Acute Care Services
Nurses in Acute Care Services may choose to care for children with a wide variety of diagnoses, including common pediatric illnesses, kidney, GI and pulmonary disorders and traumatic injuries. The department also cares for patients undergoing general, orthopedic, neurological and transplant surgery and treats patients with psychiatric disorders, including eating disorders.
Advanced Practice Services
Children's has almost 250 Advanced Practice Nurses currently practicing in a number of specialty areas. Advanced Practice Services encompasses Critical Care, Cardiology, Hematology-Oncology, Emergency Services, Endocrinology, Otolaryngology, Surgical Services and Orthopaedics.
Annually, the Advanced Practice Service team at Children's provides more than 50,000 inpatient and outpatient encounters, making the service crucial to the everyday performance of nursing at Children's.
The service has grown tremendously over the last two years, increasing its numbers by 35 percent.
In addition to their valuable roles at Children's, 40 APNs serve as adjunct faculty at local colleges and universities.
Nurses in the Emergency Department (ED) perform a variety of roles, including arrival and triage, medical care and discharge.
Children's is the Regional Tertiary Referral Center for North Texas. It is also the pediatric trauma center for the region and the first facility in the Southwest accredited by the American College of Surgeons as a Pediatric Level I Trauma Center, the highest level available. The Emergency Department is structured to preserve the continuity of service with the child's primary physician.
Nurses also work in First Care, a clinic designed for the treatment of non-emergent illnesses, such as colds and influenza. More than 40,000 patients per year are seen at First Care, thus freeing up the Emergency Department to treat the more seriously ill.
Referral Care Center
The Referral Care Center nurses and physicians manage a variety of urgent pediatric conditions. Among the most common are vomiting/diarrhea/dehydration requiring IV fluid rehydration, asthma and bronchiolitis necessitating aerosol treatments, febrile illnesses resulting in rule-out sepsis work ups, and minor injuries requiring simple laceration repair.
The Referral Care Center provides urgent care to approximately 6,000 patients per year.
Patients with high acuity or complex conditions or those requiring sedation for procedures are transferred to the main Emergency Department.
The neonatal intensive care unit has a 36-bed capacity, and nurses in the unit care for neonates with complex needs, including surgical management of patients with ENT problems, ECMO evaluations, transplant evaluations, neurology and neurosurgery issues, cardiac rhythm disturbances and cardiac repair and chemotherapy.
Nurses in the Transport Team at Children's are required to have a variety of certifications to maintain their position, including: BLS, ACLS, ACTN, PALS, NRP, STABLE and ACLS. In addition, they are required to be certified paramedics — training that is supported by the Transport Team.
The department expanded in 2008 with the addition of Children's Medical Center at Legacy in Plano, which has a dedicated Transport Team staff on site and now employs 19 RNs.
The Transport Team's main location at Love Field in Dallas includes a fixed wing aircraft, a helicopter and ground transportation capabilities.
Palliative Care nurses provide consultations to the patient, family and medical team managing the care of a patient who has a diagnosis in which he or she is expected to have a reduced life expectancy. Palliative Care nurses help manage the long-term planning, decision-making and coordination of care.
Wound, Ostomy and Continence services
Staffed by pediatric nurse practitioners who are certified in Wound, Ostomy and Continence care, the WOC nursing services at Children's play an important role across the hospital. WOC nurses care for patients at the hospital and in outpatient specialty centers, providing consultations to both patient families and community care providers.
WOCN service initiatives have included the reduction of pressure ulcers in the ICUs and prevalence studies house-wide to quantify the presence of pressure ulcers in the hospital population as a whole.
WOC services has worked with the Emergency Department and Radiology to stock appropriate ostomy products and with Parkland and the Children's neonatal ICUs to create a wound and ostomy formulary for this patient population. The group also works with Physical Therapy to provide seamless inpatient and outpatient wound care and has added specialty supplies to the hospital's formulary.
WOC nurses also serve as preceptors for new nurses and student nurses and with new surgery nurse practitioners and physician assistants to teach the specialty skills required by the surgery service.