COVID-19 In Office Policies with Pandemic Wind Down

Integrative Pediatric Health Care is dedicated to keeping our staff, clients, and families safe and healthy. As the Public Health Emergency orders have ended, we have relaxed some of our policies.

  • IPHC will continue to require the usage of face masks (for anyone 2 years+) in our office who are sick or have been sick within the past 1-2 weeks.
  • Clients and caregivers attending well visits are not required to mask.
  • Please continue to limit the amount of traffic you bring into the clinic. (2 parent/ guardian per scheduled child).
    • Siblings and additional family members are encouraged to stay home as this supports a child-focused appointment; if needed please ask the NP prior to the appointment if bringing additional folks to the appointment.
  • Electronic COVID/illness exposure screenings are still required for ALL IPHC visits.
  • Telehealth appointments are available whenever possible.
  • If attending a well visit, please reschedule if you or your child are sick.

For more in-depth information in regard to IPHC’s COVID recommendations, click here. If you have additional questions or concerns, please message the clinic through the patient portal or call us directly at (720)442-3615.

We appreciate your cooperation and understanding.

COVID-19 Vaccinations

Our office is able to administer the update 2023-2024 Moderna COVID vaccines to children 6 months to age 18. We do not plan to carry Pfizer vaccine due to storage requirements but we still recommend any vaccine. Doses are available based on availability and shipping, be aware shortages may be present. Thanks for your understanding!

If you’d like to schedule an appointment for a COVID-19 vaccine ages 6 months through 18 years click here

We are unable to offer vaccines to parents and folks who are not clients at IPHC.

If you can’t make it to our clinic we suggest the following resources:

For COVID education including what to do when your child is sick or has been exposed, information on COVID disease and data, and COVID immunization information, the CDC website has the most up to date information for children https://www.cdc.gov/coronavirus/2019-ncov/index.html

The following resources are also helpful:

Caring For a Child With COVID

IPHCs Suggestions to Consider if Your Child Tests Positive for COVID

Disclaimer: if this is a life or limb threatening emergency hang up and dial 911. This document is intended to provide general medical advice provided by our NPs. It is not intended to diagnose or treat.

Children, like adults, manifest the COVID virus in a myriad of ways including fever, body aches, vomiting, diarrhea, lack of appetite, congestion, cough, and rash in any combination.  It is important that you continually assess  your child’s expression of COVID and treat those symptoms according to severity. It is also important to stay calm, and only seek medical attention in ERs if needed so we reduce the risk of exposure to other people and health care providers which may be unnecessary.

  • STAY HOME and isolate symptomatic or infected people from other family members who are not symptomatic (if able) and mask if able. Follow the CDC guidelines for isolation and quarantine which often evolve and change. This Link is for kids in school or daycare.
    Antipyretics (acetaminophen [Tylenol, generic forms], ibuprofen [motrin, advil, generic forms] are recommended to treat both body aches and fever.  Remember that a fever is a sign that your child’s body is fighting off the virus and you may want to treat fevers above 102 and/or lower temperatures if he/she is really uncomfortable.  There is no fever that is harmful (unless >107 degrees) unless your child is exhibiting more severe symptoms as well.  However, your child may be more uncomfortable and prone to dehydration with a higher fever which is a good reason to treat the fever.
  • Gastrointestinal signs (vomiting, diarrhea).  You will want to back off/stop solids and initially offer small volumes of pedialyte or electrolyte fluids with glucose to rehydrate until the vomiting stops (see oral rehydration below).  You should report vomiting if you find that your child is not keeping fluids down AND has decreased production of urine (less than one urination or wet diaper every 6-8 hours), not making tears, not making saliva or in babies who have a very sunken soft spot. Remember fever can also contribute to dehydration if you do not encourage your child to take fluids. Oral Rehydration: If your child is vomiting you start with small amounts (this could be as little as a tablespoon every 15 minutes) and work your way up.  Diarrhea may last several days and you will want to protect the skin with barrier cream.  For older children, hydration is also important and electrolyte solutions are best tolerated in SMALL AMOUNTS and slow progress with bone/chicken broth, other clear liquids, constipating solids (banana, rice, applesauce, cooked carrots).  Once your child is feeling better you can progress to a bland diet. Parents often refeed or push solids when children are vomiting which can prolong the irritation to the stomach. It’s OK to use glucose containing fluids and broths and then refeed only after vomiting has stopped for 8-10 hours.
  • Fatigue is also another expression of COVID.  You may find that your child sleeps more and that is ok, just make sure you are also keeping your child hydrated. Fatigue is a helpful symptom of the immune system which encourages rest; it is not medically the same as lethargy which is inability to wake a child up or keep them awake even with intense stimulation.
  • Sore throat.  Many of the older children complain of really sore throats.  Again as a symptom you can treat with Acetaminophen/Ibuprofen. Older children can sip tea, cool fluids, gargle salt water and use lozenges.
  • Cough and congestion. There is no magic bullet to make a cough stop. You can run a humidifier, use steamy showers, prop the child upright, use honey/lemon (if over a year), lozenges if age appropriate. Croupy barky coughs are common as are deep wet coughs. Allow up to 14 days for a cough to improve, up to 4 weeks in some cases if it is improving. If a cough is causing gagging, night time wakeup-again normal-but if it is associated with increased work of breathing, noisy breathing, or audible wheezing or stridor please contact a health-care provider.
  • The cardinal signs that your child is worsening:  increased respiratory rate (although faster breathing is normal with fever), pallor (child is very pale and less responsive), and increased work of breathing, poor color, inability to keep down fluids AND no urine X 10 hours, brown urine, headache that is SEVERE and not alleviated with appropriate pain management and fluids, blistering rash in mucous membranes, inability to swallow, or actual lethargy.  In these instances, you can contact staff @ IPHC for triage OR you can take your child to the nearest urgent care/ER for evaluation. It is important that parents not take children to the ER if they are exhibiting mild symptoms, but if you are unsure always ask a provider.
  • Use of herbs, homeopathics, and experimental treatments are not well understood in COVID in pediatrics and our providers do not have any specific guidance. It is important to know that COVID is more notable for Cytokine Storms which is a specific type of immune response where the immune system can be more hyperactive, therefore we do not globally advise Elderberry or other herbal preparations until they are better understood with COVID.
  • Vitamin D3 is helpful with any respiratory illness to replenish stores and support the immune system, zinc and vitamin C are generally considered safe and also may help the immune system. Other preparations of herbal teas with medicinal properties for other illnesses may be safe, but parents are encouraged to proceed with caution and ask a provider if in doubt.

In summary,

  1. If your child is doing poorly make sure you have been treated with pain or fever medication and observed for response
  2. Fluids, fluids, fluids, rest, rest, rest
  3. Stay home and isolate according to guidelines
  4. Treat the symptoms that you can, and allow the immune system time to do its job. While some recover quickly, it is not uncommon to see lingering symptoms up to 4+ weeks
  5. If your child has SEVERE symptoms and the office is open, call and ask to speak to an NP right away, or after hours can go to ER.
  6. If your child has mild symptoms read this again and monitor from home, consider a telehealth if worsening.
  7. If your child has moderate symptoms please reach out for a telehealth visit or call the office.

Request Telehealth/COVID Appointment