American College of Surgeons Grants CHOC Prestigious Trauma Center Verification

CHOC Children’s Hospital has been verified by the American College of Surgeons as a Level II pediatric trauma center.  This achievement recognizes CHOC’s commitment to providing the highest quality trauma care to injured patients.  CHOC opened its trauma center in 2015.  It is Orange County’s only trauma center focused exclusively on children.

To earn verification, CHOC submitted an extensive application and data.  This was followed by a site visit from a team of surgeons.  They commended CHOC for exceptional work in several areas, including support by the medical staff, nursing educational excellence and the commitment of hospital administration.

Dr. David Gibbs, director, trauma services, and Amy Waunch., MSN, FNP, CEN, trauma program manager
Dr. David Gibbs, director, trauma services, and Amy Waunch., MSN, FNP, CEN, trauma program manager

“Our team of pediatric subspecialists, nurses and staff are dedicated to providing the highest levels of care to   seriously injured children, from the moment they arrive to the day they go home.  Our goal is to give each patient the best chance of survival and recovery,” says Dr. David Gibbs, director, trauma services, CHOC. “We are honored to serve the children and families in Orange County, and are proud to join an elite group of hospitals committed to improving pediatric trauma care.”

As a verified Level II pediatric trauma center, CHOC is a referral resource for communities in Orange County and surrounding regions, and provides:

  • 24-hour coverage by board-certified pediatric trauma surgeons and quick access to pediatric specialties including orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, internal medicine, plastic surgery, oral and maxillofacial, and critical care
  • Injury prevention and education to the community
  • Continuing education and training for trauma staff
  • Substance abuse screening and patient intervention

CHOC’s trauma center also meets verification standards based on its patient volume and comprehensive quality assessment program.

To be designated a Level II pediatric trauma center, CHOC goes above and beyond to meet the requirements set by Orange County Emergency Medical Services by offering the following.

  • An award-winning pediatric intensive care unit providing intensive and acute care to critically ill surgical and medical patients
  • State-of-the=art operating rooms for performing immediate or emergency surgery using the latest and safest procedures
  • Support services, including child life, social services and psychology, for pediatric patients and their families dealing with traumatic situations
  • Additional hospital services, including a blood bank, radiology and rehabilitation services

Learn more about CHOC’s trauma center.

CHOC Helps Parents with Prenatal Surgery Planning

CHOC surgical servicesSome babies are born with complex conditions requiring surgery during the first few hours following birth. From the moment prenatal testing reveals an abnormality, CHOC Children’s is ready to help with the prenatal care and birth planning necessary to ensure the best-possible outcome.

CHOC has a trained and experienced team that includes perinatologists, neonatologists, pediatric surgeons and NICU nurses to guide families through the months before delivery. And families are essential to the planning process.

“The well-being of the child is surprisingly dependent on the well-being of the family, both psychologically and emotionally,” said Dr. David Gibbs, division chief, pediatric surgery, CHOC Children’s Specialists. “Preparation helps the family cope better, and the family that is coping better is able to provide better care for their child.”

According to Dr. Gibbs, recent advances in the care and outlook for babies born with abnormalities have come from closer prenatal coordination with perinatologists and families, combined with highly specialized neonatal intensive care. The CHOC NICU is rated by the American Academy of Pediatrics as a Level 4 NICU, the highest designation available and given only to facilities that also provide onsite surgical repair of serious congenital or acquired malformations.

That immediate access to the full NICU medical team, resources and support is critical for babies born with gastroschisis, a condition that requires surgery within the first hour following birth, and omphalocele, which must be corrected within the first few days. For the smallest and sickest, CHOC’s Small Baby Unit offers additional support to help babies grow and recover more quickly with fewer infections and setbacks.

For babies born with congenital diaphragmatic hernia, the CHOC Surgical NICU provides the optimal environment in which to stabilize and gain strength before surgery. One room inside the CHOC NICU converts into a state-of-the-art operating room, allowing pediatric surgeons to perform delicate procedures within the unit.

And babies born with congenital cystic adenomatoid malformation (CCAM) may actually get to go home for continued evaluation months before surgery.

Dr. Gibbs added that an important element of prenatal planning is deciding in advance where your baby will be born. Moms who know their baby will need surgery may choose to deliver at a hospital that is near a pediatric facility like CHOC. When the baby is born, the CHOC Transport Team is ready 24 hours a day to transport the baby to CHOC from hospitals throughout the region. Specially trained and equipped, this team uses ground and air transportation to travel to and from hospitals throughout Orange, Los Angeles, Riverside, San Bernardino and San Diego counties — and even beyond.

“We expect most children will do well and have normal lives,” Dr. Gibbs said. “But the first step is meeting with the perinatologist, pediatric surgeon and NICU team. Starting that relationship as soon as possible will make the process of coping with what may seem to be an overwhelming process a lot easier.”

CHOC’s surgeons provide cardiothoracic surgery, gastrointestinal (GI) surgery, general surgery, neurosurgery, urological surgery, otolaryngological (ENT) surgery, plastic surgery, ophthalmologic surgery and orthopaedic surgery.

Learn more about surgical services at CHOC.

In the Spotlight: CHOC Children’s Specialists Pediatric Surgery

“I would never live in a community that doesn’t have a children’s hospital,” says Dr. Mustafa Kabeer, a CHOC Children’s Specialists pediatric surgeon.

Dr. Kabeer and his three partners – all fathers – firmly believe that ill or injured children require the clinical expertise and compassionate, family-centered care unique to pediatric facilities, like CHOC Children’s.

“Kids aren’t small adults.  From tiny newborns to adult-sized teens, each pediatric patient deserves access to the technology, environment and people that can only be found at a children’s hospital.  Here at CHOC, everything we do – each and every day – is focused on children.  We deliver a high level of care in a friendly setting that promotes collaboration among staff and families,” explains Dr. Kabeer. 

Philosophy of Caring
Together, Dr. Kabeer and his partners, Dr. David Gibbs, Dr. Troy Reyna and Dr. Saeed Awan, abide by a philosophy of care that engenders trust between them and their patients and families. More specifically, they treat their patients like they’d want their own children treated.  Similarly, they treat the parents the way they’d want to be treated.

“We encourage parents to come to us with questions so they can learn as much as possible.  As parents, we would do the same thing if we were in their shoes. They need to do whatever they can to feel like they are being good parents, and we want to partner with them in that effort.  We have the same goal:  getting their kids better,” says Dr. Gibbs.

This commitment is extended to referring physicians.

“Physicians in the community should always feel comfortable contacting us.  We answer their calls directly and get their patients seen promptly.  With telemedicine and additional technological advances, we’re always exploring ways to extend our reach into the community,” says Dr. Reyna. 

Scope of Services
In addition to performing the more common surgeries, such as hernia repair, the group offers minimally invasive surgery, the Nuss procedure (for the repair of Pectus Excavatum), robotic surgery and thoracic surgery.  With the addition of Dr. Reyna, approximately two years ago, and Dr. Awan, about eight months ago, CHOC Children’s Specialists Pediatric Surgery has increased the scope of clinical activities, performing an increasing number of thoracic surgeries and treating more cases of inflammatory bowel disease, for example.

“One of the reasons my colleagues and I chose this specialty is the breadth and depth of our field.  We completed one of the longest pathways in the U.S. medical system to become pediatric surgeons.  This training prepared us to operate in a number of areas, from the neck to the pelvic region.  And these are the areas in which we have performed thousands of surgeries throughout our years of practice.  As a group, we bring this experience – and the rigorous training it took to get here – to our patients and their families,” says Dr. Awan.

Commitment to CHOC
As advocates for their patients and families, as well as the broader medical community, the pediatric surgeons are actively involved at the hospital.

Dr. Gibbs is president of the medical staff and the interim medical director of pediatric trauma. 
Dr. Kabeer has served on the CHOC Children’s board of directors and currently serves as secretary/treasurer of the Pediatric Subspecialty Faculty, Inc. board of directors.  All four physicians are active on various committees and in resident training.  All are involved in CHOC’s surgical neonatal intensive care unit, which they created in partnership with the hospital’s neonatology division.

“We couldn’t imagine being the kind of physicians we strive to be without a deep connection to the hospital.  It’s been very rewarding to be a part of CHOC’s recent evolution, which gives us a greater ability to care for our kids,” says Dr. Kabeer.

With a primary office in Orange, CHOC Children’s Specialists Pediatric Surgery has offices in Corona, Mission Viejo and Newport Beach. To refer a patient, please call 714-364-4050.