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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Article
Management of Pediatric Emergencies on the General Hospital
Author(s)
Nurse Nicole Chinellato1 and Rosanna Varutti2
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DOI:10.17265/2328-7136/2018.04.011
Affiliation(s)
1. AAS 5 “Friuli Occidentale”–Department of Emergency, A&E Territorial Emergency Service, Pordenone 33170, Italy
2. AAS 5 “Friuli Occidentale”–Department of Emergency, ICU, Pordenone 33170, Italy
ABSTRACT
Due to the lack of casuistry, the management of the pediatric patient remains
a source of stress and high risk of errors for the personnel working in the Territorial
Emergency Service, General First Aid and Multipurpose ICU (intensive care unit). In order to facilitate
the management of emergent or urgent pediatric casuistry, a specific training course,
which involves all medical and paramedical staff, has begun in the reality of Pordenone
Hospital. The new work strategy
consists of an organized equipment
according to the Broselow method, adapting the American model to our reality. A
dedicated course was created to become confidential with the new operative strategy,
to reduce mistakes and stress from the staff. After, a questionnaire was given to
nurses working on ICU Dept. to assess the level of
confidence with the new method introduced. It showed an improved confidence with the method, easier management of the pediatric
emergency, fewer stress and better communication between health workers. Subsequently an updating
course was created dedicated to the medical and nursing staff working on the Emergency
Department of the entire province to start the integration between the hospitals
in the area. The final project includes
the drafting of a provincial protocol for the use of both intra and extra hospital
pediatric material. The goal is to ensure
that they do not create unevenness, errors or lack of care and communication between
the professionals involved in the management of the pediatric emergency, from taking
charge on the territory to hospitalization or transfer to the center Hub.
KEYWORDS
Broselow tape, pediatric emergency, Broselow color coding, critically ill children.
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