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Emergencies in SBHC

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

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Emergencies in SBHC

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  1. Emergencies in SBHC • Janet Matthews, MS, FNP, WHCNP • Oregon State Program Office, DHS, OFH, AH • School-Based Health Centers Program Manager

  2. Identify Emergencies in SBHC • Triage • Laura Kuperstein Oregon Safe Net Program, 211 • Visual Imagery • Home to worksite Preparedness • Prepare ; Hope • M & M • Injury, suicide • ID Risk Factors

  3. Common Adolescent Presentation:Injury • Vaso-vagal response • Allergic reaction • Seizures • Hypoglycemia;asthma • Overdose • Heat prostration • Outbreak – Epidemiology • RF for violence • Self Defense

  4. Common Adolescent Presentation:Suicidal • Suicide – www.medscape.com/viewarticle/562647 • AARA • Anti-dep. - rel. safe • Depression – rel. unsafe • Compliance • Withdrawal sx • Collaborate

  5. FIRST LINE MEDICATIONSEPINEPHRINE RESPONDERS • Epinephrine x 1 • ORS 433.805 - 30 • OAR 333-55-00 - 035 • Epipen = 0.3 ml SQ x 15 min duration • <60lbs = 0.15 ml SE; transfer asap • Other stock meds

  6. First line responses • Triage • Airway to AARA • Safe environment • Follow up • Delegate prn

  7. Emergency Kit Contents • ABC needs • First line supplies • First Line Meds • documentation • Resources: • AHA.org • hsc.unm.edu/emermed/PED/school rn/school rn.shtml

  8. Align Policy with Practice • School’s ER policy inclusive of SBHC ? • Visual Imagery • Mock Code • TOPOFF • Regular ER kit, Oxygen checks? • Use KPMs to guide: • F/U • Collaboration • Tx Plan

  9. Emergency Preparedness • Medical Reserve Corp • Natural Disasters • Tsunami, flood, heat, ARS • Mass Casualties • Bombs, Violence • Radiation • Nuclear; ARS • Chemical • Biological • meningitis, TB, anthrax, HIV

  10. Accidental and Intentional Origins • 9/11/01 • Occams Razor • Epidemiological clues • Complete PMH • Resources • Poison Control • 1-800 222-1222 • www.CDC.gov • www.ARC.org • www.APHA.org

  11. Optimal Emergency Preparedness • Risk Assessment • Collaborate • Inter - Agency Drills • Plan Ahead

  12. RESOURCES • ENA.org; NENA.org; FEMA.org • ACEP.org; AAEM.org • Triagefirst.com; Redcross.org • AACN.org; AAP.org • MISD.NET/CONNECTION/MENTAL.HTM • Pyschnurse.org • Revolutionhealth.com

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