Reply To: Discussion: Skill 7- Nursing Room Procedures

[Emmanuel]

Group:Ms.Leah- Emmanuel N, Emmanuel T, Apple, Banessa, and Koree

Discussion Points:

1. Reviewing Immunization Schedules:

– Discuss the importance of adhering to national immunization schedules (e.g., CDC guidelines).

• Adhering to national immunization schedules promotes prevention of disease, thus ensuring the health of the population.

• We would inform the parents that vaccines are a requirement for certain schools, jobs, and events.

– How would you explain the schedule and its significance to Emily’s parents?

• Having a vaccine on the designated national schedule is key to prevent any disease from developing. Specifically in this case, since certain diseases evolve during certain ages in children. Therefore, having every vaccine in place can help fight the development or spread of any diseases.

2. Providing Educational Materials:

– What types of educational materials would you provide to Emily’s parents before entering the vaccine room?

• Informational pamphlets over vaccines could help them understand the importance of vaccines.

• Having an upper supervisor like a trained or experienced doctor to inform them of the procedure. This can invoke assertation, and make the patient feel safer.

• Playing a short clip of a trusted or reputable website could help alleviate the worries of Emily’s parents.

– How can these materials help in addressing the parents’ concerns and questions about vaccinations?

• These materials can help in answering the questions and concerns about the vaccinations, since these materials and medical professionals understand the science of vaccines. The doctor may discuss the probabilities of adverse reactions. Similarly, the pamphlets may explain the scientific breakdown and components of the vaccine.

3. Creating a Comfortable Environment:

– What strategies can you use to make the vaccine room child-friendly and calming for Emily?

• Having stress balls, stickers, paintings on the walls, and toys in this pediatric clinic can help distract Emily’s fear of vaccines. If you build a child friendly room, you will ease the stress of young patients.

– Discuss the role of age-appropriate distractions (e.g., toys, books) in alleviating Emily’s anxiety.

4. Preparation and Consent:

– How would you approach the review of Emily’s medical history with her parents?

• I would inform Emily’s parents of her missing vaccines, and why they are important or required..

– What steps would you take to obtain informed consent and address any questions or concerns from Emily’s parents before proceeding with the vaccinations?

• I would inform the parents of how I deliver vaccines. I would have told them that I prepare the vaccines first, then I would call the patient. Before administering the vaccine, I would tell them the importance of each vaccine. For example, if I were to administer “Polio”, I would tell them the importance of this vaccine.

5. Vaccine Administration Techniques:

– Discuss the importance of aseptic techniques in vaccine preparation and administration.

• Ensuring that the vaccines and vials are sterile is important to the operation of the clinic.

– How would you ensure that these techniques are strictly adhered to during Emily’s vaccination?

• I would ensure that these techniques are strictly followed by being hygienic and following the procedures of sterilization.

6. Monitoring and Observation:

– After administering the vaccine, what specific signs and symptoms would you monitor in Emily to detect any immediate adverse reactions?

• After her vaccine I would monitor the skin for any signs of rashes, any faintness or unconsciousness, and confusion in Emily. I would document this in the PM/EHR.

– How would you document the details of the vaccine administered in Emily’s electronic health record (EHR)?

• I would document the lot number, date, type of angle(IM or subcutaneous), and put my initials on the EHR.

7. Emergency Preparedness and Response:

– Describe the emergency procedures in place to manage potential adverse reactions such as anaphylaxis.

• In case of an emergency procedure we would take Emily to the emergency room. We would be polite and answer the worries of Emily’s parents regarding the adverse reaction. As the medical assistant, I would have everything and any reaction recorded in the EHR. After that I would try to to collaborate with other medical staff, and tell them of any suspicious of which vaccine caused this.

– How would you communicate the presence and purpose of emergency equipment (e.g., epinephrine auto-injectors) to Emily’s parents to reassure them?

• I would communicate the purpose of emergency equipment, which is to help fight the allergic reaction. Since the parents are kind of skeptical already, I would inform them that this is a common medication to treat adverse allergic reactions. Hopefully they understand and they do not enter in a passive aggressive manner or tone.