26 MAGNET EDITION | 2018 | www.advanceweb.com BEST NURSING TEAM  |  MAGNET EDITION OUTREACH Winner: Joe DiMaggio Children’s Hospital ED, Hollywood, FL “The group showed true delivery in mentioning how they recognized a problem of pediatric airway emergencies, and how they themselves had journeyed from novice to expert in the field, Having gained that expertise, they demonstrated a path to taking their skills to areas where the need was greatest, such as Broward County, Florida, where pediatric drownings and resultant ARDS can take young lives every single day, if not treated with competency and expertise. Their entry, to me, truly showed the most recognition of taking a single area of professional expertise and expanding to locations of most need to save lives. It was precise and eloquent.” Imagine living in a community where there is a plethora of families with young children and the number of pediatric EMS calls average less than 10 percent. Imagine typical “adult”-based emergency departments (ED) that are starting to see upwards of 30 percent pediatric patients. Now imagine a pediatric ED that is filled with knowledgeable, skilled nurses, and staff that could provide education and increase favorable outcomes for those patients. That is exactly what the ED at Joe DiMaggio Children’s Hospital is doing by making community education a priority. Startingasan8-bedEDbeforegrowingto38bedswewereoncethereour- selves! Over the years we have shifted from novice to expert and are sharing pediatric education with our community. It started with mock code train- ing in our own ED. But the realization that many pediatric ED visits were done at non-children’s hospitals made this education more compelling for us.WeextendedtheoffertoattendtootherEDsinourcommunityandthey eagerly accepted. In time, we moved from them coming to us to our team going to them and providing the education in their own environment. Bringing the edu- cation to them was not only more realistic, but also offered the oppor- tunity to evaluate their equipment and find solutions for any gaps. We didn’t just focus on their equipment and medication needs, but also pro- vided a venue for increasing competency. Armed with the checklist provided on the website: www.pedsready. org, our team of nurses helped identify their needs. During a particular visit it was discovered that key airway equipment was not in their pedi- atric cart. It was an easy correction and the equipment was added before a patient required use of it. Didactic education along with simulation put the knowledge to hand and we saw more consistent care being pro- vided. To augment the code training, we also created a four-day Pediatric Emergency Course. It is open to our healthcare community and offers pediatric education from basics to high acuity, high-risk care. It is well attended by other EDs in the community due to the growing reputation of our ED. We topped all of this with a mentorship program where nurses are paired with one of our ED experts. It allows them to gain exposure to higher acuity patients along with general pediatric experiences. It has been very successful and is another layer of foundation for these nurses. We are able to see remarkable differences in how patients are managed and hear how much more prepared they feel when caring for the pediatric population. Our efforts are rewarded with every child who receives care. We didn’t stop with ED education. We identified a need for pediatric education in our EMS departments. We brought mock code training to the agencies that served our community, invited them to attend didactic and hands-on sessions and co-hosted an airway and access cadaver lab. One of our most recent educational collaborations was to combine train- ing for firefighters, lifeguards and marine safety officers and perform a mock drowning in the ocean.