Monroe Carell Jr. Children's Hospital At Vanderbilt
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Monroe Carell Jr. Children's Hospital at Vanderbilt, also known as Children's Hospital at Vanderbilt, is a nationally ranked pediatric acute care
children's A child ( : children) is a human being between the stages of birth and puberty, or between the developmental period of infancy and puberty. The legal definition of ''child'' generally refers to a minor, otherwise known as a person younger ...
teaching hospital A teaching hospital is a hospital or medical centre that provides medical education and training to future and current health professionals. Teaching hospitals are almost always affiliated with one or more universities and are often co-located ...
and entity of
Vanderbilt University Medical Center The Vanderbilt University Medical Center (VUMC) is a medical provider with multiple hospitals in Nashville, Tennessee, as well as clinics and facilities throughout Middle Tennessee. VUMC is an independent non-profit organization, but maintains acad ...
in
Nashville Nashville is the capital city of the U.S. state of Tennessee and the seat of Davidson County. With a population of 689,447 at the 2020 U.S. census, Nashville is the most populous city in the state, 21st most-populous city in the U.S., and the ...
,
Tennessee Tennessee ( , ), officially the State of Tennessee, is a landlocked state in the Southeastern region of the United States. Tennessee is the 36th-largest by area and the 15th-most populous of the 50 states. It is bordered by Kentucky to th ...
. The hospital is affiliated with
Vanderbilt University School of Medicine Vanderbilt University School of Medicine is a graduate medical school of Vanderbilt University located in Nashville, Tennessee. Located in the Vanderbilt University Medical Center on the southeastern side of the Vanderbilt University campus, the ...
'
Department of Pediatrics
Children's Hospital at Vanderbilt comprises 343 pediatric beds and over 1 million square feet of clinical and administrative space. The hospital provides comprehensive pediatric specialties and subspecialties to infants, children, teens, and young adults aged 0–21 throughout Nashville and the greater mid-south region. The hospital also sometimes treats adults who require pediatric care. Children's Hospital at Vanderbilt also features an
American College of Surgeons The American College of Surgeons is an educational association of surgeons created in 1913.American College of Surgeons Online "What is the American College of Surgeons?"/ref> See also *American College of Physicians The American College o ...
level I pediatric trauma center for critically ill pediatric trauma patients. The hospital is attached to Vanderbilt University Medical Center, including Vanderbilt University Hospital. It is affiliated with the nearby Ronald McDonald House of Nashville. Children's Hospital at Vanderbilt is routinely ranked among the best children's hospitals in the nation by '' U.S. News & World Report''.


History

Vanderbilt Children's Hospital began in 1923, with the establishment of the Junior League Home for Crippled Children. The Children's Regional Medical Center within Vanderbilt University Medical Center was founded in 1971. In the fall of 1971, Frances Keltner Hardcastle led a group of dedicated women and community leaders of the Junior League of Nashville, who had created and sustained the Junior League Home for Crippled Children, to form the Friends of the Children's Hospital (established in 1972) to support the Children's Regional Medical Center and to raise funding and public awareness for a fully distinct Children's Hospital at Vanderbilt. In 1980, construction on the Vanderbilt Children's Hospital facility was completed, and the patients from both the Children's Hospital and the Junior League Home for Crippled Children moved into a single medical facility dedicated to children's medicine. During the 1980s and '90s, the Friends of the Children's Hospital continued community outreach and development efforts to support the Children's Hospital at Vanderbilt University. Monroe J. Carell, Jr., former CEO of
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, lead in the raising of $79 million in funds for the construction of a new stand-alone facility, including $20 million from his family's personal donations. In 2004, the 616,785-square-foot (57,301.2 m2) Monroe Carell Jr. Children's Hospital at Vanderbilt University opened with 238 inpatient beds, 16 operating rooms, 36
intensive care unit 220px, Intensive care unit An intensive care unit (ICU), also known as an intensive therapy unit or intensive treatment unit (ITU) or critical care unit (CCU), is a special department of a hospital or health care facility that provides intensiv ...
beds, and space for 104
premature infants Preterm birth, also known as premature birth, is the birth of a baby at fewer than 37 weeks gestational age, as opposed to full-term delivery at approximately 40 weeks. Extreme preterm is less than 28 weeks, very early preterm birth is between 2 ...
in the
neonatal intensive-care unit A neonatal intensive care unit (NICU), also known as an intensive care nursery (ICN), is an intensive care unit (ICU) specializing in the care of ill or premature newborn infants. Neonatal refers to the first 28 days of life. Neonatal care, as kn ...
. In 2007, Providence House published ''More Than a Place: The Origins of a Children's Hospital at Vanderbilt'' by Lisa A. DuBois. ''More Than a Place'' traces the development of the children's hospital from its genesis as the Junior League Home for Crippled Children to its establishment as a premiere children's hospital, detailing how the hospital's advocates battled racism, religious differences, politicians, academics, lawsuits, and hospital administration in addition to disease and pain to ensure that children in middle Tennessee were served by a medical facility dedicated to them.


About

The freestanding Monroe Carell Jr. Children's Hospital at Vanderbilt opened on February 8, 2004. Receiving over 375,000 pediatric cases per year, with 15,000 inpatients and 357,000+ treated in the emergency and outpatient departments, the not-for-profit hospital provides pediatric health care regardless of ability to pay. Children's Hospital at Vanderbilt is equipped with 343 licensed inpatient beds, including 119 in its neonatal intensive care unit and 61 devoted to critical care (pediatric intensive care unit and pediatric cardiac intensive care unit). It has 42 emergency department rooms, three surgical locations and 21 operating rooms. In its 2021 fiscal year, Children's Hospital at Vanderbilt recorded 35,511 emergency department visits; 369,914 clinic visits; 26,048 telehealth visits; and 18,180 surgeries.


Research and innovations

* In 1961, Dr. Mildred Stahlman pioneered the first newborn intensive care unit (NICU) in the country to use monitored respiratory therapy on infants with damaged lungs. On Oct. 31, 1961, a baby girl was born at Vanderbilt hospital two months prematurely and gasping for breath. With the permission of her parents, Martha H. Lott was placed into the negative-pressure breathing machine Dr. Stahlman modified from an infant "iron-lung" machine to keep her sufficiently ventilated until her lungs could develop for her to breathe on her own. Today, Ms. Lott fights on behalf of newborns with similar stories to her own as a nurse in the NICU. * In 1972, with funding from a Regional Medical Program (RMP) grant, Vanderbilt initiated its Pediatric and Neonatal Transport (originally called 'Angel Transport') service. The first mobile neonatal and pediatric critical care transport of its kind, its Pediatric Transport Team consists of a neonatal
nurse practitioner A nurse practitioner (NP) is an advanced practice registered nurse and a type of mid-level practitioner. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe m ...
, a neonatal
respiratory therapist A respiratory therapist is a specialized healthcare practitioner trained in critical care and cardio-pulmonary medicine in order to work therapeutically with people who have acute critical conditions, cardiac and pulmonary disease. Respirator ...
, a neonatal
registered nurse A registered nurse (RN) is a nurse who has graduated or successfully passed a nursing program from a recognized nursing school and met the requirements outlined by a country, state, province or similar government-authorized licensing body to o ...
, an
emergency medical technician An emergency medical technician (EMT), also known as an ambulance technician, is a health professional that provides emergency medical services. EMTs are most commonly found working in ambulances. In English-speaking countries, paramedics are ...
, and a driver able to double as an assistant. The transport vehicles are equipped with ventilators and monitoring equipment including a blood gas analyzer that enable it to serve the large referral areas of Tennessee, Southern and Western Kentucky, and North Alabama. 2014 marked the 40th anniversary of the program at Vanderbilt. * By 2006, Children's Hospital ranked 6th in the nation for NIH research funding, with grants issued to researchers from the Department of Pediatrics totaling $20.238 million. * In November 2016, researchers at Vanderbilt University Medical Center and
Washington University School of Medicine Washington University School of Medicine (WUSM) is the medical school of Washington University in St. Louis in St. Louis, Missouri. Founded in 1891, the School of Medicine has 1,260 students, 604 of which are pursuing a medical degree with or ...
isolated a human monoclonal antibody that in a mouse model “markedly reduced” infection by the Zika virus. The antibody, called ZIKV-117, was able to inhibit infection by strains from both Africa and America in cell culture and in animals, including during pregnancy. These naturally occurring human antibodies isolated from humans represent the first medical intervention that prevents Zika infection and damage to fetuses.


Awards & rankings

* Third Magnet status, awarded by the American Nurses Credentialing Center in 2017 * Named a Leapfrog Top Hospital for 2017 * The Joint Commission (JCAHO) accredits Children's Hospital. JCAHO accreditation is a nationwide seal of approval that indicates a hospital meets high performance standards, requiring on-site surveys by a JCAHO team at least every three years.


''U.S. News & World Report'' Best Children's Hospitals (2021-22)

*21 in Pediatric Cancer *34 in Pediatric Cardiology & Heart Surgery *32 in Pediatric Diabetes and Endocrinology *18 in Pediatric Gastroenterology & GI Surgery *17 in Pediatric Neonatology *42 in Pediatric Nephrology *28 in Pediatric Neurology & Neurosurgery *39 in Pediatric Orthopedics *17 in Pediatric Pulmonology *8 in Pediatric Urology


Specialties

* Adolescent and Young Adult Health *
Allergy Allergies, also known as allergic diseases, refer a number of conditions caused by the hypersensitivity of the immune system to typically harmless substances in the environment. These diseases include hay fever, food allergies, atopic derma ...
,
Immunology Immunology is a branch of medicineImmunology for Medical Students, Roderick Nairn, Matthew Helbert, Mosby, 2007 and biology that covers the medical study of immune systems in humans, animals, plants and sapient species. In such we can see there ...
and
Pulmonary Medicine Pulmonology (, , from Latin ''pulmō, -ōnis'' "lung" and the Greek suffix "study of"), pneumology (, built on Greek πνεύμων "lung") or pneumonology () is a medical specialty that deals with diseases involving the respiratory tract. ...
*
Anesthesiology Anesthesiology, anaesthesiology, or anaesthesia is the medical specialty concerned with the total perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critical emergency medicine, ...
*
Cardiology Cardiology () is a branch of medicine that deals with disorders of the heart and the cardiovascular system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart d ...
* Critical Care Medicine *
Dermatology Dermatology is the branch of medicine dealing with the skin.''Random House Webster's Unabridged Dictionary.'' Random House, Inc. 2001. Page 537. . It is a speciality with both medical and surgical aspects. A dermatologist is a specialist medical ...
* Developmental Medicine * Diagnostic Imaging (Radiology) * Emergency Medicine *
Endocrinology Endocrinology (from '' endocrine'' + '' -ology'') is a branch of biology and medicine dealing with the endocrine system, its diseases, and its specific secretions known as hormones. It is also concerned with the integration of developmental event ...
and
Diabetes Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level ( hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ap ...
*
Gastroenterology Gastroenterology (from the Greek gastḗr- “belly”, -énteron “intestine”, and -logía "study of") is the branch of medicine focused on the digestive system and its disorders. The digestive system consists of the gastrointestinal tract ...
* General Pediatrics *
Heart Surgery Cardiac surgery, or cardiovascular surgery, is surgery on the heart or great vessels performed by cardiac surgeons. It is often used to treat complications of ischemic heart disease (for example, with coronary artery bypass grafting); to corr ...
*
Hematology Hematology ( always spelled haematology in British English) is the branch of medicine concerned with the study of the cause, prognosis, treatment, and prevention of diseases related to blood. It involves treating diseases that affect the produc ...
and
Oncology Oncology is a branch of medicine that deals with the study, treatment, diagnosis and prevention of cancer. A medical professional who practices oncology is an ''oncologist''. The name's etymological origin is the Greek word ὄγκος (''ó ...
*
Hepatology Hepatology is the branch of medicine that incorporates the study of liver, gallbladder, biliary tree, and pancreas as well as management of their disorders. Although traditionally considered a sub-specialty of gastroenterology, rapid expansion ...
*
Infectious Diseases An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable dise ...
* Medical Genetics and Genomic Medicine *
Neonatology Neonatology is a subspecialty of pediatrics that consists of the medical care of newborn infants, especially the ill or premature newborn. It is a hospital-based specialty, and is usually practised in neonatal intensive care units (NICUs). The ...
*
Nephrology Nephrology (from Greek'' nephros'' "kidney", combined with the suffix ''-logy'', "the study of") is a specialty of adult internal medicine and pediatric medicine that concerns the study of the kidneys, specifically normal kidney function (ren ...
*
Neurology Neurology (from el, wikt:νεῦρον, νεῦρον (neûron), "string, nerve" and the suffix wikt:-logia, -logia, "study of") is the branch of specialty (medicine), medicine dealing with the diagnosis and treatment of all categories of co ...
* Neurosurgical Services *
Nutrition Nutrition is the biochemical and physiological process by which an organism uses food to support its life. It provides organisms with nutrients, which can be metabolized to create energy and chemical structures. Failure to obtain sufficient n ...
*
Ophthalmology Ophthalmology ( ) is a surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders. An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a medic ...
*
Orthopaedics Orthopedic surgery or orthopedics ( alternatively spelt orthopaedics), is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal ...
*
Otolaryngology Otorhinolaryngology ( , abbreviated ORL and also known as otolaryngology, otolaryngology–head and neck surgery (ORL–H&N or OHNS), or ear, nose, and throat (ENT)) is a surgical subspeciality within medicine that deals with the surgical a ...
(Ear, Nose, and Throat) *
Plastic Surgery Plastic surgery is a surgical specialty involving the restoration, reconstruction or alteration of the human body. It can be divided into two main categories: reconstructive surgery and cosmetic surgery. Reconstructive surgery includes craniofa ...
*
Psychiatry Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psychiatry. Initial psych ...
- Child and Adolescent *
Rheumatology Rheumatology (Greek ''ῥεῦμα'', ''rheûma'', flowing current) is a branch of medicine devoted to the diagnosis and management of disorders whose common feature is inflammation in the bones, muscles, joints, and internal organs. Rheumatolog ...
*
Urology Urology (from Greek οὖρον ''ouron'' "urine" and '' -logia'' "study of"), also known as genitourinary surgery, is the branch of medicine that focuses on surgical and medical diseases of the urinary-tract system and the reproductive org ...


Expansion efforts

In September 2016, Children's Hospital began construction on a 160,000-square-foot four-floor expansion for a projected cost of $100 million. The facility's expansion was supported by a fundraising effort led by Kathryn Carell Brown. The first two floors to be completed will provide approximately 80,000 square feet of new patient care space and will include 76 critical and acute care beds for newborns and pediatric patients. The new space will also include family areas, a playroom, a large waiting room, educational space and patient consultation rooms. The hospital originally underwent a expansion with a $30 million price tag in May 2012. The five-story addition added 33 beds, as well as additional treatment areas.


References


External links


Monroe Carell Jr. Children's Hospital at Vanderbilt websiteVanderbilt University Medical Center website
{{authority control Hospital buildings completed in 2004 Hospitals in Nashville, Tennessee Children's hospitals in the United States Pediatric trauma centers