HOSPITAL CARE OF CHILDREN AND YOUTH Joseph M. Garfunkel. MD, Hugh E. Evans, MD (edsl American Academy of Pediatrics, 1986, 258 pp
Never in the history of pediatrics have there been so many extraordinary demainds on all the health care providers in the hospital care of children and youth. " All the more important is this publication of the American Academy of Pediatrics. The manual explores the many changes in delivery of health care and presents many suggestions (rather than standards) to update and expedite hospital practices.
The manual defines various responsibilities and job descriptions and reports changes in liberalization of roles of nonphysician, ancillary pediatrie personnel in the pediatrie department and also in other departments of the hospital, laboratories, and emergency rooms.
There are recommendations for architectural requirements to facilitate delivery of care. There are also lists of equipment that should be available. Mention is made of the procedures needed to guarantee quality care. Emphais is also placed on the emotional impact of hospital ization of vulnerable children. Some of the other topics discussed include hospital liability, ethical considerations, unit record system, integration of hospital and community disaster plans, delineation of hospital privileges, special consideration of the adolescent unit, relationship between hospital-based and private practice physicians.
Each chapter includes a good bibliography. There are four appendices including guidelines for isolation precautions, and special equipment for tertiary PiCUs and for resuscitation charts.
Every hospital providing services to children should use this manual as a guide. Maintaining flexibility is emphasized. The rapidly changing patterns of care necessitate frequent reviews and evaluations of hospital practices. All physicians using hospital facilities should be familiar with these recommendations and should participate in hospital activities to see that goals are met.