The Pulse

Thank you to everyone who participated in the launch of the new myChildren’s intranet platform and mobile app. Your engagement on the new platform, as well as your adaptability, is much appreciated. So far, nearly 3,000 colleagues have logged in to the new myChildren’s intranet for the first time. And 569 active iOS users and 142 Android users have accessed myChildren’s via the mobile app. Let’s keep the momentum rolling and remember why this transition is so important: improved accessibility and connectivity for our team!

As you navigate the new platform and app, don’t forget to “like” and comment on posts. You can also tag colleagues in your comments. We want this new platform to serve as an interactive opportunity to engage with fellow teammates at Children’s.

After the launch last week, here are some helpful notes for team members:

• [email protected]. Content change requests can be directed to [email protected]. Please do not contact the Helpdesk.

• If you’re experiencing issues establishing Chrome as your default browser, please visit: Change your default browser in Windows 10 (microsoft.com).
• To obtain a list of a leader’s direct reports, please access Oracle. Click the Launchpad at the top of your Desktop screen and select Oracle from the options. Then, click on the Directory and type in the name of the leader. Click on the organization chart icon next to the leader’s name to view their direct reports.
• Photos of team members will be added to the Contact Directory as part of the Phase II rollout of the new myChildren’s.
• Links that were previously located in the “Quick Links” side bar menu are now located in either the Launchpad or Resources menu. These changes were made with mobile design and functionality in mind.
• If you are still having issues logging in, please fill out this form. We’re here to help!

We welcome your feedback as we seek to optimize team members’ experiences on the new platform. We appreciate your patience, as the intranet is always a work in progress!

Members of the Marketing & Communications team will be available on campus to answer any questions you may have regarding the new app. Please see the schedule below.

Date	Time	Location
Thursday, March 24	11 a.m. to 1 p.m.	Hubbard cafeteria
Wednesday, March 30	3:30 to 5 p.m.	Employee Parking Garage
Tuesday, April 5	7:30 to 8:30 a.m.	Indian Hills West
Thursday, April 7	11 a.m. to 1 p.m.	Hubbard cafeteria

In the American Academy of Pediatrics’ AAP News, Arwa Nasir, M.D., Children’s Physicians, UNMC and professor, UNMC Division of General Pediatrics, reflects on her concerns about skipped well-child appointments. Dr. Nasir says these visits are critical to screen young children for developmental issues. Read the article, entitled “Missed Well-Child Visits Lead to Delays in Diagnosing Developmental Disorders.”

Children’s is hosting the 2022 Treatment and Rehabilitation of the Pediatric Trauma Patient conference on Friday, June 3, from 8 a.m. to 3:30 p.m. at the Scott Conference Center, 6450 Pine Street, in Omaha. This annual conference will feature a hybrid format, with both in-person and virtual options for participation, although these options are subject to change.

This conference will feature experts from multiple specialties who will share their knowledge and provide a comprehensive review of treatments, advances, strategies and evidence-based recommendations in pediatric trauma care. The target audience includes physicians, advanced practice providers, nurses, occupational therapists, physical therapists, speech-language pathologists, paramedics, EMTs, social workers, Child Life specialists and other professionals caring for pediatric trauma patients. 

The Grand Rounds/keynote topic is “Whole Blood Resuscitation,” presentedby Donald Jenkins, M.D., professor and clinical vice chair for Quality, Department of Surgery, at Long School of Medicine and UT Health, San Antonio. 

Additional topics include:

• Interventional Radiology
• Vascular Trauma Surgery
• Spinal Cord Trauma
• Trauma-Informed Care
• Increased Suicide Attempts

Click here to see the flier. Registration opens in April. For more information: please contact [email protected] or [email protected]

Every Tuesday, Club Car Wash will donate $1 from every MVP Wash and each $10 monthly membership sold to Children’s Miracle Network Hospitals, locally benefiting Children’s. Stop by one of these Club Car Wash Omaha locations this spring for a car wash that also helps provide the very best care for kids. Click here for more information.

• 3120 N. 108^th Street
• 6607 N. 72^nd Street
• 4802 S. 72^nd Street

The version of Windows 10 that is currently used at Children’s will no longer be supported as of May 10, 2022. Therefore, all Children’s-issued laptops must be updated.

All Children’s employees, providers and contract workers using a Children’s Windows laptop will need to perform this update prior to April 1. Any laptops that have not been updated by April 1 will be updated without notification to the user.

The update is available on all Windows laptops and can be installed using the steps in the tip sheet. Those using a Children’s-issued laptop to work remotely do not need to be on Children’s network for this update to Windows 10 version 20H2. Should you have an issue after your computer is updated, please report it through the normal Helpdesk processes.

Please contact Troy Masters or Sara Irvine with any questions or concerns.

On Thursday, March 17, Children’s is launching a new myChildren’s desktop platform that will also have mobile capabilities. The new myChildren’s platform—which will also be home to The Pulse content for medical staff—is designed to enhance team communications and will provide Children’s staff with access to information anytime, anywhere. The Pulse content will continue to be updated at least twice weekly, on Tuesdays and Thursdays and will be available to community physicians and providers through the app. 

• Children’s staff should watch for an email from The Pulse on the morning of March 17 with helpful videos and a tip sheet to guide you in using the new desktop platform and show you how to download and use the myChildren’s app.  
• Community physicians and providers will receive an email from [email protected] on March 17 with instructions for logging in to access The Pulse. 

Please note: when Children’s staff access myChildren’s on your desktop, you will need to open your Google Chrome browser, then click on the gray “Sign in with Children’s Hospital account” button (see below), and enter your Children’s network username and password to sign in. This log-in ensures greater security and a more customized content experience for users. 

The following are some frequently asked questions to help Children’s staff prepare you for the change. 

Why will myChildren’s have a new look? 
Some changes to the platform were necessary to make the information available on mobile devices. 

What’s new/different? What is staying the same?  
myChildren’s is still the go-to place for all your daily information needs, policies, links and more. The new platform will also be home to The Pulse content for medical staff and community physicians and providers, accessible through the app on your phone. You can comment on news stories as you did before, but now you can “like” content by clicking the heart icon or add emojis and photos. Future features will include the addition of specific team or interest-based channels to help you better connect with colleagues within your department and across the organization. 

How do you initially log in?  
You will be prompted to use your Children’s network username and password. To securely access some of the files housed on the network via the app, you will also need to log in to Microsoft 365. You should only have to log in once per session and then not again for subsequent files. If you close the app, you will have to log in again. This is part of standard security requirements to ensure that all content from Children’s remains secure. 

What if I can’t find something on the intranet or have changes? Who do I email/call?  
If you are unsuccessful using the search bar to find what you need, contact [email protected]. Content change requests can be directed to [email protected]. Please note: the intranet is always a work in progress! We welcome your feedback as we seek to optimize team members’ experiences on the new platform. 

Will the same information be on the app that is on the desktop?  
Yes, however some links are only accessible while on the Children’s network (e.g. Lucidoc, TEG Manager and TempTrak). 

How often will myChildren’s be updated with new information? What about The Pulse? 
As always, there will be daily updates made Monday through Friday mornings. As important news becomes available, we’ll share updates in real time. The Pulse content for our medical staff is updated at least twice weekly, on Tuesdays and Thursdays.

Will I have to use the Duo mobile app to access the app?  
Yes. This provides an extra layer of security required by Children’s IT team. 

While on the desktop version, I noticed I was kicked off after 5 minutes. Why did this happen?  
This is another feature implemented for security purposes. If you’re idle for more than five minutes, you’ll be asked to log in again. 

Can I download the myChildren’s app to a Voalte phone? 
No. Voalte devices do not allow external internet access and would not allow many of the features of the new app. 

Does everyone have the same access and content experience?  No, the app is designed with various viewpoints; content is tailored and delivered depending on each individual team member’s role and needs (e.g., physicians receive access to The Pulse).  

To provide the highest quality diagnostic imaging exams at the lowest health risk, Children’s will no longer place lead shields over patients during their X-ray exam.

Since April 2019, the American Association of Physicists in Medicine (AAPM) has championed a critical way to make X-ray imaging safer and more effective by discontinuing the long-standing practice of placing leaded shields over patient gonads and pregnant patients. The National Council on Radiation Protection and Measurements (NCRP), the State of Nebraska and Children’s pediatric radiologists fully support the discontinuation of routine shielding of patient gonads during imaging exams.

Children’s plans to adopt and implement this new best practice on Monday, March 21. Exceptions may be made for patients and families who insist a shield be used, even after discussion of the risks and benefits, but only when the shield will not interfere with the diagnostic value of the examination.

Children’s will continue to screen all female patients aged 10 and older for pregnancy and collaborate with the ordering provider prior to image acquisition when there is a possibility of pregnancy. If it is deemed necessary to image a pregnant patient, and because shielding has no benefit to the baby, a shield will not be used.

Although Children’s is discontinuing the use of gonadal and fetal shielding on the patient, ancillary staff and family members in the room during image acquisition will still be required to wear the appropriate protective shielding.

View these Frequently Asked Questions created by the AAPM, which contain three sections, each with a different target audience. The first addresses questions and concerns of health care professionals, including, but not limited to, radiologic technologists, physicians, advanced practice providers, medical physicists, radiation safety officers and nurses. This section also includes some suggested wording that can be used when discussing patient shielding with patients and parents or other caregivers of pediatric patients. The second section addresses common concerns among patients and is best suited for adult patient populations. The third section is intended for parents and other caregivers of pediatric patients.

Please feel free to print and provide this flier to patients or families.

Providing a place to rest near their child being treated in the hospital is one of the many ways Children’s is going above and beyond to support patient families. With a soft opening on Tuesday, March 15, the new Rainbow Suites offer an additional option for inpatient families in specific, high-acuity situations.

Located on the second floor of the Pavilion, the Rainbow Suites contain nine rooms and two large bathrooms with showers and lockers, where families facing emergent situations can stay overnight. Clinical team members should contact and collaborate with the House Supervisor to determine if this is an appropriate option for an inpatient family.

The suites offer a family lounge, laundry facility and kitchen accessible to all inpatient families between 8 a.m. and 4:30 p.m. daily. When available, food will be provided on a first-come, first-served basis. Donations are welcome and can be made by calling Family Resources at 402-955-4014 or the Rainbow House at 402-955-7845.

“We’re proud to add this unique offering to our hospitality services,” says Terry Patterson, director, Family Resources. “The Rainbow Suites enable us to better support families that are in crisis and can’t be far away from their child. It serves as a nice, comfortable space for families that just need to take a break from the medical setting while their child is receiving inpatient care at the hospital.”

In addition to the Rainbow Suites, the Carolyn Scott Rainbow House at 7825 Farnam Drive, offers guest accommodations for out-of-town families who are coming to Children’s from more than 60 miles outside of Omaha.

Make Plans to Attend Pediatric GI, Hepatology and Nutrition Conference April 8

The 2022 Heartland Pediatric GI, Hepatology and Nutrition Conference is scheduled for Friday, April 8, from 8 a.m. to 12:30 p.m. in the Glow Auditorium, Children’s Hospital & Medical Center, third floor. This annual conference will feature a hybrid format this year with both in-person and virtual options for participation until social distancing room capacity is met. (Participation/viewing options are subject to change.)

This event will feature thought-provoking discussions and case presentations by GI specialists and multidisciplinary care teams. The target audience includes physicians, advanced practice providers, nurses, dietitians, social workers, medical assistants and health care providers working with GI disorders in the pediatric population.

The conference will feature a Grand Rounds/keynote presentation, “Impact of Nutrition Status in Children” by Mark Corkins, M.D., pediatric gastroenterologist at University of Tennessee Health Science Center. Additional topics include:

• Assessment and Treatment of Childhood Obesity in a Multidisciplinary Weight Management Program
• Utilization of Nutritional Assessment in Admitted Patients
• Treatment and Management of Intestinal Failure

See the flier. There is no fee to attend; advanced registration is required. 

For more information and to register, visit ChildrensOmaha.org/ContinuingEd. Select “Continuing Education,” then select “Live Online Activities” and scroll to the event. If you have questions about registration, please contact [email protected] or [email protected].

The 2022 Heartland Pediatric GI, Hepatology and Nutrition Conference is scheduled for Friday, April 8, from 8 a.m. to 12:30 p.m. in the Glow Auditorium, Children’s Hospital & Medical Center, third floor. This annual conference will feature a hybrid format this year with both in-person and virtual options for participation until social distancing room capacity is met. (Participation/viewing options are subject to change.)

This event will feature thought-provoking discussions and case presentations by GI specialists and multidisciplinary care teams. The target audience includes physicians, advanced practice providers, nurses, dietitians, social workers, medical assistants and health care providers working with GI disorders in the pediatric population.

The conference will feature a Grand Rounds/keynote presentation, “Impact of Nutrition Status in Children” by Mark Corkins, M.D., pediatric gastroenterologist at University of Tennessee Health Science Center. Additional topics include:

• Assessment and Treatment of Childhood Obesity in a Multidisciplinary Weight Management Program
• Utilization of Nutritional Assessment in Admitted Patients
• Treatment and Management of Intestinal Failure

See the flier. There is no fee to attend; advanced registration is required. 

For more information and to register, visit ChildrensOmaha.org/ContinuingEd. Select “Continuing Education,” then select “Live Online Activities” and scroll to the event. If you have questions about registration, please contact [email protected] or [email protected].

A recent external review and some Eye on Safety events have revealed challenges in the formula order entry process. Feeding pediatric patients is an increasingly complicated task. We continue to strive to make ordering those feeds as simple, yet complete, as possible. A multidisciplinary group developed the following modifications that will go into effect on March 21.

1. “No Dilution (Full strength)” option will be removed, and “Special Recipe” is the preferred choice if you have a recipe and are unsure of the concentration. No Dilution is confusing, and sometimes conflicts with other information supplied in the feeding order. If you want Full Strength, simply check the concentration listed in the name of the formula. If you want another concentration, select it specifically (i.e., 24kcal/oz or 18kcal/oz). If you are unsure, but have a recipe for water and the formula, then select “Special Recipe” and write out the details.  
2. Non-Formulary Formula will now have a separate order. We highly encourage all patients to be fed with formulas on our formulary. Just like medications, we have internal checks to make sure the right product is received by our patients. When there is a special exception or the caregiver insists on using a home formula, we need to take additional precautions to ensure the safety of our patients. “Other” will no longer be an option under the list of formulas. If a caregiver wants to provide their own formula, please write an order for Non-formulary Formula. This order will trigger a Nutrition consult so our dietitians can review the feeding plan and help determine if we can purchase the formula or continue to use home supply. The RN will also complete an Acknowledgement of Risk form with the caregiver.
3. Breastmilk back-up options will need to be ordered separately. Please place a separate order for formula plus any additives to clarify what is added to breastmilk vs. formula, as they may be different. The route, volume and frequency will need to be updated in each order separately when making changes.
4. Daytime boluses with a continuous night drip for nipple/gavage feeds is now an option in all our feeding orders, so this can be conveyed in one order.

Our dietitians are always happy to help – if you are unsure how to enter a feeding order, please enlist their support.  Contact Kristy Anderson or Lauren Maskin, M.D. with any questions or concerns.