Facilitators Manual - Emergency Care Institute

FACILITATORs’ Manual Transition to Emergency Nursing5.8 PaediatricsPaeds Assessment Tips Yes NoAirway• Assess Airway• Identify anatomical differences• Identify RED FLAGS for a compromised airway• Measuring and insertion of oropharygneal airway• Suctioning• Assisting in intubation and securing ETT (optional – basedon facility requirements)48Breathing • Assess Breathing including RR, Work of breathing and SpO 2• Identify the anatomical and physiological differences betweenchildren and adults• Identify RED FLAGS for deterioration of respiratory function• Indication for oxygen administration• Demonstrate the use of a spacer• Explain and complete a Peak flow• Demonstrate use of a Bag valve mask (optional – dependenton facility requirements)Circulation• Assess circulation including pulse rate, capillary refill, and bloodpressure. Discuss when cardiac monitoring is required• Identify the anatomical and physiological differences betweenchildren and adults• Identify signs of dehydration and initiate nursing intervention(trial of fluids etc)• Identify RED FLAGS for deterioration of circulatory status• Indication for nasogastric tube insertion• Indication for Intranvenous cannula insertion• Securing paediatric IVC (according to local policy)• Indication for the use of Easi IO/intraoesseous (optional –dependent on facility requirements)Disability• Assess Neurological status (AVPU, pupils, modified paediatricGCS)• Identify RED FLAGS for deterioration of neurological function• Pain score – utilise an appropriate pain assessment tool basedon the child’s age and situational factors• Discuss analgesia options based on clinical presentation• BGL completed when clinically indicated – discuss the rationalfor completing BGL on childrenMastery Yes NoAssessor’s Nameand Designation:Assessor’sSignature:Comments:Date: