News
New RBC transfusion indication codes
Effective February 2013, there will be new Transfusion Indication codes for Red Blood cells (RBC). These evidence based pediatric guidelines have been approved by the Transfusion Committee in collaboration with NICU, PICU, Heme-Onc, Surgery/Anesthesia, and CVCC. New indication codes for platelets, fresh frozen plasma, and cryoprecipitate will be revised and implemented later this year. Please feel free to contact
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, with any questions or concerns.
New RBC transfusion indication codes
1. Acute blood loss >15%(Bleeding/Surgery)
2. ECMO Hgb <13 gm/dl
3. Congenital CV disease, Hgb < 15.0 gm/dl
4. Shock, Hgb < 10.0 gm/dl
5. Hgb < 7.0 gm/dl
6. Hemoglobinopathy: Therapy or Anesthesia
7. Prime device /Exchange Transfusion
8. Neo 0-7d RespSupport Hgb <11.5
9. Neo 8-14d RespSupport Hgb <10
10. Neo >14d RespSupport Hgb <8.5
11. Neo 0-7d NO RespSupport Hgb<10.0
12. Neo 8-14d NO RespSupport Hgb<8.5
13. Neo >14d NO RespSupport Hgb<7.5
14. Neonate Preop Hgb <10 gm/dl
15. Neonate shock, Hgb 11.5 gm/dl
Update on newborn screening
The newborn screen from Minnesota Department of Health now includes SCID/T-cell lymphopenia screening. More information about this testing and appropriate follow-up:
WASH ‘EM PROUD 2012 recap: HAI reduction goal met
The WASH ‘EM PROUD initiative continues to be a top priority in 2013. Here are some highlights from 2012:
• We met our goal to reduce healthcare-associated infections (HAIs) by 10% from 2011. While our ultimate goal is zero HAIs, we had the best year on record.
• Children’s staff hand washing compliance rate was 39% in 2011 and 52% in 2012. We still have much work to do, but we are making progress.
• 3M Avagard D hand hygiene product implementation has begun. 3M Avagard D is replacing the Ecolab Quick Care foam. It is shown to be gentler on hands, making them less dry. Watch for the new product to arrive in your unit soon.
• Children’s released the WASH ‘EM PROUD song and video. Children’s staff, Youth Advisory Council Members, patients, and volunteers dance and sing in the video to spread the word about hand hygiene.
Watch the WASH ‘EM PROUD video
In 2013, we will continue to track hand hygiene rates to gather unit-specific data, continue to develop effective communication strategies for sharing important hand hygiene messages, and place a continued emphasis on the culture of safety.
Thank you for your commitment to the WASH ‘EM PROUD initiative.
New options for maintenance of certification activities at Children's
Children’s of Minnesota has been chosen by the American Board of Pediatrics to be a Portfolio Sponsor. This means Children’s can now approve quality improvement (Q1) projects that give you credit toward the ABP Part IV requirement to maintain certification. The advantages of this are:
• More easily participate in any of several ongoing QI projects and receive MOC credit. Projects approved by Children’s may also be used for other medical and surgical specialties.
• No cost to obtain approval from ABP for a project that you want to conduct (saves $500 per project).
• There are several ongoing projects available to you—no completing applications, paying fees.
Portfolio Sponsors agree to prepare a periodic Progress Report for each of the approved projects, which the ABP reviews to ensure alignment with ABP standards.
Children's ENT and Facial Plastic Surgery clinic
Pediatric ENT Associates became part of Children’s Hospitals and Clinics of Minnesota and the clinic name changed to: Children’s ENT and Facial Plastic Surgery effective October 1. James Sidman, MD, Robert Tibesar, MD, Timothy Lander, MD, and the staff of Pediatric ENT Associates are now employees of Children’s. With the change, Children’s Cleft and Craniofacial Clinic will move on November 5 and become integrated within the ENT and facial plastic surgery clinic on the Children’s Minneapolis campus.
