Programs

Research and Presentations


The Injury Prevention Program in Kansas City is a collaborative effort between Patient Care Services, Emergency, and Surgical Trauma Services at Children's Mercy Hospital.

Continued efforts are focused on reducing the impact of injuries on the lives of children and their families through service, research and advocacy. The program assesses neighborhoods with high-injury risk factors and provides injury prevention strategies that will best address their needs.

Under the directorship of doctors David Juang MD, CMH Surgery Trauma Services and Director of Truama & Burn; the Kansas City Coalition is a hospital based community resource for injury prevention efforts. Program Coordinators are Phyllis Larimore RN MPH PhD(c) and Christy Cassidy LPN and Burn Prevention Specialist.

The hospital based program highest priority is to serve children with special health needs during hospitalization and through the sub-speciality clinic visits. The car seat program is staffed by a certified child passenger safety technicans(CPST) who have specialized training in working with children with special health needs. Healthcare providers assess child passenger safety needs of every child, 0-8 years, upon admission to the hospital and during well-child visits. The hospital based car seat program provides bedside consultation Monday through Friday upon request by healthcare providers at no cost.The hospital operates a loaner program for HIPPO or a HOPE car bed for children who can not tolerate or "fit" a conventional car seat. The certified child passenger safety technicans and instructors: Phyllis Larimore and Shannon Bernal offer distance consultation to child passenger safety technicians and instructors as well as case managers and parents.

The hospital's traffic safety program includes child passenger safety courses approved by the National Highway Traffic Safety Administration's National Child Passenger Safety Training Course, Safe Travel for All Children: Transporting Children with Special Healthcare Needs, and Improving Occupant Protection for Non-Critical Pediatric Patients in Ambulances: A Training Curriculum for EMS Personnel. In addition, specialized traffic safety in addition to basic CPS programming to child care, school transportation staff, community stakeholders and partners.

Approximately 7 out of every 1,000 babies die in the greater Kansas City area. This alarming statistic has brought together members of the hospital staff and coalition to work together to develop a small pilot project will commence this fall. The "safe sleep" study will describe bedside nursing practice related to safe sleep in infants considered at high risk of sudden unexpected infant death syndrome related unsafe sleeping practices by parents and other caregivers. Interventions include bedside nurse safe sleep education and training, use of sleep sacks to avoid over heating, portable cribs and pacifers as outlined by the AAP's Back to Sleep recommendations and assessment of in-home sleeping environment and practices for risks.

IFKC staff collaborate and support Charlie's House, a local injury prevention organization (http://www.charlieshouse.org) aiming to prevent unintentional childhood injuries by targeting their primary careproviders, usually, the parents but extend to grandparents and other relatives who supervise their safety including child care providers. The IFKC staff provide on-site presentations at the safety demostration model home and throughout the community. A major theme is prevention of furniture tip-overs such that took the life of the 2 year old Charlie when the 30 inch dresser tipped over as he attempted to reach for a toy on the top of the dresser. The organization provides training in how to restrain furniture and provides free restraining straps to parents and caregivers.

Christy Cassidy, LPN, Burn Education Specialist, and Burn Clinic Coordinator, provides clinical care in the Burn Clinic, participates in evidence based research as well as offering professional and community injury prevention presentations. Christy also collaborates with the local and regional Safe Kids coalitions and Charlie's House injury prevention programming.

The coalition worked with neighborhood associations to build playgrounds in the urban core of Kansas City: Ivanhoe, Montgall and most recently, the Longfellow Elementary School playground with the support of All State Insurance. Currently underway, is an assessment of the parks & playgrounds using the Community Park Audit Tool (CPAT) developed by Kaczynski, Stanis & Besenyi in 2010.

A new focus of community outreach is to promote walking and biking to school in 3 elementary schools in Kansas City, Kansas. The program includes site assessment of transportation behaviors of the students as they arrive at the schools. The targeted population for the study are 5th graders who are bike riders will be invited to participate in the program. In collaboration with BikeKC, the fifth grade graders will be recruited to register for the Bicycle Lesson and Safety Training (BLAST). The core concepts of BLAST are safety, confidence and skill acquistion. The measureable outcomes are improved bicycle handling skills, proficiency of basic traffic skills & identification and avoidance of hazards. The BLAST program has been certified to meet the state's educational criteria and is offered in 4 one hour segments to 15-20 students during a PE class.

Kansas City Directors


Contact Info

For additional information about Injury Free Kansas City, please contact one of our program directors:

plarimore@cmh.edu
djuang@cmh.edu
ccassidy@cmh.edu

Mapping address: 2401 Gillham Road, Kansas City, MO 64108



Description

Contact Information



Description

BikeWalkKC's BLAST program is an innovative and proven school-based program teaches fifth graders the skills and knowledge required for safe and effective cycling. BLAST: Kids on Bikes is developed by bicycle education professionals and reviewed by educators and parents. BLAST is offered in 4 one-hour sessions per cohort during physical education classes.

BLAST is a primer for students to gain an understanding of how to safely operate a bicycle in a variety of situations. The class aims to produce cyclists who ride safely and skillfully. By inviting BLAST into the classroom, PE teachers are providing their students with a formal education on an important topic and helping to create an educational culture that values cycling as a basic life skill.

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Description

The car seat program is both hospital/primary care focused as well as partnering with community stakeholders to promote safe travel of all children in the Kansas City community. Healthcare providers assess the CPS needs of children admitted to the hospital and those seen in during their well-child visits. Appropriate child safety restraints are provided to hospitalized patients to promote safe travel at discharge regardless of parents ability to purchase the restraint. Hospitalized children who can not "fit" into their regular car seat due to a medical condition such as a hip spica are provided a "loaner" medical restraint (the Britax/Snugseat HIPPO, the Merritt HOPE car bed, or the Merritt Jefferson rear facing restraint) or provided a or a modified EZ on Vest). Conventional car seats (infant, convertible and high back booster) and upright vest restraints are available for safe discharge travel to parents who are unable to provide an appropriate restraint.

Parents and health care providers may request 1:1 consultation with certified child passenger safety technicians for infants and children with special health care needs, Monday-Friday, 9:00-3:00 p.m.

Phyllis Larimore RN MPH CPSTI and Shannon Bernal RN CPSTI provide leadership in partnership with local CPSTIs to offer 6-8 National Child Passenger Safety Training Courses annually. In addition, Ms Larimore and Ms Bernal are also approved instructors and conducts an annual training of the Safe Travel for All Children: Transporting Children with Special Health Care Needs, developed by Marilyn Bull MD, Automotive Safety Program, U of Indiana, in partnership with Ronda Lusk, RN CPSTI Via Christi-Wichita/Safe Kids Sedgewick CO KS.

Ms Larimore and Ms Lusk are approved instructors for the "Improving Occupant Protection for Non-Critical Pediatric Patients in Ambulances: A Training Curriculum for EMS Personnel" developed by Marilyn Bull MD, Automotive Safety Program, U of Indiana, offered to local and regional EMS providers transporting non-critical pediatric patients. The goal of the instructors is to train EMS providers as CPSTs and to support EMS providers in taking the training to their peers in KS and MO local communities.

IFCK-KC has hosted annual CPST Workshops since 2004, and beginning this summer, conducted the 2015 NHTSA School Transportation CPS Training Workshop in partnership with the Lees Summit MO School District's school bus transportation team.

Bike Safety IFCK-KC partners with BikeWalkKC to support a bike safety: Bicycle Lesson and Safety Training (BLAST) targeting 3rd-5th graders. BLAST is conducted by certified instructors provided by BikeWalkKC in 4 one hour sessions. IFCK-KC provides the training bikes and helmets for participants. CMH received a MoDOT traffic safety award through the local regional coalition - Destination Safe Coalition in 2014. The support funded the purchase of a cargo trailer and training bikes. CMH continues to provide the bike helmets and other training supplies and for Bike Rodeos in the Kansas City area.

Safe to Sleep at the Bedside - Nursing Practice IFCK-KC and the CMH staff developed a quality improvement project beginning in 2013 to assess nursing practice related to safe sleep policy and practices. This safe to sleep project leadership team included Kristin Voos MD, Amy Terreros RN DNP APNP, Nesha Parks RN, and Phyllis Larimore RN MPH. Healthcare providers received safe to sleep education based on the NICHD Safe to Sleep Nursing Curriculum and the AAP recommendations for safe to sleep. Pre-assessments indicated that nursing practice did not align with the NICHD recommendations. Interventions included one on one as well as group educational presentation, webinars and policy review and revision of policy/procedures and initiation of a sleep sack program to reduce the use of receiving blankets for swaddling. Infants sleep practices and access to a safe sleeping environment are assessed during admission and during well-infant visits by nurses. Consultations for education is available Monday-Friday, 9:00 - 3:00 p.m. The hospital provides a portable crib for parents who are not able to provide a safe sleeping environment. Mandatory safe sleep education requirements for all healthcare providers was instituted in 2015. Assessment is ongoing.

Home Safety CMH healthcare providers conduct an assessment of risk of injury in the home and have access to safety products through the CCCS including portable cribs to promote safe sleep, gun locks through the Security and Trauma Services Departments.

IFCK-KC supports the mission of Charlie's House, a local non-profit organization, dedicated to reducing the risk of injury to children in and around the home, providing educational home safety presentations to small groups and health/safety fairs such as the Baby Love Safety Fair in partnership with local Safe Kids Coalitions.

Burn/Scald Injury Prevention Chris Cassidy , LPN, is a burn prevention specialist, leading the IFCK-KC burn prevention program. Chris partners with local fire departments and schools to educate children in the risks of fire play and to assess the child's home environment for fire hazards. Chris and Ms Larimore partnered with the KCMO Fire Department and the Kansas City KS Fire Department to offer the "Sound Off" program to local schools in ZIP codes with a high rate of home fires in 2015-2016 school term.

Chris participates in many health/safety fairs annually including the Sprint Family Fun Series held in downtown KCMO, with Dave Seastrom RN and Trauma Services Injury Prevention/Education Outreach Specialist.

Contact Information



Description

This is a quality assurance project that is designed to describe the effects of an evidence-based, safe infant sleep educational intervention targeting bedside nursing staff and use of sleep sack for hospitalized infants in process readying for discharge.

Prior to the baseline survey and educational intervention, a study investigator was performed random baby checks on each pediatric nursing unit to document the percentage of infants who are resting in a crib in different sleep positions and to identify the percentage of infants with objects in the crib. Following the educational programming a sleep sack program intervention was implemented. An observation of infant sleep positioning and sleep environment was repeated to determine if there was a measureable nursing practice change with regard to positioning of infants and establishing safe sleep environments.

The questionnaire and demographic information was administered using Survey Monkey. The pre/post questions were developed by the U.S. Department of Health and Human Services. Each participant wasasked to include the last 4 digits of their phone number to pair the data with later responses and yet allow for total anonymity of responses. Participants may choose to not answer one or more questions on the survey, as participation is voluntary and anonymous.

Contact Information



New Program

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Contact information:

David Juang, MD

Photograph of David Juang

Job Title:
PI - Director - Trauma & Burns.

Biography:
Dr. David Juang is an associate professor in pediatric surgery and the director for Trauma and Surgical Critical Care at the Children’s Mercy Hospital in Kansas City. Dr. Juang is also fortunate to lead the Surgical Critical Care Fellowship for the University of Missouri, Kansas City. Dr. Juang is board-certified in general surgery, surgical critical care, and pediatric surgery. He completed his general surgery residency and surgical critical care fellowship at the University of Pittsburgh before moving to Kansas City to complete a fellowship in Pediatric General Surgery.

Dr. Juang is the Primary Investigator for the Injury Free Coalition for Kids of Kansas City. His clinical and research interests has led to publications in pediatric trauma, injury prevention, minimally invasive pediatric surgery, and pediatric surgical critical care.

Contact Information

Email Address:
djuang@cmh.edu

Phone Number:
(816) 234-3575

Mailing Address:
2401 Gillham Road
Kansas City, MO 64108


Shannon Bernal, BSN, CPSTI

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Job Title:
Car Seat Program Coordinator

Biography:

Contact Information

Email Address:
smbernal@cmh.edu

Phone Number:
816 234 1607

Mailing Address:
Center for Childhood Safety
1612.00
Children's Mercy Hospital - Kansas City
2401 Gillham Road
Kansas City MO 64108-4619


Phyllis Larimore, RN, BSN, MPH, PhD(c)

[photograph here]

Job Title:
Program Coordinator

Biography:
Coordinates hospital based child passenger safety program and conducts National Child Passenger Safety Training Course and the Safe Travel for All Children: Transporting Children with Special Health Care Needs, and Promoting Safe Transport of Children in Ambulances. Current projects are working with Greater Kansas City Head Start Centers to promote safe travel: an education and distribution program; Charlie's House, a demonstration house focusing on preventing injuries in and around the home. Collaborates with local and regional Safe Kids coalitions to address the top five preventable childhood injuries.

Contact Information

Email Address:
plarimore@cmh.edu

Phone Number:
816 234 1607 or 816 234 6813

Mailing Address:
2401 Gillham Road
Kansas City, MO 64108


Daniel Marx, BSN, MSN, MHSA

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Job Title:
Burn Program Coordinator

Biography:
Education and certifications Bachelor of Science in Nursing (BSN) - University of Central Missouri - School of Nursing Master of Health Services Administration (MHSA) - University of Kansas, Medical Center - School of Medicine Master of Science in Nursing - Organizational Leadership (MSN) - University of Kansas, Medical Center - School of Nursing Certified Pediatric Nurse (CPN)

Contact Information

Email Address:
djmarx@cmh.edu

Phone Number:
(816) 458-1864

Mailing Address:
Children's Mercy Hospital - Kansas City
Surgery
2401 Gillham Road
Kansas City MO 64108-4619


David Seastrom, RN, BSN

Photograph of David Seastrom

Job Title:
Interim Trauma Program Manager, Trauma Services

Biography:
David Seastrom is the Interim Trauma Program Manager at Children’s Mercy Kansas City – which is the only Pediatric Level I Trauma Center between St. Louis and Denver. After graduating from Kansas State University he attended Baker University School of Nursing and went on to be an Emergency Medical Technician Intermediate for seven years and a critical care transport nurse for five. He has been a registered nurse for the past 16 years with experience in pre-hospital, emergency, critical care and flight nursing. In addition, David has experience in Trauma Center management in both adult and pediatrics and Level I and Level II trauma centers. He also is a member of several professional organizations, including the Emergency Nurses Association and Pediatric Trauma Society, and has published several articles in reference to pediatric trauma and concussions. David is an active participant on multiple state committees to include the Missouri State Advisory Council Pediatric Sub-Committee, the trauma sub-committee and the professional and public education workgroups. He also serves as a representative to the Kansas and Missouri Emergency Medical Services for Children programs. In the state of Missouri he was an Appointee to the U.S. Department of Health and Human Services – Roundtable on the Movement of Pediatric Patients in Disasters. David has spoken all over the country to professional healthcare audiences including EMS, nurses and physicians. He promotes educational development and training with special interest in stabilization and transport, trauma center development and pediatric trauma resuscitation. With a very enthusiastic approach to education he enjoys being able to make his audiences laugh while they learn about children and their special needs.

Contact Information

Email Address:
swseastrom@cmh.edu

Phone Number:
816 983 6917/B# 816 458 4995

Mailing Address:
Children's Mercy Hospital
Trauma Services
2401 Gillham Road
Kansas City MO 64108-4619


Speaking Availability

David Seastrom is available to answer your group's questions via telephone or e-mail.

Amy Terreros, DNP, RN, APRN

[photograph here]

Job Title:
Center for Childhood Safety, Manager

Biography:
I am a pediatric nurse practitioner who has practiced in the field of Child Abuse Pediatrics for the past 10 years. Through this role I became involved in child fatality review teams. It was my involvement in those teams that I became passionate about preventing unsafe infant sleep deaths. Recently I had the opportunity to manage our injury prevention programs and felt it was the perfect fit for my background. It is a learning curve for me and I look forward to gaining knowledge from your expertise in this coalition.

Contact Information

Email Address:
anterreros@cmh.edu

Phone Number:
816-983-6820

Mailing Address:
2401 Gillham Rd
Kansas City, MO 64108


Brad Winfrey, BSN, RN, BA, CPEN, CPST

[photograph here]

Job Title:
Center for Childhood Safety Program Manager

Biography:
Brad assumed the Center for Childhood Safety's Program Manager position in July! Brad has a diverse experience working in our level I trauma ED for the past 20 years - staff nurse, to charge nurse, to assistant nurse manager and for the past few years, as the unit's Nurse Educator. Before working in our ED, he developed a Safe Kids Coalition in North Carolina. His role s the Coalition Coordinator will be very helpful as the CCS Program Manager. He is looking forward to meeting and working with our Injury Free Coalition Partners across the country!

Contact Information

Email Address:
bwinfrey@cmh.edu

Phone Number:
O#:(816) 302-8642 C#:(816) 458-5628

Mailing Address:
1612.07 DT&C
Children's Mercy Kansas City
2401 Gillham Rd
Kansas City MO 64108


Pablo Aguagyo, MD, QBS

[photograph here]

Job Title:
Burn Program Director

Biography:
Director, Burn Unit; Associate Director Trauma, Critical Care; Assistant Program Director Surgical Critical Care Fellowship; Assistant Professor of Pediatric Surgery, University of Missouri-Kansas City School of Medicine

Assistant Director Surgical Critical Care Fellowship

Faculty university affiliations Assistant Professor of Pediatric Surgery

Education and certifications University of Missouri at Kansas City - Fellowship The University of Kansas Medical Center - Residency Children's Mercy Hospital - Fellowship Children's Mercy Hospital - Fellowship University of Texas Medical School - Medical School The University of Texas at Austin - Other Training Children's Mercy Hospital - Fellowship

Qualified Bilingual Staff - Spanish

Awards, Honors, & Recognition Fellow (FACS) - American College of Surgeons

Contact Information

Email Address:
paguayo@cmh.edu

Phone Number:
(816) 234-5944

Mailing Address:
Children's Mercy Hospital - Kansas City
Surgery
2401 Gillham Road
Kansas City MO 64108-4619


Speaking Availability

Pablo Aguagyo is available to answer your group's questions via telephone or e-mail.

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