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Sharon Payne QSM
Nurse Practitioner
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Hawkes Bay
• Population 148000
• 23% less than 15 years
• Poverty
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Hawkes Bay Hospital
• Regional hospital
• 40000 presentations annually
• 1/4 Children
• Adult facilities
• Tertiary facility -Starship
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Why Paediatrics?
“Sometimes”, said Pooh. “The smallest things take up the most room in your
heart.”
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Carpal Tarsal Osteolysis
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Nurse Practitioner Role
• Registration 2009
• Defined scope
• Paediatrics included
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Scope of Practice
• Minor illness and injury
• Leadership in resuscitation
• Paediatrics across the entire spectrum of illness and injury
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Minor Emergency Care Area
• Sprains strains fractures
• Colds, flu, asthma
• Pick out children specially
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Minor Illness Team
• Screening smoke free parents
• Non accidental injury
• Opportunistic immunisations
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Meet Rangi Sore throat
Heart foundation
guidelines
Whanau education
Antibiotic use
Pain relief
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Rangi
National heart foundation guidelines
Throat swab positive for Group A strep
GP contacted
Public health
Good outcome
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http://www.heartfoundation.org.nz/files/Algorithm%204%20A%20Guide%20to%20sore%20throat%20management.pdf
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Fractures
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Ouch!!
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Good pain relief
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Our patients come in all shapes and sizes
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Facilities
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Equipment
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Simple Things
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Paediatric Resuscitations
• 24 hour call back for paediatric resuscitations
• Education
• Support
• Family presence facilitation
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Practicing
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Liaison
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Australian Experiences
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Queens Service Medal
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Thank you