High Risk Possibilities
My child is screaming with belly pain
intussception
SBO
appendicitis
Cough-P-OHPA vs Cough-P-OH
Which is the more appropriate protocol to choose
always select the OHPA protocol whenever possible
my 10 yo has not been eating well for the past week
appt dispo
r/o GI bug
anorexia
Which protocol?
Asthma attack protocol
A nurse is using a protocol they are not comfortable with, what are some ways to stay safe?
support chat
Maria
going thru reasons for dispo and asking pt if not previously answered
My newborn baby won't wake up to feed
sepsis/ serious illness
fever 101.5F and runny nose and congestion
colds protocol
sinus pain and congestion protocol
my 15 yo son c/o wrist pain after football practice for the past few days
appt
concern for fx can still send to office for evaluation, this includes Jewett
what questions do you want to include in your assessment?
medications
how often using/requiring
relief from the medications
is the child saying he is having a hard time breathing
Chart review
ER notes
"My 4 year old has a sore throat and is drooling"
airway compromise
croup
runny nose, mild fever, child now struggling to breathe
breathing difficulty protocol
mom states her 9 month old fell out of the bumbo seat unwitnessed onto carpeting and now is very fussy when diaper changed and when picked up
ED dispo
possible leg fx or head injury
how can you tell if a pt has asthma on the chart?
snap shot
problem list
previous office visits/encounters
You land on a same day disposition, there is no availability with the pcp, what is your next step?
Per NT protocol, with pediatrics, the nurse should call UPC for possible appt prior to offering AH or alternative.
My kid has been coughing non-stop all night
asthma new or previous dx
pt is vomiting and c/o abdominal pain
abdominal pain-P-OHPA male/female
my 13 yo was in PE yesterday and said she passed out while playing soccer in the gym. Today she is fine
ED dispo
r/o cardiac arrythmia, aortic stenosis
how would you provide care advice in relation to inhaler use?
review rescue inhaler education from the asthma attack protocol
You have a home care disposition, what advice are you providing your parent/pt?
appointment with pcp next available
My child was staring off and wouldn't answer me for about 30 seconds
seizure activity
absence seizure
sinus pain and congestion with cough
cough-P-OHPA
rash with fever and immunizations not up to date
call UPC to discuss how the provider would like you to proceed
Possible options: virtual visit vs in office visit
Retractions and wheezing at time of call. What do we do next?
Coach parent/pt through use of inhaler/nebulizer per asthma attack protocol. Educate on when to go to ED
You land on a Go to office now disposition and end up sending pt to the ED. What should your documentation state?
Comment on note pad for reason for disposition why upgrading to ER.
Care advice to pt should also be edited stating Go to ED now