Pediatric Telephone Protocols: Office Version / Edition 9

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Intended for use during office hours, this reference provides 100 protocols for the telephone triage of common pediatric symptoms. Each protocol lists the questions to ask callers when evaluating the urgency of their problem, shows how to differentiate cases requiring emergency intervention from those better addressed through an office visit or home care, and recommends first aid instructions for parents. The plastic spiral binding allows the book to lie flat. Annotation ©2005 Book News, Inc., Portland, OR

The book contains no figures.

Written by Barton D. Schmitt, M.D.

This extraordinary, one-of-a-kind resource offers vital guidelines to assist medical professionals taking telephone inquiries from patients. Reviewed by more than 200 pediatricians and other professionals, the binder contains 107 protocols for common pediatric telephone inquiries. Protocols make it easier for staff members to determine quickly and correctly whether a person should be seen immediately or by appointment, or whether that person can be safely treated at home.

-Reduce risk of delayed diagnosis, complications, and medical liability

-Prevent unnecessary referrals to emergency departments

-Replace unnecessary visits with mainstream, detailed telephone advice

-Better manage daytime sick-child calls

Appendixes include a User's Guide, Quality Improvement Checklist, Telephone log Sheet, and Medication OTC Questions.

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Editorial Reviews

From The Critics
Reviewer: Jadranka Popovic, MD (Children's Mercy Hospital)
Description: This is the ninth edition of a book of guidelines for pediatric offices in triaging the phone calls from parents and other caretakers.
Purpose: The book was written to assist pediatric offices in triaging phone calls for common pediatric problems and complaints during regular office hours. The major objective is to provide concise and clear guidelines in assisting with pediatric telephone triage in a busy private or hospital-based pediatric office setting.
Audience: According to the author, this book is most suitable for use by general pediatricians, pediatric nurse practitioners, or pediatric physician assistants covering the telephone triage calls. This book most likely will be a helpful tool in busy offices of family practitioners. The author notes that nurses should receive special training before using the protocols provided in the book and points out that it is not aimed at non-health professionals. The author is the medical director of the after-hours call center in a large children's hospital.
Features: This book contains 107 protocols and covers almost all of the chief complaints in the pediatric population. Protocols are arranged alphabetically. Each protocol is easy to read and clear in content. It starts with the symptom definition and potential causes for the problem; then covers triage assessment questions and separates the problems that need to be addressed immediately from those that can be addressed in time. Each protocol provides the recommendations for home care and refers to additional chapters in case more in-depth evaluation of a problem or a complaint is indicated. There are no tables or graphics, but each protocol is followed by a list of references for additional review. The appendix provides a user's guide for the person doing telephone triage and answers for nonprescription medication questions. Some of the most commonly used nonprescription medications are listed in table format.
Assessment: "The writing of this book is first class, clear and to the point. The materials are presented in an easily readable and searchable format which will be appreciated by busy practitioners in private or hospital-based pediatric office settings. The author's effort has provided the pediatric community with a worthwhile contribution to the field. "
Glen Tamura
This book provides practical protocols dealing with a number of the most common pediatric problems, focusing on appropriate triage and home care. It has been revised on a yearly basis. Nurses and other healthcare professionals often need practical advice on how to deal with common clinical scenarios. This book provides protocols which prompt the user to ask specific questions and then gives specific dispositions as well as home care advice. These protocols meet the goals of the book admirably. The practical advice given is extremely useful to office nurses, practicing physicians, and physicians in training. The protocols require clinical judgment on the part of the user and it would not be appropriate to allow an inexperienced practitioner who has not developed clinical judgment to use this book to make triage decisions. The protocols cover a broad range of issues commonly presented to primary pediatric care practitioners. The topics included would cover the vast majority of telephone calls to pediatric offices. Both the triage protocols and home care advice are very practical. No other book in the field provides similar practical advice. I would recommend it highly for the bookshelf of all primary care pediatric offices. The author is a well-known expert on pediatric telephone triage and advice protocols.

3 Stars from Doody
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Product Details

  • ISBN-13: 9781581100822
  • Publisher: American Academy of Pediatrics
  • Publication date: 2/1/2002
  • Edition description: Older Edition
  • Edition number: 9
  • Pages: 500
  • Product dimensions: 10.90 (w) x 11.50 (h) x 2.30 (d)

Table of Contents

Alphabetical Listing

Abdominal Pain
Anaphylaxis (Severe Allergic Reaction)
Asthma Attack
Athlete's Foot
Back Pain
Bee or Yellow Jacket Sting
Bite, Animal or Human
Bottle—(Formula) Feeding Questions
Breastfeeding Questions
Breath-Holding Spell
Breathing Difficulty, Severe (Respiratory Distress)
Chest Pain
Choking (Inhaled Foreign Body)
Cold Symptoms: Protocol Selection
Confusion (Delirium)
Crying Baby <3 Months Old (Includes Colic)
Crying Child >3 Months Old (Irritability, Fussiness)
Diaper Rash
—Earache (Ear Pain)
—Foreign Body in
—Pulling at or Itchy
—Swimmer's (Otitis Externa)
—Chemical in
—Foreign Body in
—Red (Without Pus) (Viral Conjunctivitis)
—With Pus (Bacterial Conjunctivitis)
Failure to Improve on Antibiotics
Fifth Disease (Erythema Infectiosum)
Fluid Intake, Decreased (Dehydration)
Frostbite and Cold Injuries
Hand-Foot-and-Mouth Disease
Hay Fever (Allergic Rhinitis)
Head Trauma
Heat Injuries
Hives (Urticaria)
Immunization Reactions
Impetigo (Infected Sores)
Infection Exposure (Contagious Periods and Incubation Periods)
Insect Bites
Jaundiced Newborn
Lice (Pediculosis)
Limb Pain
Lymph Nodes, Swollen
Menstrual Cramps
Mouth Ulcers (Canker Sores)
Neck Pain or Stiffness
Newborn Appearane: Questions
NewbornRashes and Birthmarks
Nose, Foreign Body in
Poison Ivy, Oak, or Sumac
Poisoning (Ingestion)
Puncture Wound
Rashes, Localized and Cause Unknown
Rashes, Widespread and Cause Unknown
Rashes, Widespread While on Drugs
Respiratory Distress
Scarlet Fever
Scrotum or Groin Swelling/Pain
Seizure With Fever (Febrile Seizure)
Seizure Without Fever (Afebrile Seizure)
Sinus Pain or Congestion
Sliver or Splinter
Sore Throat (Pharyngitis)
Spells: Protocol Selection
Spider Bite
Spitting Up (Reflux)
Stools (Blood in)
Strep Exposure (Strep Contacts)
Suture Questions
Swallowed (Ingested) Foreign Body
Tear Duct, Blocked
Tick Bite
—Bone, Ligament, and Muscle
—Finger and Toe
—Skin (Bruises, Cuts, Scrapes)
—Sprains and Strains
Umbilical Cord Symptoms
Urination, Pain With (Dysuria)
Vaginal Itching or Irritation
Wound Infection

User's Guide for the Telephone Triager
Quality Assurance Checklist
Nonprescription (OTC) Medication Questions
OTC Medication Dosage Tables
Prescription Medication Questions
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