Routine Well & Sick Care for Children During COVID-19

To our families with infants, children and teens,

During the Global Coronavirus Pandemic, we know there is uncertainty as to how to best arrange routine as well as sick care for children.  We want  to assure you that we are constantly updating our care plan according to IDPH, CDC and AAP recommendations as guidelines. Our goal is to provide appropriate care while not putting anyone at increased risk or unnecessary exposure to Coronavirus from any asymptomatic carriers.

We are still here to provide care, but want to provide the safest care possible during this time.  It is currently recommended to provide wellness exams with needed immunizations for those under 18 months to assure they are not at increased risk for any vaccine preventable illnesses.  To that end, we are planning to see infants at 2, 4 ,6, 12 and 15 months at this time to assure initiation of the primary vaccine schedule and provide appropriate developmental screening.  There are no scheduled immunizations at the 9 month visit and the immunization given at the 18 month visit is a booster, so it is recommended to hold on seeing these at this time (unless there are significant concerns).  Children 2 and above are recommended to be rescheduled at this time.  We are aware that several might need immunizations and/or sports or preschool physicals and we assure you we will work with scheduling to see them when it is safe to do so.  If you currently have an appointment, schedulers will be contacting you to assure an appropriate time.

At this time, we will be scheduling well visits in the mornings up until noon.  All patients and caregivers will need to be screened at the door to assure no illness symptoms or exposure to illness.  We are happy to see an ill child that needs to be seen, but will not be able to see a sick child during a wellness exam time (even if it is thought to be just a cold, allergies or ear infection).  Please, when possible, leave siblings and other family members at home and we request no drinks, snacks or toys come into the clinic.

For any pediatric/ adolescent patients scheduled for medication reviews, these will be handled on a case by case basis and if needed will be during the wellness time in the mornings.  You will be contacted by a scheduler or your provider to determine the best plan.  Again, the request would be that anyone attending these be well without any respiratory or GI symptoms, without exposure history, and that only one parent or caregiver be in attendance.

We will continue to be here to provide care for your children and to be a resource for you during this unprecedented health crisis.  We ask for your cooperation so we can safely provide care to everyone.  The American Academy of Pediatrics parent site, Healthy Children.org  as well as the IDPH and CDC websites have excellent resources for families and children regarding staying healthy,  navigating symptoms and when to seek medical treatment, and how to speak with children and discuss the Coronavirus Pandemic.

Helpful Links:
https://www.healthychildren.org/English/health-issues/conditions/chest-lungs/Pages/2019-Novel-Coronavirus.aspx
https://idph.iowa.gov/Emerging-Health-Issues/Novel-Coronavirus
https://www.cdc.gov/coronavirus/2019-ncov/index.html

Please contact the clinic with any questions.  Thank you for your patience as we work to provide safe, appropriate care during this health crisis.

Amy Kimball, DO FAAP