Sharon Payne - Paediatric Emergency: Two Words That Cause Even the msot Ecperienced Emergency Nurses to Develop a Knot in their Stomach
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A presentation given by Sharon Payne at the 2012 CHA Conference, The Journey, in the 'Innovation in Supporting Acutely Unwell Children, Young People and Their Fmailies' stream.
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Sharon Payne - Paediatric Emergency: Two Words That Cause Even the msot Ecperienced Emergency Nurses to Develop a Knot in their Stomach
- 1. Nurse Practitioner Sharon Payne QSM
- 2. Hawkes Bay • Population 148000 • 23% less than 15 years • Poverty
- 3. Hawkes Bay Hospital • Regional hospital • 40000 presentations annually • 1/4 Children • Adult facilities • Tertiary facility -Starship
- 4. Why Paediatrics? “Sometimes”, said Pooh. “The smallest things take up the most room in your heart.”
- 6. Nurse Practitioner Role • Registration 2009 • Defined scope • Paediatrics included
- 7. Scope of Practice • Minor illness and injury • Leadership in resuscitation • Paediatrics across the entire spectrum of illness and injury
- 8. Minor Emergency Care Area • Sprains strains fractures • Colds, flu, asthma • Pick out children specially
- 9. Minor Illness Team •Screening smoke free parents •Non accidental injury •Opportunistic immunisations
- 10. Meet Rangi Sore throat Heart foundation guidelines Whanau education Antibiotic use Pain relief
- 11. Rangi National heart foundation guidelines Throat swab positive for Group A strep GP contacted Public health Good outcome
- 13. Fractures
- 14. Ouch!!
- 15. Good pain relief
- 17. Our patients come in all shapes and sizes
- 18. Facilities
- 19. Equipment
- 20. Simple Things
- 21. Paediatric Resuscitations • 24 hour call back for paediatric resuscitations • Education • Support • Family presence facilitation
- 22. Practicing
- 23. Liaison
- 28. Thank you
Notes de l'éditeur
- This is what we aim to have , a smiling child,
- As I said our budget is very limited, but those little things are important, bubbles, stickers, reward certificates and distraction tools are often purchased by myself or my colleagues, We recently acquired a stroller for our volunteers to save their backs when caring for children, giving parents a break.We also developed a paedaitric special pt folder, alerting our staff about children wit chronic illness or special health care needs to guide their careAn alert is placed on the child national index number
- About 3 % of our paediatric presentations are resuscitations, so our staff don’t get a lot of exposure on an individual basis. I provide a 24 hour call back I live 3 minutes from the hospital, to assist, and support staff in these situations, Apart from ensuring my own exposure and learning , it allows me to support family presence as there is usually not enough hands, support our staff, allow them some time out if needed after it is all over, and to identify any equipment or training issues that may be useful. I try to follow up on cases and provide feedback to staf as to how children are doing.