Reply To: Discussion: Skill 7- Nursing Room Procedures

[Trinity]

1. Reviewing Immunization Schedules:

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

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

• I would explain that the vaccines are to prevent future possible illness and some might be fatal. It is necessary for her to get the vaccine so she can be safe

• The side effects are very minor and people only have a 13% chance of getting them which is very low

2.Providing Educational Materials:

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

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

• I would give them a paper about the vaccine I will be giving her and the benefit of getting the vaccine and I think the side effects as well.

• These can help because it can assure them that this vaccine is safe and the importance of the vaccines and help calm there worries

3.Creating a Comfortable Environment:

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

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

• Have child friendly picture and bright child like colors

• Speak in a gentle and friendly tone, ask about their favorite things

• You can give them a teddy bear or some stickers

• You can also pretend to give the parent or caregiver a shot so they would want to be brave like them

4.Preparation and Consent:

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

– 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 tell the parents the importance of gathering medical history

• I would then ask questions about the family medical history of anything and anything else to add to her records

• To get the informed consent I would explain the vaccine I will be giving their child and what it is used for

• I would then explain what the risks are like the side effects but of course reassure, but if they don’t want it I won’t force them

• I would then talk about a different way or an alternative.

• Then ask if if they have any further questions they would like to add or clarify

5.Vaccine Administration Techniques:

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

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

• The importance of the aseptic techniques is so there won’t be any contamination and safety of the patient, future patients and yourself.

• I would make sure everything is clean and sterile

• I would make sure that none of the vaccines I use are expired

• I would wash my hands, sanitize and glove my hands

6.Monitoring and Observation:

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

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

• I would leave her in the room for about 5- 10 min

• I would look for any rashes, short of breath, nausea

• I would put what vaccine I used

• What arm I vaccinated

• The date and my initial

• Lot number and dosage

7.Emergency Preparedness and Response:

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

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

• If I see the signs of anaphylaxis I will administer a epi-pen to the patient and can an ambulance

• I would tell them that If they see that she is swelling, gasping for air and rashes they should grab the epi-pen and pop the blue cap off and jab it into her thigh and it will instantly help her breath then call 911.

• It is important that they do so, so that they would help them feel better and it would help them breathe.

• (Ms.Lauryn)