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KVH News

RSV in Kids

Elise Herman , MD · December 6, 2022 ·

Contributor Dr. Elise Herman

We are definitely in the sick season and Respiratory Syncytial Virus (RSV), a common fall/wintertime virus, is very prevalent right now. Most kids have had RSV at least once by age 2 years and usually it just causes a mild cold. In some children, especially preemies, young infants, and those with heart, lung, or immune system problems, RSV can be more serious. It can cause pneumonia (lung infection) and bronchiolitis (inflammation of the small airways). Adults also get RSV, though as with most kids, they usually just have mild cold symptoms. Elderly adults or those with compromised immune systems or underlying health problems can develop more severe RSV.

RSV spreads by direct contact with the virus by kissing, sharing drinks, or touching a contaminated surface). Airborne droplets from a cough or sneeze are also infectious. People are contagious for a day or two before signs of illness and then for 3-8 days after becoming sick.

RSV symptoms include runny nose, cough, sneezing, fever, and decreased appetite. There may be mild wheezing, which is a high-pitched musical sound heard with breathing out. RSV typically lasts 1-2 weeks.

If RSV is more severe, there may be signs of difficulty breathing such as rapid breathing and sucking or pulling in between the ribs or just below the neck (“retractions”). Other warning signs include grunting respirations, and the lips or tongue appearing pale or bluish. Trouble breast or bottle feeding and pauses in breathing are worrisome signs sometimes seen in young infants.

Testing for RSV (done with a nasal swab) is not needed if your child is mildly affected. If the illness seems more severe, RSV testing may be ordered.  Kids can test positive for RSV for days to weeks, even once they appear recovered. There is no need to do testing to see if a child is “over” their infection.

There is no cure for RSV and most kids just need basic at-home care. Ensuring your child gets enough fluids is important. Small frequent feedings may be better tolerated and using saltwater nasal drops and suctioning prior to infant feedings can help. Breast milk can be expressed and put in a cup or bottle if feeding at the breast is too difficult.

Tylenol (over 2 months) or Advil (over 6 months) for discomfort is fine, but do not worry about “getting a fever down”, as the fever may be helping your child fight the infection. Severely ill kids may need oxygen and IV fluids in the hospital to treat dehydration, but this is uncommon and usually is just for a few days. Only 1-2% of infants under 6 months of age need to be hospitalized with RSV.

To decrease the risk of kids and adults getting and spreading RSV, practice good handwashing with soap for 20 seconds. Teach your child to cover coughs and sneezes with tissue or their elbow. Avoid sharing drinks and utensils.  If your child is at high risk of severe RSV, you may want to avoid childcare and crowded settings if RSV activity is high. Masks in kids over age 2 years are effective at decreasing spread of the virus. Avoid smoke exposure which is harmful to lungs in general.

There is no vaccine for RSV yet, though some are in the works. If your child is 6 months or older, it is vital to vaccinate them against influenza and COVID-19 since these can make RSV more serious. There is an injected monoclonal antibody medication to prevent severe RSV only in very high-risk kids.

Remember that most kids with RSV will have a mild illness. You should call your child’s provider, however, if there are signs of dehydration (not drinking well, poor urination, or looking pale or weak), extreme fatigue, or difficulty breathing.

Find more information on our RSV resource page: kvhealthcare.org/rsv

more about The contributor

Dr. Elise Herman

headshot of Dr. Elise Herman
Blog Posts
Profile

Dr. Herman is passionate about community health outreach, school programs, and child/family health and wellness. She has more than 31 years of experience as a pediatrician in Ellensburg, Washington, the last 3 with KVH Pediatrics. In 2022 Dr. Herman mostly retired from practice and continues to contribute blog posts and remain a visible advocate for kids in the community.

RSV and Other Respiratory Viruses

HealthNews · December 1, 2022 ·

From the Washington State Department of Health

Pediatric hospitals and clinics across Washington are in crisis as rising case rates of Respiratory Syncytial Virus (RSV), flu and COVID-19 cause overcrowding in the midst of staffing shortages. Flu hospitalizations are at the highest rates seen in 10 years for this time period and pediatric emergency departments are seeing a record number of RSV patients. To slow the spread of respiratory viruses, Washington State Department of Health (DOH) recommends that everyone 6 months and older be vaccinated for influenza and get a COVID-19 booster to lower the risk of respiratory virus transmission and serious illness. Find resources here

What is RSV?

Respiratory syncytial (sin-SISH-uhl) virus, or RSV, is a common respiratory virus that usually causes mild, cold-like symptoms. Most people recover in a week or two, but RSV can be serious, especially for infants and older adults. RSV is the most common cause of bronchiolitis (inflammation of the small airways in the lung) and pneumonia (infection of the lungs) in children younger than 1 year of age in the United States. (Centers for Disease Control and Prevention)

Pediatrician Discusses RSV Cases American Academy of Pediatrics

RSV is spreading rapidly and much earlier than normal this year. That combined with flu season and the continued spread of COVID makes for a scary time for many parents of young children. Pediatrician and parent of young kids Dr. Parga-Belinkie offers reassurance and practical guidance for parents in this new video, including signs it’s time to #CallYourPediatrician to be seen.

Posts by Pediatrician Dr. Elise Herman

Teacher draws with little girl while wearing surgical face mask

Returning to School After an Illness

As kids head back to school and are together in classrooms again, parents know their child may pick up some illnesses. There are times when it is appropriate to keep sick children home, both for their own recovery as well as protecting fellow students and school staff.

Continue Reading
Father giving drink to small sick son lying in bed indoors at home.

Preventing Respiratory Syncytial Virus Infections

RSV typically starts in fall, peaks in winter, and causes cold symptoms including runny nose, cough, and fever in children and adults. Most kids have had RSV by age 2. Although usually mild, RSV can cause more serious problems like wheezing, pneumonia, and trouble breathing.

Continue Reading

Information / Flyers, Handouts and Printable

Seattle Children’s Hospital

  • How To Suction Your Baby’s Nose
  • RSV: Understanding Respiratory Syncytial Virus
  • Signs Of Respiratory Distress in Your Infant
  • Signs Of Respiratory Distress In Your Child

American Academy of Pediatrics

  • RSV: When It’s More Than Just a Cold
  • What Does RSV Sound Like (Instagram)
  • Bronchiolitis: What Parents Should Know 
  • Bronchiolitis Symptom Checker
  • COVID, Flu & RSV: How Are These Respiratory Illnesses Different?
  • Pediatric Symptom Checker Interactive)

Center for Disease Control

  • Protect Your Child from RSV (English)
  • Proteja a su niño contra el RSV (Spanish)
  • Take 3 Actions to Fight Flu (cdc.gov)
  • Older Adults are at High Risk for Severe RSV Infection (English)
  • Los Adultos Mayores Tienen Alto Riesgo de Contraer una Infeccion Grave por el VRS  (Spanish)
  • RSV in Infants and Young Children (English)
  • El VRS en los bebés y niños pequeños (Spanish)
  • RSV (Respiratory Syncytial Virus)

Local Resources

If you or someone you are taking care of are exhibiting symptoms that you feel require immediate medical attention, please call 9-1-1. If you or someone you are taking care of are experiencing symptoms but do not require emergent care, please contact your primary care provider.

Most health insurance companies offer a 24-HR Nurse Line to assess symptoms, provide support and guidance for non-emergency situations. Check the back of your insurance card for the phone number.

  • KVH Pediatrics (located in Ellensburg)
  • KVH Family Medicine – Ellensburg
  • KVH Family Medicine – Cle Elum
  • KVH Urgent Care (located in Cle Elum)
  • KVH Hospital Emergency Department (located in Ellensburg)

KVH transitions to a new Chief Nursing Officer

HealthNews · November 29, 2022 ·

73 years of combined nursing experience will help KVH transition to a new Chief Nursing Officer

After forty six years as a nurse, KVH Chief Nursing Officer Vicky Machorro has decided that come Spring 2023, it’s time to stop setting an alarm clock and start enjoying more free time with her family.  The good news for KVH is that through an intentional succession planning strategy, there will be a smooth transition to a familiar face.  Dede Utley, BSN, RN, CEN and Nursing Director of KVH Emergency Services since 2015, will become the next KVH CNO upon Vicky’s retirement in April.

Vicky has a long and storied career at KVH.  Starting as a per diem ICU staff nurse, Vicky moved where the organization and her peers needed her most.  From House Supervisor, to ICU and MedSurg Director, to ED/Urgent Care Supervisor and then finally, Chief Nursing Officer in 2016, Vicky never hesitated to face a new challenge and support her team.  When looking back over the last forty-six years Vicky takes great pride in starting and ending her career at KVH.

While Vicky began contemplating retirement, Dede was looking for ways to advance her career.  Deeply invested in Kittitas County through her work on The Kittitas County Board of Health, Kittitas County Behavioral Health and Recovery Advisory Board, Kittitas County Health Network and Kittitas County Court Advocates for Children, Dede wanted to remain in Ellensburg and approached Vicky asking what she could do to further her growth opportunities at KVH.  Soon, Dede made the decision to return to school and pursue her Masters in Nursing Administration. Additionally, Dede participated in a mentorship through the Northwest Organization of Nurse Leaders where she was paired with a nurse leader out of Portland to work together on improving leadership skills and supporting her staff.  It became clear to KVH leadership that not only would Dede’s skills and professional goals fill the future need for a CNO, she had the same vision and goals for the organization and her staff. There was no need to look elsewhere for the next CNO.

As Vicky and Dede face the excitement and nervousness of this upcoming transition, they recognize the apprehension that staff may also be feeling and are committed to continuity and a smooth transition. “We are advocates for nursing and patient goals,” stated Vicky.  “We want to assure the staff that we have shared goals that we don’t want to interrupt, we only want to enhance.  That is why we chose to go this route.  We’ve had DNS’s (Director of nursing services) come and go and come and go. This doesn’t change how you treat that patient at the bedside.  You do what you are trained to do.  Patient care is what it is all about.”  Dede emphatically agreed.

Over the next few months the focus is on hiring the right person to fill Dede’s role as the nursing director in the emergency department.  “We want to make sure the ED staff are taken care of,” stated Dede.  We are looking for someone who loves Emergency nursing, understands rural healthcare and the importance of working with our partners, and someone who is committed to our staff and our community. Dede continued, “We need to find someone who will jump in and help at any level.  They must be invested in our staff and our community. 

The background behind Vicky’s retirement and Dede’s appointment is another example of KVH’s dedication to leadership development and succession planning.  Dede’s advancement follows several other senior leaders (in addition to her predecessor) who were hired from within. Stacy Olea, Rhonda Holden, and Mandee Olsen all had established careers with KVH prior to taking on the responsibility of an executive position.   “KVH is proud of the internal talent that we have and is dedicated to leadership development and succession planning through various goals and initiatives,” states Manda Scott, Chief Human Resources Officer. If you have been following our highlighted new leaders throughout the past year or so, you will also know that we have a large cohort of new leaders from within KVH who deserve a big congratulations for their promotions into new leadership roles including

  • Tara Preciado, Revenue Cycle
  • Jason Adler, Senior Director of Financial Operations
  • Jessie Rasmussen, Clinic Manager
  • Colin Nebeck, Clinic Manager
  • Kimmie Greenwood, Director of Imaging
  • Katy Belotti, Director of Laboratory Services
  • Trent Baker, Engineering Manager

There are many additional success stories across the organization and opportunities for continued career development. The Medical Assistant Apprenticeship program is now accepting applications we and are exploring opportunities to expand training into other specialties.

If you have questions about specific initiatives or opportunities at KVH, please contact Manda Scott, CHRO, your manager or anyone in HR.

How to Talk with Your Teen

Elise Herman , MD · November 18, 2022 ·

Contributor Dr. Elise Herman

We all want to feel connected to our kids, but as they become teenagers, it may seem harder to engage them in conversation. Between their appropriate need to become more independent, their frequent use of their phones and social media, and all of life’s distractions, how can you create opportunities to have an honest conversation with your teen? Here are some suggestions that might help:

Be a good listener: Ask open-ended questions, avoiding those which would have a short “yes” or “no” answer. Do not interrogate but ask with a desire to learn- about their school day, friendships, and interests. Avoid lecturing and try to reserve judgment unless there is a real safety issue. If you disagree with what your child says, ask why they feel a certain way; try to see things from their point of view. Often, teens want to chat about a concern but do not want you to “solve” it. Ask if they like your advice or help before offering. Remember to listen without the distraction of phones or computers.

Empathize: Your teen has a lot going on with social media, relationships, and school pressures. Life is likely more complicated for them than it was when you were their age. Listen and empathize; don’t discount their feelings and struggles.

Please respect their privacy: Do not share your conversations with others. You want your teen to feel safe and comfortable being open with you.

Location counts: The dinner table is an excellent place to chat casually about school, activities, etc. (research has shown that regular family meals decrease risky behavior in teens). Start the family dinner habit when kids are young and keep it going as much as possible through the teen years. Even if they are quiet at the table (don’t force anyone to talk), connecting as a family is essential. When driving, it is also a great time to chat, especially if it is just the two of you. Frequent brief conversations are more accessible than longer, more formal ones and can make you both feel connected..

Let your teen lead:

  • Be open to discussing things they care about, such as social media, music, trends, etc.
  • Try to be aware of what teens are viewing and discussing online.
  • Don’t try too hard to be “hip”; aim to be curious and informed.

Encourage confidence: You know your teen and their strengths. Let them know you believe them to be capable of handling challenging situations but that you are always there for them, too, to be a sounding board or assist if it is appropriate.

Having regular, non-judgmental chats with your teen can maintain open lines of communication and increase your emotional connection. In addition, this will make it easier if they need to come to you to discuss important issues such as relationships, sexuality, mental health, or substance abuse.

more about The contributor

Dr. Elise Herman

headshot of Dr. Elise Herman
Blog Posts
Profile

Dr. Herman is passionate about community health outreach, school programs, and child/family health and wellness. She has more than 31 years of experience as a pediatrician in Ellensburg, Washington, the last 3 with KVH Pediatrics. In 2022 Dr. Herman mostly retired from practice and continues to contribute blog posts and remain a visible advocate for kids in the community.

National Rural Health Day

HealthNews · November 11, 2022 ·

The National Organization of State Offices of Rural Health sets aside the third Thursday of every November to celebrate National Rural Health Day.

National Rural Health Day (NRHD) is an opportunity to “Celebrate the Power of Rural” by honoring the selfless, community-minded spirit that prevails in rural America. NRHD showcases the efforts of rural healthcare providers, State Offices of Rural Health and other rural stakeholders to address the unique healthcare challenges that rural citizens face today and into the future.

I knew at a pretty early stage in my medical training that rural medicine was where I wanted to spend my life. I became enamored with the people the types of lives that people live in rural communities, and I recognized that I was never going to have nearly as much fun working in an urban setting as I had worked in my rural training settings.

– Andrew Thomas, MD | KVH Family Medicine – Cle Elum

Resource and Information / www.powerofrural.org

Julie Petersen Wins Leadership Award

HealthNews · November 1, 2022 ·

Kittitas Valley Healthcare CEO wins the prestigious Joe Hopkins Memorial Award from the Washington State Hospital Association

Ellensburg, WA, November 1, 2022 –Julie Petersen, Kittitas Valley Healthcare CEO was awarded the 2022 Joe Hopkins Memorial Award at the Washington State Hospital Association’s (WSHA) Annual meeting on Monday, October 17. The Joe Hopkins Memorial Award was created in 1987 to acknowledge an individual who displays the spirit of Joe Hopkins’ vision and dedication to Washington’s hospitals.

Julie began her career in health care almost 40 years ago as a staff accountant for Group Health Cooperative in Seattle. Since 2016, she has served as the CEO of Kittitas County Public Hospital District No. 1 and Superintendent of Kittitas County Public Hospital District No. 2 serving Upper Kittitas County. Julie has been a member and Chair of the WSHA Rural Committee and is the past president of AWPHD and past chair of WSHA. The American Hospital Association (AHA) invited Julie to be a member of its Task Force on Ensuring Healthcare for Vulnerable Communities and to represent small and rural hospitals on the AHA Regional Policy Board for Region nine.

Julie has been a strong leader for rural hospitals and all hospitals in Washington for decades, and she is particularly dedicated to ensuring rural residents have access to high-quality care in every community in Washington. When Julie returned to Ellensburg in 2016, Medical staff development and Board development were high on her list of priorities and resulted in the first medical staff development plan for Kittitas Valley Healthcare.

Additionally, Julie was also focused on improving partnerships with local private practices, Community Health of Central Washington, Central Washington University and our regional referral centers so KVH could serve more of our community here at home. As a result of this continuing work, access to healthcare in our rural county is stronger. In recent years Julie has led KVH through a worldwide pandemic and has been a key partner with other community agencies in caring for the residents of Kittitas County.
“Julie is a practical visionary,” stated Michele Wurl, Chief Public Relations Officer at KVH. “Whether focusing on bringing services to the bedside, resources to the workforce or partners to the table, she is skilled at looking forward and working with all partners to make a vision reality. Julie sets the tone for Kittitas Valley Healthcare through her dedication, hard work, tireless commitment and constant compassion for her employees and community.”

Watch Congratulation Video

Photo: Julie Petersen, CPA, KVH Chief Executive Officer

Media Contacts:
Michele Wurl, Chief Public Relations Officer
509.933.8838
mwurl@kvhealthcare.org

Get With The Guidelines® Award

HealthNews · October 25, 2022 ·

Kittitas Valley Healthcare has been nationally recognized for its commitment to providing high-quality stroke care

The American Heart Association presents the Get With The Guidelines®-Stroke Gold Plus Award for proven dedication to ensuring all stroke patients have access to best practices and life-saving care

Kittitas Valley Healthcare has received the American Heart Association’s 2022 Get With The Guidelines®-Stroke Gold Plus Award for its commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines, ultimately leading to more lives saved and reduced disability.

Stroke is the No. 5 cause of death and a leading cause of disability in the U.S. A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or bursts. When that happens, part of the brain cannot get the blood and oxygen it needs, so brain cells die. Early stroke detection and treatment are key to improving survival, minimizing disability and accelerating recovery times.

Get With The Guidelines puts the expertise of the American Heart Association and American Stroke Association to work for hospitals nationwide, helping ensure patient care is aligned with the latest research- and evidence-based guidelines. Get With The Guidelines – Stroke is an in-hospital program for improving stroke care by promoting consistent adherence to these guidelines, which can minimize the long-term effects of a stroke and even prevent death.

The Mission: Lifeline and Get With The Guidelines programs make it easier for our teams to put proven knowledge and guidelines to work on a daily basis, which helps us ensure more people in central Washington experience longer, healthier lives.

About Get With The Guidelines

Get With The Guidelines® is the American Heart Association/American Stroke Association’s hospital-based quality improvement program that provides hospitals with the latest research-based guidelines. Developed with the goal of saving lives and hastening recovery, Get With The Guidelines has touched the lives of more than 12 million patients since 2001. For more information, visit heart.org.

Respiratory Virus Season and Children

Elise Herman , MD · October 22, 2022 ·

Contributor Dr. Elise Herman

As cooler weather approaches, the “sick” season does, too. For kids, this usually means respiratory illnesses, ranging from cold to croup or pneumonia. While these sicknesses are usually mild, more severe cases are rapidly increasing, with more kids going to the ER and being hospitalized. The viruses responsible include Respiratory Syncytial Virus (RSV), rhinovirus, adenovirus, and enterovirus. To complicate things, influenza season typically starts in October, and with COVID-19 currently spiking in Europe, a surge is predicted to hit the US soon.

Children are walking in nature, fall leaves.

This earlier and more severe start to the respiratory season for kids is felt to be related to gathering again (without masks) in schools and social settings. Kids do not have much immunity from last year when the respiratory season was milder due to social distancing and other anti-COVID measures. Wildfire smoke exposure may also be a contributing factor.

Most kids who contract these viruses will get a simple cold (“upper respiratory infection”), nasal congestion, mild cough, and mild fatigue. A low-grade fever is common for the first three days of illness. Kids may be sick for 1-2 weeks but remain fairly active with good fluid intake though overall eating is often decreased.

Younger or premature infants and children with lung problems like asthma are at increased risk of more severe illnesses like pneumonia. General warning signs include the pale or dusky color of the lips or skin, and increased work of breathing—rapid breathing with the ribs showing on inspiration (“retractions”). Unusually noisy breathing, such as wheezing (high-pitched musical noise with breathing out) or stridor (crowing noise with breathing in), is concerning. An infant who cannot feed well from a breast or bottle is worrisome. Extreme lethargy or limb weakness at any age is very concerning.

For mild respiratory illnesses, the diagnosis is usually based on symptoms and examination alone. Checking respiratory rate, heart rate, and oxygen level are routine when the child is seen by a medical provider. Testing for viruses with a ‘respiratory panel’ can be done but is expensive and usually reserved for those more severely ill since there are few specific anti-viral treatments available. Specific testing for COVID-19 and RSV may be done, given that the implications of having these viruses are more significant regarding attending school, childcare, etc.

If your child has typical cold symptoms, it is essential to ensure they stay well-hydrated; solid food intake is less important. Offer infants extra breast milk or formula. Saltwater nose drops and nasal suction for infants can be helpful in terms of clearing mucous which interferes with breathing through the nose. Fever control with Tylenol (over age two months, though talk to a provider first) or Advil (over age six months) is primarily for comfort since fever, as part of the immune response, may help fight the virus.

No cold medications are recommended under the age of four years and should be used with caution for those 4-6 years old. These meds are usually not helpful and may have harmful side effects in younger kids. Honey (1/2 to 1 tsp by mouth) may help to cough but is safe only for those over one year of age.

To help prevent respiratory illnesses, keep up the frequent handwashing we have all gotten good at during the pandemic. In addition, kids should be reminded not to touch their faces and not to share food or drinks. Although not easy, masking (especially if your child will be in a large group) does help prevent illness. Lastly, it is vital to get your child vaccinated against those respiratory viruses for which we have safe, effective vaccines—COVID-19 and influenza.

Resource / HealthyChildren.org

more about The contributor

Dr. Elise Herman

headshot of Dr. Elise Herman
Blog Posts
Profile

Dr. Herman is passionate about community health outreach, school programs, and child/family health and wellness. She has more than 31 years of experience as a pediatrician in Ellensburg, Washington, the last 3 with KVH Pediatrics. In 2022 Dr. Herman mostly retired from practice and continues to contribute blog posts and remain a visible advocate for kids in the community.

Curiosity in Children

Elise Herman , MD · September 21, 2022 ·

Contributor Dr. Elise Herman

There are characteristics we hope to see in our kids such as kindness, intelligence, and perseverance. We may not put ‘curiosity’ high on this list, but in fact it is crucial to a child’s success in learning and school—and maybe, even in life.

Research has shown that those who are curious tend to be happier, less anxious, and have a greater sense of well-being. In children, studies connect curiosity to higher academic performance, and in adults it is tied to greater achievement at work.  When people are highly curious about a subject, they are more engaged with it and more likely to remember what they have learned. General memory is also improved for information unrelated to the original area of interest. It seems curiosity primes the brain to absorb and retain new information better.

Being curious has been shown to improve one’s patience. Those who are very curious seem willing to do the work themselves to figure something out as opposed to needing an answer immediately. Curiosity can lead to increased creativity, more original ideas, and a willingness to ‘think outside the box’. It also translates into greater empathy and stronger interpersonal relationships.

So despite the sometimes endless “why?” questions from our kids that can be a bit much, curiosity is a very good thing. There are lots of ways we can encourage this important trait:

  • Express curiosity and wonder yourself, e.g., “I wonder why the moon looks so big tonight?”  Have a back-and-forth discussion about possible explanations. Together with your child find resources to get answers (and not just online) such as books, the library, and knowledgeable individuals.
  • Ask your child questions about things from the everyday to the more fantastical and encourage them to go deeper with their theories and ideas.
  • When your child asks you questions, avoid the “just because” response and research together if you don’t know the answer.  You do not need to know everything, and it is valuable to show your child that you are still learning, too.
  • Encourage your kids to be aware and mindful, to be thinking about what they experience, and to use their full senses to engage completely.
  • Limit “screens” including TV, smartphones, and social media which generally are passive entertainment, though quality programing such as nature shows can encourage curiosity. Watch educational programs (on PBS and National Geographic for example) together so you can have discussions about the content.
  • Explore new things such as ethnic food, museums, and new cultures either through travel or online resources. This promotes not just curiosity but an openness to people different than us.
  • Encourage books about subjects that inspire curiosity such as history-making individuals, exploration, and science fiction.
  • Help your child to follow their interests and learn more about what they are naturally intrigued by.
  • Embrace outdoor activities, especially in nature such as walking in a park, hiking, birdwatching, and camping. These immerse us in the natural world and foster curiosity and wonder.

And enjoy being a bit of a kid yourself as you marvel and explore the world we live in with your child!

more about The contributor

Dr. Elise Herman

headshot of Dr. Elise Herman
Blog Posts
Profile

Dr. Herman is passionate about community health outreach, school programs, and child/family health and wellness. She has more than 31 years of experience as a pediatrician in Ellensburg, Washington, the last 3 with KVH Pediatrics. In 2022 Dr. Herman mostly retired from practice and continues to contribute blog posts and remain a visible advocate for kids in the community.

Parent Advice / Back to School

Elise Herman , MD · August 11, 2022 ·

Contributor Dr. Elise Herman

As summer winds down, parents and children are well aware of the approach of the new school year. Some kids are very excited about learning and seeing their teachers and friends again, while others have more reservations. COVID and recent school shootings complicate this often emotional transition. There are steps parents can take now to make this go more smoothly.

Sleep

If sleep schedules got lax over the summer, start now to get back on track. To make bedtime earlier, adjust the wake-up time, moving this up by 15 minutes a day. Kids ages 3-5 years need 10-13 hours total sleep daily, those ages 6-12 years should get 9-12 hours, and teens need 8-10 hours. Remember, no ’screens’ of any kind for at least one hour before bedtime. Reading to your child before bed (or kids reading on their own) aids in falling asleep and is an excellent habit to develop now.

Nutrition

Ensure your child gets up early enough to have a healthy (not sugary) breakfast, improving attention and mood. If your child is taking lunch to school, review what they would like to bring—plan on including fruits and veggies and avoiding processed foods. Water is much better than juice; if they drink milk, nix the chocolate milk, which has as much sugar as soda. Family dinners are a great way to connect during the school year and have been shown to improve nutrition and emotional health. Although it can be tricky to have family dinners with kids’ sports and activities, try to make this a priority.

School Prep

For younger kids, being able to go to school and play on the playground now is very reassuring. Some schools will allow a visit to the classroom and a brief meeting of the teacher as well. You and your child can look at their school online, where they can see photos of the building and the school staff. Review transportation plans and always spend 10 minutes of “getting ready” time on school mornings so your child can be on time with less stress.

School Supplies

Look at the list for your child’s school and classroom (schools often post this on their website) and buy supplies early. Have your child practice packing their backpack and designate a place at home where it goes at the end of the day. All papers and notebooks should come out of the backpack daily so homework gets done and other things don’t accumulate. Pack the backpack with completed homework and any needed items the night before to help mornings go smoothly.

School Safety

In view of recent events, your child may have questions or concerns about school safety. Reassure them that a school is a safe place and that you are comfortable having them there. Although there may be a spike in COVID this fall, we have good tools (vaccines, treatment, etc.) to help. As tragic as school shootings are, they are rare, and schools continue to work on security to help prevent such violence. We must display confidence in our child’s safety at school, even if we are concerned.

Back to school “nerves”: If your child feels a bit nervous about the return to school, let them know they are not alone. This is common, especially if they are going to a new school (as will be true of many kids in Ellensburg with the new attendance zones). Talk up the positives of learning new things, making new friends, and meeting their teacher. If you recall feeling the same way, share that with them and how your nervousness dissipated over time.

Going back to school in the fall is a big deal for you and your child; let them know you have confidence in their ability to rise to this challenge. Planning a fun post-school activity and a special family dinner after that first day will give them something to look forward to and be a terrific way to celebrate this transition.

Local School Districts

Below is a list of Kittitas County school districts and their Facebook pages. Schools often post supplies lists, drop-off/pick-up info, scheduling, and other important information for parents and students.

  • Cle Elum-Roslyn School District / Facebook
  • Easton School District / Facebook
  • Ellensburg School District / Facebook
  • Ellensburg Christian School / Facebook
  • Kittitas School District / Facebook
  • Thorp School District / Facebook

more about The contributor

Dr. Elise Herman

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Dr. Herman is passionate about community health outreach, school programs, and child/family health and wellness. She has more than 31 years of experience as a pediatrician in Ellensburg, Washington, the last 3 with KVH Pediatrics. In 2022 Dr. Herman mostly retired from practice and continues to contribute blog posts and remain a visible advocate for kids in the community.

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