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