Over the years our office has developed policies and procedures to efficiently handle many of the routine issues that arise. We have found that having established policies makes our interaction together go more smoothly. Please be aware that none of these are “written in stone” and we would encourage you to discuss any questions or concerns you have regarding these policies with us.
In an effort to minimize exposure to illness, we have partitioned our waiting room into separate well and sick waiting areas. Transmission of most colds and contagious diseases is through direct contact with respiratory droplets and not through the air. Ultimately, frequent hand washing minimizes transmission most. Your child’s health and safety are our priority. We aim to maintain quality patient care, efficient patient flow, and minimal wait time.more
Keeping the well-child well is one of the major goals of pediatrics. During a well-child visit, we are mainly concerned with observing your child’s growth and development, counseling parents, and familiarizing ourselves with your families. This often enables the pediatrician to detect subtle physical or behavioral problems at an earlier stage, before they become more difficult to treat. Typically, the well-child check-up involves interval history, physical examination, child observation, screening tests, anticipatory guidance, problem counseling, and immunizations when required.
The American Academy of Pediatrics recommends routine, interval visits for preventative health care and immunizations; our usual schedule is as follows: 2-3 days, 2 weeks, 1 month, 2 months, 4 months, 6 months, 9 months, 12 months, 15 months, 18 months, 24 months, and then yearly until age 18. If we are treating a chronic condition in your child such as Asthma or ADHD, we will require that your child have a yearly well-child exam in order for us to monitor the condition and continue to prescribe medications.more
We believe that your sick child should be seen on the day that you call. If your child is ill and needs to be seen, please call at 9:00 a.m. (or at the earliest possible time) so that we may schedule your child as early as possible for a same-day appointment. If you are uncertain whether you need to have a physician look at your child, please call at 9:00 a.m. and talk to the nurse so that she may advise you. Also, if your child’s condition worsens, call in for an earlier appointment.
The physicians at Centennial Pediatrics try to be considerate of your time. Occasionally there will be an unexpected office emergency, but in general we run very close to schedule and our parents are very appreciative. Please be considerate of others, and be on time for appointments so that we can keep you on time. If you do show up late for an appointment and it runs into the next, we may have to reschedule or try to work you back in later. Also, if an appointment is made for one child and you think another child needs to be seen, please schedule a separate appointment for that child before coming to the office, so that we can allot the appropriate time.more
Certain problems may require extended consultation time in addition to the standard well-child or sick-child visit. If your child has a special problem, please inform the receptionist when you schedule the appointment so that we can allow additional time to discuss it with you. Examples of these include: bed wetting, school problems, learning disabilities, hyperactivity, behavioral problems, developmental delay, mental retardation, complex medical problems and physical handicaps.more
Calls are usually returned in the order they are received, unless a more urgent problem takes priority. The nurses are specially trained Pediatric Nurses and can answer most questions and give approved advice. If there are problems that exceed their authorized limits or the nurses feel require a doctor’s attention, they will consult with a physician. If you wish to talk to one of the doctors personally, tell the receptionist, and the doctor will return your call as soon as his schedule permits. Generally, this will be at the end of the day or possibly over lunch, so if you need immediate attention, please talk to one of our nurses first.
We return every medical advice call as soon as possible. The nurses receive 50-150 medical advice calls per day. Please be patient during busy times, and your call should be returned within 1-2 hours. If you leave a message for the nurse, please speak clearly, spell your child’s name, leave a number where you can be reached during the next 1-2 hours, and try to keep the line clear. We will make two attempts to reach you, but then will move on to the next call.more
We believe that our parents should have 24-hour access to medical advice should an urgent situation arise. Therefore, experienced pediatric nurses are available 24 hours a day by calling our office. After hours calls are handled by a specially trained pediatric nurse. Our practice is billed for every after hours call that is placed, and we pass only a portion of this cost on to our patients as a $10 service charge per call. Keep this in mind and use some discretion so that we can continue to offer this valuable service to our parents.
Please try to limit after-hours and weekend calls to those you feel are absolutely necessary and cannot wait until regular office hours, when your child’s health records are readily available. Please have a pen, paper, and your pharmacy number handy. Try to keep your telephone line clear so your call can be returned.
Should your child require care after office hours, we recommend:more
If you feel your child has a true life threatening emergency, illness or injury, call 911 or go to the nearest hospital emergency room immediately. If your child has a problem that requires urgent attention, but is not a life threatening emergency, call our office number. During office hours, state your emergency and you will be connected with one of our nurses and instructed what to do. After office hours, you will be directed to call our after hours pediatric nurse who will advise you. If needed, she may direct you to seek care at a pediatric urgent care clinic such as Pediatrics After Hours or the nearest emergency room.
In general, symptoms such as fever, sore throat or cough do not constitute an emergency unless your child is less than two months of age, has labored or rapid breathing, altered mental status or appears dehydrated. If you are anxious or need urgent medical advice, call, but not as an emergency. Again, if you feel your child has a true life threatening emergency, call 911 or go to the nearest hospital emergency room immediately.more