Sharon Payne - Paediatric Emergency: Two Words That Cause Even the msot Ecperienced Emergency Nurses...

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Sharon Payne QSM Nurse Practitioner

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 of Sharon Payne - Paediatric Emergency: Two Words That Cause Even the msot Ecperienced Emergency Nurses...

Page 1: Sharon Payne - Paediatric Emergency: Two Words That Cause Even the msot Ecperienced Emergency Nurses to Develop a Knot in their Stomach

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