatient: Detailed Information\|Inpatient]]''': Hospitalist pediatricians work on the inpatient ward and manage hospitalized children with chronic and/or complicated issues. They are also responsible for providing consultation to family practitioners, emergency medicine physicians, midlevels and village health aides; attending all high-risk deliveries and pediatric codes; and providing intensive care while patients are awaiting transport.

	*'''[[ER: Detailed Information\|ER]]''': Pediatricians assigned to work in the ER will see urgent care and emergency pediatric patients as needed. They will also provide consultation for family medicine, midlevel and ER providers as well. The ER pediatrician has a range of encounters including minor illnesses and care of lacerations, orthopedics, wounds, trauma patients and coordination of care between YKHC and higher level services in Anchorage.


	==GENERAL INFORMATION==		==GENERAL INFORMATION==

JenniferH at 21:05, 2 November 2020

2020-11-02T21:05:43Z

← Older revision		Revision as of 21:05, 2 November 2020
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	*[[media:chronic peds village pods.pdf\|CPP Village Assignments]]		*[[media:chronic peds village pods.pdf\|CPP Village Assignments]]
	*[[Chronic Pediatric RMT]]		*[[Chronic Pediatric RMT]]
	*[[Specific Types of Appointments and Procedural Processes\|Outpatient Pediatric Encounters]]
	*[[:Category:Medevacs and Transport#Medevacs for Inpatient Pediatricians\|Medevacs for Inpatient Pediatricians]]		*[[:Category:Medevacs and Transport#Medevacs for Inpatient Pediatricians\|Medevacs for Inpatient Pediatricians]]
	*[[Pediatric Care Management\|Pediatric Case Management]]		*[[Pediatric Care Management\|Pediatric Case Management]]
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	**[[Outpatient Clinic Introduction#Medication Refills\|Medication Refills]]		**[[Outpatient Clinic Introduction#Medication Refills\|Medication Refills]]
	**[[Preparing For and Navigating Clinic]]		**[[Preparing For and Navigating Clinic]]
			**[[Specific Types of Appointments and Procedural Processes\|Outpatient Pediatric Encounters]]
	*[[ER: Detailed Information\|Emergency Department]]		*[[ER: Detailed Information\|Emergency Department]]
	*[[Inpatient: Detailed Information\|Inpatient]]		*[[Inpatient: Detailed Information\|Inpatient]]
	*[[OB/Newborn: Detailed Information\|OB/Newborn]]		*[[OB/Newborn: Detailed Information\|OB/Newborn]]
	*[[OR for Peds]]		*[[OR for Peds]]

JenniferH: /* DETAILED PEDIATRIC DEPARTMENT WORKFLOWS */

2020-11-02T21:03:59Z

DETAILED PEDIATRIC DEPARTMENT WORKFLOWS

← Older revision		Revision as of 21:03, 2 November 2020
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	==DETAILED PEDIATRIC DEPARTMENT WORKFLOWS==		==DETAILED PEDIATRIC DEPARTMENT WORKFLOWS==
	*[[Outpatient: Detailed Information]]		*[[Outpatient: Detailed Information\|Outpatient]]
	**[[Outpatient Clinic Introduction#Medication Refills\|Medication Refills]]		**[[Outpatient Clinic Introduction#Medication Refills\|Medication Refills]]
	**[[Preparing For and Navigating Clinic]]		**[[Preparing For and Navigating Clinic]]
	*[[ER: Detailed Information]]		*[[ER: Detailed Information\|Emergency Department]]
	*[[Inpatient: Detailed Information]]		*[[Inpatient: Detailed Information\|Inpatient]]
	*[[OB/Newborn: Detailed Information]]		*[[OB/Newborn: Detailed Information\|OB/Newborn]]
	*[[OR for Peds]]		*[[OR for Peds]]

JenniferH: /* SHARED PEDIATRIC RESOURCES */

2020-11-02T21:02:55Z

SHARED PEDIATRIC RESOURCES

← Older revision		Revision as of 21:02, 2 November 2020
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	*[[Newborn Information Access on RAVEN]]		*[[Newborn Information Access on RAVEN]]
	*[[SART\|Sexual Abuse Response Team (SART)]]		*[[SART\|Sexual Abuse Response Team (SART)]]
	*[[INTRA and INTERhospital Transfers]]		*[[INTRA and INTERhospital Transfers\|Admissions and Transfers]]
	*[[Pharmacy Things to Know]]		*[[Pharmacy Things to Know]]
	*[[Emergency Stabilization Information]]		*[[Emergency Stabilization Information]]

JenniferH: /* SHARED PEDIATRIC RESOURCES */

2020-10-29T10:38:28Z

SHARED PEDIATRIC RESOURCES

← Older revision		Revision as of 10:38, 29 October 2020
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	*[[Pharmacy Things to Know]]		*[[Pharmacy Things to Know]]
	*[[Emergency Stabilization Information]]		*[[Emergency Stabilization Information]]
			*[[:Category:YKHC Guidelines\|YKHC Clinical Guidelines]]

	==DETAILED PEDIATRIC DEPARTMENT WORKFLOWS==		==DETAILED PEDIATRIC DEPARTMENT WORKFLOWS==

← Older revision		Revision as of 21:05, 2 November 2020
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	*[[media:chronic peds village pods.pdf\|CPP Village Assignments]]		*[[media:chronic peds village pods.pdf\|CPP Village Assignments]]
	*[[Chronic Pediatric RMT]]		*[[Chronic Pediatric RMT]]
	*[[Specific Types of Appointments and Procedural Processes\|Outpatient Pediatric Encounters]]
	*[[:Category:Medevacs and Transport#Medevacs for Inpatient Pediatricians\|Medevacs for Inpatient Pediatricians]]		*[[:Category:Medevacs and Transport#Medevacs for Inpatient Pediatricians\|Medevacs for Inpatient Pediatricians]]
	*[[Pediatric Care Management\|Pediatric Case Management]]		*[[Pediatric Care Management\|Pediatric Case Management]]
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	**[[Outpatient Clinic Introduction#Medication Refills\|Medication Refills]]		**[[Outpatient Clinic Introduction#Medication Refills\|Medication Refills]]
	**[[Preparing For and Navigating Clinic]]		**[[Preparing For and Navigating Clinic]]
			**[[Specific Types of Appointments and Procedural Processes\|Outpatient Pediatric Encounters]]
	*[[ER: Detailed Information\|Emergency Department]]		*[[ER: Detailed Information\|Emergency Department]]
	*[[Inpatient: Detailed Information\|Inpatient]]		*[[Inpatient: Detailed Information\|Inpatient]]
	*[[OB/Newborn: Detailed Information\|OB/Newborn]]		*[[OB/Newborn: Detailed Information\|OB/Newborn]]
	*[[OR for Peds]]		*[[OR for Peds]]