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2. “Dear
Children’s”
February 10, 2011
Dear Children’s Hospital,
My children were in an accident on 1/31/11. Of course this call
is the one every parent dreads getting! I beat everyone else to the scene
and was able to ride to the hospital with them both so we could all
three stay together. I let my best friend know, and I knew she would
contact our church family and let them know. I expected those people
to be there to be with us through a scary time and offer prayers and
consolation.They were there the whole time and brought great
comfort to us, which was wonderful because we don’t have any
family in Tennessee.
To my amazement, the staff of Children’s Hospital was just as
awesome!! When we were greeted at the door, everyone had a smile
on their face and instantly began talking to my children in a calm
and caring voice!! I knew at that moment that our visit would go well
because of the manners when we arrived. We were taken straight to a
room, and I didn’t have to leave them to go fill out paperwork of any
kind. Everyone came to us, and everyone was very kind and, I might
say, moved quickly!
I knew I had to keep it together and be strong because my
children were paying more attention to my reactions than anyone else’s.
The staff knew this as well and could read the concern in my eyes when
I looked at them.They were all very reassuring and very honest with
me about everything that was going on.They asked me more than one
time if I had any questions and came back every few minutes (not an
hour or so later) and checked on us. My son was just shaken up by the
accident and got a busted lip, and instead of giving him an ice pack, he
was offered a Popsicle. At a hospital, are you kidding me? The smile he
Dennis Ragsdale, Chairman • Bill Terry, M.D., Vice Chairman
Michael Crabtree, Secretary/Treasurer • Debbie Christiansen, M.D. • Dawn Ford
Keith D. Goodwin • Steven Harb • Lewis Harris, M.D. • Dee Haslam
A. David Martin • Larry Martin • Christopher Miller, M.D. • Steve South
Laurens Tullock • Danni Varlan • Jim Bush, Chair Emeritus
William G. Byrd, M.D., Chair Emeritus • Don Parnell, Chair Emeritus
Lise Christensen, M.D., Chief of Staff • Mark Cramolini, M.D., Vice Chief of Staff
Lori Patterson, M.D., Secretary
Ken Wicker, M.D., Chief of Medicine
Cameron J. Sears, M.D., Chief of Surgery
Keith D. Goodwin, President/CEO • Bruce Anderson, Vice President for Legal
Services & General Counsel • Laura Barnes, R.N., M.S.N., NEA-BC, Vice
President for Patient Care • Joe Childs, M.D., Vice President for Medical Services
Zane Goodrich, CPA, Vice President for Finance & CFO • Rudy McKinley, Vice
President for Operations • Sue Wilburn, Vice President for Human Resources
Ellen Liston, APR, Fellow PRSA, Director of Community Relations
Wendy Hames, APR, Editor • Neil Crosby, Contributing Photographer
www.etch.com
Board of Directors
Medical Staff
Chiefs of Services
Administration
It’s About Children Staff
A quarterly publication of East Tennessee Children’s Hospital, It’s About
Children is designed to inform the East Tennessee community about the hospital
and the patients we serve. East Tennessee Children’s Hospital’s vision is Leading
the Way to Healthy Children. Children’s Hospital is a private, independent,
not-for-profit pediatric medical center that has served the East Tennessee region
for nearly 75 years and is certified by the state of Tennessee as a Comprehensive
Regional Pediatric Center.
“Because Children are Special…”
…they deserve the best possible health care given in a positive, family-centered
atmosphere of friendliness, cooperation and support -- regardless of race, religion
or ability to pay.”
…their medical needs are closely related to their emotional and informational
needs; therefore, the total child must be considered in treating any illness or
injury.”
…their health care requires family involvement, special understanding, special
equipment and specially trained personnel who recognize that children are not
miniature adults.”
…their health care can best be provided by a facility with a well-trained medical
and hospital staff whose only interests and concerns are with the total health and
well-being of infants, children and adolescents.
Statement of Philosophy
East Tennessee Children’s Hospital
Children’s Hospital is
a Tobacco-Free and
Smoke-Free Campus
On The Cover:
Alaina Lopez of Fountain City.
Read her story on pages 4-6.
had on his face instantly slowed my out-of-control heartbeat I could feel
in my chest! Who does that for a kid? No where we were used to having
to go in an emergency!
My daughter’s injuries are what I feared the most because, for
whatever reason, she left home and didn’t put her seatbelt on that night.
The staff knew this and helped me keep her as calm as possible with
their kindness and smiles, and everyone genuinely seemed to care about
us.The doctor was quick to come in and do an assessment so she could
come off the board and be more comfortable.Then the radiologist at
MRI was awesome with her, too! He spoke to her and made jokes with
her and explained every step he was going to take to her and me.
Afterwards we didn’t even wait 45 minutes before we had the results
back and the doctor was in our room telling us she would be OK.
I have to say I really expected to be there all night long. Last
summer my son got hit hard at a football game, so I brought him in to
have his head checked, and we were in and out, and I thought we were
just lucky that day. Everyone was just as pleasant then as they were this
past time.Then I realized that God had placed each and every person
there for a reason. It wasn’t just us who received great care. I could see
it down the hallway and out in the lobby. I thanked God for keeping
my children safe that day, and I also thanked Him for the staff at East
Tennessee Children’s Hospital!
I keep each of you in my prayers and ask God to keep His loving
arms around you, especially on the hardest cases! When you feel like it
doesn’t matter and why are you really there, just know there is someone
like me in a room or waiting area, and you are making a difference!
Never lose you caring spirit or your caring heart!
May God bless you all!!!!
Angela Wooten, Knoxville
2

3. Children’s Hospital NOTES
According to the National Center for Missing and Exploited
Children (NCMEC),800,000 children ages 18 and younger go
missing each year.For the 16th year,Shoney’s Restaurants and
NCMEC are partnering to sponsor three KidCare ID events at
area malls.
The KidCare ID program offers parents the opportunity to get an
official photo identification of their child.A KidCare ID includes a
color photograph,fingerprints,height,weight,date of birth,medical
profile and a 24-hour NCMEC hotline number. A KidCare ID can
expedite the process of finding a missing child,and all parents are
encouraged to have photo identification for each of their children
Also,the Knoxville Police Department will be available for
fingerprinting,and representatives from Children’s Hospital and
Safe Kids of the Greater Knox Area will be on-site to provide
children’s safety information. ID cards and fingerprinting are
provided free at all KidCare ID events.
Volunteers give $50,000
to Children’s Hospital
Children’s Hospital depends on the more than 250 volunteers
who unselfishly give of their time and energy to make the hospital
a special,inviting place for patients and their families.Volunteers
not only brighten patients’days with their love and attention but
also assist hospital departments with various tasks.
In addition to the services they provide daily,the volunteers
also give generous gifts to the hospital each year.On January 18,
the Children’s Hospital Volunteers presented Children’s Hospital
President/CEO Keith Goodwin with a donation of $50,000.The
money was raised from Gift Shop sales and allocated as follows:
• $15,000 for the Children’s Miracle Network Hospitals
Telethon.
• $15,000 to the “Art of Healing”children’s art program,which
provides therapeutic healing for patients through art.These
funds were earmarked for artwork frames and statuary for
the new hospital lobby.
• $8,148 for the Capital Equipment Budget for 2011/12.
• $8,536 to Child Life for the in-room movie system.
• $1,000 to Nursing for the annual gift for the Food Pantry.
• $1,000 to Child Life for the annual gift for toys and supplies.
• $816 to Nursing Administration for books for the
Healthy Ways (Weight Management) Clinic.
• $500 to the Rehab Center for the annual gift for toys.
Children’s Hospital would like to extend a special
thank you to the many dedicated volunteers who donate
their valuable time to the hospital and their financial
donations that support Children’s Hospital’s numerous
projects,programs and departments.
Co-sponsors with Shoney’s Restaurants for the 2011
KidCare ID program include Children’s Hospital,Star 102.1
radio,WVLT-TV 8/Volunteer TV,the Knoxville News Sentinel,
the Knoxville Police Department,Walgreens and Safe Kids of
the Greater Knox Area.
The KidCare event times and locations are as follows:
• Friday,August 19,1-7 p.m.at Knoxville Center Mall
(Knoxville)
• Saturday,August 20,11 a.m.–5 p.m.atWestTown Mall
(Knoxville)
• Sunday,August 21,12-6 p.m.at Foothills Mall (Maryville)
For more information,contact Annie LaLonde at Shoney’s
at (865) 690-6331.
KidCare ID Program
Get ready to ‘rock
around the Christmas tree’ While thoughts of winter have faded away,preparations for the2011 Fantasy of Trees are well underway.
In 2011,this special holiday event will showcase a theme of“Rockin’Around the Christmas Tree,”highlighted with nostalgicdecorations and designs that celebrate and showcase the simplepleasures of the holidays from the 1950s,complete with classic cars,a kaleidoscope of colors reflecting on silver trees and the many sights,colors and sounds of a vintage holiday celebration. Last year,the 26th annual Fantasy of Trees was once again anEast Tennessee holiday tradition. The 2010 event raised $351,405,thesecond highest total ever for this event.Thanks to thousands of visitorsand volunteers,the proceeds from Fantasy of Trees made it possible forChildren’s Hospital to create an additional room in the Children’s SleepMedicine Center and purchase Mobilab software and hardware forthe hospital’s Laboratory Department. Over the past 26 years,theFantasy of Trees has raised more than $5.7 million for Children’s Hospital. The 2011 Co-Chairs are Todd Heptinstall and Genia Jackson,and the Assistant Co-Chair is Janice Davis (pictured above,left to right). For more information on how to volunteer for the 2011 Fantasyof Trees or to be a sponsor,contact the Children’s Hospital VolunteerServices Department at (865) 514-8385 or email fot@etch.com.
All articles by Megan Helvey, student intern 3

4. Twelve-year-old Alaina Lopez has been treated at
Children’s Hospital many times throughout her childhood,
but there is one thing she does not want to be cured of…
Bieber Fever.
Pronounced “BEE-ber FEE-ver”
Definition: A phenomenon of swooning tween and
teenage girls over 17-year-old pop star Justin Bieber.
Alaina is a spunky, active, responsible, teen-heart-
throb-loving seventh grader from Fountain City, who has
been treated at Children’s Hospital for several conditions.
When she was three years old,
Alaina was treated for mild
seizures and has been treated for
Bell’s palsy (a nerve disorder rarely
found in children) since she was
nine.The disorder usually corrects
itself, but Alaina experienced a
second lapse of Bell’s palsy which
paralyzed the left side of her face.
In July 2008, Alaina’s pediatrician
recognized that she was self-
conscious and above the healthy
weight for her age/height, so he
referred her to the Healthy Ways
Clinic at Children’s Hospital.
The Healthy Ways Clinic
is an interdisciplinary program
that takes the individual issues
related to being overweight
(psychological, medical,
nutritional, physical and
environmental) and addresses
each individual issue to make a
lifestyle change. Alaina desired to
be healthy but at age 10, she did
not know where to begin.
At Alaina’s first visit to the clinic, different parts of
her body were measured, she was weighed, and she had a
comprehensive blood test.The blood test results revealed
alarmingly high cholesterol, insulin (blood sugar) and
triglycerides (fat in the blood).
The Healthy Ways team consists of a physician, psychologist,
dietitian, physical therapist and registered nurse who all met
with Alaina and her family to set nutrition, behavior and
physical activity goals.
The clinic encourages family involvement, so a family
member is required to join her for each session. “Family
involvement is crucial in the success of a child in the Healthy
Alaina
Ways Clinic.The child can only be as successful as the
environment that supports them,” said Dr. Nicole Swain,
Pediatric Staff Psychologist and Healthy Ways Clinic
Co-Director.
Alaina completed a “Making Healthy Choices for Life”
program prior to joining the clinic which provided an overview
of healthy lifestyle behaviors involving diet and exercise.
Once at the clinic, a Children’s Hospital nutritionist
taught her how to make healthy food choices, what portion
sizes should look like and how food can affect mood and
athletic performance. A physical
therapist encouraged her to pursue
sports she had never tried before and
taught her simple exercises to do at
home.
“I enjoy coming to the clinic
and seeing everyone. I love them like
family,” Alaina said. She also met
with a psychologist to evaluate any
environmental and family influences,
behavioral or mood-related concerns,
school performance, social issues and
daily habits/behaviors to help her
meet her wellness goals.
“Children and teenagers
who struggle with weight issues often
experience body image concerns,
low self-esteem and symptoms of
depression and anxiety; they also are
at an increased risk of being teased
and bullied.The psychologist’s role
in the clinic is to work with each
child and family to help them better
understand their current habits and
behaviors and to help them make
lifestyle changes that include, but are not solely limited to,
weight management,” said Dr. Swain.
The program has two phases: an initial phase that
consists of five visits in 16 weeks, and the maintenance phase
that required Alaina to come once every three months.The
team taught Alaina and her family what healthy portions
should look like, how to read nutrition labels and the
importance of an active lifestyle. As a result of the Weight
Management Clinic, Alaina and her family eat dinner together
every night at the kitchen table.
“The clinic has changed my whole family. We spend more
time together now, and we all stay active and eat healthy,”
Alaina said. “We used to eat dinner in front of the television
every night.”
4

5. a lil’ About Alaina
Alaina with her sister, seven-year-old
Angelina Lopez.
School and grade: Seventh grade at St. Joseph School in Knoxville
Personality traits: outgoing, friendly and athleticFavorite color: purple
Favorite food: cheese pizza
Favorite movie: The Notebook
Favorite school subject/activity: Art
Heroes: Mom, Nana, Justin Bieber and Tayor SwiftWhat I do for fun: sports, draw, hang out with friendsChildhood dream: To be an Olympian!
5

6. in 2010. She especially enjoys tennis because her dad likes
to practice with her. Alaina has recently picked up a third
sport, track, which she enjoys because it keeps her in shape
for swimming.
Alaina is now in her 30th
month of treatment in the
Healthy Ways Clinic. Because of her efforts, her cholesterol,
insulin and triglycerides have gone down to normal levels,
and she has significantly reduced her blood pressure. She
concentrates more on how she feels and her activity level
instead of a number on the scale. She has also reduced her
BMI percentile and her waist-to-hip ratio has decreased,
which reduces her risk for diabetes, cardiovascular disease
and some cancers.
Alaina will continue her healthy lifestyle and make
improvements. Because of Alaina’s improvement, she only
goes to the clinic for a check-up every six months. “I’m going
to keep this up and continue to make progress,” she said.
“The Healthy Ways Clinic has changed my life.”
Alaina is already thinking about going to college and
the different careers to pursue. “I want to be a professional
swimmer or a nutritionist or physical therapist like the ones
in the clinic. I really appreciate what they have done for me,
and I want to help someone else,” she said.
Alaina’s family is proud of her improvements with the
help of the Healthy Ways Clinic. “I like being myself, and I
couldn’t say that before,” she said. “I couldn’t have played all
my sports and become healthier without the things I learned
at the Healthy Ways Clinic. It made me more confident and
really made me a better person.”
by Hayley Martin, Public Relations Specialist
Alaina
Her family dinner now consists of grilled chicken or fish
in the correct portion size (the size of a woman’s palm) and a
vegetable instead of a casserole or fried food. “I had a lot of
bad eating habits like mindless snacking, eating in front of
the TV and not being conscious about what I was putting into
my body,” she said. “Now we read nutrition labels and put
our forks down between bites to let our food digest.”
The most significant change is Alaina’s love for sports.
She plays three sports competitively and is training for the
Junior Olympics in swimming. “I have been swimming since
I was six years old, but the clinic made me realize that sports
are fun and help you stay healthy.” She swims for Central
High School during the school year and for the YMCA in
the summer.
“Swimming is a full-body workout, and it’s fun,” she said.
“Butterfly and backstroke are my favorite strokes. I am working
really hard to go to the Junior Olympics, and my coaches think
if I keep working hard, I will get to go.”
Alaina is also passionate about tennis. She plays for
St. Joseph School and was the school’s most improved player
Alaina in the Healthy Ways
Clinic with her grandmother,
Joan Gates (in green), and
physical therapist Carrie
Alexander (in blue).
6

7. Pediatrician Profiles
Timothy
Fuller,
D.O.,
F.A.A.P.
Casey Moss,
M.D.
Age: 43
Family: Wife,Tricia; daughter, Emily (14);
sons, Gabriel (12) and Joshua (9)
Name of Pediatric Practice:
Greene Mountain Pediatrics; Greeneville,Tenn..
Academic Background/Prior Experience:
B.S. – Evangel College, Springfield, Mo., 1989
D.O. – University of Health Sciences COM, Kansas City,
Mo., 1993
Internship and Residency: Tripler Army Medical Center,
Honolulu; Internship: 1993-94; Residency: 1994-96
Additional Experience: completed Tropical Medicine Course
at Walter Reed Army Institute of Research
Why Pediatrics? Initially I chose pediatrics because I felt
like I actually made a difference in the lives of children.
Children, unlike a lot of adults, don’t have addictive habits,
are motivated to get better and have family support to ensure
compliance. As time went on, I discovered that I enjoyed the
interaction with the kids because I am just a big kid myself.
Philosphy: I do my best to help parents raise healthy, well-
adjusted children. I try to meet the needs of my patients
and communicate with them on their level, so they can be
informed participants on their care and healthy lifestyles.
Greatest Influences: Personally, my greatest influence is Jesus
Christ. Professionally, I feel that I was influenced most by
Dr. James Bass and Dr. Charles Callahan, both of whom I
believe are pillars of pediatrics/military medicine.
Proudest Moment as a Pediatrician: It’s hard to pick just one
moment. Maybe it is the emergently born baby brought back
from the brink of death who crawls into your lap three years
later and thanks you for saving his life, or maybe it is the
child who sees you in a store and yells, “There’s my doctor!”
Being a pediatrician is full of positive reinforcement.
Age: 32
Family: Wife, Kara;
daughters Victoria (3) and
Elizabeth (13 months)
Name of Pediatric Practice:
Hamblen Pediatric Associates, Morristown,Tenn.
Academic Background/Prior Experience:
B.S. – University of Tennessee, Knoxville,Tenn., 2000
M.D. – James H. Quillen College of Medicine, Johnson City,
Tenn. 2004
Internship and Residency:
James H. Quillen College of Medicine
Internship: 2004-05; Residency: 2005-07
Additional Experience: Rural Health Services Consortium
in Rogersville,Tenn., 2007-08
Why Pediatrics? Like many pediatricians, I love children and
wanted to make a difference in their lives. I found pediatrics
to be very rewarding in that there is focus on prevention
over treatment, with a goal of health rather than disease
management.
Philosphy: Children want to be healthy and reach their fullest
potential. I believe that within the relational context of the
family and with support from a caring community, this goal
can be achieved. Even the smallest influence in a child’s life can
dramatically change his/her course and ultimate destination.
Greatest Influences: The greatest single influence on my life
is my Christian faith.The significant place that my wife and
children have, both personally and professionally, could not
be overstated. I also owe much to my extended family and to
my own pediatricians – now turned partners – Dr. David
Willbanks and Dr. Mary Bukovitz.
Proudest Moment as a Pediatrician: One of the benefits of
practicing in the area where I grew up is that I have the
privilege to care for the children of families I have known
(and who have known me) for many years. Whether I went
to school with, played sports with, worked with, or am
somehow related to my patients’ families, it is quite an
honor to be entrusted with the care of their children.
7

8. Lobby renovations are complete!
After almost a year of renovations, East Tennessee
Children’s Hospital unveiled a completely redesigned, expanded
and refurbished main entrance and lobby on April 7—thanks to
a generous donation from Regal Entertainment Group’s Regal
Foundation and gifts from two other groups, the Children’s
Hospital Volunteers and Knoxville Pediatric Associates.
Knoxville Pediatric Associates gave a generous donation
during the last capital campaign that was designated for building
and renovation. A $750,000 donation from the Regal Foundation
made possible the creation of the Pre-Operative Holding Area in
Surgery and the renovation of the hospital’s mail lobby. As plans
for the lobby project progressed, Children’s Hospital Volunteers
contributed funds for various improvements, including a restful
“waterwall” in the waiting area, artwork and signage in the lower
main lobby.
During the last year, plans have been put in place to double
the size of the main lobby waiting area and remodel the entry lobby.
For the lobby and entry areas, design elements included colorful
flooring and painting options, larger-than-life-size photos of
children, a waterwall, movie screen capabilities and a new coffee
shop.
Once the lobby project began in May 2010, several different
phases of construction occurred.The former outdoor atrium was
enclosed to expand seating for patients and families; two six-foot
skylights were installed in that area along with a third over the
existing seating area, ensuring the area remains full of light.
Construction on the hospital’s main entrance area began in July.
Photos of children and a glass display case filled with art now
welcome patients, families and visitors entering the hospital, while
vibrant paint and flooring colors create a cheerier atmosphere.
A family restroom with a full-size changing table and a lactation
room complete the extensive renovations.
Now that construction is complete, Children’s Hospital is better
able to comfortably accommodate the growing number of patients
seen on a daily basis.
byTaylor Griffin, student intern
8

9. What’s New at
Team effort is a success in decreasing central line infections
For the past several years, Children’s Hospital has been working
to decrease the rate of a particular type of infection that can occur in
the hospital setting. Since January 2008, Children’s Hospital has also
reported to the state of Tennessee the central line-associated blood-
stream infection (CLABSI) rates in our pediatric and neonatal intensive
care units. Reporting of this data became mandatory in 2008.With
the implementation of steps to prevent central line infections (called
CLABSI Bundles), Children’s Hospital saw a decrease in the expected
number of infections (“Incidence Density Rate”) for hospitals of a
comparable size and patient population. Hospitals across Tennessee also
consistently showed a decrease in the number of CLABSI compared to
other states participating in the reporting.
Tennessee recently issued a report for the first
two years of reporting data for CLABSI infections,
the period from January 1, 2008 to December 31,
2009. According to Darci Hodge, R.N., Director
of Infection Control at Children’s Hospital, the
key issues to draw from the report are: “Did we
get better?”and “How do we compare to other
hospitals?”On both points, Children’s Hospital
was represented favorably.
For the first point,“Did we get better?”the
answer is a resounding “Yes!”The NICU had 21
infections in 2008 and just three in 2009, while
the PICU dropped from eight infections in 2008
to four in 2009.
For the second point,“How do we compare
to other hospitals?”the answer is “Very favorably.”Children’s Hospital
is below a one on the Standardized Infection Ratio (SIR), which is the
desired ratio. Hospitals scoring above a one on the SIR need to make
further improvements.
Hodge said Children’s Hospital’s improvement efforts to fight
CLABSI involve several steps based on a scientifically proven national
“bundle.”The insertion of a central line is treated as a sterile procedure,
so this means health care providers must follow hand washing
guidelines and wear hats, gloves, masks and full gowns.The patient
must be covered with a full sterile sheet, and the site for the central line
must be properly identified and cleaned before the line is inserted.
After the line is inserted, the focus shifts to the prevention of
infection as long as the line remains in place. Children’s Hospital follows
a protocol for a “closed-system central line,”meaning the line is not
opened to air for blood draws. Efforts are also made to limit the number
of times the line is accessed to reduce the patient’s exposure to bacteria.
In addition, the patient’s health care providers practice “environmental
cleaning”of the “patient zone”(the patient, his/her bed, any pumps or
monitors in use, etc. – anything the patient and his/her nurses might
touch).This is cleaning of these areas by the patient’s nurses in addition
to the normal room cleaning services provided by the hospital’s
Environmental Services housekeepers. Also while the line remains in
place, nurses provide sterile dressing changes and antimicrobial dressings
around the catheter site, with the ultimate goal of discontinuing use of
the central line as quickly as possible.
Patients need central lines to replace lost body fluids and/or to
receive certain medications best provided intravenously. Blood also can
be drawn from central lines to minimize the number of needle sticks a
patient must experience, although this use is not a primary reason for
a central line. In addition, some essential/necessary monitoring and
testing processes can be completed with the central line. Central lines
may be placed in the arm, upper chest, groin or, in particularly small
newborns, the umbilical stump.
Hodge said Children’s Hospital is following the best-known
guidelines in the United States and across the world
to prevent CLABSI.“This is ongoing, is constantly
on everyone’s minds,”she said.“It’s one of the key
patient safety prevention items we can work on. If a
patient needs a central line, there is no choice – the
child must have it. But we don’t want to cause harm
while saving a life.”Preventing CLABSI requires a
team effort, Hodge said.“Nurses, physicians, nurse
practitioners, respiratory therapy, X-ray, housekeepers
– everyone in those units recognizes that everything
they do can have an effect on a central line.”
There is not a lot of information and data specific
to children’s hospitals, so Children’s Hospital is
among a group of pediatric specialty hospitals that
are “paving the way to find best practices”in the
prevention of CLABSI. Children’s Hospital
employees have presented information at state and regional meetings/
conferences on the topic and have been praised for their progress in
eliminating infections, Hodge said.
Because of the success at Children’s Hospital in using bundles
in the care of patients with central lines in critical care settings, the
hospital has extended the bundles to inpatients and Home Health
Care patients with central lines.
“The process to eliminate these infections involves a team effort
and includes searching for every possible portal by which a bacteria
could enter the system,”according to Dr. Joe Childs, M.D.,Vice
President for Medical Services and director of the PICU.“We are
pleased with the dramatic successes in both units, but the efforts are
continuing to move the frequency of these infections to zero.”
Laura Barnes, R.N., M.S.N., C.N.A.A., B.C.,Vice President for
Patient Care Services, said providing infection-free care in a clinical
setting is challenging.“I am thrilled with the decrease in CLABSI
being seen in our two intensive care units,”Barnes said.“I know the
nurses and other clinical staff have made a tremendous effort to follow
the many detailed steps of the CLABSI Bundle, and they should be
very proud of the results of their efforts.”
The public report can be found on the state website at:
http://health.state.tn.us/Downloads/TROHAI2011.pdf. Results for 2010
will be published later in 2011. 9

10. What’s New at
Hospital names Development
and Community Services Vice President
When walking into the Haslam Family Neonatal Intensive
Care Unit (NICU) at Children’s Hospital, there is a noticeable
difference from the rest of the hospital. A serene, quiet
environment is most often present in this area of the hospital,
with nurses and parents caring for the many babies that come
into the NICU for a variety of reasons.
Occasionally, high-pitched crying, tremors, seizures,
hyperactive reflexes and inconsolability disrupt the peaceful
NICU environment. Babies with these symptoms are most likely
suffering from the horrifying withdrawal process experienced by
a baby born with a drug addiction.These symptoms are a result
of Neonatal Abstinence Syndrome (NAS), which is the term
used to describe the health issues addicted babies experience
after they are born.
In the past year alone, the Children’s Hospital NICU has
seen about 70 infants admitted for drug withdrawal (575-600 in-
fants are treated in the NICU in a year), and the neonatal team
has cared for many other babies in the nurseries at Fort Sanders
Regional Medical Center and Parkwest Medical Center whose
symptoms were not severe enough to warrant NICU admission.
Dr. John Buchheit, neonatologist at Children’s Hospital,
says most of the doctors and nurses caring for babies born with
drug addictions believe this problem has become epidemic in
EastTennessee.Tennessee now consistently ranks No. 2 in the
nation in per capita use of hydrocodone with methadone usage
also increasing.These statistics show the number of babies born
addicted to narcotics is on the rise.
The most common form of addiction seen in the Children’s
Hospital NICU is nicotine addiction from mothers’tobacco
usage. Babies become addicted to nicotine and other drugs
their mothers use during pregnancy because the drugs cross
the placenta, therefore going from the mother’s circulation to
the baby’s.When infants are born with an addiction, they are
Children’s Hospital supports new treatment
Carlton Moxley Long has been named
Vice President of Development and Community
Services for East Tennessee Children’s Hospital,
a newly created position to focus increasing
attention on philanthropy, community relations,
marketing and volunteer services at the pediatric
medical center. Long will start in this new position
in late May.
Long’s career in development and fundraising
is extensive. She comes to Children’s Hospital from
Mercy Health Partners in Knoxville, where she
has been Regional Vice President of Philanthropy
since 2008.When Baptist Hospital and St. Mary’s
Hospital merged, she was responsible for
merging the two hospitals’foundations to form
the new Mercy Health Partners Foundation,
with responsibilities for all fundraising for Mercy
Health Partners throughout East Tennessee
including Knox, Campbell, Jefferson, Scott and
Cocke counties.
Prior to joining Mercy, Long was Senior Development Associate at
the Brown Group based in Chattanooga and with Waters, Pelton, Ostroff
& Associates based in Palm Beach, Fla., in a fundraising, consulting and
planning capacity for East Tennessee non-profit organizations.
“Carlton’s extensive background in fundraising and her board
leadership in several large non-profit organizations made her an ideal
candidate to lead Children’s Hospital in this important area,”said Keith
Goodwin, President/CEO of Children’s Hospital.“Her leadership skills
and knowledge in development, donor management, gift recognition,
estate planning, volunteer recruitment, leadership
training, strategic planning and a wide array of
fundraising areas will help Children’s Hospital build
on the important area of philanthropy where we
find ourselves today and lead us to further successes
in the coming years.”
Long looks forward to beginning in her
new role.“For years, I have appreciated and
admired the mission and work of Children’s
Hospital,”Long said.“The opportunity to
contribute to and further the hospital’s purpose
of providing quality health care to the children of
East Tennessee will be a privilege. I can think of
no better way to serve our community than to work
with Keith Goodwin and his wonderful team in
caring for our children.”
A graduate of the University of Georgia,
Long is active in the East Tennessee community
in a variety of organizations. She has served as
Board Chair for the Salvation Army, as Guild
President for the Knoxville Museum of Art, as chapter president of both
the Juvenile Diabetes Foundation and the Knoxville Garden Club, and
as a Trustee of the Webb School of Knoxville. She was a member of the
1997 class of Leadership Knoxville.
Long is active on the University of Tennessee Chancellors
Associates, currently sits on the board of the University of Tennessee
Alliance of Women Philanthropists, serves on the Advisory Board for
the University of Tennessee College of Nursing and is a board member
of the Knoxville Botanical Garden and Arboretum.
10

11. What’s New at
New Children’s Hospital website is up and running,
microsite for Healthy Ways also live
With vibrant shades of blue,green and yellow,the new Children’s
Hospital website is now live at www.etch.com.The new site features
many enhancements,as well as an entirely different look and feel,
mirroring the beautiful,bright color scheme of the hospital’s new lobby.
The new website offers improved navigation,a site search tool,
a content management system and greater interactivity.The biggest
improvement with the new site is that it will be significantly easier for
patient families and other site visitors to find exactly the information
they are looking for.Now that the new site has launched,be sure to
visit often to see what new features and information it has to offer.
One of the biggest changes to the Children’s Hospital website
comes in the form of “microsites,”small websites dedicated to a single
area of Children’s Hospital.The first one to launch,at the same
time as the new hospital website,was www.healthywaysclinic.com.
This microsite is dedicated to the Healthy Ways Clinic,an
interdisciplinary outpatient clinic program that takes the individual
issues (psychological,medical,nutritional,physical and family) related
to being an overweight child or teen and brings them together to
work toward long-lasting lifestyle changes. The microsite highlights
real clinic patients and their families as well as clinic staff in photos
on every page,while providing a great deal of information about the
clinic’s program and services.
Fantasy of Trees is the focus of another new microsite,
www.fantasyoftrees.org.In time for the planning of the 2011 Fantasy
of Trees, this microsite features a festive design that is all about the
holidays,as well as a clearer way to
find important information about
the annual Thanksgiving-week
fundraiser for Children’s Hospital.
This microsite launches this summer.
Children’s Hospital worked
with In10sity Interactive-Advertising-
Consulting of Lenoir City to develop
the new hospital website as well as
the Healthy Ways Clinic and Fantasy
of Trees microsites.
protocol in NICU for addicted babies
at a higher risk for learning and behavioral problems when they
reach school age.
Because of this problem, the Children’s Hospital NICU
staff has recently implemented a new, multifaceted treatment
protocol that involves several disciplines throughout the
hospital. Physicians, neonatal nurse practitioners, bedside
nurses, social workers, a case manager, the rehabilitation team,
and a pharmacist joined together to develop this approach that
involves evaluating neonates with NAS by using the Finnegan
Scoring System (which analyzes a range of central nervous
system, metabolic, gastrointestinal and respiratory symptoms).
The resulting scores allow the NICU staff to adjust treatment
as needed. Any baby with scores consistently greater than 10
usually requires medical treatment.
The next important step is to get the initial symptoms of
withdrawal under control by non-pharmacological measures
(in other words, without medication) including keeping the
babies swaddled in a quiet, dark area of the NICU and
avoiding over-stimulation. Consistent feeding times are also
used to soothe addicted infants. If the withdrawal symptoms
are severe enough, doctors and nurses will administer
appropriate medications and dosages based on the severity
of the symptoms.The final goal of the protocol is weaning the
baby off of the medications as it becomes less addicted to a
drug.The most effective treatment medication found to date
for addicted babies is oral morphine.
Through this initiative, Children’s Hospital is attempting
to overcome the unfortunate situation of infant addiction that
is becoming more prevalent throughout the EastTennessee
region. Efforts including the multifaceted approach to helping
a baby overcome an addiction are helping Children’s Hospital
in “Leading the Way to Healthy Children,”by keeping our
region’s babies healthy.
by Taylor Griffin, student intern
11

12. What’s New at
Something to smile about for
There are few things in life that
are more pure than a child’s smile.
A smile reveals his/her personality,
how many teeth they have lost and
what makes them laugh. Children
with cleft lip and palate are not
born with a conventional smile but
are able to have a flawless smile
with proper treatment.
Children’s Hospital recently
began a Cleft Lip and Palate
Clinic to serve children who
had to travel long distances for
treatment in the past.The clinic is
led by R.Mark Ray,M.D.,Cleft
Lip and Palate/Craniofacial
Team Director,and a team of
12 dedicated professionals with
decades of experience in cleft lip
and palate treatment.What makes the clinic unique is that all members of
the clinical team come together to treat every aspect of a patient’s needs.
“Before the clinic opened at Children’s Hospital,patients were sent
to Chapel Hill,Cincinnati,Nashville or Chattanooga for treatment,”
Dr.Ray said.“We wanted to be able to treat these patients conveniently
in Knoxville.”
Cleft lip and palate is fairly common and occurs in approximately
one out of every 800 children.The condition itself is not painful,but
patients have multiple needs.“Children with cleft lip and palate require
multiple surgeries,treatments and therapies throughout their lifetime.
Patients often have feeding,speech,social,cosmetic and dental issues in
conjunction with the cleft; our team is multi-faceted and capable of
treating all needs,”Dr.Ray said.
Children with cleft lip and palate have a cleft,or gap,in their lip
and/or palate (roof of mouth) which often makes it difficult for the child
to eat and speak.The cleft is a result of two segments of the lip or palate
not fusing during prenatal development.Patients with cleft lip can have
a unilateral cleft (splitting the lip into 2 segments) or bilateral cleft
(splitting the lip into three segments) that can extend to the nose.Cleft
palate occurs when two sides of the palate are not joined together,
resulting in a gap or a complete opening into the nasal cavity from the
mouth.Patients with cleft lip often have feeding,speech and breathing
issues that must be corrected with surgery and therapy.
Cleft lip and palate patients require two surgeries during the first
year of life.The first surgery,cleft lip repair,is performed when the child
is about two months old.The surgery closes the cleft in the lip and
reorients the muscles of the lip to the proper position using a rotation
advancement technique.Dr.Ray rotates one half of the lip down to close
the gap and brings the other segment of the lip across to attach the two
segments together.The cleft often extends to the nose so the child may
undergo a primary rhinoplasty in conjunction with the cleft lip repair.
The rhinoplasty closes the cleft in the nose and orients the nostril to a
more normal position.
At about eight to 10 months old,the child undergoes cleft palate
surgery.Without an intact palate,the child’s speech is altered; his/her voice
is very nasal and difficult to understand.It is best to perform a primary
cleft palate repair before speech is developed to avoid long-term speech
difficulties.During surgery,the soft tissue is raised up off the bone and
brought together to close the gap between the nasal and oral cavity.
Depending on the severity of the cleft lip and palate,a child may
require several other surgeries throughout his/her lifetime including a
rhinoplasty,dental surgery and/or speech-assisting surgery.The child
may also need social,orthodontic and speech therapy.
The Cleft Lip and Palate Clinic currently treats more than a
hundred patients and receives approximately 30 new diagnoses a year.
All 12 members of the team meet with each patient and his/her family
individually to identify and treat the patient’s specific needs.Cleft lip
and palate is often identified prenatally,so the team also meets with
expectant parents to educate them about cleft lip and palate before their
child is born.The team goes through an educational program with the
parents and provides them with the necessary tools to care for their child,
including a notebook detailing all aspects of care and specialized bottles
for feeding their child.The team is so involved in the parents’education
that most parents call the 24-hour emergency line while the mother is in
labor to let them know the birth is imminent.
The team also meets with parents who are in the process of adopting
a child with cleft lip and palate,including several such families in 2010.
Many adoptive parents contact the clinic directly to learn about caring
for a child with cleft lip and palate; some adoption agencies and foreign
countries require potential parents to meet with a team like the one at
Children’s Hospital before adopting a child.In the pre-adoption meeting,
adoptive parents go through the same educational program as expectant
parents and prepare for all aspects of care.
Dr.Ray formed the cleft lip and palate team shortly after joining
Drs.John Little and Michael Belmont in their practice in spring 2009
(Children’s Ear,Nose & Throat Specialists).The clinic,which is
registered with the American Cleft Palate Association,is one of only
Thomas Ray at seven months old,
before cleft lip and palate surgery.
Two-year oldThomas Ray after
cleft lip and palate surgery
performed by his father,
Dr. Mark Ray.
12

13. NICU Butterfly Room dedicated April 4
The newest addition to the Haslam Family Neonatal Intensive
Care Unit,the Butterfly Room,was dedicated by B&W Y-12 employees
at Children’s Hospital April 4.
The Butterfly Room is a peaceful,home-inspired room reserved
for families dealing with palliative care (a special type of care that
concentrates on easing the pain and discomfort of a condition) for
their baby or bereavement (mourning) after a baby has passed away.
Because of a generous donation from B&W Y-12,the contractor
that manages and operates the Y-12 National Security Complex in Oak
Ridge,the Butterfly Room was converted from a procedure/pumping
area into a room that provides amenities that simulate a more home-like
environment.Furnishings in the new room include a fold-out couch,
refrigerator,TV,glider rocker,necessary equipment for a baby,books and
a bookshelf.The renovated room now includes new ceiling tiles,paint,a
sink,cabinets and counters.These home-inspired touches have created
a place where families will be comfortable spending time with their
critically-ill baby for as long as possible.It will also be used as a
consultation and resource room for families in the NICU.
“The Butterfly Room is a room that is just for the purpose of
offering comfort,where the distractions and intrusions considered
‘normal’for a children’s hospital will be somewhat muted,if only for a
brief period of time,”said Sonya McGill,Children’s Hospital neonatal
services coordinator.
“The nurses see the benefits and know the importance of the room.
When you’re there day after day and see families lose their little ones,it
gets personal.You want to do all you can for those families.They had the
push to see it through,”said Keith Wilson,Atomic Trades and Labor
Council’s (ATLC) chairman for the March of Dimes.
Y-12 employees who attended the dedication included Bill Klemm,
deputy general manager and senior vice president of B&W Y-12; Steve
Attending the dedication of the Butterfly Room in the Haslam Family Neonatal
Intensive Care Unit were Dr. Steven Prinz (left); Hannah and Kate Felton and
their parents, Johnna and John Felton (fourth from left through seventh from left);
and employees and union representatives from B&W Y-12 in Oak Ridge.The
10-year old Felton sisters are surviving triplets who, along with their sister Lily,
were born prematurely at 26 weeks. All three girls were treated at Children’s
Hospital, but Lily died at less than three weeks of age. At that time, the NICU
did not offer such a home-like space for the Feltons to spend their last moments
with Lily.
Jennifer Mach, MS, CCC/SLP, Speech Therapist; Nicole Swain, PsyD,
Psychologist; Kathy Fowler, LCSW, Social Worker; Kristie Johnston,
AuD,CCC-A, Audiologist; Linda Dyer, RN, Clinic Nurse; Laura
Shamiyeh, MS, RD, LDN, Nutritionist; Jennifer Crawford, RN, Clinic
Nurse; April Wilson, LPN, ENT Office Liaison; and Judy Marciel, RN,
MSN, PCNS-BC, CPNP-PC, APN, Cleft Team Coordinator and
Pediatric Clinic Nurse Specialist.
“Our program is a regional asset.The Cleft Lip and Palate Team
has decades of experiences, and all of us are fully invested in each
patient’s care.The clinic at Children’s Hospital is operating at the level
of any major center in the United States,”Dr. Ray said.“We are making
a difference in the physical, emotional and social well-being of our
patients’lives.”
by Hayley Martin, Public Relations Specialist
Little,vice president of facilities,infrastructure and services; Steve Jones,
president of the Atomic Trades and Labor Council; and other
management and union representatives.
by Taylor Griffin, student intern
179 such clinics in the nation and meets once a month.The team performs
several surgeries each month and treats patients from Kentucky,Virginia,
North Carolina and Tennessee. Because of its excellent reputation, the
clinic also treats patients from states outside Children’s Hospital’s normal
service area, such as Florida and South Carolina.
“The cleft lip and palate clinic at Children’s Hospital offers
medical and surgical treatment for patients with the condition while
also supporting social and physical therapy needs. Parents have described
the cleft lip and palate team as a sort of family that often begins
before the child is even born. Dr. Mark Ray and his talented team of
professionals are just one more reason to choose Children’s Hospital for
the very best pediatric care,”said Keith Goodwin, Children’s Hospital
President and CEO.
The Cleft Lip and Palate team is made up of R. Mark Ray, MD,
Cleft Surgeon and ENT;Turner Emery, DDS, MD, Oral and
Maxillofacial Surgeon; James T. Pickering, DDS, Orthodontist;
What’s New at
Children’s Hospital patients
13

14. Leading The Way
Children’s Hospital
employees live by the
hospital’s vision
statement, Leading the Way
to Healthy Children, but
sometimes employees forget
to take care of their own
health along the way.To
provide the region with
the best pediatric care,
Children’s Hospital
employees are now taking
better care of their own
health so they can continue
to care for the children you
love.
Children’s Hospital employees have access to an Employee
Health and Wellness Center that offers many resources, including
tools related to stress management, nutrition, smoking cessation and
general health for all part-time and full-time employees. “Wellness
is more than going to the gym or not eating a cookie; it’s how you
enjoy your life, manage stress and take care of yourself. We hope
that employees will view wellness as a way of living that prevents
avoidable illness,” said Tom Jackson, Employee Health and Wellness
manager and nurse practitioner.
To jumpstart each employee’s wellness journey, Children’s
Hospital offered a comprehensive wellness program to all employees
this spring.The wellness program was started to encourage
employees to take an active role in preventive care and focused
on maintaining or improving a healthy lifestyle and detecting and
managing health issues. Each employee underwent a health
screening that included a comprehensive blood test that measured
cholesterol and glucose, blood pressure analysis and health risk
assessment. More than 70 percent of Children’s Hospital employees
participated in the program and also will have access to personal
health coaching and health education tools.
To boost staff morale, employees share their wellness stories
through an internal newsletter. Employees with the most success have
lost weight or met fitness goals simply by making healthier choices.
Each employee has found something different that works for them
-- one night-shift employee walks six flights of stairs multiple times a
night, another avoids the middle of the grocery store where processed
foods hide, while another was able to control her diabetes through
healthy eating and exercise. Many employees have begun walking
on their lunch break with a buddy or with fellow staff members.
Employee Health and Wellness provides employees with both indoor
and outdoor walking maps to help employees keep track of their steps
and reach the recommended 10,000 steps a day.
John Hankins, food service manager at Children’s Hospital, lost
more than 55 pounds by eating right and exercising 150 minutes a
week. “Positive reinforcement is what motivates me to succeed.The
more successful I am, the more successful I want to be,” he said.
The cafeteria has also made positive changes. It recently began
offering healthier options and has repositioned salads to the front
of the cafeteria. Nutrition facts are now available on “grab and go”
items such as prepackaged sandwiches and salads for employees’
convenience.The cafeteria is in the process of putting nutrition facts
on all food items and has found an opportunity to make recipes
healthier as a result.
Children’s Hospital also became tobacco-free as of January 1,
2011, to provide a healthier environment for all patients, visitors and
employees.The new policy extends the tobacco ban to all patients,
families and visitors throughout the grounds of the hospital.
“As health care professionals, it is our responsibility to set an
example of what good health looks like,” said Keith Goodwin,
President and CEO of East Tennessee Children’s Hospital. “Our
desire is to create the healthiest environment for our patients,
families and employees.”
by Hayley Martin, Public Relations Specialist
Children’s Hospital vision statement is “Leading the Way to Healthy Children.” In this series in It’s About Children, we are
sharing with our readers some of the many ways we are “Leading the Way.” Outstanding practices by Children’s Hospital departments
are highlighted – things that are, although quite commonplace at our pediatric medical center, actually rather unique.This series
showcases the exceptional work done at Children’s Hospital and demonstrates how the hospital is a great place to work.
More and more Children’s
Hospital employees are getting
outside and walking each day
for better health.Two of the
most avid walkers are Audrey
Madigan of the Development
Department (left) and
CharlotteTallent of the
Community Relations and
Education Departments.
Leading the Way to Healthy Employees
14

15. Water Safety Day
Summertime in East Tennessee is often marked with
flip flops, goggles, neon swimsuits and the sweet smell of
coconut sunscreen. Families love to gather together for
summertime fun at the pool, lake or beach, so it’s important to
learn how to keep your family safe while enjoying water fun.
Safe Kids of the Greater Knox Area, along with Kohl’s,
Children’s Hospital, Knoxville Pediatric Associates and
Dollywood’s Splash County, reminds everyone that no one
can take a vacation from water safety this summer.
A water safety and awareness day will take place at
Dollywood’s Splash Country on Wednesday, June 8, from
10 a.m. until 2 p.m. Children who complete a special “splash
pass” will have the opportunity to win great prizes.The event
will feature a rescue demonstration by the water park’s award-
winning lifeguards, information on CPR and emergency
preparation from Children’s Hospital, a list of essential items
for a home safety kit from Kohl’s and water safety tips from
Safe Kids of the Greater Knox Area.The City of Pigeon
Forge Fire and Police Department, Sevierville Aquatics Club,
the American Red Cross and Knoxville Pediatric Associates
will offer additional water safety information.
An informational media campaign will remind parents/
caregivers and children of important water safety tips, and
the fun event at Dollywood’s Splash Country will offer a way
for families to learn about water safety together.There is no
extra charge for Water Safety Day at Dollywood’s Splash
Country, but an admission ticket to Splash Country is
required for admittance. For ticket information, call (800)
DOLLYWOOD or visit www.dollywoodssplashcountry.com.
Safe Kids Worldwide merges
with Home Safety Council
Safe Kids Worldwide merged with the Home Safety
Council on December 31, 2010, and will continue to fulfill
its mission to prevent unintentional injuries in children. With
the merger of the Home Safety Council, Safe Kids will now
also cover home safety.
Safe Kids offers first Start Safe: A Fire & Burn
Safety Program training in Tennessee
On March 11, Safe Kids of the Greater Knox Area and
the City of Pigeon Forge Fire Department offered the first
“Start Safe: A Fire and Burn Safety Program for Preschoolers
and their Families” training in the state of Tennessee.The fire
safety program is offered to firefighters, Head Start teachers and
administrators who teach preschoolers ages 3-6. The training
was performed by the Tennessee State Fire Marshall’s Office,
and each participant received a smoke alarm and Start Safe kit.
The goal of the program is to reduce the number of home
fires and burn injuries in preschool children. “Programs like
‘Start Safe’ are critical in teaching families how to protect
themselves from fire and in the event of a fire, to know how
to make sure everyone gets out alive,” Susan Cook, Safe Kids
Coordinator, said.The program teaches preschoolers what to
do in case of a fire in their home, and parents and caregivers
learn how to prevent fire and burn injuries, the importance of
smoke alarms and how to implement and practice home fire
drills.
Sevierville Primary School learns bike safety
Safe Kids hit the road in March and spent three days at
Sevierville Primary School educating children in kindergarten
through second grade about bike safety and proper helmet use.
About 350 children went through a series of classes on
bike safety with the Sevier County Sheriff’s Office School
Resource Officer. At the completion of the classes, Safe Kids,
along with help from Kohl’s, the Epilepsy Foundation of East
Tennessee, Pigeon Forge Fire Department and the Sevier
County Sheriff ’s Office, presented and properly fit each child
with a new bike helmet.
by Hayley Martin, Public Relations Specialist
15

16. Donors who are interested in making a charitable gift
through their Individual Retirement Account (IRA) will be
able to do so for another year.The IRA Charitable Rollover
provision, initially enacted in 2006, was extended by Congress
through 2011. If you are 70 1/2 years or older, have an IRA
account and do not need to use the required distribution,
you may be pleased to know that you can support Children’s
Hospital by transferring your distribution directly to the
hospital tax-free.
The IRA Charitable Gift provision was enacted as part
of the Tax Relief, Unemployment Insurance Reauthorization
and Job Creation Act of 2010 that was signed into law late last
year by President Barack Obama.The law renews incentives for
donors to make charitable gifts from distributions that might
otherwise be subject to federal and state taxes. Donors may
elect to make charitable distributions from their traditional or
Roth IRA accounts in any amount they choose up to $100,000.
Here is a fictional example: Bill, a 76-year-old widower,
lives comfortably on his pension, savings and Social Security
income. When he makes withdrawals from his traditional IRA
account, he is taxed on those funds.The additional income
means more of his Social Security income is also taxed. By
making charitable gifts through his IRA account, he avoids
reporting the amount as income, pays no taxes on those funds,
and bypasses additional tax on his Social Security benefits.
To enjoy the full benefit of the law’s provision for your
2011 gifts, you must complete your transfer no later than
December 31, 2011.
Here are the guidelines:
• Donors must be 70 1/2 years or older.
• The gift must be made directly from an IRA account to
the hospital.
• Gifts cannot exceed a total of $100,000 for the year.
A couple with separate IRA accounts can each make
gifts up to $100,000.
• Gifts must be outright (the donor does not receive any
goods or services from the charity because of the gift).
• Gifts must be made to a qualified charity.They cannot
be made to a donor advised fund or supporting organization
or to fund a charitable life income trust agreement.
• The gift is not included in taxable income; therefore,
no charitable income tax deduction is allowed.
• The gift can only be made through a qualified IRA account.
Gifts from 401(K), 403(B) and 457 plans are not permitted.
To make a gift from your IRA distribution, contact your
IRA custodian on how to initiate the transfer. Contact the
Children’s Hospital Development office at (865) 541-8441
about your gift and for assistance that we can provide.
Planned giving
The Charitable IRA
Children’s Hospital was named a top 25 Safe Sitter®
teaching site for 2010.The Safe Sitter® class at Children’s
Hospital certified 184 new “safe sitters” during 2010. Safe
Sitter® is a national organization that teaches young
adolescents safe and nurturing babysitting techniques and
rescue skills needed to respond appropriately to medical
emergencies. Safe Sitter is offered through Children’s
Hospital’s Healthy Kids Community Education Program,
under the direction of Hayley Martin, Public Relations
Specialist.
Safe Sitter® is offered for children ages 11-14, and the
cost is $25 per participant. Children’s Hospital generally offers
Safe Sitter classes once or twice each month; some upcoming
dates include May 21, June 11, June 25, July 16, July 23, August
6, August 27, September 17, October 1 and November 12. Class
size is limited, so pre-register by calling (865) 541-8262.
Hospital is
Safe Sitter
top site
Safe Kids Coordinator
to serve on Safe Kids USA
Advisory Council
Children’s Hospital employee and Safe Kids
USA Coordinator of the Year Susan Cook is
now a member of the Safe Kids USA Coalition
Advisory Council, a position she accepted in
February. She will serve on the council for
the next two years by participating in monthly
conference calls and attending conferences.
The advisory committee is made up of
Safe Kids USA coordinators from around the
country and serves as a forum for discussing
the needs of the network, emerging issues and
concerns, safety developments and the overall
direction of the organization. Congratulations
to Susan Cook for receiving this prestigious
appointment.
by Taylor Griffin, student intern
16

17. Baseball for Babies
The ninth annual Baseball for Babies tournament will take
place June 2-5 at various Knoxville-area baseball parks.The
tournament is open to teams 8U to 16U.The Hayes family of
New Market sponsors the yearly tournament in honor of their
daughter, Nancy, who passed away in the Children’s Hospital
Haslam Family Neonatal Intensive Care Unit.
Last year’s event raised more than $22,500 for Children’s
Hospital. For more information, contact Lenny Hayes at
(865) 441-1367.
Camp Cure
For children ages 5-12 with diabetes, Camp Cure is a
chance to gain knowledge and develop confidence and
independence in caring for their diabetes in a fun camp
environment.This year’s theme is “Encore! Encore!” with a
focus on musical and dramatic arts, and popular past years’
activities also return to enhance the fun.
Camp Cure will take place July 11-15 from 8:30 a.m. to
3 p.m. daily at the Karns Community Youth Center.The day
camp activities include swimming, arts and crafts, sports and
recreational fun. On Friday, July 15, campers and their families
are invited to participate in Family Day.
The cost to attend Camp Cure is $10 per child, and the
deadline for registration is June 24. For more information,
contact Cathy Van Ostrand, Diabetes Clinical Nurse Specialist
and camp director, at (865) 541-8281.
Camp Eagle’s Nest
Most children spend their summer enjoying outdoor
activities and sunshine, including patients of Children’s
Hospital Hematology/Oncology Clinic. Camp Eagle’s Nest,
located at Camp Wesley Woods in Townsend, is an
opportunity for children who have been diagnosed with
cancer or a blood disorder to enjoy the outdoors in a safe
and fun environment. Campers participate in activities like
horseback riding, canoeing, rock climbing, tubing and much
more. Campers also are able to interact with their camp
counselors, who are nurses and other clinical staff from
Children’s Hospital, giving patients a unique opportunity to
form bonds in a positive setting outside of the hospital.
This year, Camp Eagle’s Nest will take place July 31-
August 4 and is open to all Hematology/Oncology Clinic
patients who have approval from their doctors to attend.
Camp Eagle’s Nest is free for patients, thanks to generous
financial and in-kind contributions. This camp would not
be possible without donations from the East Tennessee
community.
For more information, contact Rick Callaway at
(865) 541-8476.
The Donald M. Gally Summer Camp
Every July, the Children’s Hospital Rehabilitation Center
offers a free, week-long day camp for children with physical or
mental special needs who are unable to take part in traditional
camp programs. Activities for the Donald M. Gally Summer
Camp are developed by the staff of the Rehab Center. Physical
therapists, adaptive physical education teachers and nurses
are key staff members, assisted by many wonderful volunteers,
to assure the most successful camp experience. Campers
participate in activities such as swimming, nature walks, arts
and crafts, and singing.The children are delighted by visits
from zoo animals and fun events such as an ice cream party
hosted by Bruster’s.
The day camp takes place at the Kiwanis Fresh Air Camp
on Prosser Road in Knoxville through a generous donation
from local Kiwanis Club members. Session I, for campers
ages 5-10, takes place July 11-15. Session II, for campers
ages 11-18, takes place July 18-22. Hours for both weeks are
8:30 a.m. to 3 p.m.
Because there is no cost to attend, donations are greatly
appreciated to help make this camp an exciting part of
summertime for children with special needs.
For more information, contact the Children’s Hospital
Rehabilitation Center at (865) 690-8961.
by Megan Helvey, student intern
Calendar of Events
Mark your calendars NOW for several upcoming events to entertain families and benefit Children’s Hospital.
Thanks to the generous people of East Tennessee who host and participate in these events,
Children’s Hospital can continue to provide the best pediatric health care to the children of this region.
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18. Q&A
Each year, water-related injuries send thousands of children to
hospital emergency departments, including the one at East Tennessee
Children’s Hospital. It is important to remind parents, grandparents
and other caregivers that following simple water safety rules will help
keep children safe in any type of water and help minimize a child’s
risk of drowning. Before you enjoy the lazy days of summer, brush up
on your water safety knowledge from Children’s Hospital and Safe
Kids of the Greater Knox Area.
I’ve heard there is a new Tennessee law that requires
residential pools to have pool alarms. Is that true? ?
Yes, a new Tennessee law, Katie Beth’s Law, requires all
residential pools to have a pool alarm that sounds when an object
weighing 15 pounds or more enters the water.The new law, made
effective on January 1, 2011, states all residential swimming pools
must have a properly installed pool alarm that sounds at a minimum
of 50 decibels when an object enters the water. According to the
law, a swimming pool is defined as an in-ground, above-ground,
on-ground, hot tub or non-portable spa that holds water more than
36 inches deep. Owners of all residential pools without a pool alarm
can be charged with a misdemeanor and fined no more than $100
for the first offense and no more than $500 for subsequent offenses.
Kentucky and Virginia also have anti-entrapment and fencing/barrier
requirements; for more information, call the U.S. Consumer Product
Safety Commission at (800) 638-2772 (TTY 301-595-7054).
What new national legislation has been enacted regarding
swimming pools?
A new federal law has been enacted that affects both residential
and public pools/hot tubs.The Virginia Baker Pool and Spa Safety Act
requires all residential pools and spas to be enclosed by a barrier that
prevents children from gaining access and must be equipped with
devices designed to prevent entrapment. In addition, all pools and
spas with a main drain (that is not unblockable) must be equipped
with an anti-entrapment drain cover. Pools and spas built since
October 2008 are required to have more than one drain, one or
more unblockable drains or no main drain.
The law also states that public pools must have an anti-
entrapment drain cover, and public pools and spas with a single
main drain (other than an unblockable drain) must also be equipped
with a device or system designed to prevent entrapment, such as a
safety vacuum release system.
I have heard that a child can drown in as little as two inches
of water. Is that true?
Most parents take precautions around large bodies of water like
lakes, oceans and swimming pools but do not realize that smaller
amounts can be just as dangerous. A child can drown in a bathtub,
toilet or even a bucket of water.To protect your child, empty buckets,
wading pools, coolers and other containers immediately after use,
and store outside out of reach. Keep toilet lids down and doors to
bathrooms and utility rooms closed when not in use. Never leave
your child alone with access to any standing water.
Are “water wings” or “floaties” safe for my child to use as
flotation devices?
Only U.S. Coast Guard-approved personal flotation devices
such as life preservers should be used as flotation devices. Air-filled
swimming aids including “water wings,”“floaties” or inner tubes are
not safety devices and should not be used as such.These items are not
made to hold a up child in the water and can be easily punctured or
slip off – all situations that can lead to a drowning incident.
In the movies, there is always a lot of commotion and noise
when a drowning occurs. What should I listen for?
In real life, when a child goes under water, he or she seldom
makes a sound.This is why drowning is often referred to as the
“silent killer.” Never leave a child alone around water, because it
only takes seconds for a child to drown. Literally, seconds count
when a child goes under water.
30 seconds – 1 minute The airway closes, and the child’s lips
turn blue.
1 - 2 minutes The child loses consciousness.
2 - 5 minutes The heart can stop.The child still has a
chance of survival if rescued now.
5 minutes or more Permanent brain damage occurs as each
second ticks by.
I hear lots of talk about pool drains. What do I need to know
about drains to protect my children?
Teach your children to avoid pool drains, with or without a
cover, and to pin up long hair while in the water. If you have a pool
at home, install multiple drains because it minimizes the suction of
any one drain, reducing the risk of death or injury. Check regularly to
make sure drain covers are secure and free of cracks and replace flat
drain covers with safer, dome-shaped ones. Identify where the manual
cut-off switch for the water pump is in case of emergency. Consider
Water Safety
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19. Upcoming community education classes
CPR Certification Course
Dates: June 6, July 11, August 8, September 12
Time: 6-10 p.m.
This certification course teaches the American Heart Association
chain of survival -- from when to call 911 to how to effectively
administer CPR to an infant, child or adult.This course is designed
for anyone who may be expected to respond to emergencies at
home or in the workplace. Participants must be at least 14 years old.
Following the course, participants will receive an American Heart
Association Heartsaver certification card.This course is $25 per person.
Safe Sitter
Dates: May 21, June 11, June 25, July 16, July 23,
August 6, August 27
Time: 9 a.m. to 3 p.m. (lunch is provided)
Safe Sitter is a national organization that teaches young adolescents
safe and nurturing babysitting techniques and the rescue skills
needed to respond appropriately to medical emergencies. Instructors
are certified through Safe Sitter nationally. Participants must be ages
11-14.This course is $25 per person.
Class size is limited, so preregistration is required. All classes are
offered in the Koppel Plaza at Children’s Hospital unless otherwise
noted. For more information, to register for any of these classes or
to receive our free Healthy Kids parenting newsletter, call
(865) 541-8262.
Announcements about upcoming classes can be seen on
WBIR-TV 10 and heard on area radio stations. Or visit our website
at www.etch.com.
Children’s Hospital’s Healthy Kids Campaign, sponsored by
WBIR-TV Channel 10 and Chick-Fil-A, is a community education
initiative of the hospital’s Community Relations Department to help
parents keep their children healthy.
installing an approved safety vacuum release system (SVRS), a tool
that quickly and automatically turns of the pump (and stops the
suction) when something is trapped or blocks the drain.
What are some safety rules that I should implement for our
home pool? At the lake? Around my house?
Different bodies of water require different safety rules and
guidelines. Be sure to follow each set of guidelines while in and
around various bodies of water.
Pool Safety Rules
• Surround your pool – on all four sides – with a sturdy five-foot
fence.
• Make sure the gates self-close and have self-latching and self-
locking features at a height children cannot reach. Also, install a
pool alarm and consider automatic interior door locks.
• Consider keeping rescue equipment such as a shepherd’s hook
(a long pole with a hook on the end) and a flotation device near
the pool.
• Install a telephone at the pool so you can call for help if needed
and so you will not need to leave the pool unattended to answer
the phone.
• Lifeguards are added supervision for your child but should not be
counted on or considered the only method of supervision.
• Recognize that inflatable swimming aids such as “floaties” are not
a substitute for approved life vests or supervision.They also can
give children a false sense of security in the water.
• Enroll children around the age of four in swimming lessons
taught by qualified instructors. Keep in mind that lessons do not
make your child “drown-proof.”
• Every home pool should have a Pool Safety Kit within several feet
of the pool.This safety kit should include items such as a first aid
kit, a flashlight, a flotation device, a blanket, dry towels, a whistle
and a phone.
Lake/River Safety Rules
• When on or near the water, insist that your child wear a life
preserver or flotation device.The U.S. Coast Guard estimates that
nine of 10 drowning victims are not wearing any type of flotation
device.
• When swimming in natural bodies of water, teach your children
these four key swimming rules:
1) Always swim with a buddy.
2) Don’t dive into unknown bodies of water. Jump feet first to
avoid hitting your head on shallow bottom.
3) Don’t jump or push others into the water.
4) Be prepared for an emergency.
• Never consume alcohol when operating a boat, swimming or
during water activities, and don’t allow your child to ride on any
water vehicle where you suspect alcohol consumption will take
place.
Bathtub/Bathroom Safety Rules
• Never leave a baby unattended in the bath. If you must answer the
telephone or door, don’t rely on an older sibling to watch the baby;
wrap your baby in a towel and bring him or her with you.
• Stand guard over a bathtub that’s filling with water.
• Don’t use a bathtub seat with suction cups.The seat can overturn
and flip a baby headfirst into the water.
• Install a toilet-lid locking device or keep bathroom doors closed.
• Never leave a small child unattended near a bucket filled with any
amount of water or other liquid.
Take time to review these water safety guidelines with your
friends, family or anyone else who might take care of your children
while around the water this summer.These precautionary steps can
save you a trip to the emergency room this summer – and might even
save the life of a child you love.
Compiled by Hayley Martin, Public Relations Specialist
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20. 2018ClinchAve.•P.O.Box15010
Knoxville,Tennessee37901-5010
Wealwaystrytostaycurrentwithfriendsofthehospital.
Ifforanyreasonyoushouldreceiveaduplicateissueor
needtoupdateyouraddress,pleasenotifythehospitalat
(865)541-8257orwhames@etch.com
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KNOXVILLE,TN
Center Stage rocked and rolled
at 19th annual benefit gala
The 19th annual Center Stage concert benefitting the Goody’s
Pediatric Intensive Care Unit at Children’s Hospital brought the heart
of rock and roll to Knoxville. On April 9, the energetic sounds of
Huey Lewis and the News filled the Knoxville Convention Center,
as guests enjoyed an evening of cocktails, hors d’oeuvres, dinner and
dancing.
Huey Lewis and the News had 19 Top 10 singles beginning in
the 1980s with “Do You Believe in Love.” Their No. 1 album Sports
sold more than 10 million copies in the U.S. alone, featuring songs
like “The Heart of Rock & Roll” and “If This Is It.” The rock band
continued to gain worldwide fame with the song “The Power of
Love” featured in the 1985 film Back to the Future.The following year,
the Grammy award-winning band released another triple platinum
album. In November 2010, Huey Lewis and the News released
Soulsville, their first album in nine years.
This black tie gala was created in 1993 by event chairs Bob and
Wendy Goodfriend after their son was hospitalized due to a diving
accident. Guests were able to sponsor tables at patron, benefactor,
corporate and individual levels. More than $2 million in net proceeds
have been raised from the annual charity event since its inception.
The 2011 Underwriters of Center Stage were Pilot Corporation
and the Goodfriend Foundation. All proceeds from the gala
benefitted Children’s Hospital’s Goody’s Pediatric Intensive Care Unit.
Children’s Hospital would like to thank all of the Patron,
Benefactor, Corporate and Individual sponsors; guests; volunteers;
and all of those who continually support the mission of Children’s
Hospital. A special thank you to Kaye Goodfriend, Holly Lawson,
Dana Headden, Gail Reed and Toria Boyd for their work on the
Center Stage planning committee.
by Megan Helvey, student intern