emergencies in sbhc
DESCRIPTION
Emergencies in SBHC. Janet Matthews, MS, FNP, WHCNP Oregon State Program Office, DHS, OFH, AH School-Based Health Centers Program Manager. Identify Emergencies in SBHC. Triage Laura Kuperstein Oregon Safe Net Program, 211 Visual Imagery Home to worksite Preparedness - PowerPoint PPT PresentationTRANSCRIPT
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Emergencies in SBHCEmergencies in SBHC
Janet Matthews, MS, FNP, WHCNPJanet Matthews, MS, FNP, WHCNP Oregon State Program Office, DHS, OFH, AHOregon State Program Office, DHS, OFH, AH School-Based Health Centers Program ManagerSchool-Based Health Centers Program Manager
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Identify Emergencies in SBHCIdentify Emergencies in SBHC Triage Triage
Laura Kuperstein Laura Kuperstein
Oregon Safe Net Program, 211Oregon Safe Net Program, 211
Visual Imagery Visual Imagery Home to worksite PreparednessHome to worksite Preparedness Prepare ; Hope Prepare ; Hope M & MM & M
Injury, suicideInjury, suicide
ID Risk Factors ID Risk Factors
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Common Adolescent Presentation:Common Adolescent Presentation:
InjuryInjury
Vaso-vagal responseVaso-vagal response Allergic reactionAllergic reaction SeizuresSeizures Hypoglycemia;asthma Hypoglycemia;asthma OverdoseOverdose Heat prostrationHeat prostration Outbreak – Outbreak – EpidemiologyEpidemiology RF for violenceRF for violence Self DefenseSelf Defense
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Common Adolescent Presentation:Common Adolescent Presentation:
SuicidalSuicidal
Suicide – Suicide – www.medscape.com/viewarticle/562647www.medscape.com/viewarticle/562647
AARAAARA Anti-dep. - rel. safeAnti-dep. - rel. safe Depression – rel. unsafeDepression – rel. unsafe ComplianceCompliance Withdrawal sxWithdrawal sx CollaborateCollaborate
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FIRST LINE MEDICATIONSFIRST LINE MEDICATIONS EPINEPHRINE RESPONDERSEPINEPHRINE RESPONDERS
Epinephrine x 1Epinephrine x 1 ORS 433.805 - 30ORS 433.805 - 30 OAR 333-55-00 - 035OAR 333-55-00 - 035 Epipen = 0.3 ml SQ x 15 Epipen = 0.3 ml SQ x 15
min durationmin duration <60lbs = 0.15 ml <60lbs = 0.15 ml
SE; transfer asapSE; transfer asap
Other stock medsOther stock meds
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First line responsesFirst line responses
TriageTriage Airway to AARAAirway to AARA
Safe environmentSafe environment Follow upFollow up Delegate prnDelegate prn
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Emergency Kit ContentsEmergency Kit Contents
ABC needsABC needs First line suppliesFirst line supplies First Line MedsFirst Line Meds documentationdocumentation
Resources:Resources: AHA.orgAHA.org hsc.unm.edu/emermed/PED/school rn/school rn.shtmlhsc.unm.edu/emermed/PED/school rn/school rn.shtml
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Align Policy with PracticeAlign Policy with Practice School’s ER policy inclusive of SBHC ?School’s ER policy inclusive of SBHC ? Visual ImageryVisual Imagery Mock CodeMock Code TOPOFFTOPOFF Regular ER kit, Oxygen checks?Regular ER kit, Oxygen checks? Use KPMs to guide:Use KPMs to guide:
F/UF/U CollaborationCollaboration Tx PlanTx Plan
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Emergency PreparednessEmergency Preparedness
Medical Reserve CorpMedical Reserve Corp Natural DisastersNatural Disasters
Tsunami, flood, heat, ARSTsunami, flood, heat, ARS Mass CasualtiesMass Casualties
Bombs, ViolenceBombs, Violence RadiationRadiation
Nuclear; ARSNuclear; ARS ChemicalChemical BiologicalBiological
meningitis, TB, anthrax, meningitis, TB, anthrax, HIVHIV
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Accidental and Accidental and IntentionalIntentional Origins Origins
9/11/019/11/01 Occams RazorOccams Razor Epidemiological cluesEpidemiological clues Complete PMHComplete PMH ResourcesResources
Poison Control Poison Control 1-800 222-12221-800 222-1222
www.CDC.govwww.CDC.gov www.ARC.orgwww.ARC.org www.APHA.org www.APHA.org
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Optimal Emergency Optimal Emergency PreparednessPreparedness
Risk AssessmentRisk Assessment CollaborateCollaborate Inter - Agency DrillsInter - Agency Drills Plan AheadPlan Ahead
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ENA.org; NENA.org; FEMA.orgENA.org; NENA.org; FEMA.org ACEP.org; AAEM.orgACEP.org; AAEM.org Triagefirst.com; Redcross.orgTriagefirst.com; Redcross.org AACN.org; AAP.orgAACN.org; AAP.org MISD.NET/CONNECTION/MENTAL.HTMMISD.NET/CONNECTION/MENTAL.HTM
Pyschnurse.orgPyschnurse.org Revolutionhealth.comRevolutionhealth.com
RESOURCES