Nursing Services Fall 2011

Transcription

1 Nursing Services Fall 2011

2 RCW 28A states life-threatening condition means a health condition that will put the child in danger of death during the school day.

3 Medical Orders Staff Education Student Treatment Plan IHP

4 Students with known medical conditions such as: Asthma Life-Threatening Allergies Diabetes Unstable Seizures

5 Allergens cause allergies and symptoms can vary from person to person. Potential allergens: Substances used to diagnose & treat disease Medications Latex Foods (cross contamination) Stings or insect bites Snake venom

6 Food Allergies Food is the leading cause of anaphylaxis in children. Eight foods cause 90% of food allergy Reactions. Milk Eggs Tree Nuts Peanuts Soybeans Wheat Fish Shellfish

7 Anaphylaxis is a sudden, severe allergic response that produces breathing difficulties, circulatory problems and possible death. Anaphylaxis is always considered a medical emergency.

8 Tingling lips, mouth or tongue Flushing of the face and body Itchy eyes, nose, face Swelling of eyes or face Hives Diarrhea Wheezing

9 Allergy symptoms are controlled by: Medications Diphenhydramine HCL (Benadryl) Fexofenadine HCL (Allegra) Loratadine (Claritin) Diet Allergen-free area

10 Epinephrine Effects will last for only 15 minutes Symptoms can recur 4 to 8 hours later

11 1. Pull off gray safety cap. 2. Place black tip on outer thigh. Stabilize the thigh. You may inject through clothing. 3. Press forcefully to active mechanism. Hold pen in place for 10 seconds. 4. Dispose of Epi-Pen as a contaminated sharp. 5. Massage the injection area for 10 seconds. NOTE: You must demonstrate this skill using the Epi-Pen Trainer to your School Nurse.

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13 What is asthma? Chronic lung condition that causes breathing problems (asthma attacks) Who has asthma? 1 in 5 Washington children Severity varies from person to person

14 What happens during an asthma attack? Airways in the lungs become smaller and extra mucus can block air flow Symptoms include: coughing, wheezing, chest tightness, shortness of breath

15 Triggers for Asthma attacks include: Respiratory Illness Allergens Weather Irritants Emotions Exercise

16 Shortness of breath Coughing Wheezing Chest Pain Chest Tightness

17 Rescue Meds provide quick relief by relaxing the muscles around the bronchial tubes Bronchodilators Long-term control medications reduce inflammation of the airways Reduce inflammation

18 A chronic illness that results from failure of the pancreas to make the hormone called insulin. Without insulin, sugar accumulates in the blood stream and will cause symptoms.

19 Most children have Type 1 Diabetes Not contagious Can t be cured, but can be managed Treatment includes: Blood testing Insulin Dietary control School Accommodations

20 Self-management Individualized approach Exercise Achieve blood glucose control Nutrition Medication Live a normal life

21 Hypoglycemia too much insulin & too little glucose Hyperglycemiatoo little insulin & too much glucose

22 Available in several sizes Increased accuracy and reliability when delivering a small dose Needles are sharper and thinner and lubricated for comfort Shorter needles

23 Taken by injection Lowers blood sugar Different types of insulin have different onset of action

24 Continuous subcutaneous insulin infusion Worn on a belt Pump is connected via tubing to the patient s abdomen Offer benefit of a more normal lifestyle

25 Epilepsy is a chronic disorder of the brain characterized by the tendency to have seizures. Seizures are sudden uncontrolled episodes of excessive electrical discharges in some nerve cells in the brain, with associated sensory, motor, and/or behavioral changes.

26 Generalized Seizures Tonic/Clonic (grand mal) seizures Absence (petit mal) seizures Partial Seizures Complex Partial Simple Partial

27 Medications-often students will be on 2-4 different medications. Ketogenic Diet-foods high in fat and low in carbohydrates and protein. Surgery Vagus Nerve Stimulator

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29 1. Stay Calm 2. Protect person from injury 3. Do not restrain person 4. Do not put anything in mouth 5. Roll person to their side 6. Allow person to rest once seizure is over.

30 Keep in mind follow the rules! Infection Control Universal Precautions Hand Washing Use of Disposable Gloves District Procedures/Guidelines

31 Do not eat, or touch your mouth or eyes, while giving first aid Avoid contact with another person s blood or bodily secretions. Wash hands after bathroom use or contact with body secretions. Wash your hands before and after eating. Use gloves if contact with body fluids is anticipated. Wash your hands after glove use.

32 Hand washing is the single most important practice preventing transmission of infectious organisms!

33 Maintain a supply of gloves in readily accessible locations. Do not reuse gloves. Dispose of used gloves in a lined waste container. Wash hands thoroughly, following hand-washing procedure.

34 Exposure incident means that an employee is exposed to another person s blood or other potentially infectious body fluid. Exposure means direct contact to the employee s eye, mouth, and other mucous membrane or open wound.

35 Wash exposed area immediately. Report to Supervisor immediately. Complete an employee accident report Contact Risk Management to report the incident and for specific procedures to follow. Post-exposure medical evaluation and follow-up needs to be completed.

36 Cover your nose and mouth with a tissue when you cough or sneeze. Frequently wash your hands with soap and water. Avoid touching your eyes, nose or mouth. Avoid close contact with sick people. If you are sick with influenza stay home from work or school.

37 Disinfecting environmental surfaces is important in minimizing the spread of infection Clean environmental surfaces with an approved cleaning solution.

38 Have a great year!