March 2016
Monthly Newsletter

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Pediatric Healthcare Heroes

Do you know someone that goes above and beyond for children or has done something extraordinary for a child?  If so, please nominate that pediatric healthcare hero!  iEMSC will be taking nominations all year long for the amazing work that happens on behalf of children all over the State of Indiana. Please make your nomination today!  All nominations will be considered for the 2016 Healthcare Heroes Awards breakfast.  You can nominate your healthcare hero by completing this nomination form and then emailing it to Courtney VanJelgerhuis at


This section or our newsletter is focused on highlighting information from the Pediatric Readiness Survey that our emergency departments participated in during 2014.  Results for Indiana, as well as nationally, demonstrate that there is a real need for us to improve our readiness to care for children.  The EMSC National Resource Center has created a Pediatric Readiness Toolkit to assist emergency departments with this process (download this toolkit by clicking on the checklist above).  

Quality Improvement: Rapid Cycle Improvement

Rapid Cycle Improvement ("RCI") is a quality improvement principal that is designed to implement change in a short amount of time.  RCI allows changes to be identified, implemented and tested within a 3 month period instead of a longer 12 month period which is typical in standard quality improvement cycle.

When using RCI you should ask 3 questions:
1) What do we want to accomplish?
2) What changes can we make to result in an improvement?
3) How will we know an improvement has been made?

One of the common tools for rapid cycle improvement is the Deming (Shewhart) Cycle.  The steps for this cycle are:
  • Do - test the change in a small area, collect the data for evaluation
  • Study - Analyze your data and results on your small area test. During this phase, evaluators should ask themselves the following questions:
  • Act - based upon the results of everything you learned in the study portion of the cycle the act phases allows you to either adapt the change to try to develop a successful improvement; adopt the change on a larger scale because your results were successful; or abandon the change and begin the cycle over again with a new plan.
Information provided by:



Unfortunately as technology improves our lives and allows us to connect at any time day or night, it also provides opportunities for bullies to find new ways to hurt their peers.  Cyberbullying is using technology such as a cell phone, computer, or even social media sites to attack a child.  This type of bullying is easier to take place without anyone else being aware because it can happy anytime day or night, can happen anonymously, can take place more frequently and is often hard to get removed once something is posted about the child. (

A study conducted in 2013 by the National Center for Education Statistics showed that "... approximately 7 percent of students ages 12-18 reported being cyber-bullied anywhere during the school year.   About 3 percent of students reported that another student had posted hurtful information about them on the Internet, and 3 percent reported being the subject of harassing text messages. Some 2 percent reported being the subject of harassing instant messages and 1 percent each reported having their private information purposely shared on the Internet, being the subject of harassing e-mails, being harassed while gaming, and being excluded online." (  This study also showed that students were 16% less likely to report an incident of cyberbulling vs. an incident of being bullied at school.  

So what can we do as educators, clinicians, and parents to help identify these instances of cyberbullying and provide our children with the right tools to counteract this negative attention?

Please review these tips from

Look for the signs
Children who are being cyberbullied can exhibit the following signs:
  • Use alcohol and drugs
  • Skip school
  • Experience in-person bullying
  • Be unwilling to attend school
  • Receive poor grades
  • Have lower self-esteem
  • Have more health problems
  • Know what your kids are doing online
    • Know the sites your kids visit and their online activities. Ask where they're going, what they're doing, and who they're doing it with.
    • Tell your kids that as a responsible parent you may review their online communications if you think there is reason for concern. Installing parental control filtering software or monitoring programs are one option for monitoring your child's online behavior, but do not rely solely on these tools.
    • Have a sense of what they do online and in texts. Learn about the sites they like. Try out the devices they use.
    • Ask for their passwords, but tell them you'll only use them in case of emergency.
    • Ask to "friend" or "follow" your kids on social media sites or ask another trusted adult to do so.
    • Encourage your kids to tell you immediately if they, or someone they know, is being cyberbullied. Explain that you will not take away their computers or cell phones if they confide in you about a problem they are having.
  • Set rules:
    • about sites they can visit
    • about things they can post
    • about site security (make sure they social media sites are not public)
    • about passwords (keep them confidential from friends)
  • Immediately take the following steps:
    • Don't respond to and don't forward cyberbullying messages.
    • Keep evidence of cyberbullying. Record the dates, times, and descriptions of instances when cyberbullying has occurred. Save and print screenshots, emails, and text messages. Use this evidence to report cyberbullying to web and cell phone service providers.
    • Block the person who is cyberbullying.
    • Report the cyberbullying to any social media service providers
    • Report cyberbullying to law enforcement if any of the following occur:
      • Threats of violence
      • Child Pornography or sexually explicit messages or photos
      • Video or photos of your child 
      • Stalking or hate crimes
    • Report the cyberbullying to the school
Please visit for more resources and information.  


Upcoming Courses:
  • Indiana School Nurse Emergency Care Course
    Indiana EMSC and the Indiana Department of Education are pleased to announce the Indiana School Nurse Emergency Care course. This course is a hybrid course with an online portion to be completed prior to attending a one-day in-person training that will take place in the summer of 2016.  
    Online training modules include topics such as:
    • The School Nurse Role in Emergency Care
    • Legal Issues in Nursing
    • Assessment and Triage
    • Medical Emergencies
    • Abdominal and Genitourinary Emergencies
    • EENT and Dental Emergencies
    • Emergencies Involving Mental or Behavioral Health
    • School Emergency Response and Crisis Management
    To register for this course, please click here
  • Training: ASIST Training - April 16, 2016
    During the two-day interactive session, participants learn to intervene and help prevent the immediate risk of suicide. Over 1,000,000 people world-wide have taken this workshop, and studies have proven that the ASIST method helps reduce suicidal feelings for those at risk. Anyone age 16 or older, regardless of prior experience or training, can become an ASIST-trained caregiver.  Workshop features:
  • Presentations and guidance from two LivingWorks registered trainers
  • A scientifically proven intervention model
  • A balance of challenge and safety
  • Skills practice and development
  • Group discussions
  • National Child Passenger Safety Certification. Child car seats reduce the risk of injury by 71% yet 73% of child restraints are used incorrectly and one-third of children are not using any type of restraint whatsoever. One way to help ensure that car restraints are being used correctly is to become a certified child passenger safety technician (CPST) through Safe Kids Worldwide ( ). This is a four day course with three quizzes, three skills assessments and one car seat clinic. It is open to anyone who would like to become a technician. With the fee of $85 to sign up for the class, you are provided with a workbook that is essential to learning how to become a technician. Getting certified may be time-intensive but it is worth it when provided families the education they need to protect their child's future.    
  • Free Pediatric Online Training
  • FREE TRAINING - The Center for Global Health at the Colorado School of Public Health Online Pediatrics in Disasters Course
    Although a quarter of the world's population is under the age of five, 50 percent of the victims of man-made and natural disasters are children. Children are vulnerable in disasters for physiological, psychological and developmental reasons. Too often medical staff are ill-prepared for pediatric triage and emergency stabilization in terms of knowledge and experience, as well as equipment and supplies. The Pediatrics in Disaster training program trains health care providers to prioritize life-saving care for children in disasters. Because of the vulnerability of children and adolescents, pediatricians and other health professionals must ensure that local, regional and national disaster preparedness planning meets the specific needs of children and adolescents.  Click here to register
Contact Information:

Program Director:
Elizabeth Weinstein, M.D.

Program Manager:
Courtney VanJelgerhuis

3930 Georgetown Rd., Indianapolis, IN 46254
(317) 630-7888