|
|
Post by mhigel2 on Jul 25, 2018 14:26:50 GMT -5
We are in the process of starting our first Centering Parenting group. We have been hosting Centering Pregnancy groups for quite awhile now and put the parents together by due dates. (June due dates in one cohort, July in another, etc). We are struggling with how to group the infants into cohorts because of the immunization schedule. EX: If we grouped children with DOB Aug 1st-August 31st and we hosted Session 3 on Dec 15th then several of the children in the group receive their immunizations too late and the rest would be too early. I read that some of the CenteringParenting have put multiple ages in a cohort. How it this done and how do I ensure that the children receive their immunizations on time?
|
|
|
|
Post by Rachel L on Oct 26, 2018 8:08:19 GMT -5
I have a question about vaccines as well - but definitely from a different lens, though I would love to hear thoughts about the above questions as well.
We are hoping to start centering parenting. We've been doing centering pregnancy pretty successfully in our small clinic for a year now. I'm working on getting provider's on board who are willing to pilot the parenting groups. But they have a lot of questions about the flow of group and specifically how vaccine's work. I have an idea of what we could do to make sure that those vaccine-heavy visits are done efficiently, but I would love to hear what other clinics do to make parenting visits run smoothly. I haven't seen a parenting group and need some help wrapping my mind around what a good efficient groups look like.
|
|
|
|
Post by Marena Burnett on Nov 2, 2018 15:53:33 GMT -5
Hi Rachel,
This question has come up in recent CenteringParenting network calls. What I have seen is that there are many ways to administer vaccines within the group. Some have parents/caregivers come in a few minutes early or stay at the end of the visit for the vaccines, while others include it during the health assessment (typically at the start of the group).
There are now 93 sites across the country who are actively running CenteringParenting groups or are in the process of startup - excited to hear that your team may be starting up soon too.
I'd encourage others to jump into this thread to share their best practices around the flow of the group visit and vaccines. What's working for you?
|
|
Liz Stern
CHI Staff 
Posts: 148 
My job role is: Staff
|
Post by Liz Stern on Nov 5, 2018 18:39:06 GMT -5
I would also like to know if vaccines are ordered once the person checks in and whether clinics pre-chart for the vaccines. I'm also interested to hear how clinics handle it when vaccine schedules don't match up perfectly with the exam schedule.
|
|
cyndicpnp
New Member
Are there spanish resources when starting spanish groups for CenteringParenting?
Posts: 3
|
Post by cyndicpnp on Sept 29, 2019 21:04:53 GMT -5
We give some vaccines at beginning of group if possible and the rest at the end. We try to have group last for 1 1/2hrs and give vaccine for last 30 minutes and parents can ask provider any individual questions. We can preorder vaccines in Epic EMS
|
|
|
|
Post by lauriep on Oct 22, 2019 15:36:55 GMT -5
I noticed that no one addressed the scheduling issue.
|
|
Wenonah (she/they)
In-House Trainers
Posts: 48
I work at a: Healthcare Facility
My job role is: Staff
I am interested in Centering because: ...it's about relationships and support being recognized as an essential component of health & Healthcare. The lasting connections created during the transformational year of pregnancy is an invaluable asset for new parents.
|
Post by Wenonah (she/they) on Oct 23, 2019 17:37:05 GMT -5
Because of the volume in our clinic with only 1.5 FTE Family Practice providers, we schedule our CenteringParenting groups only every three months. Usually in a given group, we are working with babies that are 1-2 months apart. To accomodate vaccine schedules that don't match up to the visit date, we have parents return for a nurse visit just for immunizations. (We also have many parents on an alternate vaccine schedule.) In a group appointment, the first 30-40 minutes are for 1:1 exams with the provider. Parents are given packets as part of the check-in. While they wait for their turn with the provider, they are to complete the milestones checklist, consent forms for immunizations, and review Bright Futures handouts (to keep). MAs collect the consent forms before we circle-up to prep the vaccines for the end of the group. We aim to complete the group discussion about 15-20 minutes prior to the 2 hr mark, so patients get vaccines in the last part of the visit. They sometimes are here a little longer than 2 hrs, but it doesn't seem to be a problem, parents continue to socialize and play.
|
|
|
|
Post by jerry123 on Oct 17, 2022 11:49:39 GMT -5
We have a small practice with 8 providers, 4 of them do centering ped.
schedule new baby check 0-2 weeks, in the office-any provider
1month wellness wt check, start of group-My groups are 2 weeks in birth apart. I take the last birthday and do my dates.Providers have a rolling schedule between the 4 of them.EPDS
2month wellness and vaccine,EPDS
4mo wellness and vaccine,EPDS
6mo wellness and vaccine
9mo-hgb and lead
12mo-wellness and vaccine
15mo-wellness and vaccine
18mo-wellness Hep A, Lead and Hgb
24mo wellness
|
|
Liz Stern
CHI Staff
Posts: 148
My job role is: Staff
|
Post by Liz Stern on Oct 17, 2022 11:53:48 GMT -5
Thanks for sharing!
Do you do your recruitment at the 0-2 week visit?
|
|
|
|
Post by jerry123 on Oct 25, 2022 10:17:53 GMT -5
Thanks for sharing! Do you do your recruitment at the 0-2 week visit? |
|
|
|
Post by jerry123 on Oct 25, 2022 10:23:34 GMT -5
I wish we had the ok to have centering information at the hospital, where the labor is started. The waiting room would be a great spot to start at. Our clients who come into the office for their visits is where I get my client list from. At first visit I meet them and introduce them to centering. The second visit I tell them the dates and times and go over the introduction again. 3 days prior to the group starting I call and firm up yes or no.
|
|
|
|
Post by denar123 on Nov 23, 2022 16:32:02 GMT -5
In our clinic, we have patients around the same age in each group. For example, a 2 month cohort may have 6 weeks - 3 months. Even if a patient is slightly behind on vaccines because of the date of the cohort its ok. By the time the baby is 9 months they will still be caught up. We always give the vaccines at the end of the cohort to allow the parents to fully enjoy the group without taking the attention of comforting the baby away. As per American Academy of Pediatrics recommends wellness visit.
1st week between 3-5 days to recheck Bilirubin
1 month- wellness
2 month wellness and vaccines
4 months wellness and vaccines
6 months wellness and vaccines
9 months wellness and blood testing (immunization catch up)
12 months wellness and vaccines
15 months wellness and vaccines
18 months wellness and MCHAT
24 months wellness MCHAT vaccines and labs
We are also having reunion group yearly for groups that opt in to continue that relationship which parents have requested during our graduation group. It is my personal opinion that facilitating virtual centering groups at the height of the pandemic has put alot of processes in perspective as to what is necessary vs what can wait.
|
|
