Water safety advocates urge parents to stay vigilant to protect their children over Memorial Day Weekend and throughout the summer as backyard pool parties start happening again.

People are excited to socialize in person as coronavirus restrictions ease up -- but they must still keep close watch on the kids in the swimming pool. Drownings can occur even with many adults present.

“Everyone is so eager to get back into a normal routine and have those gatherings as COVID-19 decreases,” said Dana Walraven, manager of community health outreach for the Center for Children’s Health, led by Cook Children’s. “We’re just hoping for a heightened sense of awareness. When people are so happy to get back together, there may be distractions.”

In 2019, prior to the pandemic, the number of drowning admissions at Cook Children’s hit 71. Seven of those patients died. By comparison in 2020, there were 48 drownings seen at the medical center, three fatal. Those statics include drownings in bathtubs and open water, such as lakes; the majority, however, occurred in swimming pools.

2020’s decline in drownings came as a happy surprise to those who work to prevent injuries and deaths due to accidents in the water. One possible explanation? Last summer’s social distancing kept many families and friends from meeting up in big groups. Those big gatherings tend to be occasions when everyone assumes someone else is supervising the swimmers.

Sharon Evans, trauma injury prevention coordinator at Cook Children’s, encourages adults to take turns as designated watchers, fully attentive and within arm’s reach of kids in the pool. Designated watchers can spot trouble before it turns into tragedy.

“They don’t talk, they don’t drink, they don’t look at their phones,” Evans said. “You have to have that person in charge of watching. That is your job for 10-15 minutes, then you pass it off.”

Evans said drowning cases typically ramp up starting on Memorial Day. The age group most susceptible to drowning in pools is 1- to 4-year-olds. Precautions should be taken as well for older kids, even if they’re strong swimmers.

Drownings can happen silently and swiftly. A submerged person might not attract attention or appear to be in danger.

“It’s not like it is in the movies where they’re thrashing around and yelling for help,” Evans said. “In real life it almost looks like they’re climbing a ladder underwater, and if they can get their head above water, they just get a breath.”

“Lifeguard Your Child,” a drowning prevention campaign created by Cook Children’s, aims to get the message out through a regional collaboration of partners from eight counties across North Texas. The coalition includes school districts, police and fire departments, pool builders and swim lesson providers such as the YMCA. “Lifeguard Your Child’ promotes safety strategies through its website, videos, online classes and social media.

“The biggest piece we’re trying to do is have parents think about water safety and drowning prevention all year long,’’ Walraven said.

Campaign partners came up with new methods to reach their audiences during the COVID lockdown. Those efforts included a shift to greater virtual education. And in spite of the pandemic, “Lifeguard Your Child” reached 6,950 adults and children with educational toolkits between October 2019 and September 2020.

Highlights for drowning prevention include:

• Young children should know to never get in the water unless an adult is within reach and watching. Learn to swim and swim with a buddy.
• Teens should be alert for hazards lurking in murky lake water. No horseplay or risky stunts. Wear U.S.C.G. approved life jackets.
• Caregivers should create barriers to the pool, such as four-sided fencing. Don’t lose track of the kids during the transition from swimming to the next activity (a trip inside to the bathroom, loading the car etc.). Hospital admissions data increasingly show that drownings tend to occur during these unplanned situations “when one child goes back for a toy, or a child wants to jump in one more time,” Walraven said.

In addition to the education component, “Lifeguard Your Child” has distributed 1,296 life jackets this year in drive-through events and through six loaner stations at area lakes. The program recommends only those life jackets approved by the U.S. Coast Guard. Proper fit is essential too.

For more information about steps to prevent drowning, go to www.lifeguardyourchild.org.

“These are a couple of toys for our PICU and TCU families,” she says, donning a plaid scarf and a Cook Children’s mask.

Coffee mug in hand, she speed walks to the door – partly to get out of the cold and partly to check in with the charge nurse as soon as possible before the COVID-19 Command Center call in 30 minutes. By her side is Lori Parrott, a pediatric intensive care unit (PICU) nurse manager, who’s helping carry in Christmas presents for patients.

“It sounds like we may have gotten two more overnight,” Melodie tells her as they briskly cross the sky bridge linking the garage and medical center.

As the director of the PICU and the Transitional Care Unit (TCU) at Cook Children’s Medical Center, Melodie wears a lot of hats. She’s a decision maker. A trusted leader. A master juggler. And she oversees a special wing dedicated to critically-ill COVID-19 patients known as 2North.

She quickly sets the bags down in her small, windowless office and heads to the nurses’ station without pause. Sitting next to a small Christmas tree, the charge nurse fills Melodie in on what happened overnight. A med alert, or medical emergency on the 3P, the stepdown COVID-19 unit, and a DKA, otherwise known as diabetic ketoacidosis. But the big news is the latest patient admitted to 2North. It’s a teenager transported in from another hospital. This patient makes eight on the unit, which has a total of 10 beds. This admission means her team will soon have to find more space to house the patients that are increasingly filling up the COVID-19 unit.

Back in her office, Melodie awaits her turn to speak on the Command Center call, a tri-weekly meeting for leaders entrenched in COVID-19 planning and processes. While sipping coffee, she listens as the director of infectious diseases rattles off the latest number of children who’ve tested positive for the virus. Today, it’s 112 in 24 hours, with 25 currently in the hospital.

Soon, it’s Melodie’s turn to share bad news.

“We may need to think about moving kids over to ‘A’ depending on what the continued census is, and especially if we get down to one bed,” she says as clearly and concisely as possible. “These kids continue to be quite ill and I don’t think any will go out today.”

Moving patients to ‘A’ means opening up a new COVID-19 ICU wing. The hospital is being stretched, but you wouldn’t know it by the positive tone of the call. People are optimistic; there’s hope on the way. They’re waiting on notification from Pfizer that the hospital’s allotment of the COVID-19 vaccine has shipped, which could happen at any moment.

We’re with Melodie this Wednesday morning, the week before Christmas, because she’s offered to show us something we have not seen before. She’s volunteered to take us inside 2North.

Inside the COVID-19 ICU

After the call, we follow Melodie down the hallway, her heeled-boots clicking on the confetti-laden floors. Big, purple double doors are ahead of us with 8-by-11, paper signs. They read, “Doors Must Remain Closed,” and “Isolation Garb for COVID (+) rooms,” with a long list of recommended attire: N95 or PAPR, surgical mask, gown, goggles or face shield, gloves, hair covering, and booties. Immediately upon entering, we see all of this gear in action. To the right, there’s a doctor towering over two nurses. All three are concealed inside in personal protective equipment (PPE) – yellow gowns, white masks and blue headcovers. The physician’s goggles resemble something you’d see on the ski slopes, but he’s not on vacation. He’s just left the room of a child who’s suffering a heart arrhythmia due to the virus.

It feels like we’ve just stepped inside a beehive or an ant bed. Every worker has a job and they’re busy doing it. The energy is fast-paced, but controlled. We watch as a respiratory therapist just a few feet in front of us straps on a PAPR, a small backpack that pumps air through a hose into a sealed helmet. Her speed and skill reveal that she’s done this many times.

To the right, a gloved nurse gives us a thumbs up through a window in a patient’s room. She’s talking to her colleague, who’s sitting at a computer on the other side of the wall. The two are communicating through a mini walkie-talkie type device called a ‘Vocera’ that’s clipped onto their scrubs.

“Can I bring you anything,” said the one sitting near us.

The nurse inside the room can’t leave. She’s halfway through a 12-hour shift, meticulously monitoring the many machines keeping her patient, a 12-year-old girl, alive. This is not a job for the weary. She’s an ECMO specialist, meaning she is precisely trained to take care of children who need extracorporeal membrane oxygenation (ECMO). This treatment is a last resort in which blood is pumped to a heart-lung machine that removes carbon dioxide and sends oxygen-filled blood back into the body.

When a child is on ECMO, two of these specialized nurses or respiratory therapists remain at the bedside at all times. Breaks for food and the restroom are limited. Layers of PPE keep them safe from the virus, but not comfortable. They wear two masks, a surgical mask on top of an N95, plus a face shield, gown, gloves and headcover. If they were soldiers, they’d be ready for war. Their enemy, though, can’t been seen – only the ravages it’s left on their young patient.

Melodie has asked if the girl’s mother would be willing to speak to us. She’s just woken up from the small couch/bed in the room and agrees to step into the hallway. Obviously exhausted, she tells us her name is Florence and that her daughter was diagnosed with COVID 11 days prior.

“She was having a mild temperature, so I brought her to the emergency room just so they could check her out, and we ended up here,” she said in a low, hushed tone. A steady beeping flows in the background.

“That visit was the best decision I made,” she said.

Due to the virus, Florence is the only person allowed to be in the hospital with her daughter. And she can’t leave the room, unless she is leaving the property. All meals are delivered. Anything she needs will be brought to the room for her.

We asked about her time at Cook Children’s, and how things have been.

“I love this place, and I love the staff,” she said.

Florence breaks down. She says everyone she has encountered at the hospital has treated her as if they were the only family there.

“That matters a lot,” she said with tears soaking into her mask.

Ready to return to her room, she shares one last thought: “The ECMO machine is a lifesaver.”

As she walks away, Melodie asks ECMO Manager Jill Pittman to suit up and join the two nurses inside the girl’s room. Shanna Senay and Sara Morgan are the ECMO specialists on duty today. They show us the machine that’s taken the place of the child’s lungs and heart. It’s a bulky contraption with multiple screens, tanks, and tubes, which are red with blood pumping through them.

“ECMO is allowing her lungs to rest and heal from the pneumonia, while we oxygenate her blood and circulate it throughout her body,” Shanna says.

She’s the nurse who gave us the thumbs up from behind the window.

“ECMO is the highest form of medical care that we offer at Cook Children’s, and it requires a lot of training,” said Jill, who’s been a nurse at the hospital for 23 years and now leads the ECMO program. “To be able to facilitate that and have an active role is very meaningful to me.”

ECMO patients are often on the machine for weeks, not just a few days. Because of that, ECMO specialists have to have endurance and the mental fortitude to keep going, even when there is no end in sight.

We’re curious and ask ‘Why do you do this?’

“There’s something special about being able to take care of these kids when they’re so sick and their parents can no longer give them the care they need. Then, it’s up to us,” Sara said with clean air being pumped inside her PAPR helmet. “It’s the last chance these kids have, so we fight every day, every night until they get to the point where they can get better on their own.”

Shanna nods in agreement.

“These kids are warriors. They’re why we push through and why we come out of here sweating bullets and having held our bladders for hours,” she says. “If it were my kid, I would want somebody doing the same thing.”

Back in the hallway, another group of 2North staff members gather to talk to us. One is a young nurse named MyKayla. She has bandages across the ridge of her nose and both ears to protect herself from her N95, which cuts into her skin and leaves sores. Five bandages total, but she’s not complaining. She says she loves taking care of children. It’s her calling.

A respiratory therapist named Joanna is with her, along with another nurse named Megan. They both echo MyKayla, saying they love what they do. We ask if they’ve ever felt scared. There’s a pause.

“Yes, I’ll say it. Especially with it affecting the Hispanic population, it worries me for my family,” says Joanna, who is Hispanic. “But, if God forbid, any of my family members get it and had to be in the hospital, I feel completely comfortable with our doctors, nurses, and respiratory therapists taking care of them.”

Megan jumps in.

“I’m not scared, but I have a healthy respect for it,” she says point blank.

Megan, tall and blonde, moved to Fort Worth a couple of years ago when her husband was sent to work at the Naval Air Station Joint Reserve Base. She was accepted into the competitive nurse residency program at Cook Children’s, and after six months was selected to work full-time in the PICU. She had just a few months under her belt before the pandemic hit. Nearly 10 months on 2North, she now seems like a seasoned nurse.

“I came into this profession knowing anything is game,” she says. “Since COVID, our teamwork as a unit has exponentially increased. It’s been stressful, it’s been frustrating, things are constantly changing, but we keep plugging through, trying to keep our spirits up, and the kids’ spirits up too.”

Off to the side, Jennifer Hayes has just exited a patient’s room. She’s a chaplain on the floor and is accustomed to the tougher moments of an ICU setting.

“The PICU is a hard and heavy place to work, and then you add COVID on top of that, it’s tough,” Jennifer tells us, her appearance failing to match her words.

She’s wearing a bright red shirt with a snowman on it. Her hair is short and brown, pulled up into two spunky knots. She explains her role, how she helps patients and families deal with difficult situations both emotionally and spiritually. She provides the same support to the PICU staff.

“I’m trying to bring joy and fun into the unit,” she says while showing off her fanny pack, creatively decorated to look like a taco for a contest she spearheaded.

She also tells us about the ‘COVID Café,’ a space she established on the unit for worn-out frontline staff to retreat to during their shift. They can watch TV, enjoy the snacks or one of the many word searches, games, or funny memes she’s left at the half-dozen socially distanced tables.

Jennifer is the caretaker of the caretakers, and one of the many moms on the unit. She, like everyone else on this floor, has had to change the way things are done at home. She explains how her 2 year old always wants to hug her as soon as she walks in the door, but can’t for fear that some microscopic particle of COVID-19 has made the trip home with her.

“It has been a big change and has created a delicate balance where we are trying to keep normalcy for our kids, but also we have to be mindful keeping them safe,” she says.

Ashley Miller, the charge nurse we saw filling Melodie in early this morning, agrees. She is also a mom and shares how her 14-year-old son watches the news and worries. She oversees the entire 43-bed PICU and is in charge of admitting each patient. She says the now is by far the worst they’ve seen of the pandemic.

“It’s a reality that kids can get COVID and they can become very, very sick,” she says. “It’s definitely a change from March, we’re seeing many more now.”

While we’re talking, Melodie reminds us about an 11:30 a.m. meeting we’re due to attend. It’s with PICU leaders, and they have a lot to discuss.

Leading During a Pandemic

We make our way down to the basement of the hospital where five women have gathered in a classroom. More are on a conference line. Their top concern today is overflow for COVID-19 patients.

“It’s hard to put a target on when we should open a new wing, because we don’t want to turn around and close it if our census lowers,” Melodie tells the group, which is spaced out around the large room. “But once we get to nine patients, that’s it, and that can change in five minutes.”

Until recently, 2North only had two to three patients at one time. Now, it’s pushing capacity. Finding more space and beds is not an issue. The problem is staffing. With a new COVID-19 ICU unit, more staff will be pulled in to take care of the children in the beds. That’s worrisome because burnout is already top of mind for these leaders. They will do anything to prevent losing essential caretakers. That includes Linda Thompson, M.D., medical director of the PICU, who’s sitting in the corner of the room. She is so concerned about burnout, she offers up her vacation home on the Texas coast for fatigued staff to escape to with their families. Everyone here is willing to do whatever they can to prevent from losing people in the pandemic.

“Ding, ding, ding – Ashley Miller.”

This is the sound of a call coming into a Vocera. Ashley, the charge nurse, is alerting the leaders that another COVID-19 patient is being admitted as they speak. Their discussion about overflow may take shape sooner than expected. They hurry to get through their agenda, knowing there is work to be done on 2North.

After the meeting, we part ways with Melodie. She’s off to do what she does best, leading her team during a challenging situation. We’re gathering our cameras and equipment to capture another area we’ve never seen, the step-down COVID-19 unit known as 3Pavilion, or 3P. Until today, 2North and 3P had been restricted to ‘necessary’ personnel only. Somehow, we got lucky, and are being allowed inside both.

Inside 3P – the COVID-19 Step-Down Unit

We take the nearest elevator to the third floor. As soon as we step off, Valerie Badgett, the day nurse manager, is waiting for us. She’s worked on this unit for 17 years and recalls the day this past March when administrators gathered everyone into a break room and told them they were about to be taking care of COVID-19 patients.

“This was a specialty med surge unit prior to COVID. We treated patients with renal disease, from acute kidney failure to children who received kidney transplants, and GI patients,” she explained. “When they told us we were going to become a COVID unit, people were understandably nervous.”

The administrators explained that their floor has a unique airflow system, which allows air to vent directly outside. This prevents airborne viruses from circulating through the ventilation system.

Valerie tells us more about that day in March, and how they had to quickly move their patients to other floors. They thought they had days to prepare for their first suspected COVID-19 patients. In reality, they had just hours before seven children under investigation for COVID-19 were admitted to their floor.

“There were a lot of questions at first because we didn’t know enough about it,” Valerie said. “But Dr. Whitworth came over the very next day and eased a lot of people’s concerns. She has always been there to answer our questions.”

Mary Suzanne Whitworth, M.D. is the medical director of Infectious Diseases at Cook Children’s. Valerie credits her composed leadership for helping the staff on 3P not only accept the challenge ahead of them but take it on as a mission they were called to serve.

Unlike 2North, the atmosphere on 3P is calm. It’s quiet and much larger than the ICU. Patient room doors stretch down two long hallways lined with purple and blue carpet. The only thing that visually sets this floor apart from other non-critical areas of the hospital is the donning and doffing of PPE happening all around us. Doctors and nurses are suiting up in PAPRs, gowns, goggles, and gloves before entering rooms. Knowing this team didn’t necessarily sign up to take care of COVID-19 patients gives us a whole new respect for them.

“It has brought a lot of new diagnoses that we didn’t take care of before, chemo patients, newly diagnosed diabetes, a lot of patients that we’ve gotten have come in the emergency department because they’re sick from something else, and then coincidentally they test positive for COVID,” Valerie said. “Many of our nurses have become certified in chemotherapy so they can take care of the patients we’re now seeing.”

Hearing how this unit has stayed together the past 10 months, even when they had opportunities to abandon ship to work in other areas, is inspiring. They’ve overcome fear, learned how to care for an array of injuries and illnesses, and built an unbreakable bond. They’ve proven resilient, and their strength is needed now more than ever.

“We have 20 beds on this floor, and today we have 17 patients,” says Ashley Kovacev, the night nurse manager who’s volunteered to give us a tour.

She walks us down the hallway, pointing out the negative pressure rooms they never had to use for isolation purposes until this year. We round a corner and an alarm is dinging. A light overhead flashes. Ashely peeks into the room.

“Are you ok?” she asks.

Inside, a mother needs help getting her child to the restroom. Ashley calls for a nurse.

Families on 3P rely on the staff for everything, including food and water. Like 2North, only one parent at a time is allowed per patient and they can’t leave the room unless they are leaving the hospital. Because of COVID-19, the floor’s family lounge and playroom are closed. Patients and parents are stuck in their rooms, but everyone tries to make the best of it.

One small glimmer of hope is the child life specialists and music therapists who don and doff PPE to deliver activities to the children’s rooms. We spot one, a young woman with long blonde hair, sitting alone in the closed playroom. She’s teaching a patient how to play guitar via Zoom, just one of the many creative ways the child life team is engaging isolated patients.

To the left, down a short hallway, a woman in a blue scrub top and black pants is pushing a large cart.

“That’s Rebecca. She’s been absolutely phenomenal since day one,” Ashley says. “We tease her because she literally wipes down the walls non-stop.”

Rebecca is an environmental services worker. She looks uncomfortable as Ashley gushes about how she has kept the team safe throughout the pandemic.

“Not a single person here has contracted COVID from our unit,” says Ashley, crediting Rebecca for their protection.

Reluctant to accept the praise, Rebecca says simply through her mask, “We have to take care of each other.”

As we near the end of the tour, a food services employee in a mask and goggles delivers a plastic bag full of Styrofoam containers to the nurses’ station. It’s just one of the many trips he will make to 3P today, delivering three meals to each of the 17 families on the unit. He, like everyone else we’ve met, smiles as he drops off the food.

It’s no small feat for any of these people – the changes they’ve adapted to. The anxiety of the unknown. The courage they’ve displayed. After spending eight hours behind-the-scenes of Cook Children’s COVID-19 units, we can attest to the following statement:

“Our staff truly honor our ‘Promise’ every single day,” Ashley says holding back tears. “It makes me emotional. These people are so resilient. They care for these kids like they’re their own. It’s truly amazing.”

One day in 7^th grade, Emma came home especially upset about the cruel words hurled against her. The talented pre-teen picked up her ukulele and wrote a song.

I don't know what I'll do to brush off the dust.
You've really messed me up.
I don't know what I'll do to brush off the dust.
Don't you know, it’s mean to be mean.

Through music, Emma found the relief she desperately needed. Little did she know that song would one day be recorded in a professional studio and have its own music video.

Healing Through Music

Music is a passion for Emma. She plays five instruments and sings, but songwriting may be what she enjoys most.

“Writing music for me has been a big outlet. It helps me deal with a lot of issues,” said Emma in a recent interview with Cook Children’s via Zoom. “Sometimes it's hard to talk about things, but it's so much easier to write to get my feelings across.”

Emma is a long-time Cook Children’s patient. During one of her visits to the medical center several years ago, she stopped by the hospital’s Child Life Zone, which features a fully functional, industry standard recording studio. It was here she met recording studio producer Raymond Turner.

“Emma was one of those patients who could probably write a song every day,” Raymond said. “She had a great voice and played ukulele. So we started talking about the CD project, what it was going to be entitled, and why we wanted it to be called that.”

Each year, Raymond produces an album of songs written and/or performed by Cook Children’s patients. In 2018, the CD was called ‘We Rise’ and aimed to give patients a space to express their feelings about resiliency and overcoming hurdles. Raymond and Emma worked together to take her song, ‘Don’t You Know,’ from a simple tune she’d play from time to time, to a fully-produced track to be featured on the upcoming album.

“It took her a while to actually record it because we talked about every line,” Raymond explained. “I go, ‘Okay, what does that mean? Where did that come from?’ And I know her intent was really to shed light on what she had gone through and the pain of that, but also to let whoever that person was know that at this point, it's not going to affect her.”

Raymond and Emma’s shared goal was to make ‘Don’t You Know’ an empowering anthem to bring awareness to the issue of bullying. When ‘We Rise’ was released, Emma’s song was one of nine on the album. But the work wasn’t over yet. Soon, a new project began that would turn ‘Don’t You Know’ into a music video that would air on CLZ-TV, Cook Children’s 24/7 in-house TV network.

Bringing a song to life

Stella, 16, has been drawing ever since she can remember. She loves art, but wasn’t too keen on painting until she was stuck in a hospital bed at Cook Children’s.

During her stay, a resident artist with the Creative Artist in Residency Programme (CARPE) delivered a canvas and painting supplies to Stella’s room. The program, which focuses on therapeutic art, is designed to provide an artistic outlet to patients who may be feeling fear, anxiety or frustration due to their medical condition. Stella’s painting of her IV bags impressed the artist resident so much, she was invited to appear on CLZ-TV’s art show.

“I was sitting at my desk and I happened to look up and see this patient’s artwork on TV,” Raymond said. “I was like ‘That’s it, that’s the art.’ I knew I had to talk to her about this project.”

Stella eagerly agreed to help illustrate the music video for ‘Don’t You Know.’ She put Emma’s song on repeat and with the words and melody in her mind, got to work illustrating the featured character – a girl with brown hair and big blue eyes. It was a laborious process to draw the many different emotions portrayed in the song. After nearly a year of tedious work, Stella delivered the final artwork that would bring Emma’s song to life.

“I've never personally been bullied before, but whenever I listened to the song, it made sense. It definitely gave me a perspective and understanding of how bullying negatively affects people,” said Stella.

She hopes her art can help amplify the message that bullying is harmful and can leave lasting scars.

“If I could take her song, which I can tell how meaningful it is to (Emma), and do anything to enhance it, to give it a microphone or to make it shine, that would be enough for me,” said Stella. “It’s really satisfying to know that we’re leaving a mark on the world, even if I was a small part of it. It’s really comforting in a sense.”

Their combined efforts made for a first-of-its-kind music video for Cook Children’s. Though the gifted team in the Child Life Zone broadcast studio have made countless videos for CLZ-TV, never have two patients created both the music and the visuals. And even more intriguing, Emma and Stella never met until the project was complete and they were interviewed together via Zoom for this article.

“It’s been neat to see how patients who have never met can come together to work on the same project,” said Raymond. “You would have thought that Stella and Emma sat in a room together. There’s a seamlessness that you feel when you watch and listen.”

Despite their different experiences with bullying, both girls say they hope kids and parents alike can walk away from the video hearing the message loud and clear.

“I hope that people will be able to see the impact of bullying, because for me, it made me feel like I was nothing,” said Emma. “It made me feel like I was worthless and useless. Sometimes people forget that the person they're saying those things to have feelings, and what you say can be life changing.”

“We’ve really had to change the way we do things,” said Jill Koss, director of Family Support Services and Child Life at Cook Children’s. “The goal of Child Life is to help patients and their families work through any fears and anxieties they have about being in the hospital, and giving them tools to cope with that fear. For patients that may find themselves in isolation due to Covid-19 testing, we are meeting many of those needs virtually.”

Cook Children’s Child Life Zone (CLZ) is now using its closed TV station, CLZ-TV Channel 2, to connect with patients. They’ve ramped up their broadcasting schedule, now hosting several game shows a day which allow patients to call in from their rooms to play along. CLZ is also teaming up with Hear Fort Worth, a division of Visit Fort Worth, to bring the magic of music straight to patient rooms.

“Through Hear Fort Worth, we’ve started collaborating with the local music community to bring free, virtual concerts to patients and families,” said Rayne Delgado, program coordinator for the Child Life Zone at Cook Children’s. “The response from our patients has been great. They especially enjoy being able to interact with the artists.”

Concerts are streamed via Zoom with the artist performing from their home while answering questions from the patients via Instagram or a special phone line.

“We are honored to work with the tremendous staff at Cook Children’s Medical Center,” said Mitch Whitten, executive vice president of marketing and strategy at Visit Fort Worth. “Music can inspire and bring hope during trying times and we are grateful to our local musicians for donating their time and talents. Music is an integral part of our city’s culture.”

Three concerts have occurred thus far featuring artists Jack Barksdale, Jessi England and Grady Spencer with more being planned.

“The COVID-19 pandemic has created many unique challenges for Cook Children’s, including how to help kids feel like kids while social distancing in a hospital room,” said Koss. “This partnership with Hear Fort Worth gives our patients and families a chance to momentarily set aside the medical challenges they’re facing, and feel a little more connected through music.”

Musicians interested in performing may contact Child Life Zone Program Coordinator Rayne Delgado or Hear Fort Worth leads Tom Martens and Hillary Dupriest for more information. Visit www.FortWorth.com/Music to learn more about the local music community and how you can support.

Watch the story on WFAA by clicking here. 

Drowning is the leading cause of unintentional injury-related death in children ages 1 to 4 years old and the second leading cause of unintentional injury-related death for ages 1 to 14.

SafeKids Tarrant County, led by Cook Children’s, offers other sobering facts for parents leading into this swimming season:

• Drowning can still occur even if you know how to swim.
• No one is “drown proof” – no matter their level of swimming ability.
• Falls, entrapments and injuries lead to drowning regardless of swimming level.
• A majority of people overestimate their own and their child’s ability to swim, especially in a panic.
• Drowning is quick and silent.
• Drowning occurs in as little as 2 minutes.
• Irreversible brain damage occurs in as little as 4 minutes.
• Most children who drown are out of sight or missing for less than 5 minutes and usually in the presence of 1 or both parents.
• Most children die who are submerged for as little as 6-10 minutes.
• Children who drown do not scream splash or struggle. They silently slip beneath the water, even with adults and lifeguards present.

That’s scary information, but there are steps you can take to help protect your child and have a safe summer while in the water:

1. Constant visual supervision

• Assign an adult water guardian whose only responsibility is to watch children who are in the water.
• Teach children who can’t swim to stay away from water unless they are with an adult who is within arm’s reach and has eye-to-eye contact on them.

2. Learn to swim

• Studies show that formal swim lessons for children under age 4 reduce drowning by 88 percent.
• Take swim lessons with your child if you don’t know how to swim yourself. Even adults who are strong swimmers should never swim alone.

3. Keep backyards and bathrooms safe

• Dump all water buckets and empty kiddie pools when they are not in use.
• Install safety latches on toilets
• Never leave children unattended in the bathtub

4. Multiple barriers on all pools and spas

• Install pool fences, self-closing, self-latching gates and door alarms in areas leading to pools and spas.
• Keep a phone by the pool and call 911 in an emergency
• Keep pool area picked up and clear of toys and other items which might attract an unsupervised child.

5. Always check pool/spa first for missing child

• Make sure to look at the bottom of the pool or spa.
• Do not quickly scan the top and move on – children who drown often sink to the bottom and appear as shadows that easily be overlooked.
• Every second counts.

6. Wear life jackets

• Children who cannot swim should always wear a properly sized Coast Guard approved life jacket.
• Do not rely on water wings, floats or other toys to keep children safe.

7. Learn CPR

• Studies show CPR doubles the victim’s chance of survival.
• Use hard/fast compressions in the center of the chest until help arrives.
• Refresh CPR skills yearly, certifications every two years.
• Post CPR guidelines near the pool.

Related Links

• Cookchildrens.org/safety
• Safe Kids’ Water Safety Tips
• Play it Safe on the Water - Texas Parks and Wildlife
• Backyard and Pool: Household Safety Checklist
• Household Safety: Preventing Drowning

Don’t be confused though. Julia and her dog, Journey, have a big responsibility at Cook Children's. Yes, they are there to play, but their mission is always to give patients and their families a sense of normalcy during a stressful time. From visiting children in their hospital rooms to supporting them during procedures, child life specialists, like Julia, help patients cope with what they are experiencing while giving them a sense of control.

"My favorite part of the job is being able to help children overcome their anxiety. It's incredible to watch something that was really scary to a patient at first become no big deal," she said.

If you've ever been to Cook Children's Medical Center, you may have seen Julia or others in child life shooting Nerf guns in the hallways, painting with patients or taking a golden retriever for a walk. Their jobs are fun, but also very important. They help educate, prepare and support children through tests and procedures. They are specially trained to speak to each child on his or her learning comprehension level.

"When I was a freshman in college, I couldn't decide whether I wanted to become a nurse or a teacher," said Julia. "Then a family friend was hit head-on by a drunk driver."

That friend was 9 months pregnant. Both survived, but the baby had a stroke and required extensive time in the hospital. It was a child life specialist who was called in to help the baby's older sibling during the family's difficult time.

"Helping siblings feel included is a big part of what we do," said Julia. "After I learned about child life, everything fell into place. For me, it was the perfect combination of medicine and child development."

She went on to get a bachelor's degree and become a certified child life specialist, taking a position with Joe DiMaggio Children's Hospital in Hollywood, Florida. In 2009, Julia packed her bags and took off for Texas where she would soon find her calling.

"I wanted to have Journey with me because I've seen the difference these dogs make," she said. "We visit a lot of patients with serious illnesses and it helps them open up. For some reason, when they are petting a dog they will start talking about things that they haven't mentioned before."

Journey not only accompanies Julia during her 8 hour shift, she also lives with her.

"In the morning, I put her vest on and she knows it's time for work. But at the end of the day, she rests and plays just like a regular dog," she said.

There are four certified therapy dogs at Cook Children's and more than 50 staff members in the child life department. Their roles range from specialists like Julia to music therapists, artists, educators and even clowns. It's one of the largest child life departments in the country and a vital part of Cook Children's promise to improve the health of every child in our region, by giving patients and their siblings the opportunity to be who they are first and foremost, kids.

Since Oct. 1, 2014 to present, 40 drownings have been seen here and three of them have been fatal.

Those numbers are chilling and once again place an emphasis on water safety in the area.

Dana Walraven, community health outreach manager for Cook Children’s, wants to make sure that parents are prepared for warm weather and children in the water. She said the safety begins with making sure a grownup is watching the kids in the water at all times.

“Active adult supervision and layers of protection such as door alarms and a fence can lower the risk for your child,” Walraven said. “The majority of these water-related incidents happen in the child’s own backyard pools and to children 4 years old and younger. Drowning prevention around the pool starts with adult supervision.”

Children are protected by layers of protection by using these safety techniques whenever children are around the pool:

· Always have adult supervision present when children are swimming or around pools.

· A fence with a locking gate should surround the pool.

· Install door alarms to alert adults when a child is entering the pool area.

· Require life jacket use for non-swimmers.

· Enroll children in swimming lessons.

· Parents and caregivers should undergo CPR training.

In nearly nine out of 10 child drowning –related deaths, the parent or caregiver said the child had been with them in the house or pool within five minutes of the accident. Walraven says she knows it is difficult to supervise children 100 percent of the time. She said the levels of protection provide barriers in case the child should slip out of supervision.

Safe Kids Tarrant County, led by Cook Children’s, also offers Water Watcher tags to anyone or group who will use or distribute them. These are especially helpful at parties around the pool or lake to help designate adults that are watching the water. After 15 minutes, the tag is given to another responsible adult – letting everyone enjoy the party while ensuring that the kids are being properly watched. To receive a Water Watcher Tag, call 682-885-4244.

In large pools, it’s ideal to split up in groups and take sections of the pool.

“If you are somewhere where children are in the pool, insist that an adult be on watch,” Walraven said. “It should be done by a sober adult and that should be his or her only focus during their time watching the kids.”

Aside from supervision, four-sided isolation fencing with self-closing/self-latching gates is the best protection for your child and pets. It could prevent 50-90 percent of childhood drowning and near-drowning incidents. This type of fencing goes beyond the yard, to fencing in the pool itself, preventing direct access from the house.

Door and gate alarms give another signal that a child may have access to the pool area without supervision. The tendency is to disconnect it – especially at parties where people are going in and out. But these are also the times when small children are the most vulnerable for injury because of the confusion.

Learning CPR can save a child’s life by restoring breathing and circulation until advance life support can be given by health care providers.

Swim programs for children should teach good water safety behaviors in and around the pool but should not be seen as the sole way to decrease the risk of drowning.

Use a U.S. Coast Guard approved lifejacket with children who can’t swim. It should fit snugly when the child is buckled in and should not go beyond the top of the ears when lifted at the shoulders. Many air-filled, float-type toys are thought to be lifesavers but are not.

Check your pool and spa for cracked or broken drain covers on a regular basis. The suction around the drain can catch hair or clothing, pinning the child underwater. Anti-entrapment drain covers are available for as low as $40 and serve as another level of protection.

Since beach balls, noodles and other toys are attractive to curious young children – put them away when not at the pool.

For more information

Cook Children's has many resources on drowning prevention, beginning here. Click the links below with downloadable information in both Spanish and English, as well as videos. 

• Drowning prevention tips - English
• Drowning prevention tips - Spanish
• Water safety resources
• Drowning prevention education (English and Spanish)

Videos:

• Pool safety video step 1: Supervision
• Pool safety video step 2: Fencing
• Pool safety video step 3: Pool and spa covers
• Pool safety video step 4: Alarms
• Pool safety video step 5: Safety drain covers
• Pool safety video step 6: Swimming lessons
• Pool safety video step 7: Learning CPR
• Safe Kids Tarrant County Drowning Prevention Tips
• Safe Kids Tarrant County sugerencias de prevención de ahogamientos 

When I came to work here, I was in an as-needed position that required me to work anywhere and everywhere in patient care. One morning I was working in outpatient surgery when, to my surprise, an anesthesiologist asked me to help walk his patient back to the operating room due to high anxiety. What was even more surprising was when a second anesthesiologist made the same request just a few minutes later. I was in the middle of trying to make a decision about whose patient to help when the second doctor let me know he would wait for me to bring his patient back. Anyone in child life can tell you how huge that is; the recognition that the services provided by child life are so vital that they are worth waiting for, even in the fast-paced world of surgery.

Though to an outsider our work may look like many of the things that people innocuously comment (you have the best job ever; all you do is play all day; I wish I got paid to blow bubbles and play on an iPad), it is important to clarify that in all things a child life specialist does, there is a therapeutic value. I remember when I was a student in child life and my preceptor was referred to as a “glorified babysitter.” Though it may have stung her to hear that, it sparked an important conversation about what child life specialists aren’t, and more importantly, what they are.

Child life specialists are educated in child and human development; they have at least a bachelor’s degree, and in many cases, a master’s. They complete a semester of practicum, a 480-hour highly selective clinical internship, and must demonstrate theoretical and practical knowledge to pass a certification exam. Once certified, they are required to maintain certification by participating in professional development and continuing education. The knowledge gained on the way to becoming a certified child life specialist is used to build therapeutic relationships that help patients and their families master the health care experience.

With a child life specialist on the health care team, patients gain an understanding of their diagnosis and treatment in a way that meets their needs. The patient’s specialist may use medical dolls, messy activities and other forms of play to help the patient and any siblings clearly understand what they are going through. It is the work of child life specialists to assess the patient’s development, needs, and psychosocial goals. They then help to equip the whole family with knowledge and coping skills; they normalize a very abnormal environment, and perhaps most importantly, they make sure that kids have every possible opportunity to still be kids while they are here.

And yes, child life specialists do have the best job ever.

About the author 

Kizzy Marco is the Child Life Zone Program Coordinator at Cook Children's and the primary handler of Ralph Lauren, a therapy dog at Cook Children's. Cook Children's Child Life specialists work with kids and families to make their visit to the medical center easier and more comfortable.

For many families, the summer means boating and swimming season. But it can also mean danger, as one of the worst drowning weekends of the year. Please take these extra precautions for a safe, fun holiday.

1. Don’t drink and drive. This takes on dual meaning, both on the road and in the water. According to the Texas Parks & Wildlife website, open containers on boats are legal, but operators of boats are subject to boating while intoxicated laws, the same as driving a vehicle. “Operators or passengers may also be subject to public intoxication laws. Drinking and boating is DANGEROUS and the cause of most boating fatalities,” the site said.

2. You also need a license. You need to know how to operate your boat, just like a car. The course is $20. In Texas a person cannot operate a windblown vessel over 14 feet in length, a motorboat with more than 15 horsepower, or personal watercraft unless he/she:

• Was born on or after September 1, 1993 and has passed a boater education class or equivalency examination prescribed by the department.
• Is 18 years of age and can lawfully operate the motorboat and is on board the motor boat when underway.
• Is at least 13 years of age and have successfully completed a boater education course approved by the Department.

3. Kids don’t get on a personal watercraft without an adult. Children under 13 are specifically prohibited from operating a PWC unless accompanied on board by a person at least 18 years of age.

4. Life jackets are an absolute must!! Everyone on any watercraft at the lake should be outfitted with a jacket. When selecting a life jacket, size matters. Learn more from the Texas Parks & Wildlife site.

5. Teach your kids to swim. Drowning is the leading cause of unintentional injury-related death in children ages 1 to 4 years old and the second leading cause of unintentional injury-related death for ages 1 to 14. Whether if it’s in a lake or a pool, your child needs to know how to swim. Learn more today or start them on swim lessons this weekend.

The first time I ever heard taps play was at the end of my first day at summer camp. That was a part of the “day is done” ritual for the hundreds of kids attending camp each week. It is now over 10 years after the end of my camp career, and still I hear taps and instantly recall the distinct smell of campfire, the itchiness of a thousand mosquito bites, the confidence of unexpected successes and the excitement of new friendships. Summer camp changed me; an effect that has lingered over more than a decade. In fact, it is hard for me to imagine who I would be as an adult if not for that influential childhood experience.

Above the fireplace where I went to camp hung the following quote: “sometimes the best way to find out who you are is to go to a place where you don't have to be anything else.” Nothing could better sum up why the camp experience was so important to me and why I think it is important for kids of all ages and abilities. As adults, we understand the power that lies within some fresh air and a change of scenery. For kids, this is a necessary experience to promote independence, nurture curiosity, and empower their natural desire to establish relationships with peers. At camp, kids get to choose who they want to be in a group of what is usually kids from varying walks of life. They are challenged to put themselves out there, try new things, fail, succeed, giggle, interact with nature, and create memories that last a lifetime.

As a child life specialist at Cook Children’s, I also think camp is particularly good for kids in terms of helping them develop coping skills. While away at camp, kids may face minor injuries like scrapes or bug bites, they may find that 9 p.m. calls upon a feeling of homesickness, they may disagree with a cabin-mate, or even be asked to face a fear, like climbing a rock wall or jumping into a lake. In any of the above instances, kids must figure out how to problem-solve, how to make a choice, or how to seek support from others. Few experiences in childhood allow such freedom to just be and what a gift that is.

Every kid should experience summer camp. At Cook Children’s, we certainly believe that to be true. We offer camps for a wide range of kids, from ages 5 to 21 years of age, with developmental and or physical activities. Learn more at this website and see if there’s a camp that fits your child’s needs.

For more information on what makes camp great, or to find an accredited camp for your child, visit the American Camp Association (ACA) at www.acacamps.org

From the moment his parents named him, Xander Vento’s purpose in life seemed set. He was going to be a hero. Xander’s name translates to “defender of man” in Greek.

Xander drowned when he was 4 years old trying to rescue a little girl. In his effort to lift her above the water, Xander went down into the pool. His parents say the whole event occurred in less than a couple of minutes. On Aug. 6, 2012, Xander was rushed to Cook Children’s. He died three days later.

The little boy lived up to his name in his final days.

“It’s ironic,” Chris Vento, Xander’s dad, said. “This truly was his destiny. He saved somebody. He did what he was meant to do.”

But Xander wasn’t finished saving people’s lives. His brave legacy would continue as an organ donor.

Chris remembers vividly the neurologist at Cook Children’s telling him there was no brain activity. The Ventos were there with chaplain Terry Boggs, a Pastoral Care chaplain at Cook Children’s. Boggs was there to support the family spiritually and is also designated and trained to talk to parents and to answer any questions or concerns they may have about organ and tissue donation.

“I remember we both just looked at Chaplain Terry,” Chris said. “It was really weird because we hadn’t really talked about it, but we both said we want to donate Xander’s organs. We just knew this was in our hearts and we both felt it was right. We looked at it as a sign that we simultaneously made this decision.”

Since the death of Xander, the Ventos have made a point of speaking about pool safety, most recently at a drowning prevention event in Arlington for Cook Children’s, and the importance of organ donation. All in the memory of their defender of man.

“At that very moment, that little girl would have drowned,” Chris said. “He saved her. He sacrificed his life and was able to help many others through organ and tissue donation. We feel that was his purpose. So our son … we’re so proud of him. We regret the loss so much, but we know that’s what he was meant to do.”