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
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