In the acute care setting, clinicians may be confronted with a child who has had a nonoccupational blood and/or body fluid exposure. Being prepared with a focused approach and the ability to identify the multiple factors that may adjust the risk of contracting bloodborne pathogens is valuable in such exposures. The authors provide a focused approach to nonoccupational blood and/or body fluid exposure, as well as a discussion of each of the bloodborne pathogens.
The sudden appearance of COVID-19 has created an additional challenge to the evaluation of children with "flu-like" symptoms. This article compares and contrasts influenza and coronavirus and provides a critical update on a timely topic.
Before pediatric psychiatric patients are discharged from the ED, carefully document the visit and create a follow-up plan with a primary care physician or mental health professional. For patients presenting with suicidal ideation, a social worker or mental health clinician should develop a safety plan.
Frustrated with low vaccination rates, the ED at Children’s Wisconsin in Milwaukee implemented a screening protocol to offer the flu vaccine to every eligible child who presents for care. Now in its third year, the nurse-driven intervention has proven successful, with leaders working to expand the approach ahead of an expected COVID-19 vaccine.
Children with disabilities can be organ donors, contributing to the supply. Excluding these patients as organ recipients would not be fair. A new policy statement does not consider intellectual and developmental disabilities (IDD) completely irrelevant, but the authors do not consider IDD to be dispositive for listing decisions either.