Atraumatic Care Flashcards
Atraumatic care
Use of interventions that eliminate or minimize the psychological and physical distress
Principles of Atraumatic care
Prevent or minimize physical stressors
Prevent or minimize parent child seperation
Promote a sense of control
Prevent or minimize physical stressors
Avoid or reduce intrusive and painfful procedures
Instead of rectal tempatures what would you do
Tympanic, axillary or temporal temp
If a kid comes to the ED with status asthmatics would you start ABG
No first thing we would do is pulse oximetry to see where they are at first
During circumcision what can we use to minimize physical stress
Topical anesthetic or block
What can we use to help minimize physical stressor when inserting a foley
Use 2% xylocaine jelly
How to prevent physical stressor with serum billirubens on baby
Use transcutaneous billiruben sensor
What policy is put in effect to minimize physical stressors with multiple venipuncture
Two try policy
What can we use to prevent physical stressor during administration cetrixone IM injection
Use lidocaine
For painful injections what can we use to minimize physical stressor
Smalles gauge needle
Topical anesthetics (EMLA,LMX4)
For painful infusions what can we use to minimize physical stressors ?
Slow infusion
Warm packs to the IV site
Instead of restraints we can use
Comfort positions (therapeutics hugging and not papoose boards)
When infants are shivering what can we do
Cover them with warm blankets
When it comes to pediatrics how can we handle sleeplessness
Organize care to allow for 1-2 hour naps