What is an Ambulatory Surgery Center?

What is an Ambulatory Surgery Center?

We asked our surgical services manager at the Frisco campus Patty Crabb, B.N., B.S., R.N., ACLS, to tell us all about how the services and the facility make it an ambulatory surgery center just right for kids.

Most importantly Crabb says, “We take care of kids as if they were our own.”  

What makes the surgical experience at Scottish Rite for Children unique? Our ambulatory surgery center in Frisco serves our pediatric and adolescent sports medicine, orthopedic and fracture patients in North Texas. Because our services are all focused around treating kids’ muscles, joints and bones, our staff and our facility is too. In fact, the surgery center was designed with help from our pediatric surgery team with our young patients and families in mind.

What is an ambulatory surgery center?  It’s an outpatient setting for surgeries that do not require an overnight stay for recovery. This is best for patients and families to transition to the comfort of their own home as soon as it is medically safe to do so.

What special training does your staff have? All Scottish Rite for Children surgeons are fellowship trained in pediatric orthopedics and many also completed a fellowship in another specialty area. Our surgery staff have many years of experience in pediatric surgery, many with years of experience with our pediatric orthopedic surgeons.

What services do you offer families that come to the ambulatory surgery center? We have a few things that make surgery in a pediatric setting a lot more comfortable for patients and their family.

  • Child Life specialists are staff members with special training to work with children in health care settings. They are available in clinic to help the child understand the procedure and prepare for surgery day. In some cases, they may provide a tour of the surgery center to help a child feel more at ease.
  • Pediatric anesthesiologists at Scottish Rite for Children have focused their clinical and academic attention to caring for children. This means that their procedure and pain management planning and bedside conversations before and after surgery are all child-focused.
  • Comfortable waiting areas including the Ronald McDonald room that is hosted by a volunteer to attend to family needs.
  • Family Services are available to help families navigate the challenges of having a child going through surgery. For some, this may be help with arranging a stay at a nearby hotel or completing an application for our financial assistance program called Crayon Care.

Check out this tour of our ambulatory surgery center led by pediatric orthopedic surgeon Henry B. Ellis, M.D.

Get to Know our SRH Staff: Karol Yeager, Ambulatory Care

Get to Know our SRH Staff: Karol Yeager, Ambulatory Care

What is your role at the hospital? What do you do on a daily basis? 
I am the nurse coordinator for the two non-surgical sports medicine physicians in Frisco. I handle the daily coordination of patients, orders, education, referrals and help the clinic run as smoothly as possible.
 
What led you to Texas Scottish Rite Hospital for Children? How long have you worked here?
I volunteered at the hospital during nursing school and fell in love with it. I have been here for six months.
 
What do you enjoy most about Texas Scottish Rite Hospital for Children?
I really enjoy the success stories, as well as being able to be a part of helping kids get back to being their best! The atmosphere here is so kind. I love being part of such a positive environment where everyone is helpful and family oriented.
What was your first job? What path did you take to get here?
My first job was a lifeguard and swim instructor. 
 
My path wasn’t very direct, but what matters is that I ended up here. My first degree was in kinesiology/health. Years later, I went back to school and earned another degree – this time in nursing. During nursing school, I volunteered at the hospital and fell in love. When I graduated, I started working in the Pediatric ICU, which I have a heart and passion for, and worked there for eight years. After that, I dabbled in school nursing and then found my way here!

What do you like to do in your spare time?
Travel, spending time with family/friends, baking, trying new restaurants and watching sports.
 
Three words to best describe you:
Loyal, kind, funny
 
What would you do (for a career) if you weren’t doing this?
Probably own a bakery.
 
What’s the most adventurous thing you’ve ever done?
I went for a ride in one of the Goodyear blimps!

An Injury Not to Ignore: Hand & Finger Fractures in Young Athletes

An Injury Not to Ignore: Hand & Finger Fractures in Young Athletes

Believe it or not, hand and finger injuries in kids, especially young athletes are very common. In fact, almost 20 percent of the injuries we see in the Fracture Clinic are hand related injuries. For children, these injuries can occur in a number of ways. For athletes, some of the more common mechanisms we see are from a finger getting struck by a ball, a hand getting stepped on or a finger getting caught in a jersey. While most injuries to the hand or fingers will get better with some time, rest and immobilization, others may require more extensive care or even a surgery to correct alignment or restore function. As the parent of a young athlete, it is important to know when to seek medical treatment.

Recognizing a hand injury in a child is not always easy and may require the attention from an expert who specializes in caring for patients whose bones are still developing. Sometimes, X-rays can appear normal and exam findings can be subtle making it easy to miss or ignore injuries to the hand. If rest is not healing the injury, it is important to know the signs and symptoms where being evaluated by a pediatric specialist is necessary.

Some general “redflags” with finger injuries include:

  • Hearing or feeling a “pop” or “crack” at the time of the injury.
  • Seeing significant swelling immediately after the injury occurs.
  • Noticing differences compared to the same finger on the other hand. Seeing bleeding or drainage at or around the nailbed.
  • Inability to move, straighten or bend the finger or a joint more than two days after the injury.

Gerad Montgomery, M.S.N., FNP-C, tells us that most pediatric hand and finger injuries can be managed with immobilization in a cast or splint. However, when there is significant displacement of fracture, injuries to ligaments and tendons or damage to the nailbed, surgery may be needed.

Advice for parents of young athletes

  • Teach proper techniques with catching, hitting or throwing a ball.
  • Discourage grabbing a shirt or jersey in fast-moving games like football or tag.
  • Encourage athletes to be aware of surroundings during team sports.

  • Insist that athletes wear proper protective sports equipment when appropriate.
  • Never ignore an injury to the hand or fingers. Though it may be tempting to “push through the pain” and keep playing, these injuries can have serious consequences if they are overlooked. Don’t wait to have it evaluated by a medical professional.

Learn more about fracture care at Scottish Rite for Children in Frisco.

#SRHaccess Facebook LIVE Recap: The Future Frisco Campus

#SRHaccess Facebook LIVE Recap: The Future Frisco Campus

On this week’s Facebook live, Vice President of North Campus Jeremy Howell and Assistant Chief of Staff Philip L. Wilson, M.D. joined us to discuss the future Frisco campus. Below is a recap of the conversation.

Watch this segment on Facebook.

Construction update:

  • The construction is running right on schedule.
  • Opening in the Fall of 2018

Who are our Frisco neighbors?

  • The Frisco campus is located on the northeast corner of Lebanon Road and Dallas North Tollway.
  • To the north, our direct neighbor is Frisco High School.
  • To the south is the new Wade Park development and the Frisco Star.

What is the difference between the Plano and the future Frisco campus?

  • Increased space to utilize more resources for expand services.
  • Operating rooms for day surgeries
  • Motion science lab
  • Physical therapy gym space
  • Overall clinical care advancements and updates to current services.

Facts about the structure:

  • 5 stories tall
  • 1st floor:
    • Conference rooms for community and physician education and outreach
    • State-of-the-art motion science lab for clinical and research purposes
    • Physical therapy gym to rehab sports injuries and general orthopedic conditions
  • 2nd floor:  
    • Outpatient clinics (sports medicine, fracture clinic, general orthopedics, orthotics and prosthetics)
  • 3rd floor: shelled for future growth
  • 4th floor: day surgery
  • 5th floor: offices for staff

What are the general orthopedic services that will be provided?

  • An expansion of what the team currently cares for at the Plano campus.
  • Hip disorders, scoliosis screening, foot and ankle, shoulder care, etc.

What is the benefit of being in Frisco?

  • 25% of the hospital’s patient population lives in a surrounding areas of Frisco.
  • The opportunity to enhance customer service by providing another point of access for our patients and their families to be cared for by our world-renowned specialists.
  • Frisco is a strong sports community. The Center for Excellence in Sports Medicine will be the anchor to the future campus, which will allow us to care for more athletes.

What will the state-of-the-art motion science lab offer at the new campus?

  • The lab will provide a better understanding of clinical problems of lower and upper extremity conditions whether a sports injury or general orthopedic condition.
  • The ability to analyze the function of each joint and muscle of a patient’s walking gait or throwing mechanics.
  • The opportunity to expand on various research projects.

Will the Scottish Rite Hospital traditions be present at the future campus?

  • Popcorn – yes, on the first floor in the atrium.
  • Volunteers – yes, in red coats just like at the main campus.