ENPC
T or F children and adults have the same outcome if they have the same injury? - Answer-False: kids
have a higher mortality rate/ poorer outcome than an adult
What does the joint policy say for peds? - Answer-Facilitate the delivery of care in kids and include:
-administration and coordination of the ED for care of children
-healthcare providers who staff the ED
-Quality and performance improvements
-improving pediatric safety
-policies procedures and protocols for the ED
-ED support services
-things needed to take care of a kid in the ED
What is the role of an ED nurse with ped patients? - Answer--Recognize the subtle signs of pediatric
illness distress as to identify those that can't wait for a delay
-incorporating the needs of the pt and family into the decision making process
,Most important part about pt discharge? - Answer--discharge instructions are often times not clear and
information is usually not correctly remembered
How to improve the quality of ped care? - Answer--monitoring for fever and neutropenia, door to
provider times, return to ED within 24hrs
What situations have guidelines for improving quality of care? - Answer--child maltreatment
-death of a child in the ED
-DNR orders
-family presence during all care
-beaverment counseling
-ped emergency prep
-transfer policies
Safety with meds? - Answer-- 3x more likely to have a drug overdose due to med packaging
(conversions have to be done quickly and might be in another unit when giving med)
-all meds must be weight based
What other safety issues are a concern? - Answer--safe environment (kids might not always be the
patient)
-fall prevention
-hand cleanser at appropriate height
-needle box heigh and out of reach
-child proofing rooms no in caps left out and covering electrical outlets
Top 5 conditions dx in ED with dc include? - Answer-- <1 fever of unknown origin, otitis media, acute
bronchitis, viral infection, n/v
, - 1-17yro: superficial injuries like contusions, otitis media, open wounds to head, neck, and trunk,
sprains and strains, fever of unknown origin
Pediatric mortality in the US? - Answer--top cause of death is unintentional injury: MVA, firearms,
drowning, and falls cause +12000
-males have a higher mortality rate throughout all ages in the US
-traumatic cause of death: <1yro suffocation, kids 1-4 drowning, 5-19: MVA occupant
-15-19 males have highest mortality intentional and unintentional
Nonfatal unintentional injuries? - Answer--children <1 highest rate of falls
-1-9 yro struck by an object/ insect bite
-10-14 yro: struck/ thrown by an object and overexertion
15-19: struck by an object/ thrown, falls, MVA
Obesity and pverty - Answer--increased rate of obesity in kids
-poverty: poor health outcomes = not good access to care and high risk population
US adolescent activities - Answer--ETOH, drugs, STI, high suicide rates
Australia - Answer--high birth rate
- c/o: gastroenteritis, viral illness, upper respiratory, asthma, croup, abd pain, fractures, otitis media
-causes of infant deaths: maternal complications, congenital anomalies, sudden unexplained infant
death
- trauma leading cause of death 1-16yro
-falls, intentional harm
South Africa? - Answer-High injury rates, high sexual abuse, high murder
T or F children and adults have the same outcome if they have the same injury? - Answer-False: kids
have a higher mortality rate/ poorer outcome than an adult
What does the joint policy say for peds? - Answer-Facilitate the delivery of care in kids and include:
-administration and coordination of the ED for care of children
-healthcare providers who staff the ED
-Quality and performance improvements
-improving pediatric safety
-policies procedures and protocols for the ED
-ED support services
-things needed to take care of a kid in the ED
What is the role of an ED nurse with ped patients? - Answer--Recognize the subtle signs of pediatric
illness distress as to identify those that can't wait for a delay
-incorporating the needs of the pt and family into the decision making process
,Most important part about pt discharge? - Answer--discharge instructions are often times not clear and
information is usually not correctly remembered
How to improve the quality of ped care? - Answer--monitoring for fever and neutropenia, door to
provider times, return to ED within 24hrs
What situations have guidelines for improving quality of care? - Answer--child maltreatment
-death of a child in the ED
-DNR orders
-family presence during all care
-beaverment counseling
-ped emergency prep
-transfer policies
Safety with meds? - Answer-- 3x more likely to have a drug overdose due to med packaging
(conversions have to be done quickly and might be in another unit when giving med)
-all meds must be weight based
What other safety issues are a concern? - Answer--safe environment (kids might not always be the
patient)
-fall prevention
-hand cleanser at appropriate height
-needle box heigh and out of reach
-child proofing rooms no in caps left out and covering electrical outlets
Top 5 conditions dx in ED with dc include? - Answer-- <1 fever of unknown origin, otitis media, acute
bronchitis, viral infection, n/v
, - 1-17yro: superficial injuries like contusions, otitis media, open wounds to head, neck, and trunk,
sprains and strains, fever of unknown origin
Pediatric mortality in the US? - Answer--top cause of death is unintentional injury: MVA, firearms,
drowning, and falls cause +12000
-males have a higher mortality rate throughout all ages in the US
-traumatic cause of death: <1yro suffocation, kids 1-4 drowning, 5-19: MVA occupant
-15-19 males have highest mortality intentional and unintentional
Nonfatal unintentional injuries? - Answer--children <1 highest rate of falls
-1-9 yro struck by an object/ insect bite
-10-14 yro: struck/ thrown by an object and overexertion
15-19: struck by an object/ thrown, falls, MVA
Obesity and pverty - Answer--increased rate of obesity in kids
-poverty: poor health outcomes = not good access to care and high risk population
US adolescent activities - Answer--ETOH, drugs, STI, high suicide rates
Australia - Answer--high birth rate
- c/o: gastroenteritis, viral illness, upper respiratory, asthma, croup, abd pain, fractures, otitis media
-causes of infant deaths: maternal complications, congenital anomalies, sudden unexplained infant
death
- trauma leading cause of death 1-16yro
-falls, intentional harm
South Africa? - Answer-High injury rates, high sexual abuse, high murder
