Childtime employee handbook: Employee Benefits | Learning Care Group, Inc

Employee Benefits | Montgomery County, PA

Our employees are our most important assets. With that in mind, we take pride in offering an affordable, quality benefits package that helps to protect and support our employees and their families.

Comprehensive Healthcare Coverage

Keeping our employees and their families healthy is essential to us. Our healthcare benefits include:

• Medical: choice of three Independence Blue Cross HMO plans, each of which includes prescription drug and vision coverage as well as MDLIVE Telemedicine and Tele-behavioral health services
• Dental: choice of two plans from Aetna, a PPO and DMO
• Employer-paid life, accidental death & dismemberment, and long-term disability insurance (all at no cost to the employee)
• Supplemental employee, spouse, and dependent life and accidental death and dismemberment insurance
• Supplemental short-term disability, accident, critical illness, and hospital indemnity insurance
• Healthcare and Dependent Care Flexible Spending Accounts (FSAs)

Pension & Retirement Savings

We want to ensure our employees are financially secure even after they retire, so we offer both a pension and an optional 457B retirement plan for our employees.

• All full-time employees participate in the County pension plan as members immediately upon hire. Employees are required to contribute 5% of their salary into the plan and may voluntarily elect to contribute up to 10% more (maximum of 15%). The County also makes a contribution to the employee’s account which is determined by an outside Actuary. The County is obligated to contribute sufficient funds to assure the payment of all pension benefits; therefore, all benefits are guaranteed by the County.
• Montgomery County offers employees an optional 457B Deferred Compensation Plan. This includes a diverse selection of investment options, a stable-value investment option, and Roth IRA contributions.

Employee Tuition & Higher Education Benefits

To help our employees grow and develop, both personally and professionally, we’ll cover 75% of an employee’s approved tuition costs, fees, books, and equipment up to an annual maximum of $5,250. Employees must be full-time and complete a minimum of one year of continuous service to be eligible.

MCCC Two for One Tuition Program

Employees of Montgomery County and their spouses, domestic partners and dependents (up to 26 years of age) are eligible for a two-for-one tuition program at Montgomery County Community College.  For every course paid in full, both in-class or online, student will receive a tuition waiver for 1 additional course of equal or lesser credit value for that semester.

Generous Annual Leave & Vacation

Our employees work hard serving the citizens of Montgomery County! We know that they need time to rest and do the things that are important to them outside of the office. Every year, County employees are entitled to:

• 10 days of vacation, increasing to:
  • 15 days after 5 years of service
  • 20 days after 13 years of service
  • 25 days after 19 years of service
• 5 days of personal time
• 12 days of sick leave
• 11 paid County holidays 
• Additional leave is provided for bereavement, military leave, jury duty, and other circumstances outlined in the employee handbook.  

Note: During an employee’s first year of employment time off is pro-rated based on date of hire.

Paid Parental Leave

We pride ourselves in supporting our employees who become parents! Our employees are entitled to 6 weeks of paid parental leave following the birth, adoption, foster care placement, or legal guardianship of a child, time which is not charged against the employee’s accrued time off. Employees then have the option to extend their leave by an additional 6 weeks (12 weeks total) under the Family and Medical Leave Act (FMLA) by using accrued sick, personal, compensatory, and/or vacation time; by taking an unpaid leave of absence; or some combination of both.

Health & Wellness Support

County benefits also include access to variety of programs, workshops, and resources to support our employees’ physical, mental, and behavioral wellbeing. These include the HealthAdvocate Lifeline, featuring Employee Advocacy support and an Employee Assistance Program (EAP), discounts and reimbursements for fitness, weight management, and tobacco cessation programs, and more! Fitness discounts are available for employees and their dependents who are enrolled in the Independence Blue Cross medical plan for a variety of gym memberships which includes a $150 gym reimbursement through the wellness benefits.  

Public Service Loan Forgiveness

Montgomery County is also a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program, which forgives the remaining balance on certain federal student loans after a borrower has made 120 monthly payments while working for a government agency or non-profit organization. To learn more about this program, visit https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service.

Remote Work

We know our employees have demands outside of the workplace. Some positions with Montgomery County are remote-work eligible, allowing for greater flexibility and work-life balance. All remote-work eligible jobs are listed on the main careers page at https://www.montcopa.org/Jobs, remote eligibility will be indicated in the job description. 

Eligibility for Benefits

Our full-time employees, their legal spouse/same sex registered domestic partner, and dependent children up to age 26 are eligible for County benefits. Note that eligibility for some benefits begins on the first day of the month following 30 days after the date of hire (e.g., health insurance), while for others at least a year of service is required (e.g., tuition reimbursement).

Note: This page is for reference only and should not be construed to guarantee eligibility for benefits. All final determinations on eligibility are made by the Montgomery County Human Resources Department or Chief Operating Officer.

Dress Code, Policies & Procedures in an Early-Childhood Center | Small Business

By Elisabeth Natter Updated November 27, 2018

Working parents need to feel comfortable with their chosen child care facility and know that their children will be kept healthy and safe while they are at work. For that reason, federal and state governments have established broad policies to ensure the safety and well-being of children, staff and workers at early childhood centers. Legal requirements discuss safety and health issues, while individual centers establish workplace requirements in relation to dress standards.

Regulatory Policies in Early Childhood Centers

Several important federal and state regulations that focus on child safety are included in all early childhood centers’ employee handbooks. The Child Care and Development Block Grant of 2014 (CCDBG), which was approved by Congress, includes regulations that require background checks and regular CPR and first-aid training for childcare workers. It also specifies guidelines for teacher-child ratios to be maintained within a certain amount of classroom space. The federal controls require states to oversee operations for all childcare facilities that receive federal grant money within their jurisdiction. However, guidelines for other types of facilities vary from state to state.

In general, most centers require that workers be cleared through a criminal background check that includes fingerprinting. Most centers also require site-specific orientation and training. Additionally, states may require annual inspections of facility records, which show that workers have up to date CPR and first-aid certifications and health records that verify the absence of tuberculosis. Additionally, centers must be sure to operate daily within set ratio requirements.

Dress Code Policies

Typically, workplace dress codes are set by the management of each individual early learning center. The nature of daily work for educators and caregivers is very hands-on and requires bending, sitting on the floor and running after little ones, so the dress code for early childhood educators should include comfortable, non-restrictive clothing. Guidelines, however, may vary greatly between facilities. One facility may allow workers to wear leggings and T-shirts, while another may favor a standard uniform of khaki pants and tops featuring the center’s logo. Some facilities may also require that their business office staff or managers dress in business attire, so that they project a professional business image to prospective clients.

However, almost every preschool dress code will have some standard requirements. In general, workers should not wear tops that show their cleavage or midriff. For their own safety, employees should not wear excessive jewelry, especially dangling earrings or necklaces that could get pulled on by children or caught in playground equipment. Footwear should also be comfortable and flat to make it easier to safely play with children. In general, employees are expected to appear well groomed, friendly and professional.

Site-Specific Operating Procedures

In addition to a daycare dress code for employees, early learning centers develop procedures for staff members to follow throughout the day. In the process of caring for so many young children, the details of using the bathroom or applying sunscreen may seem like a small concern, but they require procedural guidelines so that children are kept safe at all times. Procedures for child check-out from the center are essential for maintaining safety and enforcing custody agreements. The structuring of daily learning curriculum, nap time routines and playground usage may be specific to each site, and are areas, in which managers have some flexibility and can use some creativity.

Children’s health and emotional welfare must also be considered and official procedures should be developed to handle healthcare issues. Guidelines for changing diapers and serving meals and snacks while keeping food sensitivities in mind keep both children and staff healthy. Staff should be aware of medical conditions and trained to respond appropriately, in case of an allergic reaction or a medical emergency. Proper reporting to parents via incident reports and direct communication is essential. Procedures should also be in place for reporting cases of suspected child abuse or neglect.

References

• Americanprogress.org: The Importance of Child Care Safety Protections
• DFPS.state.tx.us: Minimum Standards for Child-Care Centers
• ACF.hhs.gov: Child Care and Development Block Grant Act (CCDBG) of 2014: Plain Language Summary of Statutory Changes

Writer Bio

Elisabeth Natter is a business owner and professional writer. She has done public relations work for several nonprofit organizations and currently creates content for clients of her suburban Philadelphia communications and IT solutions company. Her writing is often focused on small business issues and best practices for organizations. Her work has appeared in the business sections of bizfluent, azcentral and Happenings Media. She holds a Bachelor of Arts degree in journalism from Temple University.

CDC Guide to Help Early Childhood and Child Care Facility Organize Flu Prevention Work During the Coming Flu Season

CDC Guide to Help Early Childhood and Child Care Facility Organize Flu Prevention Work influenza prevention during the upcoming influenza season

This document provides guidance on reducing the spread of influenza among organized young children and those working with young children during the 2009 influenza season-2010 This guide expands on the information in the earlier documents by providing a set of tools from which health officials, Head Start Program representatives ¹ and other early childhood and child care providers can choose based their territory situation.

This guideline recommends actions to be taken during the 2009-2010 flu season, and suggests actions to discuss if the CDC determines that the flu is becoming more severe; The guide also contains a checklist of issues to consider when making decisions at the local level.

Based on the severity of the h2N1/09 ​​influenza clinic to date, this guidance recommends that children and caregivers with influenza-like illness remain at home until 24 hours after the fever has resolved without the use of medicines. For the purposes of this document, the term “early childhood care programs” refers to center-based and home-based child care programs, the Head Start program, and other early childhood programs that provide caring for children in groups. This guidance applies to all early childhood programs, even if they provide services to older children.

Children under 5 years of age are at increased risk of complications from influenza; children under 2 years of age are even more at risk. It is important to know that children under 6 months of age are a particularly vulnerable group because they are too small to be vaccinated against seasonal or h2N1/09 ​​influenza; as a result, those responsible for the care of these children constitute a high priority group for early vaccination. Influenza vaccination is the main means of preventing influenza.

Early childhood institutions present a unique challenge in terms of organizing and implementing effective epidemic prevention and control activities due to their highly vulnerable population, close interpersonal contact, sharing of toys and other objects, and the limited ability of younger children to understand or follow appropriate etiquette when coughing and practice hand hygiene. Therefore, parents, early childhood workers, and health officials should be aware that even under the best of circumstances, the transmission of infectious diseases such as influenza in early childhood settings cannot be completely prevented. No measures can prevent the appearance of a potentially infected person in such places [stay of children].

The purpose of this document is to provide updated guidance for reducing the spread of influenza in early childhood settings. We make recommendations assuming the same severity of illness as experienced during the spring and summer of 2009 through the 2009-2010 influenza season, as well as recommendations that can be additionally used if the situation worsens.

However, influenza is unpredictable and the CDC will provide periodic updates assessing the situation and may recommend additional action as needed. Also, as the situation varies from community to community, early childhood facilities also need to reach out to state and local health care providers for information and guidance specific to their local situation.

Recommendations for early childhood care programs during the 2009-2010 influenza season

Early childhood services agencies should review and review, as necessary, their current plans and procedures for dealing with crises and pandemic case; develop contingency plans to insure key positions in the absence of employees at work; update contact information for families [children] and employees; Communicate your action plans to families, employees and the local community. Early Childhood Centers should review and revise, as necessary, sick leave policies to ensure that employees do not create

Obstacles to stay at home in case of illness or while caring for a sick family member. Children or staff should not be required to present a medical certificate confirming that they are ill or authorizing their return to early childhood care facilities.

Early childhood services should frequently remind children, their families and staff of the importance of staying home when sick; about early treatment of people at increased risk of complications from influenza; about hand hygiene; about the rules of etiquette when coughing. Educational materials (such as posters) should be prominently displayed in settings where young children are cared for to improve acceptance of the recommendations.

The following recommendations are divided into two groups: 1) recommendations to be implemented now during the 2009-2010 flu season, assuming the same severity of influenza that was observed during the spring and summer of 2009, and 2) recommendations to implement which may be further considered as influenza severity increases

Recommended interventions to apply now for influenza severity similar to that seen during spring/summer 2009years

Get flu shots: The best way to protect yourself against influenza – seasonal or h2N1/09 ​​- is to get vaccinated. The five main target groups for 2009 h2N1 influenza vaccination include pregnant women; people who live in or care for children under 6 months of age; medical and emergency medical workers; people aged 6 months to 24 years; and people aged 25 to 64 who have chronic conditions that put them at increased risk of complications from influenza. All children and staff in early childhood care facilities will be included in these groups and should be among the first to be vaccinated against h2N1/09 ​​influenza.

Stay home if ill: Children and caregivers with influenza-like illness should stay home and away from others until 24 hours after the high fever (100° F [37.8° C] or higher, if measured) has passed. temperature is carried out in the oral cavity), or signs of high temperature, which occurred without the use of antipyretics. Symptoms of the h2N1/09 ​​flu may include high fever, sore throat, runny or stuffy nose, body aches, headache, chills, fatigue, and sometimes diarrhea and vomiting. As far as possible, patients should stay at home and avoid contact with others until 24 hours have passed since the fever disappeared, unless they need to seek medical attention. Epidemiological data collected during spring 2009years showed that the majority of people with h2N1/09 ​​influenza who were not hospitalized had a high fever that lasted 2 to 4 days; in most cases this led to their isolation for 3-5 days. The CDC recommends this period of isolation regardless of whether medication was taken or not. Early childhood program representatives, parents, or state and local health officials may decide to impose a longer isolation period. Both the concerns and preferences of parents or members of the community (local health departments should be consulted) should be taken into account when assessing whether a more stringent isolation policy should be applied. Conduct daily health checks: Early childhood professionals who conduct daily health checks must examine all children and staff and interview every parent or guardian and every child. They should watch for changes in the child’s behavior, reports of illness or recent visits to a health facility, and any signs or symptoms of illness. During the day, employees must also identify children and other workers who may be sick. Follow-up screening of sick children and staff should be carried out by taking temperature and asking for symptoms.

Isolate ill children and staff: Children and staff with flu-like symptoms while in the early childhood care program must be immediately isolated from others until they are sent home. While this may be a challenge for some home-based centres, they should provide a place where the child can feel comfortable and be supervised at all times. Employees who develop symptoms of illness while on the job should, if possible and tolerable, wear a surgical mask when in the vicinity of others. Young children’s professionals who care for individuals with a known, probable, or suspected case of influenza or influenza-like illness should wear appropriate personal protective equipment.

Encourage both healthy and flu-like people to practice hand hygiene and cough etiquette: Wash hands with soap and water as often as possible; do not touch your nose, mouth, eyes; cover your nose and mouth with a disposable handkerchief when coughing or sneezing (or cover your mouth/nose with your shirt sleeve or elbow if you don’t have a tissue). For children with emerging self-care skills, parents and caregivers should monitor these children for cough etiquette and hand hygiene, and remind children not to share cups or utensils with others. Perform routine room cleaning: visits and visibly soiled items should be cleaned immediately, and all areas should be cleaned regularly – with particular attention to items that are most often touched by hands, mouth, and on which body fluids most often remain young children (for example, toys and play areas). The CDC does not consider it necessary to carry out additional disinfection of surrounding surfaces beyond normal cleaning. Strongly encourage early treatment of children and staff at high risk of influenza complications: Parents and staff are strongly encouraged to consult with their healthcare provider to determine if they or their family members are at risk of complications from influenza. Employees at risk of complications from influenza, and parents of children under 5 years of age with influenza-like illness, should contact their healthcare provider as soon as possible to determine if they require antiviral treatment. Early treatment (within 48 hours of illness onset) with antiviral drugs can reduce the risk of severe illness from the flu.

Consider selective closure of early childhood programs: When there is high levels of influenza transmission in some communities or early childhood programs, temporary closures may be considered to reduce the spread of influenza among older children. up to 5 years. The decision to selectively close should be made at the local level, in consultation with health officials, and the decision must take into account both the risk of children being in early childhood programs and the risk of social and economic disruption to society as a result of the closure of these programs.

Recommended Additional Actions for Increased Influenza Severity Compared to Spring/Summer 2009

The CDC may recommend additional actions to reduce the spread of influenza if global, national, or regional indicators indicate that the flu causes more severe illness. In addition, state and local health officials may decide to implement additional measures. Although the following measures have not been scientifically tested within early childhood centers, they are based on basic infection control principles. The implementation of these measures is likely to be more complex and have more significant negative effects compared to the previously described measures. These measures need to be taken into account with the increased severity of influenza and in addition to measures above.

Allow employees at high risk of complications to stay at home: As flu severity increases, individuals at high risk of complications are encouraged to stay at home and not go to work or school during significant influenza circulation within their community . Such people should make this decision in consultation with their doctor. Early Childhood Centers should review their time off (leave) policies to ensure staff are not prevented from staying at home when needed.

Increase social distancing between children:

Explore innovative ways to increase the distance between people or divide children into small groups, such as groups of 6 children or less (avoid mixing children between groups). This is not an easy and difficult undertaking for many early childhood centers and will require considerable flexibility in its application.

Strongly encourage children with sick family members at home to stay at home: As the severity of influenza increases, children living with people with influenza-like illness should stay at home for 5 days from the day the first family member fell ill.

Extend sick people’s stay at home: As flu severity increases, people with flu-like illness should stay home for at least 7 days after symptoms start, even if they no longer have symptoms. If people continue to get sick after 7 days, then they need to stay at home for at least 24 hours after the symptoms disappear.

Early childhood facility closures:

Early childhood facility staff and health officials must work closely to balance the risks of influenza in their community with the disruption that program closures can cause to work with young children, and they must clearly state the reason for the closure of the early childhood care program.

Reciprocal closures may be required when early childhood programs are unable to maintain normal operations, such as high absenteeism rates.

CDC may recommend preventive closures (before severe illness occurs in the community) to reduce the spread of influenza.

· The length of time that early childhood care facilities must be closed will vary depending on the reason for the closure as well as the severity and extent of the illness. Early childhood facilities that have decided to suspend their operations must close for a period of 5 to 7 calendar days. Before the expiration of this period, local authorities should re-evaluate the epidemiological data of the disease, as well as the benefits and consequences of continuing to stay at home.

h2N1/09 ​​influenza vaccine due in autumn 2009. To develop protective immunity, 2 doses of the vaccine will obviously be needed, with a difference in the time of administration of at least 3 weeks. The development of an immune response after the second dose will take 2 weeks (i.e., at least 5 weeks will pass after the first vaccination for the formation of complete protection). If community transmission occurs before the development of presumptive vaccine-induced immunity, in communities working to significantly reduce influenza transmission among children in early childhood centers, consider temporarily closing early childhood programs. Nursery groups may be closed for a longer period, as children under 6 months of age cannot get the flu vaccine.

The CDC does not consider it necessary to perform additional surface disinfection other than routine cleaning during the period when the Early Childhood Program is closed.

Parents should be urged to develop alternative childcare plans in the event of early childhood care or school closures (for example, care for one person or a small group of children by relatives or neighbors; or changes to schedules or locations) work).

· Local authorities should develop a contingency plan for potential secondary impacts of closing early childhood care programs. The closure of early childhood care programs can have an impact on: critical infrastructure; job security and income of parents; income and sustainability of early childhood programs; program quality; children’s nutrition; as well as the safety of the child.

Identify community-based approaches to protect children and early childhood program workers

The CDC recommends a mix of measures applied simultaneously and early. Local and state governments need to select interventions: a) based on trends in disease severity, virus characteristics, feasibility and acceptability of interventions, and b) through collaborative decision-making involving public health agencies, early childhood organizations and educational institutions, as well as representatives of early childhood programs, families and the wider community. The CDC and its partners will continuously monitor changes in influenza-like illness severity and provide these new information to state and local authorities. States and local communities can expect that there will be wide variations in the picture of diseases depending on the community in which they occur.

Each community must strike a balance between a variety of goals in order to determine the best strategy for helping to reduce the spread of influenza. State and local decision-makers should define and communicate their goals, which may be one or more of the following: (a) protect the entire health care system by reducing community transmission; (b) reduce transmission among young children in institutions; and (c) protect people at high risk.

Some action plans may have negative consequences as well as possible benefits. The following questions can help start discussions and lead to decisions at the state and local levels.

Decision makers and other stakeholders

Are all key decision makers and other stakeholders involved?

State and/or local health officials

9,0006 /or local, State and/or local child welfare administrators, Directors of Head Start Cooperation

· officials of authorities (for example, governors, mayors) at the state level and/or at the local level

· Representatives of the families

· Representatives of local business circles, religious organizations and public organizations

age, owners and operators of home-based and center-based early childhood care programs, early childhood program staff

· Medical workers, including medical specialists in the field of mental health and behavioral sciences, as well as hospitals

,

state to determine and communicate information on the following issues to other decision makers?

· outpatient visits due to the flu -like disease

· Hospitalization due to the flu -like disease

Disproportionately affected groups

Capacity of local medical facilities and emergency departments to meet the increased demand [for medical services]

Availability of hospital ventilators, influenza patients and tent beds.

Availability of hospital staff

Availability of antivirals

Can early childhood programs identify and report information on the following issues to state or local decision makers?

· percentage of failure of children and employees

· Financing

· Personnel

· Equipment

· Premises

that threaten the implementation of these measures?

Public concern about influenza

Lack of public support for interventions

People who do not feel motivated to protect themselves

¹ Head Start

Department of Pediatric Surgery – Saratov State Medical University

In Saratov, the teaching of pediatric surgery began in 1933. This happened at the initiative of the Academician of the USSR Academy of Medical Sciences, Professor Sergei Romanovich Mirotvortsev. The course on pediatric surgery was headed by Nikolai Vasilyevich Zakharov, Associate Professor of the Department of Faculty Surgery.

Founders of pediatric surgery in the country: Professor S.D. Ternovsky, Professor V.P. Voznesensky, Associate Professor A.B. Avidon, Professor N.V. Zakharov in the hospital named after K.A. Raukhfus (Leningrad)

In 1937, the docent course was transformed into an independent department of the institute, one of the first in the USSR. It was located on the basis of the department of faculty surgery, and in 1939 received a separate room at pl. Revolution, d. 5. and opened a clinic with 30 beds.

In 1940, the head of the department, associate professor N. V. Zakharov defended his doctoral dissertation on the treatment of pneumococcal peritonitis in children, and received the title of professor.

The lecture is accompanied by a demonstration of a patient with a congenital malformation. Professor N.V. Zakharov

The department established pedagogical and medical work, the training of pediatric surgeons began. During the Great Patriotic War the department was temporarily closed.

During the war, N.V. Zakharov was a consultant and leading surgeon in evacuation hospitals. For serving the Motherland, he was awarded the “Order of the Red Banner of Labor”, medals: “For the Defense of Stalingrad”, “For Valiant Labor in the Great Patriotic War”, “For the Victory over Germany in the Great Patriotic War”.

Associate Professor of the Department Galina Mikhailovna Slavkina during the war years in the rank of major of the medical service was the head of the surgical department of the military hospital No. 360. She was awarded the Order of the Badge of Honor, medals “For the victory over Germany in the Great Patriotic War”.

Associate Professor of the Department Vladimir Ivanovich Reichel, in the rank of senior lieutenant of the medical service, served as the senior doctor of the regiment. He was awarded the “Order of the Red Star”, medals “For the Capture of Koenigsberg”, “For the Victory over Germany”.

Employees of the department and clinic. In the first row in the center, Professor N.V. Zakharov, then glory to the right: assistants S.E. Vladykin, O.N. Fedotova, V.I. Reichel, head of department A.A. Burlova, associate professor G.M. Slavkin. Upper row glory to the right: assistant A.V. Nushtaev, clinical intern, doctor R.A. Rogozhina, assistant A.G. Ermashevich, doctor V.V. Nagorbina, postgraduate student of the department, assistants A.I. Antonov and V.A. Makarov.

Bypassing patients in the clinic Professor N.V. Zakharov, Associate Professor G.M., Slavkina, Associate Professor V.I. Reichel, chief otd. A.A. Burlova

Since 1945, the work of the department and the clinic was resumed. On the basis of the Clinical City of the Saratov Medical Institute, a pediatric surgery clinic with 50 beds was opened. The staff of the department was represented by a professor and three assistants (G. M. Slavkina, V. I. Reichel, F. N. Doronin). Along with the educational process, scientific work was established. The assistants of the department Galina Nikolaevna Zakharova and F. N. Doronin subsequently became professors, headed large surgical clinics in Saratov and Stavropol.

In 1959, the construction of the IV children’s building of the Clinical City of the Saratov Medical Institute was completed, which made it possible to expand the bed capacity of the pediatric surgery clinic to 130 beds.

In 1959, the department organized and held the III All-Union Conference of scientific student circles at the departments of pediatric surgery.

In 1960, an emergency department was opened on the basis of the clinic with a daily round-the-clock reception of children from the city and the region. The main areas of work of the team were abdominal surgery, neonatal, thoracic, purulent surgery, maxillofacial surgery. A great achievement was the introduction of intubation combined anesthesia and artificial lung ventilation into pediatric practice. This allowed the team to significantly intensify work in the field of thoracic surgery.

In 1962, within the framework of the II Congress of Surgeons of the RSFSR, the department for the first time in the country held a meeting of the section of pediatric surgeons.

II Congress of Surgeons of the RSFSR, 1962 Yu.F. Isakov In the presidium of Professor A.I. Lyonyushkin, V.M. Derzhavin, S.Ya. Doletsky, G.A. Bairov, N.R. Ivanov.

In 1963, after the death of Professor N. V. Zakharov, the department was headed by his student and follower, Associate Professor Galina Mikhailovna Slavkina.

At 1964 on the initiative of G.M. Slavkina at the Clinic of Pediatric Surgery opened a 24-hour children’s trauma center and one of the first children’s burn centers in the country.

Discussion of a clinical case. Associate Professor G.M. Slavkina, assistants V.V. Krasovsky and S.E. Vladykin .

In 1965, by order of the Ministry of Health, the department headed the interregional center for pediatric surgery, whose tasks were organizational and methodological work and the provision of specialized assistance to children in the Saratov, Orenburg, Kuibyshev, Volgograd and Astrakhan regions.

In 1972, the department of pediatric anesthesiology was opened, and in 1974, the pediatric intensive care unit. For several years, the intensive care unit was the only one in the Saratov region. It hospitalized children in a critical condition of any nature, regardless of the primary diagnosis. The intensive work of the department required the staff to quickly master modern methods of anesthesiology and intensive care. In a short time, halothane anesthesia, neuroleptanalgesia, prolonged epidural anesthesia, and prolonged artificial ventilation of the lungs were mastered. Central vein catheterization has been introduced, which has significantly improved infusion therapy, including in newborns. Parenteral (hyperalimentation) and tube nutrition have been developed.

Anesthesia is carried out by the head of the department V.F. Berlin

Catheterization of the subclavian vein is performed by doctor D.I. Antipov

During these years, the Department of Pediatric Surgery was represented by a professor, associate professor and 4 assistants, the staff of the clinic consisted of 25 doctors. Under the leadership of G. M. Slavkina, the active scientific work of the department was continued. 10 Ph.D. theses were completed and successfully defended.

Academician S.Ya. Doletsky on rounds at clinic

The department taught at the 5th, 6th, 7th courses of the pediatric faculty.

Since 1975, the teaching of pediatric surgery began at the Faculty of Medicine, and the Faculty of Doctors’ Improvement was opened.

In 1976, the department was headed by a student of Professor N. V. Zakharov, Associate Professor Vasily Fedorovich Goryainov. The staff of the department was expanded to 14 people.

Analysis of a patient with a group of students Professor V.F. Goryainov and associate professor V.I. Reichel.

The priority scientific and medical activities of the team at that time were the introduction of hyperbaric oxygenation in neonatology, the study of purulent-septic diseases and polytrauma. In 1975, the team received as a gift from the Ministry of Defense of the USSR an ultrasonic diagnostic apparatus, which for 10 years was the only one in the Saratov region. The introduction of ultrasound diagnostics into practice has significantly changed the treatment and diagnostic tactics in abdominal pathology.

Since 1975, the strategy for the treatment of newborns with malformations has been revised. The reason for the revision was the small number of patients in the region – 30-40 “major” malformations per year. Emergency operations began to be performed only by two specially trained surgeons who, over several years, managed to accumulate some experience. The reorganization of this section of surgical care made it possible to achieve improved results. Mortality in case of “major” malformations decreased from 95% after 4 years to 50% and continued to decrease during all subsequent years.

Examination of a urological patient

In 1978 and 1979, the department organized and successfully held two all-Russian scientific and practical conferences of pediatric surgeons in Saratov.

In 1987, the department was headed by associate professor Yuri Vladimirovich Filippov. During this period, the staff of the department and the clinic completed and defended 7 doctoral and master’s theses at leading institutes in Moscow and St. Petersburg.

Associate Professor Yu.V. Filippov

Along with the traditional areas of scientific and medical activity, pediatric endocrine and endoscopic surgery has been developed. The first laparoscopic surgery was performed in the clinic in 1995. Laparoscopic surgery for liver echinococcosis began to develop (the first laparoscopic removal of liver echinococcosis was performed in the clinic among the first in the world), pediatric coloproctology (mastering the Penă technique), the results of treatment of newborns continued to improve.

Use of an image intensifier during surgery. doctor D.I. Antipov.

In 2003, the department was headed by Doctor of Sciences Dmitry Anatolyevich Morozov. Under his leadership, the department received a new development in neonatal surgery (mortality in “major” malformations – 6%), endocrine surgery, surgery for the pathology of sexual development, uroandrology, coloproctology. Equipping the clinic with modern equipment determined the widespread introduction of new technologies in emergency surgery, traumatologists, correction of congenital malformations, and urology. In 2003, the regional Center for Sex Pathology was organized.

Professor D. A. Morozov

In 2004, the Regional Branch of the Association of Pediatric Surgeons of Russia was established. In the same year, the clinic staff took part in the organization and holding of the Russian Plenum of Urologists in Saratov. In 2005, the department became a member of the organizing committee of the Russian Conference of Pediatric Orthopedists and Traumatologists, having performed significant organizational work. In 2006, the staff of the department became members of the European Association of Pediatric Surgeons (EUPSA). In 2006, the Department of Pediatric Uroandrology of the Scientific Research Institute of Fundamental and Clinical Uronephrology of the SSMU was organized, headed by Professor Igor Vladimirovich Goremykin. The reconstruction of the clinic and the department of pediatric surgery was completed.

In 2007, the department held the XIV Russian Student Conference of Circles of Pediatric Surgery Departments and a satellite symposium “Surgery for the pathology of sexual development in children.”

In 2007, a conference and a master class on maxillofacial surgery were organized with the participation of Professor O.Z. Topolnitsky (Moscow Medical and Dental Institute). In 2008, the first online conference in the history of Russian pediatric surgery was organized and held “Surgery for papillary thyroid cancer in children. T2N0Mx. Thyroidectomy or resection. From 2006 to 2011, the department has consistently implemented three Grants of the President of the Russian Federation to support young Russian scientists.

In 2008, a postgraduate course in pediatric surgery was opened at the department.

Since 2008, the Health of the Regions project has been launched. In cooperation with the Association of Orthodox Doctors of Russia, the staff of the clinic and the department travel to remote areas of the region for free consultations for children.

In 2009, the department took part in the organization and holding of the Russian conference “Basic research in uronephrology”. In 2010, the educational project “Swenson Meetings” was launched. As part of this event, the department was visited by Professor I.V. Poddubny (Moscow), who delivered lectures to the clinic staff and university students, conducted an operating master class “Laparoscopic adrenalectomy in a child” with live broadcast to the audience. In 2011 Professor Eric A. Jones (Baylor College of Medicine, Houston) became a guest of the Swanson Meetings.

In 2011, the department held the first “Summer Zakharov School”: an event designed to combine the education of pediatric surgeon students, summer vacations on the banks of the Volga and informal communication with the leaders of the country’s pediatric surgery. The teachers of the Zakharov School were Moscow professors A.V. Geraskin, V.M. Rozinov, S.M. Stepanenko. The second “Summer Zakharov School” was held in 2012.