1. Pediatric Procedures Making it easier on the kids (and staff!) By: Teresa Schoell, MA, CCLS Thank you to Starlight Children’s Foundation NY*NJ*CT for the generous grant funding to support this project.

2. Objectives  Recognize 10 practices that undermine children’s ability to cope with painful or invasive procedures.  Identify 10 techniques that help support positive coping in children during painful or invasive procedures.  Create a personal plan to bring some of these techniques into my practice.

3. Video Show “worst case” video. You may imbed the video here, or use this YouTube link: https://www.youtube.com/watch?v=fVVxECUno0Y&list =PLR14W8G9OsTsRih_GS8k7uSAlXYfwyiiv&index=1

4. Discussion How did it feel, as a healthcare professional, watching that video?

5. 10 Practices That Undermine Coping 1. Laying flat 2. No explanation or preparation 3. Procedures = punishments 4. Parental exclusion 5. Extra people 6. Everyone talking at once 7. Saying “Sorry” 8. Saying “all done” in the middle of the procedure 9. Threats and blaming 10. Empty praise

6. The Video Again Let’s watch the video again. What do you notice this time around?  Show the “worst case” video a second time.  You may imbed the video, or use this YouTube link:  https://www.youtube.com/watch?v=fVVxECUno0 Y&list=PLR14W8G9OsTsRih_GS8k7uSAlXYfwyiiv&inde x=1 https://www.youtube.com/watch?v=fVVxECUno0 Y&list=PLR14W8G9OsTsRih_GS8k7uSAlXYfwyiiv&inde x=1

7. 10 Helpful Techniques 1. Preparation with sensory information 2. Give choices 3. Give the child a job to do 4. Include the parent in a comfort role 5. Include play before, during, and after the procedure 6. Choose just one person to speak to the child during the procedure 7. Offer the child an upright or comfort position 8. Offer the child something else to focus on 9. Be honest about the ouch 10. Use specific praise

8. A New Video  (show “best case” video)  You may imbed the video, or use this YouTube link: https://www.youtube.com/watch?v=wn8 eN4VsHu0&list=PLR14W8G9OsTsRih_GS8k7 uSAlXYfwyiiv&index=2 https://www.youtube.com/watch?v=wn8 eN4VsHu0&list=PLR14W8G9OsTsRih_GS8k7 uSAlXYfwyiiv&index=2

9. Discussion  How did you feel, as a healthcare provider, watching this video?  What techniques did you notice?

10. Make a Plan  Information is good.  Action is better!  Make a plan to put this information into action in your practice.  What techniques are you ready to try?  What habits are you ready to give up?  How can you make these new patterns into regular routines?