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EMS Pediatric Emergency Care Coordinators

Joint Policy Statement and Technical Report Published January 2020

Pediatric Readiness in Emergency Medical Services Systems

Technical Report - Pediatric Readiness in Emergency Medical Services Systems

Background

Historically, pediatric patients account for only 5 to 10 percent of all EMS incidents. However, treating injured or sick children can make even experienced EMS providers more anxious, especially if they have not seen many pediatric patients, or have not had recent hands‐on training. The KY EMS for Children Program, housed in the KY Board of EMS is working with the Health Resources and Services Administration of the U.S. Government to improve pediatric emergency care.

The Institute of Medicine (IOM) report “Emergency Care for Children: Growing Pains” recommends that EMS agencies and emergency departments (EDs) appoint a pediatric emergency care coordinator to provide pediatric leadership for the organization. This individual need not be dedicated solely to this role and could be personnel already in place with a special interest in children who assumes this role as part of their existing duties.

The IOM report further states that pediatric coordinators are necessary to advocate for improved competencies and the availability of resources for pediatric patients. The presence of an individual who coordinates pediatric emergency care at EMS agencies ensures that the agency and its providers are better prepared to care for ill and injured children.

New performance measures for the national EMS for Children program focus on local delivery of care, including the creation or assignment of a Pediatric Emergency Care Coordinator (PECC) at the EMS agency level to ensure quality pediatric care from every EMS agency. The goal of the measure is to increase the percentage of EMS agencies in the state that have a designated individual who coordinates pediatric emergency care.

Some of the roles that the individual who coordinates pediatric emergency care might oversee at an EMS agency
include:

  • Serving as the initial point of contact between the KYEMSC Program and the agency.
  • Promoting pediatric continuing-education opportunities.
  • Advocating for the availability of pediatric medications, equipment, and supplies.
  • Encouraging pediatric simulation/hands-on pediatric skills assessment.
  • Collaborating with other ED and EMS PECCs.
  • Promoting agency participation in pediatric-prevention programs and community outreach.
  • Engaging in quality improvement activities.
  • Promoting family-centered care at the agency.

The EMS PEC Coordinator should have the following qualifications:

  • Is a paramedic or EMT who possesses special interest, knowledge, and skill in the emergency medical care of
    children as demonstrated by training, clinical experience, or focused pediatric continuing education.
  • Maintains competency in pediatric emergency care.
  • May be a staff person who is currently assigned other roles in the department such as a training officer or
    educator, field supervisor, or working on quality improvement and public education projects.
  • Instructor credentials in pediatric specific topics or courses is recommended.

Agency directors may use this form to designate the PECC:

PECC Designation Form

The two lists above are not mandatory or all-inclusive. These are suggestions and should not deter agencies or individuals from participating out of fear of not meeting some of the bullet points. The most important factors for a successful PEC Coordinator is the desire to improve pediatric care and a willingness to engage in information sharing. Start with the first steps and we will work toward improvement together!

 

Virtual Lecture Series 

The KYEMSC Program is hosting a series of lectures/continuing education sessions, some focused on the PEC Coordinator and others appropriate for frontline staff. 

EMS PECCs will receive notification and registration information by email and may access archived presentations to use for continuing education sessions within their agency or TEI.

PECC Webinars

These sessions will focus on clinical content, quality improvement, educational methodology and administrative processes. Presentations will be followed by Q&A.Information about PECC webinars will be shared via direct email and posts on the Slack page. The recordings for these webinars will be posted on our GoToStage channel for PECCs. If the content of a particular webinar is appropriate for use with your frontline staff, you may use the recording as course material, with you or your TO as the instructor, and the documentation and issuance of continuing education credit is managed through your existing agency or TEI processes.  If you have a learning management system and want to use the video within that system, contact me to discuss further.  Access to this page is exclusively intended for agencies with a PECC and selected guests, such as our Level 4 TEI Directors.

EMS Webinars

These webinars will be open to all frontline EMS staff. Our program can only provide Kentucky approved continuing education credit, but providers licensed in other states (particularly in our border areas) are still welcome to attend but will need to work with their home state to determine if the course will be accepted for credit. The content for this category is more likely to be clinical or operational information directly applicable to those in the field. The recordings will be posted for the PECCs but they will also be set up as an on-demand webinar. Individuals will be able to register, watch the recording, and complete the survey for a certificate from KYEMSC. This will be very similar to watching the live broadcast but participants will not be able to ask questions during the presentation. Questions can be submitted by email afterwards. The big advantage with on-demand viewing is flexible scheduling of course. If you choose to proctor a viewing from GoToStage for group training, the info above applies.

Upcoming presentations:

On Demand Virtual Training (all EMS providers)

Archived Presentations (recordings available to PECCs)

  • Let's Get Serious About Patient Safety in EMS
    • Scott Bourn, PhD, Securisyn Medical, ESO Solutions, and NAEMSP
    • Recorded August 14, 2020
  • Too Hot to Handle: Acute Burn Care Management 
    • Debbie Harrell, MSN, Shriner's Hospital for Children
    • Recorded July 28, 2020 
  • Supporting Children and Families In the Midst of a Crisis: A Trauma-Informed Care Approach
    • Meghan Marsac, PhD, University of Kentucky
    • Recorded July 16, 2020

 

2019 PECC State Team Members

kbems regions

Murray Calloway County Hospital Ambulance Service
MartyBarnett
msbarnett@murrayhospital.org
 
Oldham County EMS
John Luker
john.luker@bhsi.com
Appalachian 1st Response Emergency Services Inc   
Cameron Tackett
cameron.tackett2300@gmail.com
Caldwell County EMS     
SarahCline
scline@caldwellcoems.com
Owen County EMS
Nicki Sullivan
nicki.sullivan@owencountyky.us
 
Lifeguard Emergency Medical Services
Denessa Mullins
dmullins@transstarambulance.com
Owensboro Daviess County EMS
Billy Bratcher
bbratcher@procarent.com
Georgetown Scott County EMS
Jonathan Oesterman
j.oesterman@scottky.com
 
Somerset Pulaski County EMS
Ernie Acton
eacton@cityofsomerset.com
The Medical Center EMS     
Jim WIlliams
kymedic@hotmail.com
Estill County EMS
Shelia Wise
wiseguy@irvineonline.net
 
Adair County Ambulance ServJoseph
Chad Wheet
joseph.wheet@air-evac.com
Bullitt County EMS
John Layman
qa@bcemsky.com
Montgomery County Amb. Service                                   
Jeffrey Jackson
jjackson@mcfdems.com
 
 
Buechel Fire Protection District   
Liz Nobles
liz.nobles@buechelfire.com
Carter County Emergency Ambulance Service District
Greg Priddy
gregory_priddy@bshsi.org
 

 


Resources

Kansas EMSC Pediatric Scenario Book

Autism Society Law Enforcement & First Responder Training - video from Williamson County EMS (Texas) 

Identifying Abuse - Univeristy of Colorado, individual online CE credit, receive a KY specific certificate when you include your KY credentials in creating your account. This does not fulfill KY PAHT requirements but it is good companion course to the required training/

Patient and Family Centered Care - created by the Intermountain Regional EMS for Children Coordinating Council

References

Pediatric Readiness in Emergency Medical Services Systems

Technical Report - Pediatric Readiness in Emergency Medical Services Systems

PECC Learning Collaborative Welcome Package

Coordination of Pediatric Emergency Care in EMS Systems

The Role of the Pediatrician in Rural Emergency Medical Services for Children

Physician Oversight of Pediatric Care in Emergency Medical Services

 

For additional information, contact Morgan Scaggs, 859-256-3583, morgan.scaggs@kctcs.edu