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Reach Out and Read

May 13, 2019/in A to Z Guide /by Mike Villareal

A to Z Resource Guide

Reach Out and Read

We are incredibly excited in 2019 to be partnering with Reach Out and Read and to provide new books to children at their checkups from ages 6 months to 5 years of age. Like Reach Out and Read says,  ‘We encourage parents to read aloud daily to their infants, toddlers and preschoolers, as a simple and effective way of fostering nurturing, language-rich family interactions that support brain development and provide a foundation for success.”

Reliable Web Sites

  • Reach Out and Read
    Reach out and Read homepage
  • Reading Tips
    Reach Out and Read- Reading Tips
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https://carypediatriccenter.com/wp/wp-content/uploads/carypeds-logo-1-1-1.png 0 0 Mike Villareal https://carypediatriccenter.com/wp/wp-content/uploads/carypeds-logo-1-1-1.png Mike Villareal2019-05-13 08:01:592020-04-03 16:13:20Reach Out and Read

Dental Fluoride

Apr 11, 2018/in A to Z Guide /by Mike Villareal

A to Z Resource Guide

Dental Fluoride

Dental caries are a significant problem for children.  The risk of developing caries can be decreased by using fluoride.  In 2014, the American Academy of Pediatrics issued a policy recommending fluoride treatments for babies.  In our office, we apply topical fluoride every 3-6 months starting when the first tooth erupts.  During all of your well child checks, we also address dental health and proper dental care that is age appropriate.  We also will recommend home treatment with fluoride supplements when medically necessary.

Reliable Web Sites

  • AAP Policy Statement
    Most recent AAP policy statement on dental varnish
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https://carypediatriccenter.com/wp/wp-content/uploads/carypeds-logo-1-1-1.png 0 0 Mike Villareal https://carypediatriccenter.com/wp/wp-content/uploads/carypeds-logo-1-1-1.png Mike Villareal2018-04-11 12:05:092020-04-03 15:45:48Dental Fluoride

Nurse Triage

Mar 16, 2018/in A to Z Guide, Specialties /by Mike Villareal

A to Z Resource Guide

Nurse Triage

Need advice from a nurse? Our highly trained nursing staff is available to answer your questions and concerns 24 hours a day.  Each day our nurses provide advice on a wide range of topics from fevers, respiratory problems, to medication dosing.  During business hours, our experienced in house nurses will be answering your concerns.  Each of our LPNs and RNs take turns providing advice.  After hours, we have contracted with WakeMed to provide nurse advice.

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https://carypediatriccenter.com/wp/wp-content/uploads/carypeds-logo-1-1-1.png 0 0 Mike Villareal https://carypediatriccenter.com/wp/wp-content/uploads/carypeds-logo-1-1-1.png Mike Villareal2018-03-16 08:57:512022-08-04 13:59:02Nurse Triage

Track Rx

Mar 13, 2018/in A to Z Guide /by Mike Villareal

A to Z Resource Guide

Track Rx

We are excited to have partnered with Kids in Parks and Walk with a Doc starting in the Summer of 2017. Kids in Parks is an exciting organization that has created a network of trails throughout the area with self-guided brochures that teach kids about nature while being outside. The Walk with a Doc organization works with local doctors to encourage behavior change and healthy living by connecting the physician with their patients outside of the office.  The support of these organizations is amazing.  Every few months we organize to have several of our doctors, nurse practitioners, nurses, and administrative staff come together for a hike. We invite our patients an their families to join us. The hikes are so much fun and our families love them. Another great aspect about Kids in Parks is that children earn prizes for tracking their adventures outside! You can sign up on their website http://www.kidsinparks.com.

Reliable Web Sites

  • Kids In Parks
  • Walk with a Doc
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https://carypediatriccenter.com/wp/wp-content/uploads/carypeds-logo-1-1-1.png 0 0 Mike Villareal https://carypediatriccenter.com/wp/wp-content/uploads/carypeds-logo-1-1-1.png Mike Villareal2018-03-13 18:26:442020-04-03 16:16:23Track Rx

Medication Dosing

Oct 08, 2017/in A to Z Guide /by Mike Villareal

A to Z Resource Guide

Medication Dosing

Easily determine the right dose of Acetaminophen (Tylenol) or Ibuprofen (Motrin, Advil) for your infant or child’s weight. If your child is less than 2 months old and has a fever >100.4, please call our office prior to giving any medications.

For infants under 6 pounds, check with your doctor.

Child's WeightMedicationDose
6-11 lbsAcetaminophen Syrup 160 mg/5mL (such as Children’s Tylenol Oral Suspension)1.25 mL
12-17 lbsAcetaminophen Syrup 160 mg/5mL (such as Children’s Tylenol Oral Suspension)2.5 mL
12-17 lbsIbuprofen Infant Drops 50 mg/1.25 mL (such as Infant’s Motrin Oral Suspension Drops)1.25 mL
12-17 lbsIbuprofen Liquid 100 mg/5 mL (such as Children’s Motrin Oral Suspension)2.5 mL
18-23 lbsAcetaminophen Syrup 160 mg/5mL (such as Children’s Tylenol Oral Suspension)3.75 mL
18-23 lbsIbuprofen Infant Drops 50 mg/1.25 mL (such as Infant’s Motrin Oral Suspension Drops)1.875 mL
18-23 lbsIbuprofen Liquid 100 mg/5 mL (such as Children’s Motrin Oral Suspension)4 mL
24-35 lbsAcetaminophen Syrup 160 mg/5mL (such as Children’s Tylenol Oral Suspension)5 mL
24-35 lbsChewable Acetaminophen Tablets 160 mg (such as Children’s Tylenol Chewable Tablets)1 tablet
24-35 lbsIbuprofen Infant Drops 50 mg/1.25 mL (such as Infant’s Motrin Oral Suspension Drops)2.5 mL
24-35 lbsIbuprofen Liquid 100 mg/5 mL (such as Children’s Motrin Oral Suspension)5 mL
36-47 lbsAcetaminophen Syrup 160 mg/5mL (such as Children’s Tylenol Oral Suspension)7.5 mL
36-47 lbsChewable Acetaminophen Tablets 160 mg (such as Children’s Tylenol Chewable Tablets)1.5 tablets
36-47 lbsIbuprofen Infant Drops 50 mg/1.25 mL (such as Infant’s Motrin Oral Suspension Drops)3.75 mL
36-47 lbsIbuprofen Liquid 100 mg/5 mL (such as Children’s Motrin Oral Suspension)7.5 mL
48-59 lbsAcetaminophen Syrup 160 mg/5mL (such as Children’s Tylenol Oral Suspension)10 mL
48-59 lbsChewable Acetaminophen Tablets 160 mg (such as Children’s Tylenol Chewable Tablets)2 tablets
48-59 lbsAdult Acetaminophen Tablets 325 mg (such as Tylenol Regular Strength)1 tablet
48-59 lbsIbuprofen Infant Drops 50 mg/1.25 mL (such as Infant’s Motrin Oral Suspension Drops)5 mL
48-59 lbsIbuprofen Liquid 100 mg/5 mL (such as Children’s Motrin Oral Suspension)10 mL
48-59 lbsChewable Ibuprofin Tablets 100 mg (such as Children’s Motrin Chewables)2 tablets
48-59 lbsAdult Ibuprofen Tablets 200 mg (such as Motrin IB or Advil)1 tablet
60-71 lbsAcetaminophen Syrup 160 mg/5mL (such as Children’s Tylenol Oral Suspension)12.5 mL
60-71 lbsChewable Acetaminophen Tablets 160 mg (such as Children’s Tylenol Chewable Tablets)2.5 tablets
60-71 lbsAdult Acetaminophen Tablets 325 mg (such as Tylenol Regular Strength)1 tablet
60-71 lbsIbuprofen Liquid 100 mg/5 mL (such as Children’s Motrin Oral Suspension)12.5 mL
60-71 lbsChewable Ibuprofin Tablets 100 mg (such as Children’s Motrin Chewables)2.5 tablets
60-71 lbsAdult Ibuprofen Tablets 200 mg (such as Motrin IB or Advil)1 tablet
72-95 lbsAcetaminophen Syrup 160 mg/5mL (such as Children’s Tylenol Oral Suspension)15 mL
72-95 lbsChewable Acetaminophen Tablets 160 mg (such as Children’s Tylenol Chewable Tablets)3 tablets
72-95 lbsAdult Acetaminophen Tablets 325 mg (such as Tylenol Regular Strength)1.5 tablets
72-95 lbsIbuprofen Liquid 100 mg/5 mL (such as Children’s Motrin Oral Suspension)15 mL
72-95 lbsChewable Ibuprofin Tablets 100 mg (such as Children’s Motrin Chewables)3 tablets
72-95 lbsAdult Ibuprofen Tablets 200 mg (such as Motrin IB or Advil)1.5 tablets
96 lbs or moreAdult Acetaminophen Tablets 325 mg (such as Tylenol Regular Strength)2 tablets
96 lbs or moreIbuprofen Liquid 100 mg/5 mL (such as Children’s Motrin Oral Suspension)20 mL
96 lbs or moreChewable Ibuprofin Tablets 100 mg (such as Children’s Motrin Chewables)4 tablets
96 lbs or moreAdult Ibuprofen Tablets 200 mg (such as Motrin IB or Advil)2 tablets

Important Instructions for Proper Use

  • Always read and follow the label instructions.
  • Use only the dosing device that came with the product.

Acetaminophen (Tylenol)

  • Repeat dose every 4-6 hours while symptoms last.
  • Do not give more than 5 doses in 24 hours.
  • Do not use with any other product containing acetaminophen.

Ibuprofen (Advil, Motrin)

  • Not for use with children under 6 months of age.
  • Repeat dose every 6-8 hours as needed.
  • Do not give more than 4 doses in 24 hours.

Downloads

  • Acetaminophen Dose Sheet
  • Ibuprofen Dose Sheet
  • Diphenhydramine (Benadryl) Dose Sheet
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Practice Improvement

May 09, 2017/in A to Z Guide /by Scott Beyer

A to Z Resource Guide

Practice Improvement

In an ongoing effort to improve the care we give our patients and their families, Cary Pediatrics is engaged in a number of projects to look at our practice. Some of these involve our clinical decision making and following clinical guidelines, and some with patient satisfaction.

What have we learned?

Staying on schedule

We are pleased that patients are happy with our practice, and would refer others to see us. But we have heard that our biggest barrier is time waiting in the office to be seen. We have worked with our scheduling staff to ensure that appointments that are made have enough time to discuss the concerns the parents have. We are also working on streamlining the use of our EHR to expedite orders and the gathering of information. We also could use your help: when you call to make an appointment, either a sick visit or a checkup, if you have specific questions or concerns that may require a prolonged visit with your provider, please let us know beforehand, so we can budget time, and be able to give your child as much time as they need, and help keep us on schedule.

Building relationships with a primary provider to address special needs

We also learned that we are doing a good job with having patients with special health care needs see their primary provider, to ensure consistency and continuity of care. But we also see that we can do better. We have highlighted in our scheduling programs and in our EHR a primary provider for patients with special needs. In this way, we should be able to do even better maintaining that important relationship. Below, blue means a patient saw their primary provider.

We are proud that all three of our office are performing similarly, showing we are all on the “same page” in our approach to our patients.

How are we performing?

When you are seeing your provider, you might also hear us mention things like “it is recommended that…” or “guidelines or the American Academy of Pediatrics suggest…” We do our best identifying areas of our practice that have been identified by national agencies as areas of emphasis to improve care, both in the short term and in the long term.

Examples in the past year or two include: following industry standards in vision screening in younger children; cholesterol screening in school-aged children; immunizing children, especially those with asthma against influenza; maintaining appropriate appointment schedules for children on chronic medications; tracking newborn screening to ensure complete results; keeping kids on schedule for their yearly checkups.

We also try to review the medications that we are prescribing. For example we know that cost is very important to parents when it comes to medical care. We also know that generic medications tend to cost less than brand name medications. Unfortunately prescribing generic medications is not always possible, but we want to keep the percentage of generic medications as high as possible while prescribing the best and most effective medications for the patients. Below is the percent of brand name medications we have prescribed for the month of September the past two years.

Continuously Improving

We strive to continuously improve our practice by reviewing current literature and practicing evidence based medicine.  The providers meet frequently throughout the year to discuss the latest literature to ensure that we are all practicing up to date medicine.

We also actively seek feedback from our patients at regular intervals.  Formally, we will send out surveys via email after visits for our patients to give us feedback.  Our questions on the surveys will change depending on our goals, but mostly involve making sure you were satisfied with all aspects of your visit from making the appointment, to your time with your nurse, and the time with you spent with the provider.  We use this feedback to make changes in our workflow and procedures.  Listening to our patients is one of our most important goals, so that we can provide the best care and service to our patients.

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Page 2 of 512345

Cary Pediatric Center

1001 Crescent Green
Cary, NC 27518

Phone
(919) 467-3211

Fax
(919) 467-5315

Mon - Fri
8am - 5pm
Closed daily for lunch 12-1

Saturday
Sick visits 8:00 am- 12 pm

Map & Directions

Apex Pediatrics

1021 W. Williams Street, Ste. 105
Apex, NC 27502

Phone
(919) 290-1090

Fax
(919) 290-1086

Mon - Fri
8am - 5pm
Closed daily for lunch 12-1

Map & Directions

Fuquay-Varina Pediatrics

316 Judd Place Drive
Fuquay-Varina, NC 27526

Phone
(919) 557-2362

Fax
(919) 557-2168

Mon - Fri
8am - 5pm
Closed daily for lunch 12-1

Map & Directions

After Hours Care

Clinical advice is available 24/7 by calling the office during regular hours or after hours with our triage service or physician on call.

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