Children's Medical Office of North Andover, P.C.

Summer Safety Tips

- by Jacky Psoinos, RN, CPNP

A Few Reminders :

Walk-in Sick Visit Hours
7a - 7:45a
  Monday - Friday
No appointment needed!

CALL EARLY or book directly through MyChart 
(for same day sick visit appointment)


We are available
24 hours/day
7 days/week at

Quick Links
Summer schedules are filling up fast,
Summer Reading Programs!
CMO encourages you to visit your local library and enjoy all it has to offer!
July 4 
Holiday  Hours
Our office will be open regular business hours
 JULY 3, 2019
7am-5pm FRIDAY
JULY 5, 2019
Please call early for a same day appointment or book directly through MyChart

Our office will be 
closed  in observance
 July 4, 2019. 
As always, our providers remain available 
24 hours a day, 
7 days a week, 
365 days a year. 
CALL US FIRST For urgent clinical questions at 978.975.3355. 
If medically necessary, a provider will meet you at our office.

We also encourage you to use our  Acute Illness Guide
to help determine the urgency in which your child needs to be seen.

CMO wishes you and your family a safe and happy holiday weekend

Sun Safety

  • Stay in the shade when possible, limit sun exposure during the peak hours of 10a-4p
  • The 1st line of defense against UV rays is covering up, wear a hat with a brim, sunglasses & light cotton clothing
  • Apply sunscreen of SPF 15 or greater (PABA free) on both sunny & cloudy days - reapply every 2 hours, or after swimming or sweating

Babies under 6 months:

  • Avoid sun exposure, dress infant in lightweight long pants, long-sleeved shirts & brimmed hats that shade the neck
  • A minimal amount of sunscreen (SPF 15) can be applied to open areas

Heat Stress

  • The intensity of activities that last 15 minutes or more should be reduced whenever high heat and humidity reach critical levels
  • Practices and games played in heat should be shortened & more frequent water breaks should be given
  • Clothing should be light-weight & limited to one layer of absorbent material
  • Children should seek cooler environments or shade when feeling excessively hot or fatigued.
  • Before physical activity, kids should be well-hydrated & not feel thirsty.  Children should hydrate every 20minutes during activity.  For the 1st hour of exercise, water alone can be used, afterwards should be a carbohydrate-electrolyte drink  


Pool Safety

  • Never leave children alone in or near the pool or spa, even for a moment.
  • To avoid serious head & spinal injuries do not allow 'rough-housing' or diving around pool
  • Install a fence at least 4ft high around all sides of the pool, make sure pool gates self-close & self-latch at a height children can not reach
  • Avoid inflatable swimming aids such as 'floaties.' They are not a suitable replacement for approved, well fitted life vests & can give a false sense of assurance to children and parents
  • Pool covers should not be free floating & should be completely removed when people are swimming
  • Pools should be compliant with the Pool & Spa Safety Act, which includes need for anti-entrapment drain covers.  Visit for more information
  • Whenever an infant or toddler is in or around water, an adult, who knows how to swim & can perform CPR, should by within arm's length, providing 'touch supervision.'

Open Water Safety

  • Never swim alone, enforce the 'buddy system' for older children
  • "Touch supervision' for younger children
  • A lifeguard should always be on duty for swimming
  • Never let your child swim in canals or fast moving water

Boat Safety

  • Children should wear approved life jackets at all times, jackets should fit properly with all straps belted
  • Adults should wear life jackets too, for their own protection & to set a good example.
  • Adolescents & adults should be reminded of the dangers of operating a boat while under the influence of alcohol, drugs & even some prescription drugs

Children from 1 to 4 may be at lower risk of drowning if they have formal swimming lessons, however knowing how to swim should not be a substitute for supervision.  

Protecting your head

  • Don't forget helmets for bicycles, skateboards, roller blades & scooters
  • Check helmets every year for condition & fit.
  • Knee & elbow pads & wrist guards are important too  
Bugs, Bugs, Bugs! ~ By Dr. Winterkorn


It's that time of year again... warm weather, baseball games, late nights on the back porch, cookouts, hikes in the woods, and bugs.


The most common pesty bugs in Massachusetts and New Hampshire are mosquitos and ticks. Mosquitoes can carry several viruses that cause encephalitis (brain inflammation), and ticks can carry lyme, borrelia, anaplasmosis, and other similar diseases. Remember to check for ticks every day, it's the tick you don't see that causes infection. As long as you get the tick off within 72 hours, the risk of disease is very low.


You can't stay indoors all summer, so what can you do to keep the bugs at bay?


To DEET or not to DEET ...

DEET is the chemical N,N-Diethyl-meta-toluamide. It is the most common active ingredient in insect repellants, and will provide protection against mosquito bites,tick bites, flea bites, chiggers, and many other biting insects. Of all the available chemical insect repellents, it is the only one that has really been proven to work. We (and the AAP) strongly recommend the use of DEET for insect protection. 25% DEET is recommended for best protection from both mosquitoes AND ticks (do not use above 30% in children)..


DEET should be applied only once per day to clothing or exposed skin. Try to limit direct contact with the hands, eyes, mouth, and large surface areas of skin. All insect repellants are best applied outdoors to avoid inhaling the spray. Never use combination sunscreen and bugspray! Once you come back indoors, wash any exposed skin with soap and water.


If you really don't want to use DEET, a compound called Picaridin is available in some insect repellants as well. Picaridin has been shown to be as effective as DEET for several species of mosquito but there is limited data on its effectiveness against ticks, and so far does not seem to be as effective. If you choose Picaridin, you want the highest concentration available.


Other insect repellants like Skin-so-soft, Citronella candles, wrist bands, and other botanical oils have not been shown to greatly decrease the number of bites and ticks.


What should you wear?

In the evening and when hiking, try to wear light-colored long pants and socks. Ticks can't jump but they climb and then hang on. When your shoes or legs brush against the grass, they cling to your leg. Tucking your pants into your socks will help prevent ticks from biting.


How do you protect your back yard?

- Keep your lawn cut short: deer, mice, and other rodents who carry ticks prefer long grasses.

- Consider hiring a pesticide company to spray your lawn if you have a large amount of play space near the woods

- Limit pools of standing water near the house (bird baths, ponds), and if you do have standing water, either stir up the water a couple times a week (this prevents mosquito eggs from hatching), or use mosquito dunks to prevent eggs from hatching.

- Move wood piles and bird feeders further away from the house - these are attractive playgrounds to those pesky rodents.

Now, go outside and play!

Have a Safe & Healthy Summer!

~ Children's Medical Office providers & staff ~   

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