Hospitalist Medicine | Clinical Activities

St. Louis Children's Hospital

General Pediatric Inpatient Unit - We provide general pediatric attending level coverage on inpatient floors for all otherwise unassigned patients. This includes supervision of medical students and a resident house staff team. Teaching is done both at the bedside as well as in didactic sessions.

Service for Hospital Admissions by Referring Physicians (SHARP) - SHARP is a new admitting service that gives the option to admit to a specially-trained pediatric hospitalist on staff at Children's Hospital. With SHARP, our hospitalists oversee inpatient care for the hospitalized patients of referring physicians choosing to use the service.  The SHARP team is easily accessible on a 24/7 basis via the hospital operator, as well as through a dedicated cell phone and pager system.  Our goal is not only to provide high-quality inpatient medical care, but to communicate the important information to primary care doctors regarding admission, hospital stay, and discharge.

Emergency Unit (E.U.) - The role of the hospitalists in the E.U. is to provide second attending-level service in the presence of a primary pediatric emergency medicine attending.  We provide coverage in two separate shifts, from 9 a.m. until 5:30 p.m. and from 5:30 p.m. until 12:30 a.m. 7 days a week.  Duties include the supervision of medical students and residents as well as direct patient care.

Ambulatory Procedure Center (APC) - The APC operates weekdays Monday through Friday to perform invasive procedures and diagnostic studies that require sedations for both inpatients and outpatients at St. Louis Children's Hospital.  The center facilitates a wide range of procedures, including but not limited to bronchoscopy, endoscopy, radiologic procedures, PICC line placement, and ophthalmologic procedures.  The hospitalist role in the APC is to oversee nurse-administered sedations for many of these procedures.  In addition, the hospitalists provide deep sedation for some of the procedures.  The hospitalists receive extensive training in advanced airway skills and medication use with the Pediatric Anesthesiology staff in order to perform this service.  Teaching is also provided to the Pediatric house staff, as sedation training is part of a required rotation.

PAWS Sedation Service (Pediatric Ambulatory Wound Service) - The PAWS clinic operates seven days a week to perform follow-up care to surgical inpatients and outpatients.  Care primarily involves burn dressing and debridements, abscess packing and management, and wound vac dressing changes.  The hospitalist role in the PAWS clinic is to oversee and provide procedural sedations for the various procedures.  Sedations range from light to deep depending on the procedure to be performed.

After-Hours Sedation Service  - The hospitalist service provides sedations for urgent/emergent procedures during weekday evenings and nights as well as throughout the weekend.  Our role is an extension of our PAWS and APC service during these off hours.  In addition, our After-Hours Sedation Hospitalist staffs the PAWS unit during the weekend.

Circumcision - Our group performs circumcisions on patients per family request in the NICU, Special Care Nursery, and the Barnes Jewish Hospital 9400 Nursery.  We also provide teaching, instruction, and certification in neonatal resuscitation to the residents and medical students through the Neonatal Resuscitation Program.


Missouri Baptist Medical Center

Newborn Services - an on-site pediatric hospitalist 24 hours a day, 7 days a week to provide a variety of services for newborns born at MBMC.  We attend all cesarean section deliveries, complicated deliveries, and provide emergent care and support to newborns in need after birth.  Pediatric hospitalists provide daily newborn care and education to those families whose pediatrician is not on staff or who have not yet chosen a pediatrician.  We also work with the neonatologists in the Special Care Nursery, helping to care for those infants who are ill or are born prematurely.

Emergency Pediatric Center - Emergency care is available 24 hours a day, 7 days a week in the Pediatric Unit located on the 1st floor of MBMC's East Pavilion.  On-site pediatric hospitalists work with pediatric nurses to provide urgent and emergent care to children and their families.

Pediatric Inpatient Unit - There are 8 observation beds located in the Pediatric Unit for those children who need further care or observation.  The pediatric hospitalists work with patient's own pediatrician to coordinate care for the child and family.


Progress West HealthCare Center

Newborn Services - an on-site pediatric hospitalist 24 hours a day, 7 days a week to provide a variety of services for newborns born at MBMC.  We attend all cesarean section deliveries, complicated deliveries, and provide emergent care and support to newborns in need after birth.  Pediatric hospitalists provide daily newborn care and education to those families whose pediatrician is not on staff or who have not yet chosen a pediatrician.

Emergency Pediatric Center - Emergency care is available 24 hours a day, 7 days a week in the Pediatric Unit located in the Progress West Emergency Room.  On-site pediatric hospitalists work with pediatric nurses to provide urgent and emergent care to children and their families.

Pediatric Inpatient Unit - The pediatric hospitalists care for inpatient children and work with patient's own pediatrician to coordinate care for the child and family.


Barnes Jewish Hospital - 9400 Nursery

Newborn Services - The 9400 Assessment Nursery is the well-baby nursery at Barnes-Jewish hospital.  A small core group of hospitalists provide service in 2-week blocks for this primary teaching service.  Clinical responsibilities include daily rounds with the resident team and assessing each newborn.  Teaching responsibilities include teaching sessions with the well-baby and special care nursery teams several times per week.  We also provide teaching, instruction, and certification in neonatal resuscitation to the residents and medical students through the Neonatal Resuscitation Program.  The 9400 clinical working group meets once per month to address clinical issues and to develop evidence-based clinical guidelines.

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