a publication of wakemed children’s · granola bars, raisins, halved-grapes, and cheese cubes are...

A P u b l i c a ti o n o f Wa ke M e d C h i l d r e n’s

S U M M E R 1 2

SUMMER SAFETYTIPS FROM ATRAVELIN’ MAMA

BABYSITTER BASICS

BEATING THE HEAT

MONEY MATTERS

FF summer 12_FF, fall 2005 7/20/12 11:42 AM

2 F A M I L I E S F I R S T s u m m e r 12

WS A F E K I D S

C O R N E R

P O I SO N I V YPoison ivy can grow anywhere, sowhat can you do to preventexposure or treat a reaction if yourchild ends up with the itchy effectsof the plant?

Prevention• Know what poison ivy looks like

and remember the rhyme, “Leavesof three, let them be.”

• While working in the yard nearpoison ivy, wear a long-sleevedshirt, pants and gloves.

• Wear an ivy block cream – it canhelp prevent a reaction.

• Pets can carry the oil on their fur.Until they have had a bath, try notto snuggle them.

Symptoms • Within a few days, severe itching

and redness may occur. Redbumps and blisters may alsoappear.

Treatment• A cold compress or Burow’s

Solution.• An oatmeal bath. • An antihistamine or an over-the-

counter topical steroid. Also,your pediatrician can prescribe an oral or injectable steroid.

• Once exposed, wash all areas theplant touched with warm waterand soap. A bath or shower ishighly recommended. Don’tforget to wash all clothes, shoesand gloves to prevent the plant oilfrom spreading.

If a fever develops, there is extreme discomfort, large areas and/or the face is infected, call the pediatrician. If your child has trouble breathing, getimmediate medical attention.

STAYING SAFE THIS SUMMER

P R O T E C T I V E C L O T H I NGProtective clothing is an option that isbecoming more available and is a great way to help protect little ones from both the sunand insects.

For protection against insects:• Purchase clothes that have been treated with

Permethrin, an insect repellent. Theseclothes usually last between 30 and 50 washes.

• Purchase a bottle of Permethrin and apply toyour clothes. This is usually effective for sixwashes. Do not apply directly to the skin.

For protection against the sun, purchaseclothes and bathing suits that have an SPF of 30 plus. These products are available at yourlocal sporting goods shop.


3A P U B L I C A T I O N O F W A K E M E D C H I L D R E N ’ S

We caught up with Michele Casey, MD, director of Primary Care for WakeMed Physician Practices and a primary care physician with Wake Specialty Physicians – Falls Pointe Medical Group for summer safety advice.

STAY I NG H Y DR AT E DDehydration is the excessive loss offluids from the body and iscommon, especially in the summermonths when kids are runningaround in the hot sun. Safe KidsUSA offers these tips:

Prevention• Drink 12 ounces of water 30

minutes before the activity begins.

• Children under 90 poundsshould drink five ounces every 20minutes during the activity andchildren over 90 pounds shoulddrink nine ounces every 20minutes during the activity.

• Set mandatory breaks - don't waitfor the child to ask for a drink.

• Drink fluids after physical activityto make up for fluid loss.

Symptoms • Thirst

• Dry or sticky mouth

• Headache

• Muscle cramping

• Irritability

• Extreme fatigue

• Weakness

• Dizziness

• Decreased performance

I N SE C T SThe summer months in North Carolina bring out allvarieties of insects. So, what’s the best defense?

Prevention• Don’t use scented soaps or perfumes when going outside.

• Avoid bright colors and flowery prints. Wearing a long-sleeved shirt and pants is a good idea, but hard to do in thehot weather.

• Apply an insect repellent containing DEET. It masks thescent of CO2 and confuses mosquitoes. The AmericanAssociation of Pediatrics recommends avoiding DEET oninfants two months and younger. Children three monthsand older should use a bug repellent containing at least 10percent and no more than 30 percent DEET. (Adults canuse a repellent containing up to 50 percent DEET.)

• DEET percentage is a measure of how long the product iseffective, not a measure of strength. A product containing10 percent DEET needs to be reapplied every one to twohours, while a product containing 50 percent DEET needsto be reapplied every four to five hours. Reapply aftersweating or swimming.

• Avoid products that contain both sunscreen and DEETbecause DEET can negatively impact the efficacy ofsunscreen.

Symptoms • Redness, itching and/or stinging.

• Occasionally, a bee sting can result in a large local reaction,which causes the area bitten to grow to 10 cm in diameterover one to two days (up to 10 days).

When to call the pediatrician:

• Fever

• The area bitten starts to drain pus

When to call 911 or get immediate medical attention:

• Itching all over

• Red or flushed face

• Swelling of the lips or overall swelling

• Hoarseness

• Shortness of breath

• Lightheadedness

Treatment• Try an antihistamine, such as children’s Benadryl, Zyrtec

or Claritin. Non-drowsy options are available.

• Apply a cold compress.

• To remove a stinger, use tweezers and remove as quickly aspossible.


4 F A M I L I E S F I R S T s u m m e r 12F A M I L I E S F I R S T s u m m e r 12

T H E M U ST - H AV E S:

• Snacks. No matter where or how you travel –snacks are a must. The fruits and veggies squeezepouches have been a life-saver and are easy andmess-free for little hands. Granola bars, raisins,halved-grapes, and cheese cubes are also a favorite.

• Drinks. If flying, infants and children arepermitted to have more than three ounces ofliquid in their bottle or cup. Be sure to keep itseparate while going through security. Drinkingduring takeoff and landing will help with cloggedears.

• Games or small toys. Try the Color Wondercoloring pages and markers by Crayola® – themarkers only show up on the special paper. It’smagic! Leave the toys with the small parts and lotsof pieces at home.

• “Lovey.” Don’t leave home without that specialblankie or stuffed animal.

• Baby wipes. Even if your child is out of diapers,these are great for even the biggest kids andmesses!

• Diapers. Bring extra diapers, disposable bags forthose soiled diapers, and a blanket for a make-shift changing pad. If flying, consider packing afew diapers and purchasing some once you arriveat your destination. If your child is potty-trained,take a collapsible potty seat if using a publicbathroom is not an option.

• A change of clothes.• Plastic bags. These have countless uses from

dirty clothes to left-over food.• Nightlight.• Outlet covers.• Medications your child takes regularly. Don’t

forget pain relievers and Band-Aids® just in case.• Baby toiletries. Baby shampoo, diaper rash

medicine, sunscreen, insect repellent, etc.

T R AV E L I NG V I A A I R P L A N E

• If able, select a flight that works best with yourchild’s schedule and select seats when booking toensure you can sit together. Early morning flightshave a better chance of leaving on time, but yourday will start early. Regardless of what time yourflight is, be sure to allow extra time to make itthrough security.

• Take the stroller and check it at the gate whenyou board the plane. It keeps the kidscontained, and is a comfy place for a napduring layovers.

• Pack wisely. Put a few of each person’sclothes in each suitcase just in case a bagends up in Orlando and you’re inAtlanta!

• Take your car seats with you. If youwant your child to sit in the car seaton the plane, you will need tocarry it with youthrough the airport.Consider purchasing aluggage cart andattaching the car seatto it. It’s convenientbecause your childcan ride along andit makes it easier totransport.Attaching the seatto rolling luggage isalso an option.(Bungee cordswork great, but atraveling belt isavailable at

Summer is officially here, and I have been looking forward to all of the fun trips wehave planned for the family. While it’s not easy traveling with two little ones, I foundthat a little preparation and organization makes all the difference. So here are a fewtips I’ve picked up along the way. I hope they will help make your summer vacationenjoyable and relaxing - even with the kids!

www.travelingtoddler.com.)



If your child won’t be sitting in the car seat on the planebut you need it when you arrive at your destination,check it with your other luggage. Most airlines allow youto check your car seat at no additional charge (check withyour airline before traveling though). It saved us about

$200 since we didn’t have to rent car seatswith the rental car.

T R AV E L I NG V I A C A R

• Plan to travel during naptime or atbedtime to make the drive seem faster forthe kids and quieter for you.

• Put your creative hat on for car games:Count the number of trees you see, point outthings that start with each letter of the

alphabet, find five blue cars – you get thepoint!• Don’t forget all the must-haves. Theyreally are important on a road trip.

H O T E L

• If you’re not taking a Pack ‘n’ Play,reserve a crib at the hotel to makesure your little one has a place tosleep.

• If your room has abalcony, be sure to lock

the door to it. • Put pillows on the floorif your child will besleeping in the hotel bed in

case they roll off.

Start planning now andmake your summervacation a trip toremember… for goodreasons, not bad!

H O M E M A DE I C EC R E A M I N A B AG !

Ingredients• 2 tablespoons sugar

• 1 cup half & half

• 1/2 teaspoon vanilla extract

• 1/2 cup salt (the bigger the granules,the better. Kosher or rock salt worksbest, but table salt is fine.)

• Ice cubes (enough to fill each gallon-size bag about half full)

• 1 pint-size ziplock bag

• 1 gallon-size ziplock bag

1. Combine the sugar, half & half, andvanilla extract in the pint-size bag andseal it tightly.

2. Place the salt and ice in the gallon-sized bag, then place the sealedsmaller bag inside as well. Seal thelarger bag. Now shake the bags untilthe mixture hardens (about fiveminutes). Feel the small bag todetermine when it's done.

3. Take the smaller bag out of the larger one, add mix-ins, and eat the ice cream right out of the bag. Yummy and easy to clean up! Serves 1.

Recipe courtesy of FamilyFun.com

T Y K EB I T E SZ

Written by Families Firstcontributor Michele Jonczak,

mother of a two-year-oldand six-month-old


P A R E N T I N G

1 0 1


Taking care of your precious child is hard work, and you want to make sureyou hire the best person for the job – someone that will provide all the love,care and discipline that your child needs and deserves.

So, what’s the best way to find the right person? Start by asking othermoms or family members if they have any recommendations.Agencies that match babysitters with families are also available.While there is usually a fee for these services, there is also peace ofmind since most screen the sitters, conduct background checks,and ensure first-aid and CPR certification.

When interviewing a babysitter, Sally Howell, owner of TrioNanny and Babysitting Service based in Raleigh, recommendsasking the following types of questions:

Before hiring someone to care for your child, Howell says it isimperative that parents call references. “Parents should ask thereferences about the babysitter’s experience while caring for theirchild,” Howell said. “Ask if the parent was in the home to see thebabysitter interacting with the child. Did the child say they had agood time with the babysitter? How many times has thebabysitter been over to help out?”

Once you get a glowing report, have the babysitter come overand meet your child while you are there. This will give them a

chance to get to know each other and will create a comfort levelfor you, your child and the babysitter. Upon hiring, Howell suggests

giving the babysitter a tour of the home, go over the child’s schedule includingfeeding and nap times, and review all rules and guidelines. It’s best to beupfront in the beginning, so the babysitter knows your expectations.

s

SA F E SI T T E R P R O G R A M S AT WA K E M E DThis one-day class prepares adolescents (ages 11 and older) tobecome competent babysitters by teaching important tips for howto recognize and handle emergency situations. Students will learnhow to handle various crises in the home, such as CPR for achoking child or infant, and what to do in case of a fire orintrusion. For information and to register, visitkids.wakemed.org.

CHOOSING A BABYSITTER

WH AT SH O U L D YO U

L E AV E WI T H T H E

B A BY SI T T E R ?

❑ Home address and phone

number

❑ Your mobile phone number

❑ Alternate contact number

(spouse, grandparent)

❑ Emergency contact name and

phone number

❑ Neighbor’s name and phone

phone number

❑ Pediatrician’s name and

number

❑ The details of your whereabouts

❑ Allergies, restrictions or special

needs

❑ Medications and doses

❑ Foods/drinks your child is

allowed to have

❑ The schedule, along with play

and bedtime routines

❑ A reminder that it’s okay to call

9-1-1 in an emergency

1. Tell me about your past babysitting experience.

2. What experience do you have in CPR, first-aid,and water training?

3. What kinds of activities would you plan to do?

4. Do you feel comfortable giving medication tomy child?

5. What experience do you have with feeding aninfant or toddler?

6. Why do you want to be a babysitter?

7. May I have a list of references?



twinkletimes

Rent apaddle- boat

HEAD TO THE

MOUNTAINS

Work onpuzzles

Visit a waterpark

TURN UP THEMUSIC AND

HAVE A DANCEPARTY

W rite letters to

loved ones

Decorate a t-shirt

Play boardgames

Re-decorate/arrangebedroom

Act out a

favoritebook

Make acollage

TAKE ACOOKING CLASS

SPLASH AT THECOMMUNITY

POOL

Make amacaroninecklace

Makepopsicles

Plan an at home spa day

Bakecookies anddeliver tofire station

Learnmagictricks

GO TO THEROLLER-

SKATING RINK

Make amusicplaylist

Put on apuppetshow

H ave anindoor

scavengerhunt

See amovie

GO ICE SKATING

P lay at anindoor

playground

VISIT ACHILDREN’ S

MUSEUM

Create abackyardwater park

Jump at abounce house

ENJOY STORYTIME AT THE

LIBRARY

Have anindoor picnic

A R T I C L E S , G A M E S , P U Z Z L E S A N D

A C T I V I T I E S J U S T F O R K I D S !


Can you find these hidden words?margarine, chicken, grains, fruits, nofatmilk, vegetables,

healthy, heart, exercise, nutrition, nobutter, lowfat

Twinkle says that it'simportant to watch

what you eat if you haveallergies. Make sure toknow which foods youare allergic to and stay

away from them.Match-A-Word

Match the foods in column A tothe ingredients in column B thatcan be found in that food. Some

ingredients can sometimes befound in more than one foodlisted. Can you find them all?

COLUMN A

Tofu

Trail Mix

Crackers

Omelette

Yogurt

COLUMN B

Wheat

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to do with food allergies?

Allergy-Free Playdough

Wacky Dough

1 cup corn starch1 lb. baking soda1 cup water1/8 tsp. oil

In large pot, combineingredients. Cook over mediumheat until mealy. Put on a plate;cover with a damp cloth andallow to cool. Knead.

Play Putty

1/2 cup white glue3/4 cup liquid starch, divided

In medium bowl, mix glue and1/4 cup starch. Stir well. Drainextra starch. Repeat until allstarch is used, draining eachtime. Refrigerate 2 hours. Storein plastic container.

Avoid the AllergenEver wonder what it would be like to livewith a food allergy? Try it for a day – it'sharder than it seems! Pick the ingredientthat causes the allergy, such as wheat, milk,eggs, peanuts, tree nuts, or soy. Challengeyourself to stay away from that food for onewhole day. Read every ingredient label forevery single thing you eat. Avoid eatinganything if it doesn't have a label. If youwant to eat a food prepared by someoneelse, you must ask about the ingredientsused. Think about your results. Were youable to complete the challenge for theentire day? Did you cheat? What were yourtoughest challenges?

Here are some recipes formaking playdough that aremilk, egg, wheat, peanut,

soy and nut free! Give them a try but be sure to have

a grown-up help you!

F A M I L I E S F I R S T s u m m e r 12

K I D S

F I R S T

8


myDream dinnerMatch-a-word answers:Tofu = Soy; Trail mix = Peanuts, wheat, soy, milk; Crackers = Wheat, soy; Omelette = Egg, milk; Yogurt = Milk

Unscramble answers: Milk, Epipen, Egg, Allergy, Soy, Wheat, Fish, Peanut

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Pop MakerIt’s true! You can make healthy, homemadepopsicles in less than 10 minutes. The Zoku QuickPop Maker is fab and well worth the investment!Keep the compact maker in the freezer, pull it out,pour in your favorite juice, and watch it freeze. Youcan even add fresh fruit for great tastin’, coollookin’ pops! This is great on a hot summer day,but also anytime your little one has a sore throator a bad cough. Plus, you have complete control ofwhat goes in the popsicle. Zoku Quick Pop Makeris available for ~$50 at Amazon.com.

Money Savvy PigKids will become financially sound with the MoneySavvy Pig that was recently recognized as theParent’s Choice Gold Winner. Every time your childgets money, show him to divide it among the pig’sfour chambers – save, spend, donate and invest.Your child will learn about making good financialdecisions while having fun filling up the pig. It isavailable in six different colors for $16.95 each. A24-page coloring and activity book is alsoavailable for $2.75. Visit www.msgen.com to order.

P A R E N T

P I C K SE

It’s summer time and the perfect time to make alittle money. Not only will it help pass the longsummer days, but you will make your own moneyto buy that new soccer ball, Barbie® or game you’vehad your eye on. Here are a few ideas to consider,but be sure to ask Mom or Dad before gettingstarted.

• Set up a lemonade stand in the neighborhood.Mom or Dad will need to purchase the supplies(cups, lemonade, etc.) and help make thelemonade.

• Offer your services to the neighbors. While theyare on vacation, picking up mail, wateringplants, and feeding pets can be a huge help.Don’t forget to get specific instructions.

• Grab a leash and take the neighbor’s dog for awalk while they are at work.

• Start babysitting. Sign up for a Safe Sitter classoffered by WakeMed. This one-day class teachesimportant tips to become a dependablebabysitter. For more information, visitkids.wakemed.org and click on the Safe Sitterlink on the left side.

• Grab some garden gloves and head out to theyard. Offer to pull weeds, spread mulch, orplant flowers. If you are old enough and havereceived proper training, offer to mow the lawn.

• Promote your ‘business’ by making a flier andput it in neighbors’ mailboxes.


R A I SI NG A M O N EY - SAV V Y K I D It’s never too early to start teaching your kids basicfinancial skills, but it is especially important once they aremaking their own money. One approach to teaching kidsto be financially responsible is to encourage them to dividethe money four ways: save, spend, donate and invest. SusanBeacham, founder of Money Savvy Generation, says,“Teaching children about money choices helps them learnhow to control spending impulses. Create or buy a piggybank that has all four choices visible. This will remindthem that there is more to do with money than just spendit.” It’s a great time to show the importance of saving anddonating. If you get them started early, they will be ontheir way to becoming a money-savvy adult.


Children in Wake County will now have more enhanced pediatric services thanksto a new partnership between WakeMed and Duke Medicine. Thiscollaboration, which will be called Duke Children’s and WakeMed Children’sSpecialty Services, will bring Duke’s nationally recognized pediatric sub-specialist faculty to WakeMed and Wake County residents. These specialists,combined with WakeMed’s comprehensive children’s inpatient, outpatient, andancillary support services, will enhance access to quality pediatric care forpatients and their families across the region.

“We are very pleased to enter this partnership with Duke, and wewelcome their highly regarded team of clinical specialists who

bring greater depth to our existing team of pediatricexperts,” says Dr. Bill Atkinson, WakeMed president

and CEO. “We look forward to growing thisprogram and expanding access and care for the

pediatric patients we serve.”

The physician group will relocate from DukeChildren’s Subspecialty Clinic at Duke RaleighHospital to the WakeMed Raleigh Medical Park at 23 Sunnybrook Road adjacent to the WakeMed Raleigh Campus. The Duke practicecurrently includes 25 physicians in a variety of

sub-specialty areas including cardiology,pulmonology, gastroenterology, and others.

Duke’s pediatric specialty clinic is planned to open late summer 2012.

“The WakeMed Raleigh Campus is undoubtedly a hub ofpediatric care for patients in Wake County,” commented Dr.

Mark Piehl, medical director, WakeMed Children’s. “This partnershipwill complement our existing services, significantly expand our resources, andmake care for patients and their families even more convenient right here inWake County.”

Duke Children’s sub-specialists will be available for inpatient consults as well asfollow-up care for WakeMed’s pediatric patients and outpatient visits fromreferring physicians. For more information about the clinic, visit wakemed.org.


ADVISORY PANEL

Jerry Bernstein, MD, Raleigh Pediatric Associates, PA

Janice Frohman, RN, Administrative Director, WakeMed Emergency Services

Melissa Johnson, PhD, Pediatric Psychologist, WakeMed Faculty Physicians, Pediatrics/Neonatology

Courtney Mann, MD, Wake Emergency Physicians

Mark Piehl, MD, Medical Director, WakeMed Children’s Hospital

Debra Z. Laughery, Vice President of Public Relations

Heather Rook, Editor

Leesa Brinkley, Design

Published by the WakeMed Public Relations Department. Call 919-350-8120 with comments or suggestions.

WakeMed Health & Hospitals3000 New Bern Avenue Raleigh, North Carolina 27610

© WakeMed, 2012 Children’s

xH O S P I T A L

H I G H L I G H T

WA K E M E D A N D DU K E FO R G E PE DI AT R I C PA RT N E R SH I P


M A R K Y O U R C A L E N D A R

Youth Sports InjuryPrevention Clinic & CarolinaRailHawks Soccer MatchSaturday, August 184 – 5:30 pm | WakeMed Soccer ParkRain Date: Sept. 8

Parents, coaches and athletes! Don’t miss this free sportsinjury prevention clinic where you will hear from the expertson how to prevent and manage sports-related injuries inyoung athletes ages 10 and over. Sessions will includeinformation on ACL and overuse injuries, proper stretching,warm-up and cool down exercises. Educational displayscover topics such as concussions, heart conditions, nutritionand hydration. An ortho physician will be on-site to answerquestions.

Meet the pros from the Carolina RailHawks, along withspecial guest, Carla Overbeck, Olympic Gold Medalist andformer captain of the U.S. Women’s National Team.

All registered participants and their families will receive freetickets and meal vouchers to the RailHawks vs. FC Edmontonsoccer match following the clinic. Soccer park gates open at6 pm; game starts at 7 pm. To register, visitevents.wakemed.org

Scrub RunRegister Now!Saturday, September 298:30 am – NoonCity Plaza --

Participate in the second annual WakeMed Scrub Runbenefitting WakeMed Children’s. Featuring competitive 5K and10K races that accommodate both runners and walkers, alongwith a 100-Yard Kids Dash, this event will get the entirecommunity involved.

Register online at www.ncraces.com or visitwww.wakemed.org to find a printable registration form aswell as mailing instructions. All registered participants willreceive race shirts.

NonprofitOrganizationU.S. PostageP A I DRaleigh, NCPermit NO. 1307

A P u b l i c a ti o n o f Wa ke M e d C h i l d r e n’s Wa ke M e d 3 0 0 0 N e w Be r n A ve n u e R a l e i g h NC 27 610

A D D R E S S S E R V I C E R E Q U E S T E D

Families First is published periodicallyfor members of the Families FirstClub. Reproduction or use, withoutpermission, of editorial or graphiccontent in any manner is prohibited.Information in this publication is nota substitute for medical advice ortreatment. Please see your doctor ifyou have any questions about yourmedical care.

Comments or request for removalfrom the mailing list may be sent to:WakeMed Public Relations3000 New Bern Ave.Raleigh, NC 27610or email [email protected]

A

wak

emed scrub Run


In addition to the race, WakeMed will host activities for the

• Live music & entertainment• Games & activities• Face painting• Arts & crafts• Mascots, including WakeMed Children’s Twinkle

family including:

– Downtown Raleighhhhhhh

a publication of wakemed children’s · granola bars, raisins, halved-grapes, and cheese cubes are...

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