Welcome

Table of Contents

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Welcome Attendance & Discharge Information Scope of Services Entry Criteria, Discharge Criteria, Transition Criteria Rehab Services Plan of Care/ Care Coordination Interdisciplinary Services Financial Information/ Assistance My Chart Patient and Parents Rights and Responsibilities Service Animal in Outpatient Clinic

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Positive, Healthy, Safe Environment Injury Prevention Program

Child Passenger Safety Infection Prevention Stop Germs – Wash Your Hands Safe Sleep Home Safety Checklist Poison Control Lice Facts / Removal Services Personal Health Records State of Texas Emergency Assistance Registry (STEAR) Emergency Preparedness Resources on the Web & Phone Apps Time Management Community Table of Contents

Welcome To Rehabilitation Services

Dear Parent or Guardian,

Thank you for choosing Driscoll Children’s Hospital for your child’s therapy and audiology needs. We strive to get it right for every child we serve and focus on delivering an excellent experience to our patients and families. During your course of therapy, you may receive a survey via text, email or receive a phone call asking you about your child’s experience at the Driscoll Children’s Rehabilitation department. We value you feedback and encourage you to complete the survey and share your thoughts with our rehab team. We use the feedback in 2 ways: to recognize our staff members and to identify areas in need of improvements. If at any time you do not believe we are providing you with excellent care, please talk to any member of the rehabilitation team – so that we can have the opportunity to make this important experience right for you. We hope that our Rehab department will meet or exceed your expectations. Open communication from everyone is essential to provide you with excellent care and although we cannot meet every child personally that walks through our doors, we are available to answer any questions you may have. Our contact information can be found below. Please don’t hesitate to contact us at any time if we can be of assistance to you. It is our hope that your overall impression of our services will allow you to recommend the Driscoll Children’s Hospital Outpatient Rehabilitation to your friends and family.

Sincerely,

Kristy Morales, MHA, OTR

Mandy Alaniz,PT, OCS

Flo Tiller, MS, CCC-SLP

Director

Manager

Office:361-694-4424 Cell: 361-331-9032

Office: 361-694-6249 Cell: 361-500-5408

Office: 361-694-4297 Cell: 361-739-4621

Outpatient Rehab-Attendance and Discharge

Regular attendance for rehabilitation appointments is very Important to your child’s progress. The Rehabilitation Department’s ability to provide the best service to the largest number of patients is greatly affected by each child’s attendance. The following policy is designed to provide the best quality of care for every child we serve. Please read and follow carefully.

To provide meaningful therapy services: • 24 hours notice for a planned absence • Advanced notice to be a cancellation • No notice will be coded a NO SHOW • 3- NO SHOW in 90 days, Discharge • > 25% Cancel/NO Show modification of schedule or discharge • > 10 minutes late, may not be seen

Cancellations: Cancellations should not occur unless your child is sick or there is an emergency. Please call our offices as soon as possible at 361-694-5678 if your child is unable to attend his or her therapy session. • We require a call if you are going to cancel your appointment. Our offices are open at 7:00 am. If you call prior to 7:00 am, please leave a voice mail message with the name of the child, date of birth, type of therapy session or evaluation that he/she will be missing (Physical Therapy, Occupational Therapy, Speech Therapy or Audiology) and the reason for the absence. • We do differentiate between a planned and an unplanned absence. If you know ahead of time that you will be out of town or unable to attend therapy, please notify us at least 24 hours in advance. This absence will be counted as a planned absence and not count toward the unplanned absence rate. When we have sufficient notice, we are able to schedule other children with our therapists. • Please notify us as soon as possible if your child has been admitted to the hospital. This will allow us to cancel the appointment. If the hospitalization is directly related to the reason your child is being seen in therapy, we may request an order to continue therapy. You can discuss the specifics of your child’s situation with your therapist. • Inconsistent therapy attendance is defined as an unplanned absence rate of 25% or greater. Inconsistent attendance may result in your child’s schedule being adjusted in one of two ways: Modification in your child’s therapy scheduled or discharge from therapy. Late Arrivals: Please be aware that if you arrive 10 or more minutes late for your scheduled therapy time the following may occur: • You may receive a shortened therapy session • Your therapy session may not occur • You may get moved to a different permanent time slot. If you know in advance that you may be late, please notify us so we can plan for your child accordingly. Please notify us if you will be late. We can be reached at the main Rehabilitation number 361-694-5678 . If you are making a long-distance call, you can call 1-800-525-8687 and the operator will route your call to the Rehabilitation Department. No Shows: When we are not notified prior to the start of a therapy session that your child will not be attending, the treatment session will be considered a No Show. A pattern of No Shows will result in the following actions: • After 3 occurrences within 90 days, your child will be discharged from therapy • Your child’s physician will be notified of non -attendance • If your child is discharged from therapy due to multiple no shows, we will not reschedule therapy in 6 months. Staff Cancellation: In the event that rehabilitation staff illness or events beyond our control interfere with your child’s scheduled time, you w ill be notified and be offered an alternate therapist and / or a new appointment time when at all possible. If a cancellation occurs due to rehabilitation staff illness or event, the absence will not be counted toward the attendance rate.

OP Rehab Audiology-Attendance and Discharge

Regular attendance for rehabilitation appointments is very important to your child’s progress. The Rehabilitation Department’s ability to provide the best service to the largest number of patients is greatly affected by each child’s attendance. The following policy is designed to provide the best quality of care for every child we serve. Please read and follow carefully. Cancellations: Cancellations should not occur unless your child is sick or there is an emergency. Please call our offices as soon as possible at 361-694-5678 if your child is unable to attend his or her audiology visit. • We request a call prior to your appointment start time. Our offices are open at 7:00 am. • If you call prior to 7:00 am, please leave a voicemail message with the following information: o The name of the child o Date of birth o Time of appointment o The reason for the cancellation o If you wish for our schedulers to call you back to reschedule. • If you are no longer interested in having the appointment for your child, please also call us to let us know so we can close the referral • If you do not wish to leave a message, please call back to speak to a scheduler. Late Arrivals: Please be aware that if you arrive 10 or more minutes late for your scheduled appointment time, the following may occur: • You may receive a shortened therapy session • Your visit session may not occur • You may get moved to a different day/time. If you know in advance that you may be late, please notify us so we can plan for your child accordingly. Please notify us if you will be late. We can be reached at the main Rehabilitation number 361-694-5678 . If you are making a long-distance call, you can call 1-800-525-8687 and the operator will route your call to the Rehabilitation Department. No Shows: When we are not notified prior to the start of a visit that your child will not be attending, the visit session will be considered a No Show . A pattern of No Shows will result in the following actions: • After 2 occurrences within 6 months, your child will not be allowed to reschedule for 6 months • Your child’s physician will be notified • The current referral will be closed, and you will need to ask the physician to send referral. Fitting of Devices: • If your child needs personal amplification, you will receive a call to schedule three appointments within a one- month period ( Fitting appointment , 2 weeks follow up and 4 weeks follow up). The initial fitting appointment will mark the beginning of the 30-day trial period. • Devices and accessories will be returned to the manufacture if not picked up within 15 days of initial scheduled fitting appointment Staff Cancellation: In the event that rehabilitation staff illness or events beyond our control interfere with your child’s scheduled time, you will be notified and be offered an alternate therapist and / or a new appointment time when at all possible. To provide meaningful Audiologic Evaluation and Treatment services: Cancellation: we request notice – call 361-694-5678 No Show: if no calls were made prior to appointment start – call 361-694-5678 2 No Shows within 6 months will result in the referral being closed and a waiting period of 6 months before a new appointment can be made > 10 minutes late your child may not be able to be seen Fitting of Devices: A device will be returned to the manufacturer if not picked up within 15 days of initial fitting appointment

Scope of Service

Driscoll Children’s Hospital (DCH) Outpatient Rehabilitation Services provides medically based rehabilitation serves to infants, children and adolescents from birth to 21 years of age. The children we see at DCH Rehabilitation Services have, or are suspected to have, impairment in the ability to communicate, difficulty in engaging in activities of daily living, impaired mobility, functional limitations due to pain, impairments in feeding or swallowing, or hearing difficulties. Additionally, DCH employees, volunteers and medical staff may be seen in the DCH Outpatient Rehabilitation Department. DCH Rehabilitation provides services to all that are referred to our setting who qualify for care and we do not discriminate due to culture, age, gender, gender identity, sexual orientation, spiritual beliefs, socioeconomic status or language spoken. The intensity and frequency of rehabilitation services is based on the individual needs of the patient. Rehabilitator services will be offered as long as treatment results in functional progress. Services are provided by a licensed therapist, audiologist or hearing aid dispenser under the direction of referring Licensed Independent Practitioner. When needed, the Rehabilitation Medical Director is available for further support through consultation with the treating clinician. Our primary service location is on the main campus of Driscoll Children’s Hospital. Multidisciplinary service are available at the primary service location. The clinic is open Monday through Friday, from 7 am to 6 pm. Our Outpatient Rehabilitation program is closed on major holidays.

Primary Service Location: Driscoll Children’s Hospital 3533 S. Alameda St Corpus Christi, Texas 78411

Satellite Location: OT/ST Pediatric Center 3435 S Alameda St Corpus Christi, Texas 78411

Satellite Location: Physical Sports Therapy 2301 Airline Rd, Suite 104 Corpus Christi, Texas 78411

Satellite Location: OT/ST SouthSide Clinic 2301 Airline Rd, Suite 108 Corpus Christi, Texas 78411

Services are provided by single disciplines, on a limited basis, in the Rio Grande Valley DCH Specialty Clinics. Services provided in these clinics are those services not otherwise available to support a DCH Specialty Physician (e.g. neuromuscular patients with pediatric neurology, craniofacial patients with plastic surgery, pelvic floor patients with pediatric urology). Driscoll Children’s Medical Plaza 1120 E. Ridge Road Suite 220 McAllen, TX 78503 Driscoll Children’s Specialty Center – Laredo 7210 McPhearson Rd., Building A, Suite 104 Laredo, TX 78045

Driscoll Children’s Specialty Center – Brownsville 5500 N. Expressway Brownsville, TX 78526

A+ Audiology 1914 E. Griffon Parkway Mission, TX 78572

DCH Rehabilitation also provides rehabilitation labor resources to DCH clinical programs external to CARF accredited outpatient rehabilitation program (e.g. Rise School of Corpus Christi).

Entry Criteria

Entry Criteria DCH Outpatient Rehabilitation Services provides therapy to a wide range of patients with congenital or acquired conditions that result in childhood disability. Children who receive our services are medically stable and must be referred to our services by a primary care or specialty physician or other licensed independent practitioner (i.e., PA, NP). Each patient requires a valid prescription and payment authorization as determined by their respective insurance provider. In the event that funding for services is not in place, referral is made to our financial counseling department where we have staff to assist in matching patients to any possible funding sources. Additionally, significant prompt pay discounts are available for the uninsured as well as for out-of-pocket expenses for the insured. Children referred for care at DCH Rehabilitation Services will undergo a n evaluation by a therapist or audiologist and should have an impairment, diagnosis, condition, syndrome, disorder or disability resulting in a physical, speech, swallowing/feeding or hearing restriction and/or functional limitation. The disability may be acute or chronic in nature. Children are also referred to DCH Rehabilitation Services to rule out the presence of a functional limitation (e.g. hearing loss). When follow up care is recommended (recurring therapy or intervention for a hearing loss), a recommendation for the follow up care is made to the referring practitioner. Once documentation from the referring provider is obtained, if needed and financial arrangements are made with the payer source or the family, recurring therapy / follow up care is initiated. A child enrolled in rehabilitation services may have a psychological or behavioral component that is expressed through inappropriate behavior; we work with those children who are able to benefit from the intervention. Our purpose is not to treat the psychological or behavioral disorder, but the underlying functional deficits that may or may not be contributing to the behavioral problems or co- exist with psychological condition. Therapists work in coordination with mental health practitioners when addressing these problems. It is up to the discretion of the treating therapist to determine if therapy interventions can be effective delivered. A child enrolled in a medical rehabilitation therapy program must be able to participate to a meaningful degree toward the goals established by the treating clinician. At DCH Outpatient Rehabilitation we work with children from a variety of social and cultural backgrounds. We seek awareness of cultural differences so that we can effectively implement the indicated therapeutic interventions in a manner comfortable to the patient and family. Upon completion of the initial evaluation, treatment recommendations to include frequency and duration of therapy, if not already determined by referring provider, will be determined and discussed with family and referring provider. The rehabilitation team will tailor the rehabilitation program to the individual needs of the child. The service delivery frequency and plan may vary depending on the needs of the child.

Discharge & Transition Criteria

Discharge Criteria: Patients may be discharged from DCH Rehabilitation for various reasons to include the following: • Successful completion of treatment goals • Maximum level of function has been achieved • Patient has made limited or no progress within a reasonable time period • Non-adherence to attendance agreement • At patient/family’s request • Child’s inability to benefit from therapy due to: o Poor participation o Significant medical decline

Transition Criteria: Patients may be transitioned to receive therapy services in another setting. Upon discharge from DCH Rehabilitation, patients may transition to their school, home health and/or community

programs. Reasons for transition may include the following: • Patient no longer requires medically based rehabilitation • Child may benefit from remaining in a home environment • Non-adherence to attendance agreement • At patient/family’s request

Rehab Services

Physical Therapy Services: Physical Therapists and Physical Therapist Assistants assist patients to develop, maintain and restore overall functional ability by improving gross motor skills, strength, balance, movement patterns, flexibility, postural control and coordination. Physical Therapy is provided to patients recovering from injuries and/or developmental disabilities and those that have neurodevelopmental or musculoskeletal disorders. Evaluation and treatment services may include: • Gross motor development • Seating and wheeled mobility • Infant / developmental orthopedics • Sensory integration • Pre-gait and gait training • Aquatics • Serial casting

• Transitional orthotics • Sports rehabilitation

• Vestibular rehabilitation • Pelvic floor rehabilitation • Thermal and electrical modalities

• Determination of Durable Medical Equipment (DME) needs / adaptive equipment needs Single discipline services provided in satellite locations to support specialty physicians: • Neuromuscular / Muscular Dystrophy Association Clinic consultation in Corpus Christi and Brownsville • Durable Medical Equipment evaluations in Brownsville • Pelvic Floor Rehabilitation in McAllen and Laredo Occupational Therapy Services: Occupational Therapists and Certified Occupational Therapist Assistants help children acquire and successfully perform activities of daily living and self care. The occupational therapy focus is helping children achieve independence in their lives. Evaluation and treatment services may include: • Fine and gross motor development • Functional play • Activities of daily living (eating, dressing, hygiene, toileting, bathing, and play) • Sensory-integration

• Perceptual skills training • Visual motor skills training • Visual perceptual skills training • Aquatics • Serial casting • Upper extremity orthotics • Upper extremity orthopedics • Hand function • Therapeutic listening • Adaptive equipment needs • Primitive reflexes • Assistive technology

Rehab Services

Speech-Language Pathology Services: Speech Language Pathologists evaluate and treat children with disorders in communication and swallowing. Therapy services are recommended after compressive initial evaluation. The speech-language pathologist focuses on helping children achieve their full potential in the areas of communication, feeding, and swallowing within the home, school and community. Evaluation and treatment services may include: • Communication skills • Pre-linguistic/cognitive skills • Speech and language development disorders/delays • Fluency disorders • Voice disorders • Augmentative/alternative communication • Oral motor disorder

• Feeding and swallowing disorders • Social language disorders/delays

• Neuromuscular Electrical Stimulation (NMES) • Expressive communication disorder/delays • Cranio-facial anomalies • Pure tone hearing screening • Aural rehabilitation Single discipline services provided in satellite locations to support specialty physicians: • Cranio-facial services in McAllen Tele-therapy Services: Driscoll Children’s Rehabilitation Services provides telehealth solution as option for medical necessity. Our goal is to continue providing quality speech therapy treatments in a safe and easily accessible manner in the comfort and safety of their own home. Audiological Services: Audiologists conduct diagnostic testing for hearing loss and auditory processing disorders. The audiologist also dispense hearing aids, provide hearing protection support and support cochlear implants. Services are provided at the main Driscoll campus in Corpus Christi and Mission, TX include the following: • Hearing testing • Hearing aid dispensing and support

• Bone conduction hearing aid dispensing and support • Cochlear Implant programming and management • Newborn hearing screening • Auditory Brainstem Response testing (under natural sleep only at the Mission, TX location)

Rehab Services

Conditions treated by sports physical therapists: • Overuse injuries • Traumatic injuries • Post surgical cases • Anterior Cruciate Ligament (ACL) repair • Patella repair status post patella dislocation • MPFL Reconstruction • Meniscus Repair with ACL repair

Our goal… The sports physical therapy program at Driscoll Children’s Hospital is designed to meet the needs of our pediatric and adolescent athletes. Driscoll Children’s Hospital orthopedic sports physical therapy team work closely with young athletes to develop a personalized physical therapy plan of care. The regimen may include working with children following an injury or surgery. Our goal is to get our young patients back to an active lifestyle quickly and safely and minimize re-injury. Athletes/Sports that our physical therapy team has worked with: Pitchers Basketball Baseball Softball Dancers Runners Tennis Gymnasts Wrestlers Boxers Soccer Swimmers Golfers Volleyball Cheerleaders How a Physical Therapists helps: • Improve range of motion • Improve strength • Decrease pain • Provide education • Improve stability • Correct biomechanics • Improve overall functional mobility • Provide manual therapy

• Patella Femoral Syndrome • Muscle strains and sprains • Sacroiliac joint dysfunction • Impingement syndrome

• Neck pain • Back pain • Shoulder pain • Rotator Cuff injuries • Balance • Tendonitis • Pelvic obliquity • Apophysitis

• Plantar fasciitis • Sever’s disease • Ankle/Foot pain • Impaired posture • Tendonitis • Headaches/Dizziness • Concussion Management • Iliotibial (I.T.) band syndrome • Osgood Schlatter disease • Sinding Larsen Johansson syndrome • Thoracic Outlet Syndrome

What to expect from your Sports Physical Therapist? Your sports physical therapist will spend a significant amount of time evaluating you on your first visit to determine what is occurring and why. The Sports Physical Therapist will then develop an individualized plan of care for you. Every injury or surgery is unique to each individual, so your plan of care is personalized to meet your needs. Appointments at Driscoll Children’s Hospital Outpatient Rehabilitation Center are individualized and one-on-one to work specifically toward your athletic goals. Your care will be provided by a licensed therapist.

Our team:

Rehab Services

Plan of Care Conference As a component of the Driscoll Children’s Hospital Medical Rehabilitation program, the DCH Medical Director consults with the Rehabilitation Staff members on multi-discipline and/or complex cases. Cases are selected and reviewed monthly with the Medical Director for input, recommendations and oversight of the provision of therapy services. Barriers to progress are also identified at this meeting and the Rehab Care Planner works with therapists and families to assist in the removal of those barriers to progress. Care Coordination Each patient who is a recurring patient is assigned a care coordinator. If the patient is seen by a single discipline, the primary therapist is the care coordinator. If the patient is a multi-discipline patient or a complex case, the care coordinator is determined by the treatment team and may be one of the clinicians or the Rehab Care Planner. The role of the care coordinator is to provide a point person for the family in the event of questions / concerns and to assist the family with problem solving and care planning as needed. Support Systems DCH Rehabilitation Services believe the best outcomes are achieved when rehabilitation does not occur in isolation; but when a child’s support network is engaged in programming. We work to ensure an open line of communication with the child’s community to include school, preschool, athletics and the home environment. We seek permission when appropriate to communicate with people important to the progress of the child.

Interdisciplinary Services

Cleft Palate Team This team meets every other month to conference children that have been referred to speech- language pathology and audiology and by the DCH Plastics Surgeons and ENT. The team is led by Kevin Hopkins, MD, plastics and reconstructive surgeon. Additional members of the team include Vanessa Dimas, MD, plastics and reconstructive surgeon, dental providers, speech- language pathologists, audiologists, social worker, rehab care planner and registered nurses. This team discusses the status of current treatment, if referrals are needed to other specialists, upcoming surgeries and recommendations for the patients. Cochlear Implant Team This team meets every other month to conference children that have been identified as possible cochlear implant candidates through a variety of sources. Cochlear implants are surgically implantable devices designed with the goal of providing sound detection and speech recognition for people who receive little or no benefit from hearing aids. The members of this team include ENT surgeon, audiologist, psychologist, rehab care planner, speech-language pathologists and social work. This team discusses progress updates on patients that have already received a cochlear implant and any further recommendations. This team will also determine candidacy for cochlear implantation of children that have been identified as possible candidates. Muscular Dystrophy Association Clinic This team of pediatric neurologists, physical therapists, DME providers, social workers and other medical specialist meet every other month to provide periodic assessment and intervention to patients diagnosed with neuromuscular disorder. Physical therapists are in the clinic to provide functional screenings and make recommendations for follow up care and equipment. Rise School Through an agreement between Driscoll Children’s Hospital and the Rise School of Corpus Christi, the rehabilitation staff from Driscoll Children’s Hospital provide Physical Therapy, Occupational Therapy and Speech Pathology services to the children enrolled in the Rise School. The therapy provided is educationally based and is designed to support the child in the educational setting. Services through referral DCH Rehabilitation will support the family in obtaining services not available through DCH Outpatient Rehabilitation Services. That support may be information provided by the clinician or additional support provided through our Rehab Care Planner. Such services may include: • Orthotics / Prosthetics • Ophthalmology • Social Services support • Specialty Physician information

• Psychologist / Counseling • Other services as needed

Financial Information / Assistance

Financial Arrangements DCH Rehabilitation services are billed to most commercial insurance providers, traditional and managed Medicaid. Financial counseling is available to assist the family in investigating all options for coverage of medically necessary rehabilitation services. • Prompt Payment Discounts for Self Pay Patients: If evaluations and treatment are not authorized by insurance providers or if no coverage is found through the financial counseling process, DCH has a standardized process for administering prompt pay discounts to self pay patients; this policy is consistent with Driscoll Children’s Hospital Mission, Vision and Values to offer services to all patients, regardless of the ability to pay. • Prompt Payment Discounts for the Insured Patient: In addition to the prompt payment discount for the self pay patient, DCH continues to meet the needs of the community we serve by offering a prompt pay discount for the insured as allowed by the individual commercial plans. For all out-of-pocket expenses that are incurred by DCH patients, payment within 30 days results in a significant financial discount. Private Insurance/Medicaid/Medicare The hospital will bill your insurance carrier on your behalf. We will need a copy of your insurance card in order to provide this service to you. Your insurance is only obligated to pay for charges covered under your benefit plan, and you are responsible to pay for services not covered by your insurance. It is important that you understand your health insurance benefits and any requirements, such as pre- authorization and covered services. This will help you minimize your out-of-pocket expenses. Please contact your insurance plan representative or employer for specific information. For parents with newborns, it is important that you contact your employer to complete insurance enrollment forms for your child within 30 days of the baby’s birth to ensure payment from your insurance company. Unless you have completed enrollment within 30 days, your child’s coverage will end thereafter, and you will be responsible for payment. Financial Counselors Financial Counselors are available Monday – Friday, 8:00 a.m. – 4:30 p.m . Financial counselors can help explore other financial assistance programs that may be available such as CHIP, Medicaid, CSHCN, Disability, Chronically Ill and Disabled Children, etc. Call (361) 694-4919 . In an effort to provide faster service, the Texas Department of Health and Human Services has provided a Medicaid specialist here on site that can help you with the application process and answer questions you may have about the Medicaid program. Call (361) 694-4758.

My Chart

MyChart Stay in charge of your child's health with the Driscoll MyChart App!

The Driscoll MyChart App gives you online access to your child's medical records, so you can have access to important details surrounding your child's health. Sign up today to spend less time managing your child's healthcare and more time with the people who matter most. With the Driscoll MyChart App, you can easily access your: • Medical Team • Medical Records • Medications & Refills • Billing, Costs & Claims • Test Results • Management of Appointments Get Started Now! Call (361) 694-5980 or email: mychart.help@dchstx.org for access or help.

"Driscoll" in the App Store or Google Play store, or visit https://mychart.dchstx.org/MyChart/.

Patient and Parent Rights and Responsibilities

Welcome to Driscoll Children’s Hospital. Our goal is to inform you about your rights while receiving services and to offer exceptional medical care in a safe and caring environment. You and Your Child Have the Right to… • Receive medical care without regard to age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, gender identity or expression or source of payment. • Be given a copy of Patient Rights and Responsibilities. If you cannot read or understand them, someone will translate or explain them to you. Rights Related to Care • Make an Advance Directive if you are 18 years or older. This means you have the right to direct your healthcare decisions or choose someone to make decisions if you are unable to make your own decisions. • Know the names of the doctors, nurses and staff members who are providing care. • Receive complete information in a language you understand about your condition, tests, procedures, treatment options, possible risks, outcomes and requirements following your discharge. • Give your informed consent to treatment before a test or treatment. • Request a consultation or second opinion from another doctor. • Request a transfer to a different hospital if we cannot meet your needs for treatment or service. • Refuse consent for treatment or remove your child from the hospital, even when the doctor advises you not to, and be informed of the medical and legal consequences of this action. • Receive appropriate assessment and information about pain relief options and how you can participate in helping to manage pain. • Be free from restraints unless medically necessary. • Review your hospital bill. Receive an explanation of the charges and information about financial assistance that may be available. • Receive a copy of your Notice of Privacy Practice. • Receive consideration of your privacy concerning medical care and treatment, communication and record keeping. • Request to review and / or receive a copy of your medical record in accordance with hospital policy. Rights to Participate in Care • Participate in self care / bedside care as much as medically possible. • Make decisions about healthcare through discussion with your doctor and the healthcare team. • Voluntarily participate in available research studies or feel free to refuse to participate without compromising current or future care.

Patient and Parent Rights and Responsibilities

Exercising your Rights • Participate in discussions regarding ethical issues related to care. Requests for an ethics consult can be made by asking a member of the healthcare team.

• Voice a complaint about care, treatment, privacy, confidentiality or file a written grievance by following Driscoll Children’s Hospital’s process:

o Speak with a staff member who will attempt to resolve the issue to your satisfaction. o If your complaint cannot be resolved, contact a Patient Relations Representative who will help you with your complaint. Know that sharing a complaint will not compromise your current or future care. 361-694-4035 o If we are not successful in addressing your complaint to your satisfaction, you have the right to file a formal, written grievance with: ➢ Texas Department of Health and Human Services: 888-973-0022 or (TDD) 800- 735-2989 . ➢ Joint Commission of Quality Monitoring: 800-994-6610 or e-mail complaint@jointcommission.org ➢ Texas State Board of Medical Examiners: 800-201-9353 .

Patient and Parent Responsibilities

• Provide correct and complete health information, including changes in condition, past medical history, medications or treatments and any actual or perceived risk to care.

• Tell your doctor or nurse if you do not understand any part of your or your child’s care.

• Follow the care plan agreed upon by you and your healthcare team and report to the doctor any side effects or inability to follow the care plan.

• Be respectful of the rights of other patients, families, and staff, such as assisting in the control of noise, smoking, behavior, and number of visitors.

• Payment for medical care provided.

Service Animals in Outpatient Clinic

Driscoll Children’s Injury Prevention Program

Injury Prevention Program The mission of this program is to reduce the incidence of preventable injuries of children in South Texas; to affect the attitudes, knowledge, and behavior of people in our community through education; and to serve as a resource for parents, professionals and groups needing injury prevention information. “Preventing Injuries Before they Happen, that’s what This Program is All About” Driscoll Children's Hospital Injury Prevention Program Main: (361) 694-6700 Toll free: (866) 886-5957 Fax: (361) 851-6880 For TTY Deaf Messaging Connect to TTY interpretation by dialing (800) 735-2989 Email: kyks@driscollchildrens.org 4141 S. Staples St. 4th Floor Corpus Christi, TX, TX 78411 www.driscollchildrens.org/patients-family/services-support/patient-and-family- education/injury-prevention

Projects in the Injury Prevention Program: • Child Passenger Safety • Bicycle / Helmet /ATV Safety • Teen Alcohol Awareness • Never Leave A Child Alone In A Vehicle • Wheeled Sports Safety

Driscoll Children’s Hospital Injury Prevention Program promotes the safety of children throughout their lives through a variety of ways including lectures, individual meetings and education, and use of media and public events. Educational materials on several other child safety topics can be found in the Injury Prevention Program. Topics include poison prevention, water safety and more. Most materials are available in English and Spanish .

Car Seat Safety

(**Scheduled Appointments ONLY**) Schedule an Appointment with Injury Prevention Program for a FREE car seat inspection (361) 694-6700 or toll-free (866) 886-5957 Car Seat Checkup – Top 5 Things To Do

✓ Right Seat – Check car seat label: Ensure it is appropriate for the child’s age, weight, and height. ✓ Right Place – Kids are VIPs – All VIPs ride in the back seat, so keep all children in the back seat until they are 13 years of age. ✓ Right Direction – Until age 2 children should be rear-facing. ✓ Inch Test – Once car seat is installed; give it a good shake at the base. A properly installed car seat will not move more than an inch. ✓ Pinch Test – Ensure the harness is tightly buckled and coming from the correct slots (check car seat manual). Now, with the chest clip placed at armpit level, pinch the strap at your child’s shoulder. If you are unable to pinch any excess webbing, you’re good to go. The current state law requires all children younger than eight (8) years old, unless they are taller than four feet nine inches (4’9”) to be restrained in a child safety seat.

It’s Important to ensure your child is safe Call today to schedule an Appointment Injury Prevention 3643 S. Staples St. Suite B - Corpus Christi, TX 78411 361-694-6700

Infection Prevention – 5 Things to Do for Prevention

Avoiding contagious diseases like the common cold, strep throat, and the flu is important to everyone. Here are five (5) easy things you can do to fight the spread of infection. 1. Clean your hands. • Use soap and warm water. Rub your hands really well for at least 15 seconds. Rub your palms, fingernails, in between your fingers, and the backs of your hands. • Or, if your hands do not look dirty, clean them with alcohol-based hand sanitizers. Rub the sanitizer all over your hands, especially under your nails and between your fingers, until your hands are dry. • Clean your hands before touching or eating food. Clean them after you use the bathroom, take out the trash, change a diaper, visit someone who is ill, or play with a pet. 2. Make sure healthcare providers clean their hands or wear gloves. • Doctors, nurses, dentists, and other healthcare providers come into contact with lots of bacteria and viruses. So before they treat you, ask them if they’ve cleaned their hands. • Healthcare providers should wear clean gloves when they perform tasks such as taking throat cultures, pulling teeth, taking blood, touching wounds or body fluids, and examining your mouth or private parts. Don’t be afraid to ask them if they should wear gloves. 3. Cover your mouth and nose. • Many diseases are spread through sneezes and coughs. When you sneeze or cough, the germs can travel 3 feet or more! Cover your mouth and nose to prevent the spread of infection to others. • Use a tissue! Keep tissues handy at home, at work and in your pocket. Be sure to throw away used tissues and clean your hands after coughing or sneezing. 4. If you are sick, avoid close contact with others. • If you are sick, stay away from other people or stay home. Don’t shake hands or touch others. • When you go for medical treatment, call ahead and ask if there’s anything you can do to avoid infecting people in the waiting room. 5. Get shots to avoid disease and fight the spread of infection. • Make sure that your vaccinations are current – even for adults. Check with your doctor about shots you may need. Vaccinations are available to prevent these diseases: Chicken Pox Meningitis Flu (also known as influenza) Mumps Measles Whooping Cough (also knowns as Pertussis) Diphtheria Tetanus German Measles (also known as Rubella) Shingles Pneumonia (Streptococcus pneumonia) Five Things You Can Do To Prevent Infection was developed in collaboration with * American Hospital Association www.hospitalconnect.com * Association for Professional in Infection Control and Epidemiology, Inc. www.apic.org

* Centers for Disease Control and Prevention www.cdc.gov * Infectious Diseases Society of America www.idsociety.org * The Joint Commission www.jointcommission.org * Society for Healthcare Epidemiology of America www.shea-online.org

Stop Germs! Wash Your Hands

www.cdc.gov/handwashing

Safe Sleep For Children

The ABCs of safe sleep for babies are easy to learn and easy to do. A Babies should sleep Alone Babies should sleep alone in a crib with no bumper pads, bedding, pillows, or toys, preferably in the same room as you. Share your room, not your bed. B On their Back Babies should sleep on their back - not their side or their tummy. C In a Crib and Cool A safe sleep surface is a crib with a firm mattress and a tight-fitting bottom sheet. Keep the room cool and dress your baby lightly, without a hat. S In a Smoke-Free environment Secondhand smoke is bad for everyone, and that includes babies. When you put your baby to bed with the ABCs , everyone gets more peaceful zzzs.

Need parenting help now? The Texas Parent Helpline is available 24/7.

Chat with us Call 833-680-0611 Text 833-680-0611

Safe Sleep Program Unsafe sleeping environments cause more than 150 infant deaths in Texas each year. Infant and child deaths are preventable byfollowing recommendationson establishing a safe sleep environment.

Additional Resources www.BabyRoomToBreathe.org

Protect your child with these safe sleep practices ✓

From birth children need a protected space to sleep; crib with tightly fitting sheet and slat width of 2⅜ inches Refrain from placing additional items: bumpers, pillows, stuffed animals, loose blankets in the crib with a sleeping child Keep room temperature about 70 degrees Fahrenheit; do not dress the infant too warmly Risk of suffocation is 40 percent greater for infants sleeping in an adult bed.

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https://getparentingtips.com/default.asp

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Home Safety Checklist

Medication Safety ❑ Keep all medicine and vitamins out of children’s reach and sight, even medicine you take daily. ❑ Write clear instructions for other caregivers who will administer medicine to your child. ❑ What medicine to give ❑ When to give medicine ❑ How much medicine to give ❑ Store your medications in a secure and dry place. ❑ Do not share medications. ❑ Properly dispose of old or unused medicines. ❑ Take medicine as prescribed regularly according to your health care provider’s instructions. ❑ Be aware of potential interactions that can occur. Water Safety ❑ Give young children all of your attention when they are in and around water. ❑ Check the water temperature with your wrist or elbow before giving your baby a bath. Bedroom Safety ❑ Make sure babies sleep on their backs and in their own crib. Room sharing is a safer option than having your baby sleep in bed with you. ❑ Choose a firm mattress and a fitted crib sheet for your baby’s crib. Keep cribs clear of toys and soft bedding. Stairs + Window Safety ❑ Preventing Falls ❑ Use approved safety gates at the top and bottom of stairs, and attach them to the wall if possible. ❑ Properly install window guards or stops to help prevent falls from windows. Kitchen Safety ❑ Make sure there is a working smoke alarm and carbon monoxide alarm on every level of your home. Test the batteries every month. ❑ Create and practice a home fire escape plan with your family. Know two ways out of every room in case of a fire. Burn Prevention ❑ Cook on the back burners of the stove and keep pot handles turned away from the edge. Keep hot foods and liquids away from the edge of the counters and tables. ❑ Do not hold a child while cooking on the stove. It is better to place child in a high chair where you can still see them. Toy Safety ❑ When choosing a toy or game, read the instructions and warning labels. Make sure the toy is appropriate for the child’s age and development. Choking and Strangulation Prevention ❑ Keep small objects out of children’s reach and sight. Look for and remove small items that are at the child’s eye level. ❑ Keep cords and strings out of children’s reach, including those attached to the window blinds. Keeping kids safe, room by room

Poison Control

Poison Control Center American Association of Poison Control Centers https://www.aapcc.org/

Emergency - Information – Prevention 1-800-222-1222 ✓ Remain Calm ✓ Call 911 if victim has collapsed OR is NOT breathing

Key Prevention Tips ✓ Lock them up and away.

▪ Keep medicines and toxic products, such as cleaning solutions and detergent pods, in their original packaging where children can’t see or get them. ✓ Know the number. Program this number into your cell phone. 800-222-1222 ✓ Read the label. ▪ Follow label directions carefully and read all warnings when giving medicine to children. ✓ Don’t keep it if you don’t need it. ▪ Safely dispose of unused, unneeded, or expired prescription drugs and over the counter drugs, vitamins, and supplements.

Lice Facts and Removal Services

How do I know my child has lice? Where did they get it?

What should I do if I think my child has lice?

How do I keep lice from coming back?

What are lice?

https://www.dshs.texas.gov/texas-school-health/skilled-procedures-texas-school-health/managing-head- lice-school

Websiteson Lice – suggestions formoreinformation and research • www.kidsheadlice.com • www.headlice.org Head Lice Removal Services Lice Angels – Before and After Treatment – (361-414-9115) Call or Text. Two locations – Alice and Corpus Christi https://www.theliceangels.org/ Questions to consider asking before booking an appointment with a lice removal specialist: • Does your service use a product to treat head lice before removal? If so, how does the product work? • Is the product toxic to humans, at any dosage? Are there risks or potential side effects of using the product? Should I be on the lookout for an allergic reaction to the product? • What is the success rate of your service? (What proportion of clients remain lice-free for two months?) • What sort of a guarantee do you provide? • Is your company bonded and insured for in-home visits (if applicable)? • What certifications or licensing does your company maintain? • What follow-up procedures will I need to complete at home (housecleaning, further hair treatment, etc.)? • What are your recommendations for preventing a repeat lice infestation?

Personal Health Records

Personal Health Records: What Is It? ▪ A personal health record is a collection of information about your health. Benefits of Personal Health Records • A personal health record can provide one easy location for all medical information. • It can be a life saver – in an emergency you can quickly give emergency personal vital information about medical history. • A personal health record not only allows you to share medical information with medical care providers but also empowers patients / caregivers to manage health between visits. For example, a personal health record helps people: ❖ Monitor and assess health goals. ❖ Make the most of doctor visits by being ready with questions for your doctor or information you may want to share. ❖ Manage health between visits, keep records of things such as: blood pressure readings, changes in diet, changes in sleep, or changes in behaviors/moods. ❖ Get organized tracking things such as: appointments, vaccinations or emergency room visits help patients / care givers be better prepared. What Information Goes Into A Personal Health Record? • You decide what you put into your personal health record. Start with the basics: ❖ Your primary care doctor’s name and phone number ❖ Your pharmacy’s name and phone number ❖ Allergies, including drug allergies ❖ List of medications, including dosages ❖ Chronic health problems, such as high blood pressure ❖ Major surgeries with dates ❖ Family history ❖ Immunization (vaccination) history Helpful Websites • Next Step in Care: Your Family Member’s Personal Health Record https://www.nextstepincare.org/Caregiver_Home/Personal_Health_Record/ This personal health record is designed to help you keep your family member’s medical information organized in one place. • No More Clipboard Personal Health Record https://nomoreclipboard.com/nmc.cgi Medical Record Phone Apps – All kinds of health records. All in one place. ❖ My Chart (Apple iPhone, Android, Web) (pg. 13 Welcome Book) ❖ Apple’s Health app (Apple iPhone + iPad only ❖ GenieMD (Apple, Android, Web) ❖ CapzulePHP (Apple iPhone +iPad only)

Medical History

MEDICAL HISTORY Current Physician Name/Number: __________________________________ (____) _____-____________ Current Physician Name/Number: __________________________________ (____) _____-____________

CURRENT /PAST MEDICATIONS

SURGICAL PROCEDURES

MAJOR ILLNESSES

VACCINATIONS

https://www.freeprintablemedicalforms.com/preview/Medical_History#google_vignette

State of Texas Emergency Assistance Registry-STEAR

Do you or anyone you know need some form of assistance during times of an emergency/disaster event? The state of Texas offers Texans the option to register with the STEAR program, a FREE registry that provides local emergency planners and responders with additional information on the needs in their community.

Who Should Register? Registration is VOLUNTARY ➢ People with Disabilities ➢ People with access and functional needs such as: • People who have limited mobility • People who have communication barriers • People who require additional medical assistance during an emergency event

• People who require transportation assistance • People who require personal care assistance How to Register ➢ Register Online at State of Texas Emergency Assistance Registry ➢ Dial 2-1-1(Texas Information Referral Network) ➢ Registration information is kept in system for 1 year; re-register is needed annually All information you provide is kept COMPLETELY CONFIDENTIAL Required Information to Register ➢ Name ➢ Address

https://tdem.texas.gov/stear

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Phone Number

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Primary Language Additional questions asked to capture vital information for local emergency planners and responders ➢ Emergency Contact Information ➢ Caregiver Information ➢ Pets ➢ Transportation assistance for home evacuation ➢ Communication Barriers ➢ Disability, Functional or Medical Needs

Corpus Christi Emergency Management 2406 Leopard Street – Corpus Christi, Texas 361-826-4636

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