“Dear Children’s”

February 10, 2011

Dear Children’s Hospital,

My children were in an accident on 1/31/11. Of course this call

is the one every parent dreads getting! I beat everyone else to the scene

and was able to ride to the hospital with them both so we could all

three stay together. I let my best friend know, and I knew she would

contact our church family and let them know. I expected those people

to be there to be with us through a scary time and offer prayers and

consolation. They were there the whole time and brought great

comfort to us, which was wonderful because we don’t have any

family in Tennessee. To my amazement, the staff of Children’s Hospital was just as

awesome!! When we were greeted at the door, everyone had a smile

on their face and instantly began talking to my children in a calm

and caring voice!! I knew at that moment that our visit would go well

because of the manners when we arrived. We were taken straight to a

room, and I didn’t have to leave them to go fill out paperwork of any

kind. Everyone came to us, and everyone was very kind and, I might

say, moved quickly! I knew I had to keep it together and be strong because my

children were paying more attention to my reactions than anyone else’s.

The staff knew this as well and could read the concern in my eyes when

I looked at them. They were all very reassuring and very honest with

me about everything that was going on. They asked me more than one

time if I had any questions and came back every few minutes (not an

hour or so later) and checked on us. My son was just shaken up by the

accident and got a busted lip, and instead of giving him an ice pack, he

was offered a Popsicle. At a hospital, are you kidding me? The smile he

Dennis Ragsdale, Chairman • Bill Terry, M.D., Vice ChairmanMichael Crabtree, Secretary/Treasurer • Debbie Christiansen, M.D. • Dawn Ford Keith D. Goodwin • Steven Harb • Lewis Harris, M.D. • Dee HaslamA. David Martin • Larry Martin • Christopher Miller, M.D. • Steve SouthLaurens Tullock • Danni Varlan • Jim Bush, Chair EmeritusWilliam G. Byrd, M.D., Chair Emeritus • Don Parnell, Chair Emeritus

Lise Christensen, M.D., Chief of Staff • Mark Cramolini, M.D., Vice Chief of Staff Lori Patterson, M.D., Secretary

Ken Wicker, M.D., Chief of MedicineCameron J. Sears, M.D., Chief of Surgery

Keith D. Goodwin, President/CEO • Bruce Anderson, Vice President for Legal Services & General Counsel • Laura Barnes, R.N., M.S.N., NEA-BC, Vice President for Patient Care • Joe Childs, M.D., Vice President for Medical ServicesZane Goodrich, CPA, Vice President for Finance & CFO • Rudy McKinley, Vice President for Operations • Sue Wilburn, Vice President for Human Resources

Ellen Liston, APR, Fellow PRSA, Director of Community RelationsWendy Hames, APR, Editor • Neil Crosby, Contributing Photographer

www.etch.com

Board of Directors

Medical Staff

Chiefs of Services

Administration

It’s About Children Staff

A quarterly publication of East Tennessee Children’s Hospital, It’s About Children is designed to inform the East Tennessee community about the hospital and the patients we serve. East Tennessee Children’s Hospital’s vision is Leading the Way to Healthy Children. Children’s Hospital is a private, independent, not-for-profit pediatric medical center that has served the East Tennessee region for nearly 75 years and is certified by the state of Tennessee as a Comprehensive Regional Pediatric Center.

“Because Children are Special…”…they deserve the best possible health care given in a positive, family-centered atmosphere of friendliness, cooperation and support -- regardless of race, religion or ability to pay.”…their medical needs are closely related to their emotional and informational needs; therefore, the total child must be considered in treating any illness or injury.”…their health care requires family involvement, special understanding, special equipment and specially trained personnel who recognize that children are not miniature adults.”…their health care can best be provided by a facility with a well-trained medical and hospital staff whose only interests and concerns are with the total health andwell-being of infants, children and adolescents.

Statement of Philosophy East Tennessee Children’s Hospital

Children’s Hospital is a Tobacco-Free and Smoke-Free Campus

On The Cover: Alaina Lopez of Fountain City.Read her story on pages 4-6.

had on his face instantly slowed my out-of-control heartbeat I could feel

in my chest! Who does that for a kid? No where we were used to having

to go in an emergency! My daughter’s injuries are what I feared the most because, for

whatever reason, she left home and didn’t put her seatbelt on that night.

The staff knew this and helped me keep her as calm as possible with

their kindness and smiles, and everyone genuinely seemed to care about

us. The doctor was quick to come in and do an assessment so she could

come off the board and be more comfortable. Then the radiologist at

MRI was awesome with her, too! He spoke to her and made jokes with

her and explained every step he was going to take to her and me.

Afterwards we didn’t even wait 45 minutes before we had the results

back and the doctor was in our room telling us she would be OK.

I have to say I really expected to be there all night long. Last

summer my son got hit hard at a football game, so I brought him in to

have his head checked, and we were in and out, and I thought we were

just lucky that day. Everyone was just as pleasant then as they were this

past time. Then I realized that God had placed each and every person

there for a reason. It wasn’t just us who received great care. I could see

it down the hallway and out in the lobby. I thanked God for keeping

my children safe that day, and I also thanked Him for the staff at East

Tennessee Children’s Hospital!

I keep each of you in my prayers and ask God to keep His loving

arms around you, especially on the hardest cases! When you feel like it

doesn’t matter and why are you really there, just know there is someone

like me in a room or waiting area, and you are making a difference!

Never lose you caring spirit or your caring heart!

May God bless you all!!!!

Angela Wooten, Knoxville

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Children’s Hospital NOTES

According to the National Center for Missing and Exploited

Children (NCMEC), 800,000 children ages 18 and younger go

missing each year. For the 16th year, Shoney’s Restaurants and

NCMEC are partnering to sponsor three KidCare ID events at

area malls. The KidCare ID program offers parents the opportunity to get an

official photo identification of their child. A KidCare ID includes a

color photograph, fingerprints, height, weight, date of birth, medical

profile and a 24-hour NCMEC hotline number. A KidCare ID can

expedite the process of finding a missing child, and all parents are

encouraged to have photo identification for each of their children

Also, the Knoxville Police Department will be available for

fingerprinting, and representatives from Children’s Hospital and

Safe Kids of the Greater Knox Area will be on-site to provide

children’s safety information. ID cards and fingerprinting are

provided free at all KidCare ID events.

Volunteers give $50,000

to Children’s Hospital Children’s Hospital depends on the more than 250 volunteers

who unselfishly give of their time and energy to make the hospital

a special, inviting place for patients and their families. Volunteers

not only brighten patients’ days with their love and attention but

also assist hospital departments with various tasks.

In addition to the services they provide daily, the volunteers

also give generous gifts to the hospital each year. On January 18,

the Children’s Hospital Volunteers presented Children’s Hospital

President/CEO Keith Goodwin with a donation of $50,000. The

money was raised from Gift Shop sales and allocated as follows:

• $15,000 for the Children’s Miracle Network Hospitals

Telethon.• $15,000 to the “Art of Healing” children’s art program, which

provides therapeutic healing for patients through art. These

funds were earmarked for artwork frames and statuary for

the new hospital lobby.• $8,148 for the Capital Equipment Budget for 2011/12.

• $8,536 to Child Life for the in-room movie system.

• $1,000 to Nursing for the annual gift for the Food Pantry.

• $1,000 to Child Life for the annual gift for toys and supplies.

• $816 to Nursing Administration for books for the

Healthy Ways (Weight Management) Clinic.

• $500 to the Rehab Center for the annual gift for toys.

Children’s Hospital would like to extend a special

thank you to the many dedicated volunteers who donate

their valuable time to the hospital and their financial

donations that support Children’s Hospital’s numerous

projects, programs and departments.

Co-sponsors with Shoney’s Restaurants for the 2011

KidCare ID program include Children’s Hospital, Star 102.1

radio, WVLT-TV 8/Volunteer TV, the Knoxville News Sentinel,

the Knoxville Police Department, Walgreens and Safe Kids of

the Greater Knox Area.

The KidCare event times and locations are as follows:

• Friday, August 19, 1-7 p.m. at Knoxville Center Mall

(Knoxville)

• Saturday, August 20, 11 a.m.–5 p.m. at West Town Mall

(Knoxville)

• Sunday, August 21, 12-6 p.m. at Foothills Mall (Maryville)

For more information, contact Annie LaLonde at Shoney’s

at (865) 690-6331.

KidCare ID Program

Get ready to ‘rock around the Christmas tree’ While thoughts of winter have faded away, preparations for the 2011 Fantasy of Trees are well underway. In 2011, this special holiday event will showcase a theme of “Rockin’ Around the Christmas Tree,” highlighted with nostalgic decorations and designs that celebrate and showcase the simple pleasures of the holidays from the 1950s, complete with classic cars, a kaleidoscope of colors reflecting on silver trees and the many sights, colors and sounds of a vintage holiday celebration. Last year, the 26th annual Fantasy of Trees was once again an East Tennessee holiday tradition. The 2010 event raised $351,405, the second highest total ever for this event. Thanks to thousands of visitors and volunteers, the proceeds from Fantasy of Trees made it possible for Children’s Hospital to create an additional room in the Children’s Sleep Medicine Center and purchase Mobilab software and hardware for the hospital’s Laboratory Department. Over the past 26 years, the Fantasy of Trees has raised more than $5.7 million for Children’s Hospital. The 2011 Co-Chairs are Todd Heptinstall and Genia Jackson, and the Assistant Co-Chair is Janice Davis (pictured above, left to right). For more information on how to volunteer for the 2011 Fantasy of Trees or to be a sponsor, contact the Children’s Hospital Volunteer Services Department at (865) 514-8385 or email fot@etch.com.

All articles by Megan Helvey, student intern 3

Twelve-year-old Alaina Lopez has been treated at Children’s Hospital many times throughout her childhood, but there is one thing she does not want to be cured of… Bieber Fever. Pronounced “BEE-ber FEE-ver” Definition: A phenomenon of swooning tween and teenage girls over 17-year-old pop star Justin Bieber. Alaina is a spunky, active, responsible, teen-heart- throb-loving seventh grader from Fountain City, who has been treated at Children’s Hospital for several conditions. When she was three years old, Alaina was treated for mild seizures and has been treated for Bell’s palsy (a nerve disorder rarely found in children) since she was nine. The disorder usually corrects itself, but Alaina experienced a second lapse of Bell’s palsy which paralyzed the left side of her face. In July 2008, Alaina’s pediatrician recognized that she was self-conscious and above the healthy weight for her age/height, so he referred her to the Healthy Ways Clinic at Children’s Hospital. The Healthy Ways Clinic is an interdisciplinary program that takes the individual issues related to being overweight (psychological, medical, nutritional, physical and environmental) and addresses each individual issue to make a lifestyle change. Alaina desired to be healthy but at age 10, she did not know where to begin. At Alaina’s first visit to the clinic, different parts of her body were measured, she was weighed, and she had a comprehensive blood test. The blood test results revealed alarmingly high cholesterol, insulin (blood sugar) and triglycerides (fat in the blood). The Healthy Ways team consists of a physician, psychologist, dietitian, physical therapist and registered nurse who all met with Alaina and her family to set nutrition, behavior and physical activity goals. The clinic encourages family involvement, so a family member is required to join her for each session. “Family involvement is crucial in the success of a child in the Healthy

AlainaWays Clinic. The child can only be as successful as the environment that supports them,” said Dr. Nicole Swain, Pediatric Staff Psychologist and Healthy Ways Clinic Co-Director. Alaina completed a “Making Healthy Choices for Life” program prior to joining the clinic which provided an overview of healthy lifestyle behaviors involving diet and exercise. Once at the clinic, a Children’s Hospital nutritionist taught her how to make healthy food choices, what portion sizes should look like and how food can affect mood and

athletic performance. A physical therapist encouraged her to pursue sports she had never tried before and taught her simple exercises to do at home. “I enjoy coming to the clinic and seeing everyone. I love them like family,” Alaina said. She also met with a psychologist to evaluate any environmental and family influences, behavioral or mood-related concerns, school performance, social issues and daily habits/behaviors to help her meet her wellness goals. “Children and teenagers who struggle with weight issues often experience body image concerns, low self-esteem and symptoms of depression and anxiety; they also are at an increased risk of being teased and bullied. The psychologist’s role in the clinic is to work with each child and family to help them better understand their current habits and behaviors and to help them make

lifestyle changes that include, but are not solely limited to, weight management,” said Dr. Swain. The program has two phases: an initial phase that consists of five visits in 16 weeks, and the maintenance phase that required Alaina to come once every three months. The team taught Alaina and her family what healthy portions should look like, how to read nutrition labels and the importance of an active lifestyle. As a result of the Weight Management Clinic, Alaina and her family eat dinner together every night at the kitchen table. “The clinic has changed my whole family. We spend more time together now, and we all stay active and eat healthy,” Alaina said. “We used to eat dinner in front of the television every night.”

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a lil’ About Alaina

Alaina with her sister, seven-year-old

Angelina Lopez.

School and grade: Seventh grade at St. Joseph School in KnoxvillePersonality traits: outgoing, friendly and athleticFavorite color: purple

Favorite food: cheese pizzaFavorite movie: The NotebookFavorite school subject/activity: ArtHeroes: Mom, Nana, Justin Bieber and Tayor SwiftWhat I do for fun: sports, draw, hang out with friendsChildhood dream: To be an Olympian!

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in 2010. She especially enjoys tennis because her dad likes to practice with her. Alaina has recently picked up a third sport, track, which she enjoys because it keeps her in shape for swimming. Alaina is now in her 30th month of treatment in the Healthy Ways Clinic. Because of her efforts, her cholesterol, insulin and triglycerides have gone down to normal levels, and she has significantly reduced her blood pressure. She concentrates more on how she feels and her activity level instead of a number on the scale. She has also reduced her BMI percentile and her waist-to-hip ratio has decreased, which reduces her risk for diabetes, cardiovascular disease and some cancers. Alaina will continue her healthy lifestyle and make improvements. Because of Alaina’s improvement, she only goes to the clinic for a check-up every six months. “I’m going to keep this up and continue to make progress,” she said. “The Healthy Ways Clinic has changed my life.” Alaina is already thinking about going to college and the different careers to pursue. “I want to be a professional swimmer or a nutritionist or physical therapist like the ones in the clinic. I really appreciate what they have done for me, and I want to help someone else,” she said. Alaina’s family is proud of her improvements with the help of the Healthy Ways Clinic. “I like being myself, and I couldn’t say that before,” she said. “I couldn’t have played all my sports and become healthier without the things I learned at the Healthy Ways Clinic. It made me more confident and really made me a better person.”

by Hayley Martin, Public Relations Specialist

Alaina Her family dinner now consists of grilled chicken or fish in the correct portion size (the size of a woman’s palm) and a vegetable instead of a casserole or fried food. “I had a lot of bad eating habits like mindless snacking, eating in front of the TV and not being conscious about what I was putting into my body,” she said. “Now we read nutrition labels and put our forks down between bites to let our food digest.” The most significant change is Alaina’s love for sports. She plays three sports competitively and is training for the Junior Olympics in swimming. “I have been swimming since I was six years old, but the clinic made me realize that sports are fun and help you stay healthy.” She swims for Central High School during the school year and for the YMCA in the summer. “Swimming is a full-body workout, and it’s fun,” she said. “Butterfly and backstroke are my favorite strokes. I am working really hard to go to the Junior Olympics, and my coaches think if I keep working hard, I will get to go.” Alaina is also passionate about tennis. She plays for St. Joseph School and was the school’s most improved player

Alaina in the Healthy Ways Clinic with her grandmother, Joan Gates (in green), and physical therapist Carrie Alexander (in blue).

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Pediatrician ProfilesTimothy Fuller, D.O., F.A.A.P.

Casey Moss, M.D.

Age: 43

Family: Wife, Tricia; daughter, Emily (14); sons, Gabriel (12) and Joshua (9)

Name of Pediatric Practice: Greene Mountain Pediatrics; Greeneville, Tenn..

Academic Background/Prior Experience: B.S. – Evangel College, Springfield, Mo., 1989D.O. – University of Health Sciences COM, Kansas City, Mo., 1993

Internship and Residency: Tripler Army Medical Center, Honolulu; Internship: 1993-94; Residency: 1994-96

Additional Experience: completed Tropical Medicine Course at Walter Reed Army Institute of Research

Why Pediatrics? Initially I chose pediatrics because I felt like I actually made a difference in the lives of children. Children, unlike a lot of adults, don’t have addictive habits, are motivated to get better and have family support to ensure compliance. As time went on, I discovered that I enjoyed the interaction with the kids because I am just a big kid myself.

Philosphy: I do my best to help parents raise healthy, well-adjusted children. I try to meet the needs of my patients and communicate with them on their level, so they can be informed participants on their care and healthy lifestyles.

Greatest Influences: Personally, my greatest influence is Jesus Christ. Professionally, I feel that I was influenced most by Dr. James Bass and Dr. Charles Callahan, both of whom I believe are pillars of pediatrics/military medicine.

Proudest Moment as a Pediatrician: It’s hard to pick just one moment. Maybe it is the emergently born baby brought back from the brink of death who crawls into your lap three years later and thanks you for saving his life, or maybe it is the child who sees you in a store and yells, “There’s my doctor!” Being a pediatrician is full of positive reinforcement.

Age: 32

Family: Wife, Kara; daughters Victoria (3) and Elizabeth (13 months)

Name of Pediatric Practice: Hamblen Pediatric Associates, Morristown, Tenn.

Academic Background/Prior Experience: B.S. – University of Tennessee, Knoxville, Tenn., 2000M.D. – James H. Quillen College of Medicine, Johnson City, Tenn. 2004

Internship and Residency: James H. Quillen College of MedicineInternship: 2004-05; Residency: 2005-07

Additional Experience: Rural Health Services Consortium in Rogersville, Tenn., 2007-08

Why Pediatrics? Like many pediatricians, I love children and wanted to make a difference in their lives. I found pediatrics to be very rewarding in that there is focus on prevention over treatment, with a goal of health rather than disease management.

Philosphy: Children want to be healthy and reach their fullest potential. I believe that within the relational context of the family and with support from a caring community, this goal can be achieved. Even the smallest influence in a child’s life can dramatically change his/her course and ultimate destination.

Greatest Influences: The greatest single influence on my life is my Christian faith. The significant place that my wife and children have, both personally and professionally, could not be overstated. I also owe much to my extended family and to my own pediatricians – now turned partners – Dr. David Willbanks and Dr. Mary Bukovitz.

Proudest Moment as a Pediatrician: One of the benefits of practicing in the area where I grew up is that I have the privilege to care for the children of families I have known (and who have known me) for many years. Whether I went to school with, played sports with, worked with, or am somehow related to my patients’ families, it is quite an honor to be entrusted with the care of their children. 7

Lobby renovations are complete!

After almost a year of renovations, East Tennessee Children’s Hospital unveiled a completely redesigned, expanded and refurbished main entrance and lobby on April 7—thanks to a generous donation from Regal Entertainment Group’s Regal Foundation and gifts from two other groups, the Children’s Hospital Volunteers and Knoxville Pediatric Associates. Knoxville Pediatric Associates gave a generous donation during the last capital campaign that was designated for building and renovation. A $750,000 donation from the Regal Foundation made possible the creation of the Pre-Operative Holding Area in Surgery and the renovation of the hospital’s mail lobby. As plans for the lobby project progressed, Children’s Hospital Volunteers contributed funds for various improvements, including a restful “waterwall” in the waiting area, artwork and signage in the lower main lobby. During the last year, plans have been put in place to double the size of the main lobby waiting area and remodel the entry lobby. For the lobby and entry areas, design elements included colorful

flooring and painting options, larger-than-life-size photos of children, a waterwall, movie screen capabilities and a new coffee shop. Once the lobby project began in May 2010, several different phases of construction occurred. The former outdoor atrium was enclosed to expand seating for patients and families; two six-foot skylights were installed in that area along with a third over the existing seating area, ensuring the area remains full of light. Construction on the hospital’s main entrance area began in July. Photos of children and a glass display case filled with art now welcome patients, families and visitors entering the hospital, while vibrant paint and flooring colors create a cheerier atmosphere. A family restroom with a full-size changing table and a lactation room complete the extensive renovations. Now that construction is complete, Children’s Hospital is better able to comfortably accommodate the growing number of patients seen on a daily basis.

by Taylor Griffin, student intern

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What’s New atTeam effort is a success in decreasing central line infections

For the past several years, Children’s Hospital has been working to decrease the rate of a particular type of infection that can occur in the hospital setting. Since January 2008, Children’s Hospital has also reported to the state of Tennessee the central line-associated blood-stream infection (CLABSI) rates in our pediatric and neonatal intensive care units. Reporting of this data became mandatory in 2008. With the implementation of steps to prevent central line infections (called CLABSI Bundles), Children’s Hospital saw a decrease in the expected number of infections (“Incidence Density Rate”) for hospitals of a comparable size and patient population. Hospitals across Tennessee also consistently showed a decrease in the number of CLABSI compared to other states participating in the reporting. Tennessee recently issued a report for the first two years of reporting data for CLABSI infections, the period from January 1, 2008 to December 31, 2009. According to Darci Hodge, R.N., Director of Infection Control at Children’s Hospital, the key issues to draw from the report are: “Did we get better?” and “How do we compare to other hospitals?” On both points, Children’s Hospital was represented favorably. For the first point, “Did we get better?” the answer is a resounding “Yes!” The NICU had 21 infections in 2008 and just three in 2009, while the PICU dropped from eight infections in 2008 to four in 2009. For the second point, “How do we compare to other hospitals?” the answer is “Very favorably.” Children’s Hospital is below a one on the Standardized Infection Ratio (SIR), which is the desired ratio. Hospitals scoring above a one on the SIR need to make further improvements. Hodge said Children’s Hospital’s improvement efforts to fight CLABSI involve several steps based on a scientifically proven national “bundle.” The insertion of a central line is treated as a sterile procedure, so this means health care providers must follow hand washing guidelines and wear hats, gloves, masks and full gowns. The patient must be covered with a full sterile sheet, and the site for the central line must be properly identified and cleaned before the line is inserted. After the line is inserted, the focus shifts to the prevention of infection as long as the line remains in place. Children’s Hospital follows a protocol for a “closed-system central line,” meaning the line is not opened to air for blood draws. Efforts are also made to limit the number of times the line is accessed to reduce the patient’s exposure to bacteria. In addition, the patient’s health care providers practice “environmental cleaning” of the “patient zone” (the patient, his/her bed, any pumps or monitors in use, etc. – anything the patient and his/her nurses might touch). This is cleaning of these areas by the patient’s nurses in addition to the normal room cleaning services provided by the hospital’s Environmental Services housekeepers. Also while the line remains in place, nurses provide sterile dressing changes and antimicrobial dressings

around the catheter site, with the ultimate goal of discontinuing use of the central line as quickly as possible. Patients need central lines to replace lost body fluids and/or to receive certain medications best provided intravenously. Blood also can be drawn from central lines to minimize the number of needle sticks a patient must experience, although this use is not a primary reason for a central line. In addition, some essential/necessary monitoring and testing processes can be completed with the central line. Central lines may be placed in the arm, upper chest, groin or, in particularly small newborns, the umbilical stump. Hodge said Children’s Hospital is following the best-known

guidelines in the United States and across the world to prevent CLABSI. “This is ongoing, is constantly on everyone’s minds,” she said. “It’s one of the key patient safety prevention items we can work on. If a patient needs a central line, there is no choice – the child must have it. But we don’t want to cause harm while saving a life.” Preventing CLABSI requires a team effort, Hodge said. “Nurses, physicians, nurse practitioners, respiratory therapy, X-ray, housekeepers – everyone in those units recognizes that everything they do can have an effect on a central line.” There is not a lot of information and data specific to children’s hospitals, so Children’s Hospital is among a group of pediatric specialty hospitals that are “paving the way to find best practices” in the prevention of CLABSI. Children’s Hospital

employees have presented information at state and regional meetings/conferences on the topic and have been praised for their progress in eliminating infections, Hodge said. Because of the success at Children’s Hospital in using bundles in the care of patients with central lines in critical care settings, the hospital has extended the bundles to inpatients and Home Health Care patients with central lines. “The process to eliminate these infections involves a team effort and includes searching for every possible portal by which a bacteria could enter the system,” according to Dr. Joe Childs, M.D., Vice President for Medical Services and director of the PICU. “We are pleased with the dramatic successes in both units, but the efforts are continuing to move the frequency of these infections to zero.” Laura Barnes, R.N., M.S.N., C.N.A.A., B.C., Vice President for Patient Care Services, said providing infection-free care in a clinical setting is challenging. “I am thrilled with the decrease in CLABSI being seen in our two intensive care units,” Barnes said. “I know the nurses and other clinical staff have made a tremendous effort to follow the many detailed steps of the CLABSI Bundle, and they should be very proud of the results of their efforts.” The public report can be found on the state website at: http://health.state.tn.us/Downloads/TROHAI2011.pdf. Results for 2010 will be published later in 2011. 9

What’s New atHospital names Development

and Community Services Vice President

WhenwalkingintotheHaslamFamilyNeonatalIntensiveCareUnit(NICU)atChildren’sHospital,thereisanoticeabledifferencefromtherestofthehospital.Aserene,quietenvironmentismostoftenpresentinthisareaofthehospital,withnursesandparentscaringforthemanybabiesthatcomeintotheNICUforavarietyofreasons. Occasionally,high-pitchedcrying,tremors,seizures,hyperactivereflexesandinconsolabilitydisruptthepeacefulNICUenvironment.Babieswiththesesymptomsaremostlikelysufferingfromthehorrifyingwithdrawalprocessexperiencedbyababybornwithadrugaddiction.ThesesymptomsarearesultofNeonatalAbstinenceSyndrome(NAS),whichisthetermusedtodescribethehealthissuesaddictedbabiesexperienceaftertheyareborn. Inthepastyearalone,theChildren’sHospitalNICUhasseenabout70infantsadmittedfordrugwithdrawal(575-600in-

fantsaretreatedintheNICUinayear),andtheneonatalteamhascaredformanyotherbabiesinthenurseriesatFortSandersRegionalMedicalCenterandParkwestMedicalCenterwhosesymptomswerenotsevereenoughtowarrantNICUadmission. Dr.JohnBuchheit,neonatologistatChildren’sHospital,saysmostofthedoctorsandnursescaringforbabiesbornwithdrugaddictionsbelievethisproblemhasbecomeepidemicinEastTennessee.TennesseenowconsistentlyranksNo.2inthenationinpercapitauseofhydrocodonewithmethadoneusagealsoincreasing.Thesestatisticsshowthenumberofbabiesbornaddictedtonarcoticsisontherise. ThemostcommonformofaddictionseenintheChildren’sHospitalNICUisnicotineaddictionfrommothers’tobaccousage.Babiesbecomeaddictedtonicotineandotherdrugstheirmothersuseduringpregnancybecausethedrugscrosstheplacenta,thereforegoingfromthemother’scirculationtothebaby’s.Wheninfantsarebornwithanaddiction,theyare

Children’s Hospital supports new treatment

Carlton Moxley Long has been named Vice President of Development and Community Services for East Tennessee Children’s Hospital, a newly created position to focus increasing attention on philanthropy, community relations, marketing and volunteer services at the pediatric medical center. Long will start in this new position in late May. Long’s career in development and fundraising is extensive. She comes to Children’s Hospital from Mercy Health Partners in Knoxville, where she has been Regional Vice President of Philanthropy since 2008. When Baptist Hospital and St. Mary’s Hospital merged, she was responsible for merging the two hospitals’ foundations to form the new Mercy Health Partners Foundation, with responsibilities for all fundraising for Mercy Health Partners throughout East Tennessee including Knox, Campbell, Jefferson, Scott and Cocke counties. Prior to joining Mercy, Long was Senior Development Associate at the Brown Group based in Chattanooga and with Waters, Pelton, Ostroff & Associates based in Palm Beach, Fla., in a fundraising, consulting and planning capacity for East Tennessee non-profit organizations. “Carlton’s extensive background in fundraising and her board leadership in several large non-profit organizations made her an ideal candidate to lead Children’s Hospital in this important area,” said Keith Goodwin, President/CEO of Children’s Hospital. “Her leadership skills and knowledge in development, donor management, gift recognition,

estate planning, volunteer recruitment, leadership training, strategic planning and a wide array of fundraising areas will help Children’s Hospital build on the important area of philanthropy where we find ourselves today and lead us to further successes in the coming years.” Long looks forward to beginning in her new role. “For years, I have appreciated and admired the mission and work of Children’s Hospital,” Long said. “The opportunity to contribute to and further the hospital’s purpose of providing quality health care to the children of East Tennessee will be a privilege. I can think of no better way to serve our community than to work with Keith Goodwin and his wonderful team in caring for our children.” A graduate of the University of Georgia, Long is active in the East Tennessee community in a variety of organizations. She has served as Board Chair for the Salvation Army, as Guild

President for the Knoxville Museum of Art, as chapter president of both the Juvenile Diabetes Foundation and the Knoxville Garden Club, and as a Trustee of the Webb School of Knoxville. She was a member of the 1997 class of Leadership Knoxville. Long is active on the University of Tennessee Chancellors Associates, currently sits on the board of the University of Tennessee Alliance of Women Philanthropists, serves on the Advisory Board for the University of Tennessee College of Nursing and is a board member of the Knoxville Botanical Garden and Arboretum.

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What’s New at

New Children’s Hospital website is up and running,microsite for Healthy Ways also live

  With vibrant shades of blue, green and yellow, the new Children’s Hospital website is now live at www.etch.com. The new site features many enhancements, as well as an entirely different look and feel, mirroring the beautiful, bright color scheme of the hospital’s new lobby. The new website offers improved navigation, a site search tool, a content management system and greater interactivity. The biggest improvement with the new site is that it will be significantly easier for patient families and other site visitors to find exactly the information they are looking for. Now that the new site has launched, be sure to visit often to see what new features and information it has to offer. One of the biggest changes to the Children’s Hospital website

comes in the form of “microsites,” small websites dedicated to a single area of Children’s Hospital. The first one to launch, at the same time as the new hospital website, was www.healthywaysclinic.com. This microsite is dedicated to the Healthy Ways Clinic, an interdisciplinary outpatient clinic program that takes the individual issues (psychological, medical, nutritional, physical and family) related to being an overweight child or teen and brings them together to work toward long-lasting lifestyle changes. The microsite highlights real clinic patients and their families as well as clinic staff in photos on every page, while providing a great deal of information about the clinic’s program and services. Fantasy of Trees is the focus of another new microsite, www.fantasyoftrees.org. In time for the planning of the 2011 Fantasy of Trees, this microsite features a festive design that is all about the

holidays, as well as a clearer way to find important information about the annual Thanksgiving-week fundraiser for Children’s Hospital. This microsite launches this summer. Children’s Hospital worked with In10sity Interactive-Advertising-Consulting of Lenoir City to develop the new hospital website as well as the Healthy Ways Clinic and Fantasy of Trees microsites.

protocol in NICU for addicted babiesatahigherriskforlearningandbehavioralproblemswhentheyreachschoolage. Becauseofthisproblem,theChildren’sHospitalNICUstaffhasrecentlyimplementedanew,multifacetedtreatmentprotocolthatinvolvesseveraldisciplinesthroughoutthehospital.Physicians,neonatalnursepractitioners,bedsidenurses,socialworkers,acasemanager,therehabilitationteam,andapharmacistjoinedtogethertodevelopthisapproachthatinvolvesevaluatingneonateswithNASbyusingtheFinneganScoringSystem(whichanalyzesarangeofcentralnervoussystem,metabolic,gastrointestinalandrespiratorysymptoms).TheresultingscoresallowtheNICUstafftoadjusttreatmentasneeded.Anybabywithscoresconsistentlygreaterthan10usuallyrequiresmedicaltreatment. Thenextimportantstepistogettheinitialsymptomsofwithdrawalundercontrolbynon-pharmacologicalmeasures(inotherwords,withoutmedication)includingkeepingthebabiesswaddledinaquiet,darkareaoftheNICUand

avoidingover-stimulation.Consistentfeedingtimesarealsousedtosootheaddictedinfants.Ifthewithdrawalsymptomsaresevereenough,doctorsandnurseswilladministerappropriatemedicationsanddosagesbasedontheseverityofthesymptoms.Thefinalgoaloftheprotocolisweaningthebabyoffofthemedicationsasitbecomeslessaddictedtoadrug.Themosteffectivetreatmentmedicationfoundtodateforaddictedbabiesisoralmorphine. Throughthisinitiative,Children’sHospitalisattemptingtoovercometheunfortunatesituationofinfantaddictionthatisbecomingmoreprevalentthroughouttheEastTennesseeregion.EffortsincludingthemultifacetedapproachtohelpingababyovercomeanaddictionarehelpingChildren’sHospitalin“LeadingtheWaytoHealthyChildren,”bykeepingourregion’sbabieshealthy.

by Taylor Griffin, student intern

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Something to smile about for There are few things in life that are more pure than a child’s smile. A smile reveals his/her personality, how many teeth they have lost and what makes them laugh. Children with cleft lip and palate are not born with a conventional smile but are able to have a flawless smile with proper treatment. Children’s Hospital recently began a Cleft Lip and Palate Clinic to serve children who had to travel long distances for treatment in the past. The clinic is led by R. Mark Ray, M.D., Cleft Lip and Palate/Craniofacial Team Director, and a team of 12 dedicated professionals with decades of experience in cleft lip

and palate treatment. What makes the clinic unique is that all members of the clinical team come together to treat every aspect of a patient’s needs. “Before the clinic opened at Children’s Hospital, patients were sent to Chapel Hill, Cincinnati, Nashville or Chattanooga for treatment,” Dr. Ray said. “We wanted to be able to treat these patients conveniently in Knoxville.” Cleft lip and palate is fairly common and occurs in approximately one out of every 800 children. The condition itself is not painful, but patients have multiple needs. “Children with cleft lip and palate require multiple surgeries, treatments and therapies throughout their lifetime. Patients often have feeding, speech, social, cosmetic and dental issues in conjunction with the cleft; our team is multi-faceted and capable of treating all needs,” Dr. Ray said. Children with cleft lip and palate have a cleft, or gap, in their lip and/or palate (roof of mouth) which often makes it difficult for the child to eat and speak. The cleft is a result of two segments of the lip or palate not fusing during prenatal development. Patients with cleft lip can have a unilateral cleft (splitting the lip into 2 segments) or bilateral cleft (splitting the lip into three segments) that can extend to the nose. Cleft palate occurs when two sides of the palate are not joined together, resulting in a gap or a complete opening into the nasal cavity from the mouth. Patients with cleft lip often have feeding, speech and breathing issues that must be corrected with surgery and therapy. Cleft lip and palate patients require two surgeries during the first year of life. The first surgery, cleft lip repair, is performed when the child is about two months old. The surgery closes the cleft in the lip and reorients the muscles of the lip to the proper position using a rotation advancement technique. Dr. Ray rotates one half of the lip down to close the gap and brings the other segment of the lip across to attach the two segments together. The cleft often extends to the nose so the child may undergo a primary rhinoplasty in conjunction with the cleft lip repair.

The rhinoplasty closes the cleft in the nose and orients the nostril to a more normal position. At about eight to 10 months old, the child undergoes cleft palate surgery. Without an intact palate, the child’s speech is altered; his/her voice is very nasal and difficult to understand. It is best to perform a primary cleft palate repair before speech is developed to avoid long-term speech difficulties. During surgery, the soft tissue is raised up off the bone and brought together to close the gap between the nasal and oral cavity. Depending on the severity of the cleft lip and palate, a child may require several other surgeries throughout his/her lifetime including a rhinoplasty, dental surgery and/or speech-assisting surgery. The child may also need social, orthodontic and speech therapy. The Cleft Lip and Palate Clinic currently treats more than a hundred patients and receives approximately 30 new diagnoses a year. All 12 members of the team meet with each patient and his/her family individually to identify and treat the patient’s specific needs. Cleft lip and palate is often identified prenatally, so the team also meets with expectant parents to educate them about cleft lip and palate before their child is born. The team goes through an educational program with the parents and provides them with the necessary tools to care for their child, including a notebook detailing all aspects of care and specialized bottles for feeding their child. The team is so involved in the parents’ education that most parents call the 24-hour emergency line while the mother is in labor to let them know the birth is imminent. The team also meets with parents who are in the process of adopting a child with cleft lip and palate, including several such families in 2010. Many adoptive parents contact the clinic directly to learn about caring for a child with cleft lip and palate; some adoption agencies and foreign countries require potential parents to meet with a team like the one at Children’s Hospital before adopting a child. In the pre-adoption meeting, adoptive parents go through the same educational program as expectant parents and prepare for all aspects of care. Dr. Ray formed the cleft lip and palate team shortly after joining Drs. John Little and Michael Belmont in their practice in spring 2009 (Children’s Ear, Nose & Throat Specialists). The clinic, which is registered with the American Cleft Palate Association, is one of only

Thomas Ray at seven months old,

before cleft lip and palate surgery.

Two-year old Thomas Ray after cleft lip and palate surgery

performed by his father, Dr. Mark Ray.

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NICU Butterfly Room dedicated April 4  The newest addition to the Haslam Family Neonatal Intensive Care Unit, the Butterfly Room, was dedicated by B&W Y-12 employees at Children’s Hospital April 4. The Butterfly Room is a peaceful, home-inspired room reserved for families dealing with palliative care (a special type of care that concentrates on easing the pain and discomfort of a condition) for their baby or bereavement (mourning) after a baby has passed away. Because of a generous donation from B&W Y-12, the contractor that manages and operates the Y-12 National Security Complex in Oak Ridge, the Butterfly Room was converted from a procedure/pumping area into a room that provides amenities that simulate a more home-like environment. Furnishings in the new room include a fold-out couch, refrigerator, TV, glider rocker, necessary equipment for a baby, books and a bookshelf. The renovated room now includes new ceiling tiles, paint, a sink, cabinets and counters. These home-inspired touches have created a place where families will be comfortable spending time with their critically-ill baby for as long as possible. It will also be used as a consultation and resource room for families in the NICU. “The Butterfly Room is a room that is just for the purpose of offering comfort, where the distractions and intrusions considered ‘normal’ for a children’s hospital will be somewhat muted, if only for a brief period of time,” said Sonya McGill, Children’s Hospital neonatal services coordinator. “The nurses see the benefits and know the importance of the room. When you’re there day after day and see families lose their little ones, it gets personal. You want to do all you can for those families. They had the push to see it through,” said Keith Wilson, Atomic Trades and Labor Council’s (ATLC) chairman for the March of Dimes. Y-12 employees who attended the dedication included Bill Klemm, deputy general manager and senior vice president of B&W Y-12; Steve

Attending the dedication of the Butterfly Room in the Haslam Family Neonatal Intensive Care Unit were Dr. Steven Prinz (left); Hannah and Kate Felton and their parents, Johnna and John Felton (fourth from left through seventh from left); and employees and union representatives from B&W Y-12 in Oak Ridge. The 10-year old Felton sisters are surviving triplets who, along with their sister Lily, were born prematurely at 26 weeks. All three girls were treated at Children’s Hospital, but Lily died at less than three weeks of age. At that time, the NICU did not offer such a home-like space for the Feltons to spend their last moments with Lily.

Jennifer Mach, MS, CCC/SLP, Speech Therapist; Nicole Swain, PsyD, Psychologist; Kathy Fowler, LCSW, Social Worker; Kristie Johnston, AuD,CCC-A, Audiologist; Linda Dyer, RN, Clinic Nurse; Laura Shamiyeh, MS, RD, LDN, Nutritionist; Jennifer Crawford, RN, Clinic Nurse; April Wilson, LPN, ENT Office Liaison; and Judy Marciel, RN, MSN, PCNS-BC, CPNP-PC, APN, Cleft Team Coordinator and Pediatric Clinic Nurse Specialist. “Our program is a regional asset. The Cleft Lip and Palate Team has decades of experiences, and all of us are fully invested in each patient’s care. The clinic at Children’s Hospital is operating at the level of any major center in the United States,” Dr. Ray said. “We are making a difference in the physical, emotional and social well-being of our patients’ lives.”

by Hayley Martin, Public Relations Specialist

Little, vice president of facilities, infrastructure and services; Steve Jones, president of the Atomic Trades and Labor Council; and other management and union representatives.

by Taylor Griffin, student intern

179 such clinics in the nation and meets once a month. The team performs several surgeries each month and treats patients from Kentucky, Virginia, North Carolina and Tennessee. Because of its excellent reputation, the clinic also treats patients from states outside Children’s Hospital’s normal service area, such as Florida and South Carolina. “The cleft lip and palate clinic at Children’s Hospital offers medical and surgical treatment for patients with the condition while also supporting social and physical therapy needs. Parents have described the cleft lip and palate team as a sort of family that often begins before the child is even born. Dr. Mark Ray and his talented team of professionals are just one more reason to choose Children’s Hospital for the very best pediatric care,” said Keith Goodwin, Children’s Hospital President and CEO. The Cleft Lip and Palate team is made up of R. Mark Ray, MD, Cleft Surgeon and ENT; Turner Emery, DDS, MD, Oral and Maxillofacial Surgeon; James T. Pickering, DDS, Orthodontist;

What’s New at

Children’s Hospital patients

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Leading The Way

Children’s Hospital employees live by the hospital’s vision statement, Leading the Way to Healthy Children, but sometimes employees forget to take care of their own health along the way. To provide the region with the best pediatric care, Children’s Hospital employees are now taking better care of their own health so they can continue to care for the children you love.

Children’s Hospital employees have access to an Employee Health and Wellness Center that offers many resources, including tools related to stress management, nutrition, smoking cessation and general health for all part-time and full-time employees. “Wellness is more than going to the gym or not eating a cookie; it’s how you enjoy your life, manage stress and take care of yourself. We hope that employees will view wellness as a way of living that prevents avoidable illness,” said Tom Jackson, Employee Health and Wellness manager and nurse practitioner. To jumpstart each employee’s wellness journey, Children’s Hospital offered a comprehensive wellness program to all employees this spring. The wellness program was started to encourage employees to take an active role in preventive care and focused on maintaining or improving a healthy lifestyle and detecting and managing health issues. Each employee underwent a health screening that included a comprehensive blood test that measured cholesterol and glucose, blood pressure analysis and health risk assessment. More than 70 percent of Children’s Hospital employees participated in the program and also will have access to personal health coaching and health education tools. To boost staff morale, employees share their wellness stories through an internal newsletter. Employees with the most success have lost weight or met fitness goals simply by making healthier choices. Each employee has found something different that works for them -- one night-shift employee walks six flights of stairs multiple times a night, another avoids the middle of the grocery store where processed foods hide, while another was able to control her diabetes through healthy eating and exercise. Many employees have begun walking on their lunch break with a buddy or with fellow staff members.

Employee Health and Wellness provides employees with both indoor and outdoor walking maps to help employees keep track of their steps and reach the recommended 10,000 steps a day. John Hankins, food service manager at Children’s Hospital, lost more than 55 pounds by eating right and exercising 150 minutes a week. “Positive reinforcement is what motivates me to succeed. The more successful I am, the more successful I want to be,” he said. The cafeteria has also made positive changes. It recently began offering healthier options and has repositioned salads to the front of the cafeteria. Nutrition facts are now available on “grab and go” items such as prepackaged sandwiches and salads for employees’ convenience. The cafeteria is in the process of putting nutrition facts on all food items and has found an opportunity to make recipes healthier as a result. Children’s Hospital also became tobacco-free as of January 1, 2011, to provide a healthier environment for all patients, visitors and employees. The new policy extends the tobacco ban to all patients, families and visitors throughout the grounds of the hospital. “As health care professionals, it is our responsibility to set an example of what good health looks like,” said Keith Goodwin, President and CEO of East Tennessee Children’s Hospital. “Our desire is to create the healthiest environment for our patients, families and employees.”

by Hayley Martin, Public Relations Specialist

Children’s Hospital vision statement is “Leading the Way to Healthy Children.” In this series in It’s About Children, we are sharing with our readers some of the many ways we are “Leading the Way.” Outstanding practices by Children’s Hospital departments are highlighted – things that are, although quite commonplace at our pediatric medical center, actually rather unique. This series showcases the exceptional work done at Children’s Hospital and demonstrates how the hospital is a great place to work.

More and more Children’s Hospital employees are getting outside and walking each day for better health. Two of the most avid walkers are Audrey Madigan of the Development Department (left) and Charlotte Tallent of the Community Relations and Education Departments.

Leading the Way to Healthy Employees

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Water Safety Day Summertime in East Tennessee is often marked with flip flops, goggles, neon swimsuits and the sweet smell of coconut sunscreen. Families love to gather together for summertime fun at the pool, lake or beach, so it’s important to learn how to keep your family safe while enjoying water fun. Safe Kids of the Greater Knox Area, along with Kohl’s, Children’s Hospital, Knoxville Pediatric Associates and Dollywood’s Splash County, reminds everyone that no one can take a vacation from water safety this summer. A water safety and awareness day will take place at Dollywood’s Splash Country on Wednesday, June 8, from 10 a.m. until 2 p.m. Children who complete a special “splash pass” will have the opportunity to win great prizes. The event will feature a rescue demonstration by the water park’s award-winning lifeguards, information on CPR and emergency preparation from Children’s Hospital, a list of essential items for a home safety kit from Kohl’s and water safety tips from Safe Kids of the Greater Knox Area. The City of Pigeon Forge Fire and Police Department, Sevierville Aquatics Club, the American Red Cross and Knoxville Pediatric Associates will offer additional water safety information.

An informational media campaign will remind parents/caregivers and children of important water safety tips, and the fun event at Dollywood’s Splash Country will offer a way for families to learn about water safety together. There is no extra charge for Water Safety Day at Dollywood’s Splash Country, but an admission ticket to Splash Country is required for admittance. For ticket information, call (800) DOLLYWOOD or visit www.dollywoodssplashcountry.com.

Safe Kids Worldwide merges with Home Safety Council Safe Kids Worldwide merged with the Home Safety Council on December 31, 2010, and will continue to fulfill its mission to prevent unintentional injuries in children. With the merger of the Home Safety Council, Safe Kids will now also cover home safety.

Safe Kids offers first Start Safe: A Fire & Burn Safety Program training in Tennessee On March 11, Safe Kids of the Greater Knox Area and the City of Pigeon Forge Fire Department offered the first “Start Safe: A Fire and Burn Safety Program for Preschoolers and their Families” training in the state of Tennessee. The fire safety program is offered to firefighters, Head Start teachers and administrators who teach preschoolers ages 3-6. The training was performed by the Tennessee State Fire Marshall’s Office, and each participant received a smoke alarm and Start Safe kit. The goal of the program is to reduce the number of home fires and burn injuries in preschool children. “Programs like ‘Start Safe’ are critical in teaching families how to protect themselves from fire and in the event of a fire, to know how to make sure everyone gets out alive,” Susan Cook, Safe Kids Coordinator, said. The program teaches preschoolers what to do in case of a fire in their home, and parents and caregivers learn how to prevent fire and burn injuries, the importance of smoke alarms and how to implement and practice home fire drills.

Sevierville Primary School learns bike safety Safe Kids hit the road in March and spent three days at Sevierville Primary School educating children in kindergarten through second grade about bike safety and proper helmet use. About 350 children went through a series of classes on bike safety with the Sevier County Sheriff ’s Office School Resource Officer. At the completion of the classes, Safe Kids, along with help from Kohl’s, the Epilepsy Foundation of East Tennessee, Pigeon Forge Fire Department and the Sevier County Sheriff ’s Office, presented and properly fit each child with a new bike helmet.

by Hayley Martin, Public Relations Specialist

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Donors who are interested in making a charitable gift through their Individual Retirement Account (IRA) will be able to do so for another year. The IRA Charitable Rollover provision, initially enacted in 2006, was extended by Congress through 2011. If you are 70 1/2 years or older, have an IRA account and do not need to use the required distribution, you may be pleased to know that you can support Children’s Hospital by transferring your distribution directly to the hospital tax-free. The IRA Charitable Gift provision was enacted as part of the Tax Relief, Unemployment Insurance Reauthorization and Job Creation Act of 2010 that was signed into law late last year by President Barack Obama. The law renews incentives for donors to make charitable gifts from distributions that might otherwise be subject to federal and state taxes. Donors may elect to make charitable distributions from their traditional or Roth IRA accounts in any amount they choose up to $100,000. Here is a fictional example: Bill, a 76-year-old widower, lives comfortably on his pension, savings and Social Security income. When he makes withdrawals from his traditional IRA account, he is taxed on those funds. The additional income means more of his Social Security income is also taxed. By making charitable gifts through his IRA account, he avoids reporting the amount as income, pays no taxes on those funds, and bypasses additional tax on his Social Security benefits. To enjoy the full benefit of the law’s provision for your 2011 gifts, you must complete your transfer no later than December 31, 2011.

Here are the guidelines:

• Donors must be 70 1/2 years or older.• The gift must be made directly from an IRA account to the hospital.• Gifts cannot exceed a total of $100,000 for the year. A couple with separate IRA accounts can each make gifts up to $100,000.• Gifts must be outright (the donor does not receive any goods or services from the charity because of the gift).• Gifts must be made to a qualified charity. They cannot be made to a donor advised fund or supporting organization or to fund a charitable life income trust agreement.• The gift is not included in taxable income; therefore, no charitable income tax deduction is allowed.• The gift can only be made through a qualified IRA account. Gifts from 401(K), 403(B) and 457 plans are not permitted.

To make a gift from your IRA distribution, contact your IRA custodian on how to initiate the transfer. Contact the Children’s Hospital Development office at (865) 541-8441 about your gift and for assistance that we can provide.

Planned givingThe Charitable IRA

Children’s Hospital was named a top 25 Safe Sitter® teaching site for 2010. The Safe Sitter® class at Children’s Hospital certified 184 new “safe sitters” during 2010. Safe Sitter® is a national organization that teaches young adolescents safe and nurturing babysitting techniques and rescue skills needed to respond appropriately to medical emergencies. Safe Sitter is offered through Children’s Hospital’s Healthy Kids Community Education Program, under the direction of Hayley Martin, Public Relations Specialist. Safe Sitter® is offered for children ages 11-14, and the cost is $25 per participant. Children’s Hospital generally offers Safe Sitter classes once or twice each month; some upcoming dates include May 21, June 11, June 25, July 16, July 23, August 6, August 27, September 17, October 1 and November 12. Class size is limited, so pre-register by calling (865) 541-8262.

Hospital is Safe Sitter

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Safe Kids Coordinator to serve on Safe Kids USA

Advisory Council

Children’sHospitalemployeeandSafeKidsUSACoordinatoroftheYearSusanCookisnowamemberoftheSafeKidsUSACoalitionAdvisoryCouncil,apositionsheacceptedinFebruary.Shewillserveonthecouncilforthenexttwoyearsbyparticipatinginmonthlyconferencecallsandattendingconferences. TheadvisorycommitteeismadeupofSafeKidsUSAcoordinatorsfromaroundthecountryandservesasaforumfordiscussingtheneedsofthenetwork,emergingissuesandconcerns,safetydevelopmentsandtheoveralldirectionoftheorganization.CongratulationstoSusanCookforreceivingthisprestigiousappointment.

by Taylor Griffin, student intern

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Baseball for Babies The ninth annual Baseball for Babies tournament will take place June 2-5 at various Knoxville-area baseball parks. The tournament is open to teams 8U to 16U. The Hayes family of New Market sponsors the yearly tournament in honor of their daughter, Nancy, who passed away in the Children’s Hospital Haslam Family Neonatal Intensive Care Unit. Last year’s event raised more than $22,500 for Children’s Hospital. For more information, contact Lenny Hayes at (865) 441-1367.

Camp Cure For children ages 5-12 with diabetes, Camp Cure is a chance to gain knowledge and develop confidence and independence in caring for their diabetes in a fun camp environment. This year’s theme is “Encore! Encore!” with a focus on musical and dramatic arts, and popular past years’ activities also return to enhance the fun. Camp Cure will take place July 11-15 from 8:30 a.m. to 3 p.m. daily at the Karns Community Youth Center. The day camp activities include swimming, arts and crafts, sports and recreational fun. On Friday, July 15, campers and their families are invited to participate in Family Day. The cost to attend Camp Cure is $10 per child, and the deadline for registration is June 24. For more information, contact Cathy Van Ostrand, Diabetes Clinical Nurse Specialist and camp director, at (865) 541-8281.

Camp Eagle’s Nest Most children spend their summer enjoying outdoor activities and sunshine, including patients of Children’s Hospital Hematology/Oncology Clinic. Camp Eagle’s Nest, located at Camp Wesley Woods in Townsend, is an opportunity for children who have been diagnosed with cancer or a blood disorder to enjoy the outdoors in a safe and fun environment. Campers participate in activities like horseback riding, canoeing, rock climbing, tubing and much more. Campers also are able to interact with their camp counselors, who are nurses and other clinical staff from Children’s Hospital, giving patients a unique opportunity to form bonds in a positive setting outside of the hospital. This year, Camp Eagle’s Nest will take place July 31- August 4 and is open to all Hematology/Oncology Clinic patients who have approval from their doctors to attend. Camp Eagle’s Nest is free for patients, thanks to generous financial and in-kind contributions. This camp would not be possible without donations from the East Tennessee community. For more information, contact Rick Callaway at (865) 541-8476.

The Donald M. Gally Summer Camp Every July, the Children’s Hospital Rehabilitation Center offers a free, week-long day camp for children with physical or mental special needs who are unable to take part in traditional camp programs. Activities for the Donald M. Gally Summer Camp are developed by the staff of the Rehab Center. Physical therapists, adaptive physical education teachers and nurses are key staff members, assisted by many wonderful volunteers, to assure the most successful camp experience. Campers participate in activities such as swimming, nature walks, arts and crafts, and singing. The children are delighted by visits from zoo animals and fun events such as an ice cream party hosted by Bruster’s. The day camp takes place at the Kiwanis Fresh Air Camp on Prosser Road in Knoxville through a generous donation from local Kiwanis Club members. Session I, for campers ages 5-10, takes place July 11-15. Session II, for campers ages 11-18, takes place July 18-22. Hours for both weeks are 8:30 a.m. to 3 p.m. Because there is no cost to attend, donations are greatly appreciated to help make this camp an exciting part of summertime for children with special needs. For more information, contact the Children’s Hospital Rehabilitation Center at (865) 690-8961.

by Megan Helvey, student intern

Calendar of EventsMark your calendars NOW for several upcoming events to entertain families and benefit Children’s Hospital.

Thanks to the generous people of East Tennessee who host and participate in these events, Children’s Hospital can continue to provide the best pediatric health care to the children of this region.

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Q&A

Each year, water-related injuries send thousands of children to hospital emergency departments, including the one at East Tennessee Children’s Hospital. It is important to remind parents, grandparents and other caregivers that following simple water safety rules will help keep children safe in any type of water and help minimize a child’s risk of drowning. Before you enjoy the lazy days of summer, brush up on your water safety knowledge from Children’s Hospital and Safe Kids of the Greater Knox Area.

I’ve heard there is a new Tennessee law that requires residential pools to have pool alarms. Is that true? ? Yes, a new Tennessee law, Katie Beth’s Law, requires all residential pools to have a pool alarm that sounds when an object weighing 15 pounds or more enters the water. The new law, made effective on January 1, 2011, states all residential swimming pools must have a properly installed pool alarm that sounds at a minimum of 50 decibels when an object enters the water. According to the law, a swimming pool is defined as an in-ground, above-ground, on-ground, hot tub or non-portable spa that holds water more than 36 inches deep. Owners of all residential pools without a pool alarm can be charged with a misdemeanor and fined no more than $100 for the first offense and no more than $500 for subsequent offenses. Kentucky and Virginia also have anti-entrapment and fencing/barrier requirements; for more information, call the U.S. Consumer Product Safety Commission at (800) 638-2772 (TTY 301-595-7054).

What new national legislation has been enacted regarding swimming pools? A new federal law has been enacted that affects both residential and public pools/hot tubs. The Virginia Baker Pool and Spa Safety Act requires all residential pools and spas to be enclosed by a barrier that prevents children from gaining access and must be equipped with devices designed to prevent entrapment. In addition, all pools and spas with a main drain (that is not unblockable) must be equipped with an anti-entrapment drain cover. Pools and spas built since October 2008 are required to have more than one drain, one or more unblockable drains or no main drain. The law also states that public pools must have an anti-entrapment drain cover, and public pools and spas with a single main drain (other than an unblockable drain) must also be equipped with a device or system designed to prevent entrapment, such as a safety vacuum release system.

I have heard that a child can drown in as little as two inches of water. Is that true? Most parents take precautions around large bodies of water like lakes, oceans and swimming pools but do not realize that smaller amounts can be just as dangerous. A child can drown in a bathtub, toilet or even a bucket of water. To protect your child, empty buckets, wading pools, coolers and other containers immediately after use, and store outside out of reach. Keep toilet lids down and doors to bathrooms and utility rooms closed when not in use. Never leave your child alone with access to any standing water.

Are “water wings” or “floaties” safe for my child to use as flotation devices? Only U.S. Coast Guard-approved personal flotation devices such as life preservers should be used as flotation devices. Air-filled swimming aids including “water wings,” “floaties” or inner tubes are not safety devices and should not be used as such. These items are not made to hold a up child in the water and can be easily punctured or slip off – all situations that can lead to a drowning incident.

In the movies, there is always a lot of commotion and noise when a drowning occurs. What should I listen for? In real life, when a child goes under water, he or she seldom makes a sound. This is why drowning is often referred to as the “silent killer.” Never leave a child alone around water, because it only takes seconds for a child to drown. Literally, seconds count when a child goes under water.

30seconds–1minute The airway closes, and the child’s lips turn blue.1-2minutes The child loses consciousness.2-5minutes The heart can stop. The child still has a chance of survival if rescued now.5minutesormore Permanent brain damage occurs as each second ticks by.

I hear lots of talk about pool drains. What do I need to know about drains to protect my children? Teach your children to avoid pool drains, with or without a cover, and to pin up long hair while in the water. If you have a pool at home, install multiple drains because it minimizes the suction of any one drain, reducing the risk of death or injury. Check regularly to make sure drain covers are secure and free of cracks and replace flat drain covers with safer, dome-shaped ones. Identify where the manual cut-off switch for the water pump is in case of emergency. Consider

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Upcoming community education classesCPR Certification CourseDates: June 6, July 11, August 8, September 12Time: 6-10 p.m. This certification course teaches the American Heart Association chain of survival -- from when to call 911 to how to effectively administer CPR to an infant, child or adult. This course is designed for anyone who may be expected to respond to emergencies at home or in the workplace. Participants must be at least 14 years old. Following the course, participants will receive an American Heart Association Heartsaver certification card. This course is $25 per person.

Safe SitterDates: May 21, June 11, June 25, July 16, July 23, August 6, August 27Time: 9 a.m. to 3 p.m. (lunch is provided) Safe Sitter is a national organization that teaches young adolescents safe and nurturing babysitting techniques and the rescue skills needed to respond appropriately to medical emergencies. Instructors

are certified through Safe Sitter nationally. Participants must be ages 11-14. This course is $25 per person.

Class size is limited, so preregistration is required. All classes are offered in the Koppel Plaza at Children’s Hospital unless otherwise noted. For more information, to register for any of these classes orto receive our free Healthy Kids parenting newsletter, call(865) 541-8262. Announcements about upcoming classes can be seen on WBIR-TV 10 and heard on area radio stations. Or visit our website at www.etch.com. Children’s Hospital’s Healthy Kids Campaign, sponsored by WBIR-TV Channel 10 and Chick-Fil-A, is a community education initiative of the hospital’s Community Relations Department to help parents keep their children healthy.

installing an approved safety vacuum release system (SVRS), a tool that quickly and automatically turns of the pump (and stops the suction) when something is trapped or blocks the drain. What are some safety rules that I should implement for our home pool? At the lake? Around my house? Different bodies of water require different safety rules and guidelines. Be sure to follow each set of guidelines while in and around various bodies of water.

Pool Safety Rules• Surround your pool – on all four sides – with a sturdy five-foot fence.• Make sure the gates self-close and have self-latching and self- locking features at a height children cannot reach. Also, install a pool alarm and consider automatic interior door locks.• Consider keeping rescue equipment such as a shepherd’s hook (a long pole with a hook on the end) and a flotation device near the pool.• Install a telephone at the pool so you can call for help if needed and so you will not need to leave the pool unattended to answer the phone.• Lifeguards are added supervision for your child but should not be counted on or considered the only method of supervision.• Recognize that inflatable swimming aids such as “floaties” are not a substitute for approved life vests or supervision. They also can give children a false sense of security in the water.• Enroll children around the age of four in swimming lessons taught by qualified instructors. Keep in mind that lessons do not make your child “drown-proof.”• Every home pool should have a Pool Safety Kit within several feet of the pool. This safety kit should include items such as a first aid kit, a flashlight, a flotation device, a blanket, dry towels, a whistle and a phone.

Lake/River Safety Rules• When on or near the water, insist that your child wear a life preserver or flotation device. The U.S. Coast Guard estimates that nine of 10 drowning victims are not wearing any type of flotation device.• When swimming in natural bodies of water, teach your children these four key swimming rules: 1) Always swim with a buddy. 2) Don’t dive into unknown bodies of water. Jump feet first to avoid hitting your head on shallow bottom. 3) Don’t jump or push others into the water. 4) Be prepared for an emergency.• Never consume alcohol when operating a boat, swimming or during water activities, and don’t allow your child to ride on any water vehicle where you suspect alcohol consumption will take place.

Bathtub/Bathroom Safety Rules• Never leave a baby unattended in the bath. If you must answer the telephone or door, don’t rely on an older sibling to watch the baby; wrap your baby in a towel and bring him or her with you. • Stand guard over a bathtub that’s filling with water. • Don’t use a bathtub seat with suction cups. The seat can overturn and flip a baby headfirst into the water. • Install a toilet-lid locking device or keep bathroom doors closed. • Never leave a small child unattended near a bucket filled with any amount of water or other liquid.

Take time to review these water safety guidelines with your friends, family or anyone else who might take care of your children while around the water this summer. These precautionary steps can save you a trip to the emergency room this summer – and might even save the life of a child you love.

Compiled by Hayley Martin, Public Relations Specialist

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Center Stage rocked and rolled at 19th annual benefit gala

The 19th annual Center Stage concert benefitting the Goody’s Pediatric Intensive Care Unit at Children’s Hospital brought the heart of rock and roll to Knoxville. On April 9, the energetic sounds of Huey Lewis and the News filled the Knoxville Convention Center, as guests enjoyed an evening of cocktails, hors d’oeuvres, dinner and dancing. Huey Lewis and the News had 19 Top 10 singles beginning in the 1980s with “Do You Believe in Love.” Their No. 1 album Sports sold more than 10 million copies in the U.S. alone, featuring songs like “The Heart of Rock & Roll” and “If This Is It.” The rock band continued to gain worldwide fame with the song “The Power of Love” featured in the 1985 film Back to the Future. The following year, the Grammy award-winning band released another triple platinum album. In November 2010, Huey Lewis and the News released Soulsville, their first album in nine years. This black tie gala was created in 1993 by event chairs Bob and Wendy Goodfriend after their son was hospitalized due to a diving accident. Guests were able to sponsor tables at patron, benefactor, corporate and individual levels. More than $2 million in net proceeds have been raised from the annual charity event since its inception. The 2011 Underwriters of Center Stage were Pilot Corporation and the Goodfriend Foundation. All proceeds from the gala benefitted Children’s Hospital’s Goody’s Pediatric Intensive Care Unit. Children’s Hospital would like to thank all of the Patron, Benefactor, Corporate and Individual sponsors; guests; volunteers; and all of those who continually support the mission of Children’s Hospital. A special thank you to Kaye Goodfriend, Holly Lawson, Dana Headden, Gail Reed and Toria Boyd for their work on the Center Stage planning committee.

by Megan Helvey, student intern