September 9, 2015

91015stresstostrength640While most five year olds are gradually building their independence – learning how to feed, dress and groom themselves – Hector Garces depends on his parents to do a lot of these things for him.

“Our son wears diapers and cannot talk so he uses nonverbal cues to communicate with us,” said Hector Garces. “He can still walk, but the hardest part is realizing that our son’s illness will get worse.”

Hector suffers from a rare, genetic and incurable disorder called Sanfilippo Syndrome Type A. Children with this disease are missing an essential enzyme that breaks down a complex sugar called heparin sulfate. When this sugar accumulates in the brain, it can cause progressive brain damage, learning disabilities and behavioral problems. Many children with this syndrome lose their ability to walk, talk, eat and even breathe.

While every parent endures stress, studies show parents of children with developmental disabilities experience depression and anxiety more often. For the Garces’ family, they’ve learned how to cope with these emotional challenges thanks to a new support program offered at Texas Children’s Hospital.

Dubbed “From Stress to Strength,” this empowering program provides a much-needed support network for caregivers and equips them with life skills on how to emotionally care for themselves while being excellent caregivers to their children.

“Parents learn how to use their character strengths to reduce stress and practice exercises to incorporate gratitude, forgiveness and optimism in their daily role as caregivers,” said Texas Children’s geneticist Dr. Christian Schaaf, an assistant professor of molecular and human genetics at Baylor College of Medicine and a researcher at the Jan and Dan Duncan Neurological Research Institute at Texas Children’s.

Schaaf and his Baylor and Texas Children’s colleagues – Dr. John Belmont, Madelyn Gillentine and Susan Fernbach – modeled this program after a Vanderbilt University curriculum course called Positive Adult Development. The program consists of two, 4-hour workshops and is split into one-hour blocks, with each block focusing on a different coping mechanism such as how to “accept and let it go,” “recognize what is important in the moment,” and “be mindful of what is and what is not in my control.”

“Our plan is for these workshops to become family-driven,” said Susan Fernbach, director of genetic outreach at Texas Children’s, “and that parent leaders will serve as facilitators for some of the sessions where they share their experiences and explain how they handled particularly challenging situations.”

Since the program’s launch in April, the Garces family has learned how to channel their anxiety into positive action, while not wasting energy on things that they cannot control.

“A powerful aspect of the program was realizing the power of forgiveness,” Garces said. “The program helped me pause and think about our son’s situation from a different mindset. After meeting with other families, it was a great feeling to know that we are not alone.”

Schaaf says programs like “From Stress to Strength” can be enormously helpful to families transitioning from feeling overwhelmed and alone to embracing their child’s and family’s strengths.

“I am proud to be part of this team spearheading a support system for these parents here in Houston, and my hope is that similar programs will begin to pop up around the country,” Schaaf said.

For more information and to sign up for the next “From Stress to Strength” program, contact Susan at Ext. 2-4182.

72915Drdavidroth175Urology services at Texas Children’s Hospital West Campus have been extended to meet the needs of patients in Houston and its surrounding area.

Beginning in July, the Texas Children’s Urology Department started holding clinics from 4 p.m. to 8 p.m. on the second Monday of the month and from 8 a.m. to noon on the fourth Saturday of the month. An advanced practice provider, registered nurse, medical assistant and ambulatory service representative help patients with pediatric urological needs. As always, a faculty urologist is available at all times if needed.

“We would like to expand this project if it proves to meet the needs of our patients,” said Dr. David Roth, chief of urology. “Our goal is to make it as easy as possible for children to get the urologic care they need by offering alternatives to the traditional Monday through Friday 8 a.m. to 5 p.m. hours.”

West Campus President Chanda Cashen Chacón said she appreciates Roth’s initiative and support of the expansion.

“This is a great option for our patients and their families,” she said.

Roth is chief of urology at Texas Children’s. His team members offer the most advanced surgical care for routine urological needs as well as genitourinary problems related to congenital birth defects, kidney stones, undescended testes, inguinal hernias and a range of other medical conditions.

They have special expertise in minimally invasive, laparoscopic surgical techniques, including extremely delicate procedures in newborns and infants, anorectal malformations, urological conditions caused by neurological problems, such as spina bifida, and management of stone disease.

91015drhairaward640Dr. Amy Hair, a neonatologist and director of neonatal nutrition at Texas Children’s, recently received the Baylor College of Medicine’s 2015 Clinical Faculty of the Year Award for demonstrating “exemplary performance of activities that are above and beyond the scope of assigned responsibilities.”

Baylor colleagues nominated Hair for this prestigious award. In addition to exemplifying strong leadership and mentoring skills in her field, Hair was recognized for her ability to encourage teamwork and foster a culture of respect, integrity and excellence in patient care.

Fulfilling her clinical duties in the neonatal intensive care unit (NICU) – like providing superior care to her patients, leading weekly rounds with the NICU intestinal rehabilitation team and collaborating with dietitians to meet the nutritional needs of premature infants – Hair also devotes much of her time to advancing neonatal nutrition research to improve patient outcomes in the NICU.

A groundbreaking study led by Hair and published in the Journal of Pediatrics found that adding a human milk-based cream to the exclusive human milk diets of premature infants significantly improved their growth outcomes in the NICU. As a result of Hair’s findings, Texas Children’s is the first hospital in the world to add human milk-based cream to the diets of premature babies weighing less than 3.3 pounds.

Besides publishing her research studies in numerous premier scientific journals, Hair continually demonstrates her commitment to her tiniest patients by delivering presentations at pediatric research conferences worldwide promoting the health benefits of exclusive human milk feeding, which has significantly reduced the rate of necrotizing enterocolitis (NEC) in our NICU by 77 percent. Potentially life-threatening, NEC is a neonatal condition that causes intestinal inflammation.

An active member of several professional organizations – Academy of Pediatrics, Texas Pediatric Society, Texas Medical Association and Harris County Medical Society – Hair also serves as a scientific advisor to the NEC Society, a non-profit organization where she helps promote community awareness about the life-saving benefits of human milk, while encouraging more mothers to donate their breast milk to protect babies from NEC.

“I am extremely humbled to receive this award,” said Hair, who added that being nominated by her peers is an honor that is extremely validating. “Receiving feedback from my colleagues is one of the best forms of positive reinforcement. It demonstrates the work that I am doing has a profound impact on everyone, including the patients and families I serve. I love my job and I am fortunate to work with an excellent multidisciplinary team in the Newborn Center at Texas Children’s.”

September 2, 2015

9315SIUinside640Texas Children’s veteran nurse Sondra Morris recently was chosen to lead the Special Response Team’s nursing unit.

Nurses will make up a significant portion of the specially-trained portion of the team, which will be called to action if the soon-to-be-complete Special Isolation Unit at Texas Children’s Hospital West Campus is activated. The eight-bed unit is designed for children with highly contagious infectious diseases. Similar to the four other biocontainment units in the country, the one at Texas Children’s will be one of the only in the United States designated just for children.

“Sondra is the best person for this job for many reasons, one of the main ones being she has led nursing teams in the Intensive Care Unit and the Emergency Center,” said Shannon McCord, director of patient services at West Campus. “She has skill and expertise in working with the unexpected.”

Morris joined Texas Children’s 20 years ago as a graduate nurse in the pediatric intensive care unit (PICU). During her time with the PICU, Morris worked as a transport nurse and later became a nurse manger.

As the Kangaroo Crew was becoming its own department, Morris transitioned to the nurse manager for that team. She spent five years there and completed her Master’s of Science in Nursing Management before moving to the Emergency Center as the assistant clinical director.

Last year when Morris learned about the creation of the Special Isolation Unit, she said she applied for the nursing leader position because she thought “it would be a unique, challenging and innovative unit that would be full of new opportunities, one of which would be building a unique nursing team that will take care of highly infectious patients, such as those with Ebola, MERS or other highly infectious pathogens.”

To date, at least 40 nurses across the Texas Children’s system have volunteered to be part of the nursing unit on the Special Response Team. The unit will work with a group of physicians, medical technologists and environmental service technicians if the Special Isolation Unit is activated.

There will be three to six nurses assigned to a patient based on the acuity of the case. Some nurses will be by the bedside while others will be observing, documenting and helping other team members donn and doff personal protective equipment.

Recruitment of all positions is ongoing. To learn more about joining the Special Response Team, click here.

“I already am impressed by the team’s dedication and passion for learning and for their willingness to care for this vulnerable patient population,” Morris said. “While I hope to rarely activate the SIU team, I am confident these patients will be in the best place to receive the best care possible.”

The decision to build a special isolation unit came last year after an unprecedented Ebola outbreak, resulting in the realization that we must be prepared to handle emerging infections as an institution. This new unit, which is scheduled to open in October, will incorporate all of the latest scientific and technological approaches to biocontainment, including negative air pressure, laminar air flow, high-efficiency particulate air (HEPA) filtration, separate ventilation, anterooms, biosafety cabinets, a point-of-care laboratory, special security access, autoclaves and incinerators. There will be two levels of protection from airborne particles, as well as a comprehensive waste management plan, among other safety features.

It will be fully equipped to care for any infant or child with a serious communicable disease, with all of the measures available to assure safety of the health care team, other patients and their families. A point-of-care biosafety level 3 laboratory will enable the care team to monitor the progress of patients and perform rapid detection methods to identify unusual pathogens. Housed at Texas Children’s Hospital West Campus, the unit is anticipated to have capacity for eight patients, all in private rooms.

This specialized unit will be led by Dr. Gordon Schutze, who will serve as medical director, as well as Dr. Judith Campbell and Dr. Amy Arrington, who will be the unit’s associate medical directors. The Special Response Team will staff the unit and will be trained in infection control, hospital epidemiology and management of infectious diseases in the critical care setting. The staff will maintain their certification through participation in ongoing educational activities.

When the Special Isolation Unit isn’t activated, it will be used as a new acute care unit for West Campus. Morris is assistant clinical director of 5 West when the Special Isolation Unit isn’t being used.

The Employee Health and Wellness Team recently facilitated the 21-day H20 challenge to 4,935 employees, making it the largest organization-wide wellness challenge in Texas Children’s history.

Employees were asked to drink 64 ounces of water a day from July 20 – August 9. To provide encouragement, the Employee Health and Wellness Team provided participants with a water tracker, weekly educational and motivational emails, water discounts at various onsite cafeterias and a pre- and post-challenge survey.

The survey showed an increase from 9 percent to 35 percent of challenge participants who reported drinking 64 ounces of water per day and a decrease from 22 percent to 5 percent of challenge participants who reported drinking only 0-16 ounces of water per day.

Participant testimonials include:

  • “The challenge actually made it fun to drink water. In the Emergency Room we encouraged each other and even cheered each other when drinking water. It was just fun!”
  • “Leaders supported us in enrolling. That was nice. It showed they care!”
  • “The fun facts were motivational! Drinking water is something I knew I needed to do, but having support at work made it a reality.”
  • “The challenge caused our team morale to go way up!”

All participants who completed the post program survey will be given a 21-day H20 challenge water bottle. Bottles will be distributed September 2-9. Click here for more details.

Thirsty for more?

Texas Children’s videographer, Wally Crow, chronicled each week of his 21-day H20 challenge journey. Click the following links to review: Week 1, Week 2, and Week 3.

Thank you all for amplifying unity around this challenge! You can continue to rock the ripple effect by staying hydrated and encouraging your co-workers to do the same.

9315patientsafety640On the morning August 27, a Texas Children’s Pavilion for Women employee was struck by a car driving on Main Street. The individual was taken by ambulance to a nearby hospital. The individual is recovering and expected to be okay. The driver in this incident is cooperating with police.

As always, the safety of employees, patient families and visitors is a top priority at Texas Children’s Hospital. Hospital leadership immediately took action to improve pedestrian safety at this intersection.

Starting Friday, August 28, off-duty officers will be present at the intersection of Southgate Boulevard outside of the Pavilion to assist in traffic control. These officers will be monitoring the area to help the organization as we determine the best course of action, increasing safety for both pedestrians and drivers. These officers will be present during peak traffic times in the morning and evening.

“With so many people driving in this congested area of the medical center, it is extremely important that we do our part to keep our employees and patient families safe,” said Laura Reynolds, director of Facilities Operations. “We are doing our part to increase safety and we hope our employees will practice extra caution as they drive or walk around campus.”

Employees are asked to cooperate with these traffic control officers and pay extra attention when driving around the medical center where patients, families and employees cross.

“My number one advice is for everyone to be aware of their surroundings at all times,” said Christopher Carr, operations manager for Security Services. “We are constantly looking at the campus-wide plan to enhance safety and security for all those who visit or work at our organization, we want to make sure our employees are doing their part to avoid distractions as they walk or drive.”

9315SSSantanaGibbsMarks175Santana Gibbs-Marks from Diabetes/Endocrine Care Center is the latest Texas Children’s Super Star employee. “The best thing about working at Texas Children’s is the compassion of my fellow coworkers and to see the children smiling even when they are sick,” said Gibbs-Marks. “That puts a smile on my face, and it makes me remember how thankful I am.” Read more of Gibbs-Marks’ interview, and find out how you can nominate a Super Star.

Q&A: Santana Gibbs-Marks, June 2015 Employee

Your name, title and department. How long have you worked here?

Santana Gibbs-Marks, Lead Ambulatory Service Representative in the Diabetes/Endocrine Care Center. I started at Texas Children’s Hospital in 2008 has a contractor, and on June 15, 2009 I became a permanent employee. As of June 15 I’ve been at Texas Children’s six years.

What month are you Super Star for?

The month of June.

Tell us how you found out you won a super star award.

We had a graduation ceremony for our fellows and right afterwards they said we had a mandatory meeting. My director Ryan Breaux came in and start talking about AIDET and then walks in my mom and husband. I was very surprised when he announced that I had won the Super Star award for the month of June.

What does it mean to be recognized for the hard work you do? How has the organization helped you achieve your personal and professional goals?

The Super Star recognition means to me that the work that I do daily is noticed and that someone sees a bigger picture of me and I am all so grateful. This organization has contributed to my success in so many ways. I am thankful for my leaders who have helped me reach some of my goals and going. I’m not finished. This is only just the beginning.

What do you think makes someone at Texas Children’s a super star?

Consistently going above and beyond without being asked to do so. Thinking outside of the box and having a strong passion and love for what you do every day.

What is your motivation for going above and beyond every day at work?

My motivation for going above and beyond is seeing these beautiful kids and their families smiling at the end of their visits. I am most of the time the last person they see before they leave our clinic I LOVE to see a sense of ease, and that they have been well taken care of at the end of the day.

What is the best thing about working at Texas Children’s?

The best thing about working at Texas Children’s is the compassion of my fellow coworkers and to see the children even when they are sick smiling. That puts a smile on my face and it makes me remember how thankful I am.

What does it mean to you that everyone at Texas Children’s is considered a leader? What is your leadership definition?

To me it means everyone plays a part in leadership because in some form we all have someone looking up to us and we are guiding each other. A leader in my opinion is one who leads by example, so that others are motivated to follow.

Anything else you want to share?

I would like to thank my leaders and coworkers in my department and all the doctors for believing and trusting in me.