Pocket

Well Child

Routine Screens and Preventive Care

AAP Peds Preventive Health Guidelines Chart
Ohio Newborn Screen Info National Website: babysfirsttest.org, 
Abnormal newborn screen: ACT sheets form American College of Medical Genetics
Interpretation of Newborn Screen Hemoglobin Results Michigan
M-CHAT R Autism Screen, translations (just print relevant pages) 2, 5, 12 should be NO, all others YES
Gender Unicorn (additional languages)

Cerebral Palsy for the PCP (screening & management)


Vaccines
try .VACCINEREFUSALINFO or .VACCINEPREVENTABLEILLNESSES for info for patients

Catch Up Schedule also good for on-time
 AAP Vaccine Refusal Form
Vaccine Ingredients list from the CDC, can also be found on vaccine package
Videos of Accounts of Preventable Illnesses


At Hoxworth (as of 10/2023)

Single dose: PVC 13; Hib; Rotavirus; Hap A; Hep B; IPV; Dtap; Tdap; HPV; menactra; menveo

Multi: Pediarix- Dtap/hep b/Ipv; Kinrix- Dtap/IPV; Pro Quad- MMRV; Twinrix- Hep A and Hep B 


Lead Process

POC Lead is now in the preference list AND part of the Care Gaps SmartSet


Infant Feeding 

.breastfeedingsupport
General Resources: WIC Breastfeeding Info, Breastfeeding Guide from the Office of Women's Health, part of HHS

Community Resources:  BOOBS (Breastfeeding Outreach for Our Beautiful Sisters), Southwest Ohio Breastfeeding Coalition
Provider Education Resources: from AAP, global videos (also other women's health topics), lactation counselor training course

Formula Shortage: HHS website, AAP website, Dotphrase: .formulashortage 
LactMed database on medications and lactation
Higher calorie feeds: (see peds instructions dotphrases) Fortifying Breast Milk, Concentrating Standard Formula, Concentrating Neosure
WIC form


Childhood Nutrition

Macros Recommended by Age from Food and Nutrition Board, Institute of Medicine, National Academy of Sciences
Milk Comparison


Early Intervention

Bold Beginnings: 1 stop shop online for early childhood resources in Ohio
Ohio: Help Me Grow Online Referral
Kentucky: call/fax the specific county agency: First Steps Point of Entry List
Indiana: find the right agency: First Steps IN 


Nutrition and Fitness (try .healthworksvideos .5210)

AAP Institute for Healthy Childhood weight
HealthWorks, refer for nutrition counseling & group exercise
Fun2BFit, YMCA exercise program for teens and kids


Dentist Lists

.mpdentalchd (Nye)
Special Needs .afzndentalsn (Nye)
.DENTISTLIST

Safety: Home, Car, Online

Injury Safety Checklists for Kids, specific to ATVs, guns, daycare, bikes and other wheeled sports, water, teen driving, etc, from the Injury Free Coalition injuryfree.org 

CCHMC Injury Prevention Resources
Safety Guides, etc.     513-636-7865
Getting affordable car seats and helmets:
Safety Resource Center, in the CCHMC Family Resource Center (Main Hospital, Location A, 1st floor)
Monday – Friday 9am – 7pm 513-636-7606
check out .helmets or .carseatsandboosters

Safety Outreach Programs free safety equipment with home visit, free car seats with a class (some zip code and income limitations)
Comprehensive Children’s Injury Center 513-517-4663
Check out .babyproofing

AAP Car Seat Guidelines, Ohio Law: 
carseat until >4 y/o AND >40 lbs
booster until 8 y/o OR >4'9"
check out .carseatsandboosters

Ohio Buckles Buckeyes Program 800-755-GROW (4769)
free car seats if income eligible for WIC


Gun Safety

Make sure 1) firearm is unloaded 2) firearm is locked up 3) ammunition locked up in a separate place
.gunsafety
Project Child Safe
Ohio sheriffs offices reportedly supply free gun locks to help make guns safer at home, can call to confirm


If you counsel any of your patients about firearm safety during a well child check (or other visit) you can now use the dot phrase .FIREARMSAFETYCOUNSELING in your A&P!


Online Safety/Social Media

.socialmediaguidance

Common Sense has great guides and info:
Digital Citizenship Curriculum lessons by grade level
Best Apps List can be sorted by age
Setting up a Child's iPhone

Facebook's Guides surprisingly good, advice may apply beyond facebook, i.e. think before you post guide, partner organization links at the end

Social Media Apps Guide for parents to learn about them from Family Online Safety Institute (somewhat limited but useful)

Parental Controls Guide for Parents, Cyberbullying Guide for Parents, from Connect Safely silicon valley non-profit with useful guides including

Cyber Civil Rights Initiative support if intimate images are shared against person's will (i.e. revenge porn), including removal guides, and a 24/7 hotline: 844-878-CCRI (2274)

Common Pediatric Medical Problems

ADHD

Vanderbilt Forms
Preschool Treatment: Guidelines, Dosing
Evidence Based Treatment form Ohio Minds Matters, see page 2
CCHMC ADHD Parenting Classes Information and Schedule

Asthma

Asthma Severity Criteria
Asthma Treatment Steps (GINA & NIH charts)
Inhaler Intensity Chart (GINA & NIH charts)
Inhaler Chart, inhalers4u.org, Medicaid Preferred Inhalers (Tri-state)
Asthma Triggers Handout, EPA triggers booklet for kids

Childhood Cancer Survivors

Screening guidelines from Children's Oncology Group

Acne

Acne Treatment - American Academy of Dermatology

Allergies

.epipen or .anaphylaxisinstructions for visual instructions on when to use the epi pen

MSK

orthokids.org Pediatric Orthopedic Society of North America good disease specific info and sport specific info on injury prevention 

Hypertension

AAP Guidelines 2017: Flynn, Et al.
Stages, Evaluation and management by stage, Medication Doses and Ages, Recommended Workup

-recheck manually in the RIGHT arm twice and average for a final BP
-measure in 2 arms and a leg
-for 13+ y/o: use adult cutoffs

For elevated BP, 90-95th percentile (120-130/70-80)
-follow up at 6 months, then 6 months later do workup

For stage 1 HTN, >95 percentile, but less than 12mmHg above that (130-140/80-90)
 -follow up  in 1-2 weeks, then 3 months later start treatment, do workup

For stage 2 HTN, >95th percentile +12 mmHg (>140/90)
 -follow up in 1 week to start treatment and do workup

Mental Health, Parenting

Some of the adult information may apply here as well

Guide for Parents about getting good care well written and thoughtful

Suicide Prevention: Overall Pathway dotphrase coming

Crisis text number: Text HOME to 741741 to connect with a volunteer Crisis Counselor

Psychiatric Intake Response Center (PIRC) At CCHMC
(513) 636-4124

Best Point for intensive outpatient counseling, psychiatry

MindPeace: School Based Counseling most efficient way to get a child counseling, good toolkits too

Grief counseling for children www.fernside.org

Apps for Mental Health from Common Sense

DocAssist, psychiatric medication charts for children adolescents, perinatal care

Vanderbilt Forms (ADHD)

CCHMC ADHD Parenting Classes Information and Schedule

Evidence Based Interventions for Pediatric Mental Health from Ohio Minds Matters

The Resilience Project integrated services for people with developmental disabilities that have a mental health problem and trauma, referrals go through the board of developmental disabilities


Parenting

Just In Time Parenting Good anticipatory guidance newsletter by email

1-2-3 Magic, Easy to learn discipline strategy, 12p summary pdf

Sesame Workshop great family resources about tough topics, including race, trauma, grief, etc.

ACT program tip sheets (Spanish available) from the APA, program goal is violence prevention through parenting

Central Clinic Young Child Institute Parenting Classes no referral required 513.751.3133, Ext. 7 

Beach Acres, one-to-one parenting coaching, useful for + ACE screen, 513-231-6630

Vroom, free app with tips for parents to help early brain development, also printable tip sheets

Serve and Return Handout, how to encourage early brain development in everyday situations 

Common Forms