- Oct 30, 2022

Plan of the Week: Oct 30 - Nov 5

Updated: Nov 1, 2022

Plays of the Week:

Play of the week goes to Dr. Elizabeth Rahman for excellently leading the ward team, managing all of the census challenges, and communicating with multiple hospitals and services. Keep up the impressive leadership!

Submit a Play of the Week

Schedule:

Date	Event	Time and Location	Audience/Notes
Monday, 10/31 Halloween 👻	Education/Reverse Education	STAFF: 0730 - 0850 America 2525 BC RESIDENTS: 0745 - 0850 Allergy Conf Room 4105	Academic/Military Advisors, Residency Leadership, Rotation Supervisors Only Residents Only
	Halloween Pumpkin Contest 🎃		Make sure you check out the tables outside the Peds Clinic during the day
Tuesday, 11/1 First Day of American Indian Heritage Month	MR: Case and PI Working Session	0745 - 0850 America 2525 B/C	All welcome
	PEC Meeting #3	1500 - 1600 Allergy Conf Rm 4105	PEC Members and Residency Leadership Only
Wednesday, 11/2	MR: Case and Contraception Lecture, Ahmed	0745 - 0850 Shore Conf Rm 1118, America Bldg	All welcome
Thursday, 11/3	MR: DEI	0745 - 0850 America 2525 B/C	All welcome
Friday, 11/4	MR: Case and Hanciles Journal Club	0745 - 0850 America 2525 B/C	All welcome; see below for the article
Saturday, 11/5 Lauren Schroeder's Birthday 🎉

Journal Club Article:

I will be on leave from 3NOV-13NOV. For any acute call/morning report issues, please reach out to the following:

3Nov acting Chief Resident: Maj Sharen Wilson (sharen.wilson@nccpeds.com)
4-6Nov acting Chief Resident: CPT Elise Reddington (elise.reddington@nccpeds.com)
7-10Nov acting Chief Resident: Capt Sidney Zven (sidney.zven@nccpeds.com)
11-13Nov acting Chief Resident: LT Alex Mauro (alexandra.mauro@nccpeds.com)

Save the Date 🗓	Upcoming Birthdays 🎉
6NOV: Daylight Savings Time Ends	6NOV: Andrew Warren's Birthday
8NOV: Bennett CPC	9NOV: Lisa Sukenaga's Birthday
10NOV: Minimal Manning Day
11NOV: Veteran's Day
9DEC: Holiday Party ❄️

Announcements:

All Staff Updates

Save the Date for our Holiday Party

New Mask Mandate Guidelines

Masks are mandatory: upon entry into the medical facility, during patient encounters (with eye-pro), in all clinical and patient-facing areas, and corridors by hospital staff (buildings 1-10, 19, NiCOE, and 85T)
Masks are optional in spaces not engaged in patient care, meetings (i.e. morning report), spaces that are administrative in nature by supervisors, and in customer service activities
If at any time you experience new onset respiratory or influenza-like symptoms, immediately don a face mask and alert your supervisor (see below for further guidance on testing)

Chief Resident Selection Comments

It's time for the Chief Resident Selection for the upcoming 2023-2024 academic year. There are four candidates, and they have all provided statements for you to read. Please submit your anonymous and confidential comments using the Google Form link below. The selection committee of staff and residents highly values your feedback.
https://forms.gle/ZVonovTuqugZQgEz5
- **Please open on non-military computers**
The form will be open until November 8th.

Respiratory Season Updates

Flu and COVID vaccines
- COVID Vaccine Site (Arrowhead Zone, Bldg 9)
  - 0700-1500, Mon-Fri
  - Flu vaccine for 2 years and up
  - COVID vaccine for 6 months and up
- Immunizations (America Zone, Bldg 19)
  - Flu vaccine for 6 mos-2 years
  - NO COVID VACCINE
Patient Testing
- See below for the respiratory testing algorithm for 2022-2023
- The Respiratory PCR Panel 2.1 is the upper respiratory biofire panel with 22 pathogens
- Peds ID can approve outpatient use of the biofire (respiratory PCR Panel 2.1) so please reach out to us for verbal approval if you have a clinical scenario where the expanded panel will help with management.
  - Peds ID on call phone (available 24/7): 301-648-0545
  - AMS Connect: WB Peds Infectious Disease (please include DODID in AMS connect message)

Healthcare Personnel Testing
- Do not report to work if you have onset of influenza-like symptoms (fever, dry cough, other respiratory symptoms +/- myaglias, headache).
- You must undergo testing for COVID (if testing occurs within 48 hours of symptoms you will be tested for COVID, Flu, and RSV)
  - If positive for COVID: HCP should call Occupational Health (301-400-0885) for isolation guidance. Please let your supervisor know the isolation period from OccHealth so the supervisor can help adjust manning accordingly.
  - If negative for COVID-19: isolate at home until afebrile for 24 hours without fever-reducing medications AND other symptoms are improved
  - If positive for flu: contact your PCM to discuss the option of Tamiflu
NICU Admissions
- The NICU may be able to temporarily admit patients less than or equal to 2 months corrected gestational age in the setting of staffing and bed shortages on the inpatient pediatric ward. Admissions will be considered on a case-by-case basis as well as with consideration of the NICU census, anticipated deliveries, staffing and acuity levels. Back transfer to the ward should be considered whenever their space can accommodate.
- Some appropriate diagnoses may include: Rule out sepsis, Hyperbilirubinemia, Dehydration, Failure to thrive, Meningitis, Urinary tract infection, Post anesthesia monitoring
- The NICU does not have adequate respiratory isolation so all patients must test negative for influenza, RSV and COVID prior to arrival in the NICU.

CODE GREEN/MASCAL Event

Emergency Management briefed the plan for the upcoming MASCAL event on Thursday, 3NOV
Anticipated duration is 2 hours; will include approximately 400 personnel
- PRIME CLINIC:
  - All personnel muster in your waiting area
  - Senior Officer present sends 2 staff/attending providers, 1 RN and 1 HM/medic to the Radiology Lobby
  - Arrange for coverage for remaining patients
- SUBS CLINIC:
  - All personnel muster in your waiting area
  - Senior Officer present sends 1 staff/attending provider & 1 LPN to Surgery Clinic, and also 1 RN to Radiology Lobby
  - Arrange for coverage for remaining patients
- 3rd DECK:
  - 3rd Deck Back-Up Resident reports to Radiology lobby
  - Back-up coverage is called-in, if needed
- 6th DECK: ***No longer expected to provide personnel.***