Strategies and Recommendations: Helping with Delivery of...
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6/25/2020 1 Child Health Program 2020 COVID-19 1 Strategies and Recommendations: Helping with Delivery of Child Health Services • 0.75 NCPD Contact Hours and up to 0.75 CPH Recertification Credits may be earned upon successful completion. • For successful completion, participants must attend 100% of the educational activity and complete the online course evaluation. There will be no partial credit awarded. • No conflict of interest exists for anyone in the position to control content for this activity. • The Public Health Nursing Institute for Continuing Excellence is approved as a provider of nursing continuing professional development by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. • This enduring activity will be available until December 31, 2020. NC Department of Health and Human Services Division of Public Health Strategies and Recommendations: Helping With Delivery of Child Health Services Tara Lucas, BSN, RN State Child Health Nurse Consultant Gerri L. Mattson, MD Pediatric Medical Consultant Amy Petersen, BSN, RN, CCHC-C State Child Care Health Consultant Children and Youth Branch 1 2
Transcript of Strategies and Recommendations: Helping with Delivery of...
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Child Health Program 2020 COVID-19 1
Strategies and Recommendations: Helping with Delivery of Child Health Services
• 0.75 NCPD Contact Hours and up to 0.75 CPH Recertification
Credits may be earned upon successful completion.
• For successful completion, participants must attend 100% of the
educational activity and complete the online course evaluation.
There will be no partial credit awarded.
• No conflict of interest exists for anyone in the position to control
content for this activity.
• The Public Health Nursing Institute for Continuing Excellence is
approved as a provider of nursing continuing professional
development by the North Carolina Nurses Association, an
accredited approver by the American Nurses Credentialing
Center’s Commission on Accreditation.
• This enduring activity will be available until December 31, 2020.
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NC Department of Health and Human Services
Division of Public HealthStrategies and Recommendations: Helping With Delivery of Child Health Services
Tara Lucas, BSN, RN
State Child Health Nurse
Consultant
Gerri L. Mattson, MD
Pediatric Medical Consultant
Amy Petersen, BSN, RN, CCHC-C
State Child Care Health Consultant
Children and Youth Branch
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Current NC DHHS Provider Guidance
Current provider guidance recommends that clinicians conduct
or arrange for diagnostic COVID-19 testing for:
• Anyone with symptoms suggestive of COVID-19
• Close contacts of known positive cases, regardless of symptoms
• Populations with higher risk of exposure or a higher risk of severe
disease if they become infected, if they believe they may have been
exposed to COVID-19, whether or not they have symptoms
• People who have attended protests, rallies, or other mass
gatherings could have been exposed to someone with COVID-19 or
could have exposed others
• Testing should be considered for people who attended such events,
particularly if they were in crowds or other situations where they
couldn’t practice effective social distancing
https://files.nc.gov/ncdhhs/documents/files/covid-19/COVID-19-Provider-Guidance-Final.pdf
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Child Care and COVID-19
As of June 19, 2020:
67% of all licensed child care programs are open
− 59% of all child care centers
− 92% of all family child care homes
In 43 counties, 50% or more of all child care
centers remain closed.
North Carolina Early Education Coalition
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Child Care Guidance
• Can now serve ALL children
• Submit a Child Care Reopening Application
• Receive a Health and Safety Certificate
−Must attest to follow the Interim Guidance
− Issued by the Division of Child Development and
Early Education
−Posted with license
• Have a plan to work with LHD
• Follow core signage, screening and
sanitation requirements
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Child Care Guidance
• Required vs recommended
• Who can be in the building - after screening
−Staff and children
−Health professionals who support CSHCN
−Breastfeeding mothers
• Use of cloth face coverings
• Criteria
−Exclusion
−Return to child care
https://files.nc.gov/covid/documents/childcare/NC-Interim-Guidance-for-Child-Care-Settings.pdf
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Daily Health Screening on Arrival
People (staff members, children or visitors)
should not be at the child care facility if:
✓ they have been diagnosed with COVID-19
✓ they have been exposed to COVID-19
✓ they are showing symptoms:• Fever
• Chills
• Shortness of breath or difficulty breathing
• New cough
• New loss of taste or smell
https://files.nc.gov/covid/documents/childcare/NC-Interim-Guidance-for-Child-Care-Settings.pdf
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Exclusion Criteria
• If a person screens positive for symptoms of
COVID-19 at arrival or develops symptoms during
the day at the facility
• If a person at the facility tests positive for COVID-19
• Requirements for:
− Isolation
− Exposure
− Notification to the LHD and to families
− Closure
− Cleaning
https://files.nc.gov/covid/documents/childcare/NC-Interim-Guidance-for-Child-Care-Settings.pdf
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Criteria for Returning to Child Care
Situation(s) determined by the Daily Health
Screening
−Symptomatic – tested positive or no test
• Answer yes to all 3 questions (10 days/3 days/3 days)
−Asymptomatic – tested positive• 10 days since date of positive test, unless develops symptoms
−Exclusion for symptoms but tests negative• No fever without medicine and has felt well for at least the past
24 hours
−Determined to be in close contact with someone
diagnosed with COVID-19• 14 day quarantine, unless develops symptoms
https://files.nc.gov/covid/documents/childcare/NC-Interim-Guidance-for-Child-Care-Settings.pdf
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Child Care Health Consultant Coverage
• CCHC services
−Available statewide
−Provide health and safety support for child care
facilities
−Assist with implementing the Interim Guidance
−Act as a liaison between:
• Child care provider
• Health care provider
• Local health department
• Find a CCHC
https://healthychildcare.unc.edu/cchcs-during-covid-19/
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Source June 23, 2020:
NC DHHS COVID-19 Dashboard
Total Daily Lab-Confirmed cases: 54,453
Blacks or African Americans are 22.1% NC pop and 25% of the cases
Hispanic/Latinx are 9% of NC pop and 46% of the cases
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Slide borrowed from AAP ECHO Emergency Prep June 19, 2020 by Dr. Mary Caserta
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Slide borrowed from AAP ECHO Emergency Prep June 19, 2020 by Dr. Mary Caserta
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Slide borrowed from AAP ECHO Emergency Prep June 19, 2020 by Dr. Mary Caserta
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CDC Case Definition for MIS-C
https://covid19.ncdhhs.gov/guidance#all-guidance-for-health-care-providers-and-local-health-departments
and https://files.nc.gov/covid/documents/guidance/MIS_ClinicianMemo.pdf
NC DPH Reporting
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Slide borrowed from AAP ECHO Emergency Prep June 19, 2020 by Dr. Mary Caserta
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Slide borrowed from AAP ECHO Emergency Prep June 19, 2020 by Dr. Mary Caserta
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#WellChildWednesdays National Campaign
• HRSA has launched a new social media campaign to
encourage parents & HRSA stakeholders to keep up with
pediatric checkups and immunizations
• Each Wednesday for four weeks, social media messages will
address well-visits, immunizations, adolescent and young
adult care, and nutrition, safety, and mental health as topics
to be discussed with pediatric providers
• Messages will appear on Twitter and Facebook with the
handle @HRSAgov and #WellChildWednesdays
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Fluoride Varnish
• Not considered high risk or an aerosolizing
procedure and risk is more related to getting close
to a child and their secretions
• Recommend providers “should wear a surgical
mask, eye protection (goggles, protective eyewear
with solid side shields, or a full-face shield), a
gown or protective clothing, and gloves during
procedures likely to generate splashing or
spattering of blood or other body fluids”
https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html
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Strategies for In Person and Telemedicine Care
How are you using social media to promote well child visits?
How is testing in children going?
What is working well?
What are patients and families saying? What are you seeing with families?
What additional resources doyou want or need?
Discussion
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Resources
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For Local Health
Departments
Local Technical
Assistance and
Training Branch
Public Health
Nursing and
Professional Unit
https://publichealth.
nc.gov/lhd/
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This can be for telehealth and VPC!
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NCCARE360:NATION’S FIRST
STATEWIDE TECHNOLOGY PLATFORM
• NCCARE360 is the first statewide network now in all 100
counties that unites health care and human services
organizations with a shared technology that enables a
coordinated, community-oriented, person-centered
approach for delivering care in North Carolina.
• NCCARE360 helps providers electronically connect those
with identified needs to community resources and allow for
feedback and follow up.
• Over 10,000 organizations are in the database and over
3000 providers are enrolled and growing with expedited onboarding!
NCCARE360 Partners:
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Template
Flyers for
Testing Sites
and Events!
Flyers in
English
and
Spanish!
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https://www.youtube.com/watch?v=iJhUwIsvGE8&feature=youtu.be
Do you know a youth who wants to be a Youth Health Advisor:
https://publichealth.nc.gov/wch/aboutus/ahrc-youth-health-advisor.htm
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Recommendations Related to Face Masks and Cloth Face Coverings
• NC DHHS FAQ on Cloth Face Coverings
https://files.nc.gov/ncdhhs/documents/files/covid-19/FAQs-
Cloth-Face-Coverings.pdf
• CDC: Using PPE: https://www.cdc.gov/coronavirus/2019-
ncov/hcp/using-ppe.html
• CDC FAQs: https://www.cdc.gov/coronavirus/2019-
ncov/faq.html?deliveryName=USCDC_1054-DM26234#COVID-
19-and-Children
• AAP Masks and Children During COVID-19
• CDC Use of Cloth Face Coverings
https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-
sick/diy-cloth-face-coverings.html
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“How to Help Kids Embrace Mask-Wearing” By Perry Klass, M.D. in The New York Times
• “Most children enjoy the chance to feel morally
superior. Assign them to be the family mask
monitors.”
• Help children who are recommended to wear them
get accustomed to masks
− Put a cloth face covering on a child’s favorite stuffed
animal
− Decorate masks so they’re more personalized
− Draw a mask on your child’s favorite book character
• Help children feel safe and proud when they wear
their masks
https://www.nytimes.com/2020/06/23/well/family/children-masks-coronavirus.html
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New Resources for Parents: HealthyChildren.org (English and Spanish)
• Hand Sanitizers: Keep Children Safe from
Poisoning Risk
• Getting Children and Teens Outside While
Social Distancing for COVID-19
• Co-Parenting Through COVID-19: Putting
Your Children First
• More resources related to COVID-19 can be
found at: https://www.healthychildren.org/English/health-
issues/conditions/COVID-19/Pages/Co-Parenting-Through-
COVID-19.aspx
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Ongoing Resources for Families and Providers
• COVID-19 Triage Plus Patient Information and
Support Line: 877- 490- 6642
• NC-PAL (Psychiatry Access Line) 919-681-2909
− Pediatric: select extension 1 or [email protected]
− Perinatal: select extension 2 or [email protected]
• Hope4NC Helpline is a mental health resource 24/7
to support North Carolinians 1-855-587-3463
• The Hope4Healers Helpline is a support serve for
health care workers: 919-226-2002
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ePASSPublic Portal of
NC FAST
Improved to
support social
distancing!
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Join at this
Microsoft Teams Link
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Smoke Free Housing Campaign
https://www.smokefreehousingnc.com/residents/overview.
html#.XvFXzmhKiMq
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Continue to Promote Census 2020!
https://www.2020census.gov/ and https://ncchild.org/what-we-do/census-2020/
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Evaluation for Continuing Education HoursYou may earn continuing education hours for your professional discipline by
completing the evaluation for this activity. Your thoughtful responses provide
important information that allows the PHNICE to continue its mission of
providing quality professional development opportunities at free or reduced
cost.
You must complete the activity evaluation to receive a certificate of completion.
Everyone should save/print a completion certificate for their records.
The educational activity evaluation will be open from June 25th until December 31, 2020.
A professional development certificate will be provided to all individuals that complete the evaluation by the deadline. Please Note: This will be your only option to receive evidence of the professional development contact hours and/or CPH Recertification Credits. You will need to save this certificate.
To complete the evaluation, go to:
https://www.surveymonkey.com/r/0123H
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