1 Innovations in Care Directorate for Medicine Annual Report 2016
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- Bu səhifədəki naviqasiya:
- Pediatricians and Surgeons Collaborate to Improve Care
- Children’s Safety Is Our First Priority
- Renovations to Improve Children’s Medical Experiences
- As Dr. Nicolas Wells from Neonatology listens intently, Dr. Martin Weisse makes a key point
- Like a family proudly posing with its new car, the DiLorenzo Emergency Response Team shows off one of its new ambulances that navigate the 17 miles of corridors at the Pentagon.
- DiLor en zo T ric ar e Health Clin ic
The Pediatric Sedation Unit is a 5 bed outpatient clinic. The unit supports children for non-sedated medical procedures, moderate sedation and anesthesia-supported care to help them get through medical procedures. The sedation staff helps children to relax, minimizing fear and anxiety, and to control pain during painful procedures. Around 500 children are seen per year, ages 1- 21 years old, who are referred from the local area, the eastern third of the US and Europe. The Sedation Unit focuses on family-centered care, promoting communication and safety, and actively engaging parents in their child’s care while in the unit.
The pediatric inpatient service instituted a new, innovative program that more closely ties the teams of physicians who care for pediatric surgical patients with the inpatient medical teams who are here 24 hours per day. Young and medically complex/fragile patients admitted to the pediatric surgical subspecialty services are automatically co-followed or receive consultation from the medical inpatient teams. The adoption of this program has allowed for more comprehensive and coordinated care than we have been able to provide before. It has fostered communication among the services and augmented the care we offer to surgical patients. Parents Play an Integrated Role on the Inpatient Medical Team Medical teams have instituted a new system of patient/family communication at family- centered rounds that is modelled after the I-PASS communication paradigm. This new approach to performing work rounds has been part of a national research protocol being tested at several large research hospitals around the country. Although this new process is still in development, it has resulted in very positive feedback from families, who are actively engaged in the process of their children’s care.
A departmental safety huddle is held weekly to discuss safety reports that have been filed during the previous week. This meeting is regularly attended by 20 staff and house staff from the ward, PICU and neonatal care units every Tuesday. The safety huddle works to improve system and workflow issues with an attempt to fix problems in an accelerated fashion. This model has been very successful and has been adopted by many other services around the hospital. In a similar fashion, the inpatient ward is working with a prototype that offers a faster and more robust system of reporting medication, supply and equipment issues.
Experiences In terms of physical upgrades, the Children’s Center was pleased to dedicate a new playroom this summer. This new center for play therapy has greatly expanded the space for children and teens (as well as their siblings and parents) to express themselves through art, music or technology. Finally, the video EEG equipment that allows us to monitor children for seizure activity in real time was upgraded with a new system.
58 Branch Clinics DiLorenzo_Emergency_Response_Team_shows_off_one_of_its_new_ambulances_that_navigate_the_17_miles_of_corridors_at_the_Pentagon.'>Like a family proudly posing with its new car, the DiLorenzo Emergency Response Team shows off one of its new ambulances that navigate the 17 miles of corridors at the Pentagon.
Like a family proudly posing with its new car, the DiLorenzo Emergency Response Team shows off one of its new ambulances that navigate the 17 miles of corridors at the Pentagon.
Amal Chatila, NP Director, DiLorenzo Tricare Health Clinic COL
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NC | USA
The Pentagon
The DiLorenzo Tricare Health Clinic (DTHC) is the Pentagon’s center for health. The clinic is comprised of Army, Navy and Air Force service members who, teamed with an outstanding group of civilian and contract employees, deliver the highest quality patient-centered care to ensure a healthy, productive and ready force. DTHC provides excellence in wellness, healthcare and professionalism to the approximately 24,000 DoD personnel who work at the Pentagon.
Using the Patient-Centered Medial Home model of primary care, DTHC delivers primary care services for all Title X beneficiaries, in- cluding embedded behavioral health services, pharmacy, laboratory, radiology, optometry and physical therapy—all while striving to be the highest reliable organization possible. What makes DTHC truly unique and
innovative to the National Capital Region
are the
additional Pentagon support
missions that our incredible staff perform daily at this
national landmark.
One of its unique missions is fulfilled by the Emergency Response Team (ERT). Whenever anyone on the Pentagon grounds (including the parking lots and the entrance to Metro) is injured, ERT members respond in outstanding time—often in less than 2-5 minutes. The missions range in intensity from minor issues requiring treatment to life-saving issues requiring stabilization and transport to higher levels of care. That is an amazing testament to selfless service and personal courage (and physical fitness), as our team navigates the approximately 17 miles of corridors, hallways, nooks and crannies to provide emergent, and sometimes life-saving, care.
In many ways, the mission of the ERT team is similar to that of combat medics, techs and corpsman who navigate the battlefield to provide care to our incredible Service members. Strapped with an aid bag with the essential medical supplies needed, and a medical vehicle hot on their heels, our doctors, nurses and medics are expert land navigators who rush to the scene and begin scene assessment, initial triage and medical treatment—all within mere seconds. In 2016, our ERT treated 156 patients, averaging two emergency calls per day.
Our emergency response support to the Pentagon also entails mass casualty (MASCAL) and Chemical, Biological, Radiological, Nuclear and Enhanced Chemical Weapons (CBRNE) operations. This past year, DTHC participated in Operation Agile Warrior, a Pentagon-wide MASCAL exercise that incorporates numerous DoD, local and federal agencies. Our clinical staff were first responders to two separate exercise events which saw multiple notional casualties. Our staff performed Integrated Emergency Operations Center support while integrating on-scene with locally established DiLor en zo T ric ar e Health Clin ic The DiLorenzo Tricare Health Clinic’s tele- audiology services range from diagnostic audiology and remote hearing aid fittings to downloadable hearing aid applications and real- time rehabilitation interventions. In the photo at right, a DTHC technician prepares to discuss a patient case with an audiologist at Walter Reed Bethesda before bringing up the hearing test results they can both view and discuss together online in real time.
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