July 5, 2023

We have five facility dogs in our Pawsitive Play program – Angus, Bailey, Cohen, Pinto and Pluto. You may have seen their smiling faces around our campuses. They’re often referred to as therapy dogs, which are different. Texas Children’s actually has a group of volunteer therapy dogs who visit patients every other week and are trained to be friendly and provide comfort to all types of people through physical and emotional affection.

Our facility dogs are trained to provide goal-oriented therapeutic interventions and emotional support for hospitalized children as well as their families and our staff, and they are full-time employees of the hospital.

They each have an animal assisted therapy coordinator or more informally, a facility dog handler. You may have seen their smiling faces as well. If you want to learn more about the roles of the dog handlers, please click here for our recent story on Connect. Together, they work as a team providing patient care.

When it comes to the specific duties each dog performs, overall, the handlers determine the areas that would benefit most from having a facility dog present. Patient population, consults and events happening all factor into what jobs each dog will do, but most importantly, each facility dog’s behavior, size, personality, temperament and skills help the handlers assess where to assign them.

PLUTO
“Pluto was chosen to work in the outpatient clinics because he is very social and curious. He loves walking up to new people in the hallways and exploring new rooms, which is perfect because we meet new people every day in the different clinics we cover,” said Hanna Kuhn, Pluto’s handler. “He is also our biggest dog which makes him easy for patients to reach from their exam bed, so he is able to provide support while they pet him during their procedures.”

As an example of his support during outpatient procedures, during botox injections in the physical medicine and rehabilitation (PM&R) clinic, Hanna will place a chair next to the exam bed and ask Pluto to climb up and sit next to the patient. During the procedure, she provides developmentally appropriate information and support while encouraging the patient to pet Pluto during their injection or play with his toys between pokes. This is a good distraction while they focus their attention on Pluto instead of the procedure. At the end of their injections, Pluto will hop off the chair and they can re-engage in petting him and pick out which Pluto sticker they want to take with them.

ANGUS
Meg Gustafson works with Angus at West Campus. They provide coping support at the bedside and often co-treat with physical therapy. They seek out patients who need to ambulate and are either too scared or simply just don’t want to get out of bed.

Angus walks alongside the patient, or they can use a special leash so they can physically walk him around the hospital, and he will adjust his pace accordingly. This gives patients the confidence and encouragement to move knowing Angus is beside them.

When co-treating with physical therapy, he can play fetch with a patient who is working on their fine and gross motor skills. It doesn’t feel like work to them, but it gives the physical therapist a good indication of progress.

Other times, Angus does the work the patient is doing – when they stand, he stands and when they sit, he sits. When working on reaching and balance, Meg positions Angus an appropriate distance from the patient, and they have to reach over to pet him. Angus also helps normalize the hospital environment – he knows how to play Kerplunk and hide-n-seek, does a reading hour in the library on Wednesdays, and loves time in the playroom with his friends.

PINTO
Shelby Bonnet is Pinto’s handler. They focus on acute care and provide a lot of coping support at the bedside and co-treat with physical and occupational therapy, especially in the inpatient rehab unit. One of the things Pinto does really well based on his training is reading the needs of his patients and adjusting his energy level accordingly.

They often go on walks around the unit to encourage patients to ambulate after surgery. Patients are often cautious to move after surgery and take it slowly, but having Pinto next to them provides confidence and encouragement to take the next steps. Pinto does a great job of adjusting his speed so he is not pulling the patient while they are working on their balance.

Pinto also demonstrates patience when they work on fine and gross motor skills by using a brush to practice brushing his fur. Pinto lays on their bed while his patients are meeting their occupational therapy goals. On the other hand, Pinto is our most loyal fetch player and loves to chase after a ball thrown by a patient when it is more appropriate for him to show his energetic side.

BAILEY
Adair Winget and her dog Bailey work in the PICU and the Heart Center with our most critical patients. Bailey was chosen to work in this environment because of her small size and energy level. One of our sleepiest and snuggliest dogs. Bailey’s energy level is a perfect match for patients who are critically ill and able to pet her gently while she is snuggled next to them in their beds.

Once Adair gets her in place, Bailey will stay sleeping next to her patient for as long as they need. These attributes also allow her to lay safely next to her patients who have multiple lines, chest tubes, catheters, drains, etc. without risk of pulling them out since she will stay still in the bed.

Bailey also comforts patients in palliative care and provides therapeutic and emotional support at end of life. She is able to snuggle with them and take on their emotional burden, which allows them to die peacefully, knowing their friend was with them. Her colleagues agree Adair does a great job of supporting patients in these situations as well as taking care of Bailey to support her recovery so she is able to continue giving her energy to all her patients.

COHEN
CJ Canlas and her dog Cohen work at The Woodlands campus primarily in outpatient therapy, inpatient units (acute care and PICU) and outpatient clinics. CJ loves using Cohen to help support patients in meeting the goals of their care plan, which can vary from day to day.

Cohen can help motivate patients to walk after surgery or provide a supportive presence after a patient receives a new diagnosis. CJ also collaborates with her therapy team to think of creative ways to support their patients’ goals. In physical therapy, he engages the patient during their exercises, in speech therapy, he provides a non-judgmental presence while patients practice their sounds and read to him, and in occupational therapy, he supports sensory regulation and modeling tasks when the patients practice brushing his hair. They also collaborate with our occupational therapy team to give Cohen a role in feeding therapy – this is where Cohen shines!

These dogs have important jobs to do and make a real impact on our patients. Next time you run into one of our handlers and their facility dogs, please ask the handler first if it’s okay for you to interact with the dog, understanding they may be wiped out from patient interactions and need to recharge. Any interaction, even just to stop and say hi, takes energy. They love to greet everyone they meet, but need to make sure they conserve the majority of their energy for patients.

June 28, 2023

Many of us would love to have a dog for a co-worker, especially one of our highly trained, well-behaved facility dogs at Texas Children’s. Our animal assisted therapy coordinators will tell you it’s a dream job and they wouldn’t trade it for the world, but it’s also a lot of hard work. Being a facility dog handler is a huge commitment.

How they got started

Facility dog handlers at Texas Children’s start as child life specialists, and many of them gain years of experience in the field before they get involved in the Pawsitive Play program. There’s a two-year minimum requirement as a child life specialist before you can apply for the program. For anyone interested in these roles, it’s recommended to get plenty of experience first and understand your own personal goals.

“I would encourage anyone interested in being a handler to be confident in their child life and people skills before applying, because there are a lot of added responsibilities in this role,” said Hanna Kuhn who works with Pluto in the outpatient clinics of Mark Wallace Tower.

Shelby Bonnet, who works with Pinto, recommends doing research, making connections with current handlers to ask questions, and shadowing them to gain an understanding of everything involved in this role. While it is a very rewarding job, there’s a lot of extra work involved, as well as added financial and physical responsibilities.

Working as a team

Treating patients is a team effort for the facility dogs and handlers. The dogs add to the work child life specialists already do, so they provide enhanced care for patients during their visits.

Angus, Bailey, Cohen, Pinto and Pluto are the facility dogs in our Pawsitive Play program. They are trained to provide goal-oriented therapeutic interventions and emotional support for hospitalized children as well as their families and our staff, and they are full-time employees of the hospital. Texas Children’s also has a group of volunteer therapy dogs who visit patients every other week and are trained to be friendly and provide comfort to all types of people through physical and emotional affection.

Being with a dog all the time in a hospital full of people also requires the handler to be alert and aware of their surroundings at all times. “We are constantly making assessments about the environments we are in, checking for anything that might put the dogs in a stressful situation. We need to check the dogs’ emotions and needs to make sure we can advocate for them, while also scanning the people around us to make sure no one is afraid of them. When you have a dog with you every day, there’s always something to be thinking about,” said Meg Gustafson who works with Angus at West Campus.

Where the day takes them

Each day is different for the specialists as it depends on the patients admitted, events happening or consults from clinical staff. Typically, the day starts with a review of clinic schedules and consults, morning meetings and developing plans for patient visits.

Before they visit patients, the dogs are groomed (brushing/ear cleaning) and taken out for a potty break. After seeing 2-3 patients, it’s break time for the dogs where they can relax, play and get ready for the next set of patients. The specialists will chart and perform administrative tasks before seeing more patients.

“One of the things we do as facility dog handlers on a daily basis is assess the needs of our patients and prioritize the order and type of interventions we provide. This allows us to maximize patient care while also protecting the emotional state of our facility dog while at work,” said Adair Winget who works with Bailey. “Our goal is to balance the medical based goals of our patients while also supporting their emotional needs. When we provide patient care interventions, we are mindful of the environments we expose our facility dogs to, which allows us to manage their stress and minimize their burn out.”

Emotional roller coaster

The handlers all agree the most rewarding part of the job is seeing the impact they make every day with their dogs. “Witnessing the absolute joy he brings to everyone he meets” and “giving patients a piece of normal so they can forget for just a moment they’re inside a hospital” are some of the biggest rewards.

Unfortunately, one of the biggest responsibilities for the handlers and dogs is providing comfort during tough conversations, procedures and sometimes end of life support.

Meg commented, “It’s a privilege to be trusted and asked to be present in those times, and we are always happy to help, but those situations are hard and weigh heavy on the heart.”

When asked what her proudest moment is at Texas Children’s, Shelby shared, “Every day is a proud moment… we get to serve the patients and families here and make a difference in some of the most painful and happiest days of their lives. Each patient and family here are on their own journey, and the fact we’re able to be a part of it is absolutely amazing.”

To pet or not to pet

If you run into one of our handlers and their facility dogs, please ask the handler first if it’s okay for you to interact with the dog, understanding they may be wiped out from patient interactions and need to recharge. Any interaction, even just to stop and say hi, takes energy. They need to make sure they conserve the majority of their energy for patients.

“Our facility dogs love to meet and greet everyone in their environments, and they take on the emotions of their surroundings. It’s our job as their handlers to advocate for their needs to maintain their health and well-being,” said CJ Canlas who works with Cohen in The Woodlands. “When it’s time for a break, we create a safe space for them to recharge in the office or advocate for them to walk in the hallway uninterrupted. As much as they love to engage with everyone, they do not recognize the need to preserve endurance for the quality interventions we will be using them in for the rest of the day. If we’re ever unable to stop in the hallway to chat, it’s likely due to prioritizing their energy for patient care.”

Grateful colleagues submitted the following Caught You Caring recognition for Chris Sims.

“Chris, these past few months in PICU have been full of hard moments with very high acuity and sick patients. All of your support to the families and medical team does not go unnoticed. We know you don’t get to share the burden with others like we do, and you are the only chaplain in ICU. We appreciate all you do and your hard work does not go unnoticed.”

Caught You Caring

There are countless examples of how team members make an impact every day. Through our Caught You Caring recognition program, anyone (patients, families, colleagues, vendors, volunteers or visitors) can provide a kind word about someone who went the extra mile. Even the smallest act of kindness can brighten someone’s day. Click here to submit a recognition for a colleague. The recipient and their leader will receive an email notification. Since its inception in 2015, there have been more than 30,000 recognitions submitted.

This is only the first year participating in Austin Business Journal’s (ABJ) annual Best Places to Work survey, and Texas Children’s has ranked No. 6 in the Large companies category!

“This award is an honor,” said SVP of the North Austin Campus, Russ Williams. “We are so grateful to our team members for taking the time to tell the people of Austin what an amazing place Texas Children’s is to build a career!”

Nominated alongside 75 other companies across the Austin area, Texas Children’s representatives from North Austin, TCPs and TCUC gathered at the Circuit of the Americas on June 22 to learn where they ranked. The awards luncheon was teeming with energy and excitement with everyone dressed to the nines in their best racing attire.

“People get to see this as something they want to be a part of,” explained Brent Bell, Manager of TCUC Westgate. “To come join our culture and make us better than we already are.”

The ABJ’s Best Places to Work lists are compiled by Quantum Workplace, who provides a confidential survey to employees of nominated companies, then compiles scores based on corporate culture, amenities, benefits, and worker retention and attraction strategies.

On the heels of our #3 ranking by U.S. News & World Report, this recognition is just another milestone to celebrate with pride as we continue to solidify our presence in the Austin community. With a workforce of people committed to making a difference, Texas Children’s is investing in its people and making sure they feel valued for their selfless service. None of this is possible without the hard work, dedication and voices of our One Amazing Team!

View the recap video from the exciting event!

Texas Children’s takes third in U.S. News & World Report’s Best Children’s Hospital rankings. We also achieved the #1 ranking in Texas and are #1 in the Southwest Region. For the seventh consecutive year, our Heart Center proves to be the best place in the country for children in need of pediatric cardiology and heart surgery care.

Our Pulmonology Division also received the #1 spot for a second consecutive year. We also have a third top-ranked specialty: Nephrology successfully moved up two spots to claim their first #1 ranking.

For the second year in a row, all Texas Children’s specialties earned a place in the top 10!

Service rankings:

  • #1 Heart
  • #1 Pulmonology
  • #1 Nephrology
  • #2 Endocrinology
  • #2 Neuroscience
  • #3 Neonatology
  • #6 Cancer
  • #7 Gastroenterology and GI surgery
  • #7 Urology
  • #8 Orthopedics

President and CEO Mark A. Wallace wrote a heartfelt tribute to team members in his announcement to the organization, “These remarkable rankings were earned solely because of you. You and the incredible talents you bring to our team make us the very best in Texas and one of the nation’s top-rated children’s and women’s hospitals. You keep me going in the toughest of times and you continue to inspire me each and every day. While our goal will always be to reach #1, no matter where we land, our ranking will never define what you mean to me.”

About U.S. News Rankings

U.S. News & World Report introduced the Best Children’s Hospitals ranking in 2007 to help families of children with rare or life-threatening illnesses find the best medical care available. The rankings are the most comprehensive source of quality-related information on U.S. pediatric hospitals.

The U.S. News & World Report Best Children’s Hospital rankings rely on clinical data from nearly 200 medical centers through a detailed survey that analyzes measures such as patient safety, infection prevention and adequacy of nurse staffing. In addition, each hospital’s score is derived from surveys of more than 15,000 pediatric specialists who are asked where they would send the sickest children in their specialty. In 2021, only 89 children’s hospitals were ranked in at least one of the 10 pediatric specialties evaluated for this annual report. Ten hospitals ranked at the top of their class and were named to the 2022-2023 Honor Roll. For more information, visit usnews.com/childrenshospitals.

June 21, 2023

Grateful colleague submitted the following Caught You Caring recognition for Shelby McDannald.

“Shelby is an amazing example of amplifying unity. A colleague was out on leave and Shelby took the initiative to make sure her consults were done in a timely manner. Shelby immediately saw the need and went above to provide that support. The families we serve did not have to wait for support. Shelby is passionate about providing exceptional care to the families we serve and collaborating with the medical team to ensure the needs of the families have been met. Thank you Shelby for the continued dedication and hard work you provide.”

Caught You Caring

There are countless examples of how team members make an impact every day. Through our Caught You Caring recognition program, anyone (patients, families, colleagues, vendors, volunteers or visitors) can provide a kind word about someone who went the extra mile. Even the smallest act of kindness can brighten someone’s day. Click here to submit a recognition for a colleague. The recipient and their leader will receive an email notification. Since its inception in 2015, there have been more than 30,000 recognitions submitted.

June 14, 2023

Devoted parent submitted the following Caught You Caring recognition for Nurse Practitioner Priscila Reid.

“Priscilla Reid is exceptional and she is the absolute only reason we go to Texas Children’s with two children who have needed 10 heart surgeries.”

Caught You Caring

There are countless examples of how team members make an impact every day. Through our Caught You Caring recognition program, anyone (patients, families, colleagues, vendors, volunteers or visitors) can provide a kind word about someone who went the extra mile. Even the smallest act of kindness can brighten someone’s day. Click here to submit a recognition for a colleague. The recipient and their leader will receive an email notification. Since its inception in 2015, there have been more than 30,000 recognitions submitted.