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COVID-19 Clinic Update – March 31, 2020

Children and Adolescent Clinic, P.C. is taking proper precautions as the social spread of the Coronavirus continues.

The clinic is taking the following measures:

  • All clinic staff are wearing N-95 masks, with surgical masks covering as well as gloves during all patient encounters.
  • Staff are donning full PPE in our Sick Care Clinic.
  • All Well Child checks (2 years and under, kindergarten and 7th grade physicals) are being seen in the regular clinic space in the morning with above precautions.
  • All sick patients are first being seen via Telehealth by one of our providers. If the provider deems it necessary for the patient to be seen in person, he/she will see a provider in full PPE car side or in the isolation Sick Care Clinic.
  • The isolation Sick Care Clinic at both the Grand Island and Hastings locations are ventilated appropriately, as to not flow through the rest of the building, and have a separate entrance.
  • All newborn patients have a separate entrance, are seen in the morning hours, and have specified rooms only used for newborn care.
  • As a screening procedure, all staff will have his/her temperature monitored twice per day.
  • Clinic Management prepared care packages for staff, so that each staff member can take appropriate precautions at home.
  • The clinic staff have donated food for patient families who may need to be in quarantine.
  • Staff has been educated regarding appropriate precautions and social distancing.

More information on Home v Quarantine v Isolation can be found HERE.

COVID-19 Communication Update – March 30, 2020

As we continue to protect our community, Children and Adolescent Clinic, P.C. is implementing additional precautions as recommended by the Centers for Disease Control and Prevention (CDC).

All Well Child (any non-sick patients) visits will be scheduled in the morning, and enter into the regular main entrance of the clinic.  We will not see any Well Children visits in the afternoon at this time, with no exceptions.  Please note that all staff will be masked, and gloves will be used with all patients to decrease any risk.

All Newborn visits will be asked to enter the back of the clinic (employee entrance) and go directly into a designated room at both our Hastings and Grand Island locations.  These appointments will be scheduled in the morning as well.  Please call the clinic upon arrival and a staff member will meet you at the back door and escort you to the room.

All visitor restrictions are still in place, and we ask that you strictly comply with the following:

  • Only one adult should accompany a child for his/her visit.
  • Siblings should not accompany to the clinic, unless no other option is available.If there are two adults AND children other than the patient in the party, one adult will be asked to take the other child/ren to the car, and one adult will be allowed to remain with the patient for the visit.

Telemedicine Is Now Available through CAAC for all sick visits

When you call into Children and Adolescent Clinic, P.C. to have your child seen for an illness, you will be set up with a telemedicine appointment.  Our front office staff will first connect with you to get all needed information for the call.  One of our providers will meet with you via telehealth via your cell phone, tablet or computer (this is your choice).  The provider will treat your child via telehealth; however, if they feel that your child needs to be seen by a provider, they will recommend that you come to our Sick Care Clinic.

At this point you will be scheduled for a time at the Sick Care Clinic by the providers nurse.  This Sick Care Clinic is on side of our buildings and uses the side entrance in Hastings, and the side employee entrance in Grand Island, as to keep our sick and well children separated.  Additionally, our staff has been separated for safety as well.  You will be asked to wait in your car until a staff member meets you and escorts you to the Sick Care area.  Signage is in place to help direct our patients to the correct area.

Thank you so much for your diligence during this time that is unique to all of us.  Your children are our world, and we want to do everything we can to keep them safe, while caring for their needs.

COVID-19 Communication Update – March 25, 2020

Your family is part of our family at the Children and Adolescent Clinic, P.C. The clinic is in daily contact with local and national health departments, Omaha Children’s Hospital, The University of Nebraska Medical Center and various pediatric practices throughout the state of Nebraska.  Every hour, recommendations and modifications to the healthcare environment are implemented to reduce potential exposure and spread of the COVID-19 pandemic.  We must do our part as well to advocate for the children in our care.

In conjunction with our regional leaders and local colleagues, effective immediately, all well child checks occurring from the newborn to 18 months visit as well as kindergarten physicals and seventh grade physicals with occur between 8am and 12pm at either clinic site, exclusively. There will be no exceptions to this. This modified schedule will take effect immediately and remain in effect for the duration of the summer unless national and state health departments recommend otherwise.

The clinic is currently in the process of rolling out a telehealth platform which will be live and available for widespread use no later than Monday, March 30, 2020. Parents will be able to access healthcare providers remotely through a secure link on their phone, tablet or computer and have real time, face-to-face interaction with the healthcare provider who can better risk stratify, triage and render medical recommendations. This may result in the provider requesting that subsequent care, including an ‘in-person’ visit be arranged as well.  As we finalize the plan, we will continue to keep you updated using our social media sites.

Thank you for helping us keep the spread of this virus as controlled as possible. We appreciate each and every family represented at our clinic.  Please keep all healthcare professionals in mind as we address this new frontier, and know that your health and safety is at the forefront of all we do.  Your children are the center of our world!

Sincerely,
Dr. Shade Whalen
Dr. Daniel Leonard IV

COVID-19 Communication for Parents/Patients

As a precaution to protect the community, Children and Adolescent Clinic, P.C. is following recommendations from the Centers for Disease Control and Prevention (CDC). All individuals entering Children and Adolescent Clinic, P.C. at either location will be screened for travel exposure and wellness prior to or upon arrival.

We will attempt to schedule all Well Child (any non-sick patients) visits in the morning and all Sick visits in the afternoon at both clinics. This is in an effort to keep our well children from being exposed. If a parent/guardian insists on a Well Child visit in the afternoon, please note the following disclaimer:

We will be happy to see your well child in the afternoon, but please know that is not our recommendation due to potential exposure. If a parent/guardian insists that a well child be seen, the following question will be asked:

  • Is your child diagnosed with an immunosuppressed condition such as Asthma or Chronic Lung Disease/Diabetes/Heart Disease/Severe Prematurity? If so, we can only schedule your child during the Well Child visit designated time.

To protect the health of patients, families and staff, Children and Adolescent Clinic, P.C. has implemented visitor restrictions as follows:

  • No more than two adult visitors/guardians with each child.
  • Siblings should not accompany to the clinic, unless no other option is available.
    • If there are two adults AND children other than the patient in the party, one adult will be asked to take the other child/ren to the car, and one adult will be allowed to remain with the patient for the visit.

Patient Questions asked when scheduling sick children:

We will ask all individuals coming into the clinic the following screening questions:
1. Has anyone coming into the clinic had any known direct contact with any individual with a confirmed case of COVID-19? ​Yes/No
2. Have you or anyone in your household traveled outside the United States in the last 2 weeks? ​Yes/No
3. Do you have any of the following symptoms?
a. Fever of 100.4 degrees F or higher? ​Yes/No
​   b. Cough? ​Yes/No
c. Shortness of Breath? ​Yes/No

Note: Screening questions are not an indication of the COVOD-19 virus.

Children and Adolescent P.C. has set up areas at both locations to see suspected COVID-19 cases, that are away from the general public. In addition, we will be using PPE precautions (masks, glove, gowns and eyewear) as recommended by the CDC.

While the pediatric population is not currently seen as high risk with the COVID-19 virus, Children and Adolescent P.C., is dedicated to the health and wellness of your children. We will continue to keep you updated as more information emerges about the virus.