Services
Schneider
Children's Hospital is a 154 bed tertiary care pediatric hospital that
provides the most advanced and comprehensive health care for children,
ranging from the low birth weight and high-risk neonates to the multifaceted
needs of the adolescent population in the region.
Our professional staff is proficient in their ability to relate to these
young clients. One of the most important goals in pediatric medicine
is to avoid hospitalizing children whenever possible, through excellent
outpatient health care. At SCH, emphasis is on preventive medicine,
skilled diagnosis and advanced treatment. Maintaining chronically ill
children in their own home is a primary concern.
PEDIATRIC
EMERGENCY DEPARTMENT
The Pediatric
Emergency Department of Schneider Children's Hospital/Long Island Jewish
Medical Center provides state of the art care in 10 general treatment
rooms, 2 resuscitation rooms and 4 psychiatry holding rooms. It is staffed
and equipped to care for children with the entire spectrum of medical,
surgical and traumatic emergencies from the newborn period through adolescence.
The pediatric emergency department is distinct from the adult area;
with separate waiting, treatment and resuscitations areas. The department
is equipped with up to date pediatric patient monitoring and patient
care equipment. The emergency department also includes an X-ray suite
providing services 24 hours a day, as well as accessibility to emergency
ultrasonography and CT scanning. Patients include self-referral walk-in
patients, ambulance arrivals as well as those referred by pediatricians
for acute care and/or diagnostic assistance.
The Pediatric Emergency Department of Schneider Children's Hospital/Long
Island Jewish Medical Center is staffed 24 hours/day-7 days/week by
pediatric attendings and pediatric emergency medicine nurses. The full-time
faculty physicians are all subspecialty boarded in pediatric emergency
medicine. All pediatric patients are triaged by pediatric emergency
medicine nurses and are prioritized by the severity of illness. The
treatment areas are staffed by pediatric nurses and pediatric and emergency
medicine residents.
The Pediatric Emergency Department is recognized by New York State as
a Level 1 Trauma Center.
NEONATAL
INTENSIVE CARE UNIT
The Neonatal
Intensive Care Unit (NICU) is a New York State-approved Regional Perinatal
Center with 44 beds; 26 intensive care beds, 16 intermediate care beds
and 2 continuing care beds. All high-risk newborns requiring transitional
or intensive care for prematurity or acute medical or surgical problems
are admitted. The mission is to provide outstanding compassionate care,
excellent teaching, and cutting edge research in a family-centered environment.
The Unit is also involved in national research aimed at optimizing the
long-term health and development of these newborns through the ongoing
search for new advances in treatment.
PEDIATRIC
INTENSIVE CARE UNIT
The Pediatric
Intensive Care Unit provides state of the art care in a 12-bed fully
monitored unit which cares for children from newborn to young adulthood.
Step down services are provided through 8 beds located on MED/SURG 2.
Patient care is based on the understanding of the pathophysiology of
acute, life-threatening conditions as well as the physiology of advanced
life support. Patients are admitted for care of medical, trauma and
surgical diagnoses.
More than 70 registered nurses with special training in pediatric critical
care patient management staff the PICU. Respiratory therapy is present
24 hours a day to assist in mechanical ventilation and other aspects
of respiratory care. Other specialty services such as nutrition, physical
therapy , and pharmacy are consulted based on the assessed needs of
the child. A supporting staff with clergy, a bioethicist, case manager,
child life specialist and social worker are available to assist the
patient and family in coping and decision-making during this critical
phase in their child's life. Discharge planning activities are begun
when the patient's condition begins to stabilize.
ADOLESCENT
INPATIENT UNIT
The adolescent
inpatient unit is a 18 bed facility dedicated to caring for all adolescents
admitted to the Schneider Children's Hospital. The unit was established
with the philosophy that adolescent needs are different from children's
needs and from those of adults. The unit is therefore constituted to
allow adolescents who require hospitalization appropriate independence
and decision making capabilities consistent with their developmental
status.
Daily care is provided by registered nurses, patient care associates,
nursing assistants, attending physicians, fellows in adolescent medicine,
pediatric residents, pediatric interns, case managers, child life specialists,
social workers, nutritionists, respiratory therapists, pharmacists,
etc.
INPATIENT
UNIT OF THE EATING DISORDER CENTER
The inpatient
unit of the eating disorder center provides comprehensive medical and
psychiatric treatment for children and adolescents with anorexia nervosa
and bulimia nervosa. When the patient's medical condition, eating behaviors
or emotional status necessitate intense in-hospital treatment in a highly
structured environment. Medically compromised patients are stabilized
and nutritional rehabilitation is initiated simultaneously with intensive
psychiatric care. The unit is located on the adolescent medical floor
and can accommodate up to a maximum of 10 patients.
On admission to the Unit each patient is assigned a pediatric resident,
an adolescent medicine fellow and attending, a registered nurse, a nutritionist,
and a social worker. Within 24 hours the patient is assigned a therapist.
The patient and the family receive a booklet on admission which describes
the nature of the program and also specifies the particular individuals
primarily responsible for the patients care.
MEDICAL/SURGICAL
2 UNIT
This is
a 17 bed state of the art unit providing care to primarily, Cardiology,
Cardiothoracic Surgery, General Surgery and Orthopedic Surgery patients.
Patients are followed independently by the Divisional Attending, Fellows
and Nurses Practitioners from the Services previously described. The
unit based practitioners consist of Registered Nurses, Patient Care
Associates, Nursing Assistants, Residents, Case Managers, Social Workers,
Child Life Therapists, Physical Therapists, Nutritionists, Respiratory
Therapists and Pharmacists. Care providers are assigned based on the
patients physical and psychosocial needs. Child Life Therapy is provided
for all patients either in the Unit Playroom or at the bedside as appropriate.
Nutritional support is provided for those patients receiving enteral
and parenteral nutrition as well as those requiring specialized dietary
plans.
BONE
MARROW TRANSPLANT UNIT
This is
a 4-bed advanced monitoring unit that provides care for a pediatric
population (infancy to young adults) with oncologic, hematologic and
immune disorders/diseases. The unit is staffed and equipped to provide
the most advanced bone marrow/stem cell transplantation procedures such
as unrelated donor bone marrow and cord blood, which require strict
standards and expertise. The children are treated here for the duration
of the medical regimen surrounding their transplantation. Treatment,
depending upon the diagnosis and protocols, includes chemotherapy with
or without total body irradiation regimens, combined with supportive
care for patients and their families both during and after the procedure.
Hematology/Oncology
Conditions and Diagnosis Treated include but not limited to the following:
Leukemia/Lymphoma
- AML - acute myelogenous leukemia
- ALL - acute lymphoblastic leukemia
- CML chronic myelogenous leukemia
- JMML and CMML_ Juvenile myelomonocytic and chronic myelomonocytic
leukemia
- Anemia
MEDICINE
3 UNIT
The Medicine
3 Unit is a 25-bed unit dedicated to the provision of state-of-the-art
medical care of pediatric patients through age 12 with medical and surgical
disease.
Practitioners providing care on the Unit (Patient Care Team) include:
Registered Nurses, Patient Care Associates, Nursing Assistants, Attending
Physicians, Residents, Case Managers, Social Workers, Child Life Therapists,
Physical Therapists, Nutritionists, Respiratory Therapists and Pharmacists.
Patients are provided care by Registered Nurses, Patient Care Associates
and Nursing Assistants based on patient acuity. Respiratory Therapy
by Registered and Certified Therapists is provided as needed. Rehabilitative
therapy is provided by Physical and Occupational Therapy based upon
needs. Child Life Therapy is provided for all patients either in the
Unit Playroom or at the bedside as appropriate. Social Work referrals
are made based upon patient and family needs as assessed by the practitioners
providing care on the unit.
MEDICAL/SURGICAL
4 UNIT
This is
an 18 bed state of the art unit providing care to the Hematology/Oncology
population. The goal of this service is to promote an environment of
optimal care and services for children and adolescents with cancer/hematological
disorders and their families. Occasionally older patients on NCI approved
studies or under special circumstances are also admitted.
Hematology/Oncology
Conditions and Diagnosis Treated:
Disorders
of Red Blood Cells
- Nutritional anemia
- Thalassemia
- Sickle Cell Anemia and related syndromes
- Red Cell Enzyme Deficiencies
- Auto-Immune Hemolytic Anemia
- Spherocytosis and other membrane disorders
Disorders
of White Blood Cells
- Neutropenias
- Neutrophil Function Abnormalities
Bone Marrow
Failure
- Aplastic Anemia a) acquired b) congenital
- Diamond Blackfan anemia
- Transient Erythroblastopenia of Children
- Schwachman Diamond Syndrome
- Congenital Neutropenia (Kostmann syndrome)
- Cyclic
Neutropenia
- Amegakaryocytic Thrombocytopenia
- Thrombocytopenia Absent Radii Syndrome
Disorders
of Platelets
- Immune Thrombocytopenic Purpura
- Wiskott-Aldrich Syndrome
- Platelet Function Abnormalities
Disorders
of Coagulation
- Hemophilias
- Von Willebrand Disease
- Thrombotic Disorders
Oncology
- " Leukemia/Lymphoma
- Brain tumors
- Wilms tumor
- Neuroblastoma
- Rhabdomyosarcoma
- " Germ Cell Tumor
- Osteogenicsarcoma/Ewing Sarcoma
- Hepatoblastoma
Types
of Practitioners and Assignment of Patient Care:
Patients
are followed independently by the Divisional Attending, Fellows and
Specialty Nurse Clinicians from the Services previously described. The
unit-based practitioners consist of Registered Nurses, Patient Care
Associates, Nursing Assistants, Residents, Case Managers, Social Workers,
Child Life Therapists, Physical Therapists, Nutritionists, Respiratory
Therapists and Pharmacists. Care providers are assigned based on the
patient's physical and psychosocial needs. Child Life Therapy is provided
for all patients either in the Unit Playroom or at the bedside as appropriate.
Nutritional support is provided for those patients receiving enteral
and parenteral nutrition as well as those requiring specialized dietary
plans.
Daily
Rounds are conducted by the Divisional Attending Physicians, Fellows
and residents caring for each patient. Other members of the Patient
Care Team join these rounds as appropriate. Interdisciplinary meetings
are held to review patient progress and discharge planning needs. Family
meetings are held on an as needed basis to provide education as to the
patient's progress and needs. Formal and informal bedside education
is provided to the patient and family on a continual basis by all members
of the Patient Care Team
Continuum
of Care:
Pre-Admission
services are available to patients and families through the individual
Divisional Ambulatory Service. Families are assisted with assessing
the physical and psychosocial needs of the child post discharge and
planning for same prior to admission. Patients are admitted to the inpatient
unit from the Emergency Department, Outpatient Clinic, Physician Offices,
Inter-Hospital transfers and transfers from the Pediatric Intensive
Care Unit. Admission criteria include fever, neutropenia, need for transfusions
(blood products, IVGG), chemotherapy, sepsis, and IV antibiotics, parental
nutrition.
The Case Manager coordinates homecare services both in and outpatient.
Transfers
out of the Unit occur when the patient requires close observation or
invasive procedures.
Patients
are discharged home when they are clinically stable. When applicable,
case managers coordinate referrals for home care services or rehabilitation.
Sub acute or inpatient rehabilitation arrangements are made based on
the child's discharge needs and the family's abilities to incorporate
the education required to care for complex chronic care needs.
