Lumbar Puncture Tray Shortage

Due to an ongoing backorder of our current lumbar puncture (LP) trays, Children’s is now creating its own kits for internal use based on limited supplies and most commonly used items. All physicians and providers will need to have staff request an LP tray in advance of a procedure from Central Supply as they will not be housed in the clinical areas (Capsure #100507). The custom kits are made up of these single-use items:

Sterile Towel (6)
Betadine Swabs (3 PK)
Sterile Culture Tube X 2 or Sterile Specimen Container X 1
22G 1.5IN Spinal Needle

Any other items (gauze, band-aids, lidocaine, manometer, etc.) will need to be pulled from the clinical area or ordered separately. Please plan with your staff in advance of the start of a lumbar puncture procedure to ensure the needed supplies are available. Please be sure the lid on the culture tube/specimen container is secured prior to transport.

Please send any unused sterile supplies back to Central Supply. Area staff can place these in the credit bin in order to help us conserve product.

Thank you for your patience and understanding.

Abbott Recall of Similac® Formulas

In response to the recent Abbott voluntary recall of powder Similac® formulas, Alimentum® and Elecare®, Children’s Hospital & Medical Center, Children’s Specialty Physicians, Children’s Physicians and Children’s Home Health Care have reviewed and removed all recalled products from inventory and implemented substitutions as per the recall notice and clinical indication. This recall does not include any Abbott metabolic formulas or liquid formulas. Further information on the recall, how to check lot numbers and what to do with recalled products can be found at similacrecall.com.

Kristy Anderson, MS, RD, LMNT
Manager of Clinical Nutrition & Lactation

David Freestone, D.O.
Medical Director of Clinical Nutrition
Gastroenterologist

Skywalk Connecting Methodist to Children’s Closes Again on March 7

From March 7 through Dec. 1, 2022, the skywalk connecting Methodist Hospital to Children’s will need to close again to comply with some unforeseen scheduling and procurement issues regarding the construction timeline. Children’s will follow the guidelines below:

Blood Bank: The pneumatic tube system will still be the front-line option. For mass transfusion protocols, blood products will be shipped en masse via the tube system to circumvent the lack of direct access. There are currently no planned outages of the tube system, but we understand that some outages are unplanned. In the event of pneumatic tube system downtime, please contact Security at 402-955-5300 to assist in pick-up or delivery of blood products.

Morgue: Please contact Security at 402-955-5300. Vehicle transportation to the morgue will be arranged with assistance from the Transport team, depending on Transport team availability.

GI Lab: With coordination from Methodist, procedures will be performed at Children’s during the shutdown. Operating rooms will coordinate supplies needed from Methodist and will use a courier service when applicable.

We understand this is a great inconvenience to many Children’s departments, and we are trying to coordinate operations with our neighbors across the street. Thank you for your ongoing support of both the Methodist and Children’s campus renovations.

Meghan Potthoff, Ph.D., Appointed Inaugural Keough Family Endowed Chair in Nursing

Congratulations to Meghan Potthoff, Ph.D., APRN-NP, Pediatric Hospital Medicine, who has been appointed by Daniel Hendrickson, S.J., Creighton University president, as the inaugural holder of the Keough Family Endowed Chair in Nursing. This is the first chair to be exclusively named for nursing. Meghan will be officially honored and “installed” at a celebration in May. Dr. Potthoff has been a faculty member in Creighton University’s College of Nursing since 2007 and has served as track lead in Creighton’s pediatric nurse practitioner program.

Children’s in the News

Children’s inpatient float pool nurse Eryn Brown, RN, was featured in a KMTV story that covered her journey as a cancer patient. Eryn, who was diagnosed with stage four melanoma in 2018, underwent brain surgery and cancer treatment while completing nursing school. In addition to her current position at Children’s, she is now studying to be a nurse practitioner and serves as a graduate assistant at UNMC.

Watch it here.

Employee Health Moves to Former Emergency Department

Employee Health is moving! Starting Monday, Feb. 21, Employee Health will operate from their new location on L1 in the old Emergency Department space in Wiebe Tower. The main entrance will be on the north side of the office. For security purposes, you will be required to badge in.

Employee Health and Care4U will be closed Feb. 17 and 18 while they transition to the new location. COVID-19 services will still be available by calling 402-955-6020, option 9. COVID-19 swabbing will remain at the LL3 parking garage until on Feb. 21.

Please note:

  • Employee Health parking will be available in the employee parking garage in the Emergency Department overflow spots.
  • Do not use the badge doors located next to the Pharmacy. This is an emergency exit only. 
  • Please avoid walking through the Emergency Department; use the service hallways instead. Non-emergency employees walking through the Emergency Department can cause disruption to patient care.
  • Please check in at the Emergency Department front desk.
  • Asymptomatic surveillance testing will now be completed in the new Employee Health space. Please check in at the Employee Health front desk and wait for your turn to be swabbed.

Testing of symptomatic individuals will be completed outside of the ambulance bay. Please note that if an emergency vehicle approaches, you will need to move your vehicle and circle back around until the area is clear.

Route for Service Elevators in Wiebe Tower:

  • Please remember to bring your badge. You will need to badge through a few doors on the way.
  • Walk forward down the hallway until reaching the service doors. Signs will indicate to turn right.
  • Go down the hallway until you reach the new Employee Health main entrance. This will be past a public restroom. You will see a badge access box on the wall next to the door. Please badge in.

Route for Service Elevators in the Hubbard Center:

  • Please remember to bring your badge. You will need to badge through a few doors on the way.
  • Walk northwest off the elevators and turn left. Continue down the hallway as it curves left.
  • Go past the public elevators until you reach the first hallway and turn left.
  • Go down the hallway until you reach the new Employee Health main entrance. This will be past a public restroom. You will see a badge access box on the wall next to the door. Please badge in.

If you have any questions, please contact Employee Health at 402-955-6020.  

Melissa Cullimore, M.D., Co-Authors CDC Report Supporting COVID-19 Vaccination for Pregnant Women

In the Feb. 15 CDC Morbidity and Mortality Weekly Report, Melissa Cullimore, M.D., Ph.D., Pediatric Critical Care, was a co-author of an article recommending COVID-19 vaccination during pregnancy to prevent severe illness and death in pregnant women and infants. Infants are at higher risk than older children for COVID-19-associated complications, including respiratory failure and other life-threatening complications. The report says the two-dose mRNA vaccination series during pregnancy might prevent COVID-19 hospitalization for infants under age 6 months.

Read it here

Quality and Safety Scoop: Announcing Clinical Effectiveness Newsletter

By Bridget M. Norton, MD, MBA, Chief Quality & Safety Officer and Director, Extracorporeal Services

Have you ever heard of Clinical Effectiveness? Let’s look at the definitions: Clinical (adj): relating to the observation and treatment of actual patients rather than theoretical or laboratory studies; Effectiveness (noun): the degree to which something is successful in producing desired results. That is exactly what our new Clinical Effectiveness (CE) team is here to do. Kelsey Spackler DNP, APRN-NP, recently joined the Division of Quality and Patient Safety as the clinical effectiveness program manager. The goal of the clinical effectiveness program is to maintain and improve the treatment of actual patients to produce the desired results! We want to make sure we are providing the best evidence-based care for all patients that come to Children’s. 

 The first part of this work is Clinical Pathways. Clinical Pathways are tools are used to guide evidence-based care, reduce variation and improve patient outcomes. The Clinical Pathways page on the intranet was recently updated and now has the capability to search for a specific pathway. You can also sort them so you can easily look at pathways that pertain to your clinical area. Now where do you find Clinical Pathways? The fastest place to find the link is under “Quick Links” on the right-hand side of the intranet home page. Other locations are under the “Healthcare Professionals” tab on the top of the intranet home page and in the sidebar of The Pulse. Or you can simply click this link and add it to your bookmarks: Clinical Pathways Archive – Children’s Hospital & Medical Center (childrensomaha.org). Go ahead and take a peek at all the clinical pathways and know that list will be growing and updated soon! 

 Want to know more? Click here to read the first monthly Clinical Effectiveness Newsletter.

Technically Speaking: Private Appointments

In 2022, our lives are less private than they’ve ever been. Our personal information circulates widely.  Advertisers can track our location. We can see if someone is busy at work by looking at their shared Outlook calendar. Wait—what?! You can do that? Yeah, you can do that. So, if you want to hold onto at least a little privacy, you should make sure your calendar is secure. And if you like to add surgical cases with protected health information (PHI) to your Outlook calendar, you darn well better be sure you’re doing it.

To do it well, we need to revisit a topic from about a year ago. Outlook features four separate and distinct calendar permissions that restrict the level of detail that colleagues can view on your calendar:

The Children’s default setting is Titles & Locations. Users who’d like their calendar to remain more private or become more transparent will need to change their permission settings by navigating to the File menu, then selecting Options à Calendar à Calendar Options à Change the permissions. This change will only apply to new events; old events will not be affected.

If you have any PHI (or other personal information) on your calendar, please do one of two things: either set your permissions to Free/Busy or make all those appointments Private.  When creating a new event, you can click the Private box to prevent anyone else from seeing any information about that appointment on your calendar. Here’s an example:

You can also right-click on an existing appointment and mark it as Private in the pop-up menu.

Thanks for keeping PHI secure and for all you do!

Correction: In the Jan. 27 edition of TechSpeak, I stated that one could access UNMC email using the Outlook app on their mobile device(s). This is not possible for most people—UNMC email cannot be accessed on any device that does not have UNMC mobile device management (MDM) installed. Those who have a device with UNMC MDM must download Outlook from the UNMC App Store once Intelligent Hub is installed on their device. I apologize for any confusion this may have caused.

Stephen Dolter, M.D. , CMIO

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