Week 1, Class 2 (9/1)

Question 1

Where do you do a heel stick?

Answer 1

On the lateral parts of the heel

Question 2

Why do you do a heel stick on the lateral part of the heel ?

Answer 2

There are less nerves on the lateral part of the heel than the medial part of the heel

Question 3

What size lancet do you use for a heel stick?

Answer 3

<2mm

Question 4

How do you increase blood flow to the heel prior to a heel stick ?

Answer 4

Use a warm wash cloth or heat pack.

Question 5

How can you decrease pain in the heel prior to a heel stick?

Answer 5

Use prilocane/ lidocane cream.

Question 6

How long should you leave lidocane on the heel before wiping it off?

Answer 6

30-60 minutes

Question 7

What do you cover the heel with after applying lidocaine ?

Answer 7

Bio-occlusive dressing

Question 8

What will the heel look like if the lidocaine cream worked?

Answer 8

Red and blanchable

Question 9

Prior to performing a heel stick what should you do ?

Answer 9

Wipe with alcohol and do not use a tourniquet

Question 10

Adolescent Pediatric Pain Tool (APPT)

Answer 10

Body outlines for pain assessment. Have the child color the areas on the outline to show you where the pain is. > 7 years old

Question 11

What is the age you use the APPT?

Answer 11

7 years of age. For adolescents

Question 12

Wong-Baker FACES assessment tool

Answer 12

Use of cartoon faces to determine different pain scales in adolescence.

Question 13

Age range for FACES pain rating scale?

Answer 13

3-7 years old

Question 14

FLACC SCALE Categories

Answer 14

Facial expression, Leg movement, Activity, Cry, Consolability.

Question 15

FLACC scale is based on what?

Answer 15

Behaviors and clinical observations

Question 16

Age range for FLACC pain scale

Answer 16

<3 years old

Question 17

What is Atraumatic care ?

Answer 17

Anything we can do to decrease the stress, anxiety, and pain of a child while hospitalized.

Question 18

Pharmacological atraumatic care

Answer 18

Tylenol, ibuprofen, morphine, dilaudid.

Question 19

Non-pharmacological atraumatic care

Answer 19

Swaddling, distractions, non-nutritive sucking, skin to skin, ice packs.

Question 20

What must you do with Atraumatic care?

Answer 20

Must try all options to decrease child’s pain.

Question 21

Consent

Answer 21

Parent/ guardian must consent for adolescents till age 18.

Question 22

Who is/ what makes you eligible to consent under the age of 18?

Answer 22

Emancipated minors, pregnancy, marriage, military, court ordered.

Question 23

Assent

Answer 23

“Right thing to do”, NOT legally binding.

Question 24

Who is eligible for Assent?

Answer 24

Adolescents over the age of 7. Need to be able to understand what is going on prior to procedure or treatment. Often seen in research.

Question 25

What can those under 18 seek in healthcare without parents/guardians?

Answer 25

Birth control, STI testing, drug and alcohol abuse help, mental health issues.

Question 26

Nationally notifiable STIs and diseases.

Answer 26

HIV, TB, Measles, Syphilis, Chlamydia, Gonorrhea.

Question 27

Where are vaccines given?

Answer 27

IM and SubQ

Question 28

Where are live vaccines given?

Answer 28

SubQ

Question 29

What live vaccines are given SubQ?

Answer 29

MMRV
Measles, Mumps, Rubella, Varicella.

Question 30

Contraindications for live virus vaccines

Answer 30

Immunocompromised, pregnancy, allergies, previous anaphylactic reaction, severe illness with fever, passive immunity (blood transfusion in the last 90-120 days).

Question 31

Complications of Hib vaccine

Answer 31

Meningitis, intellectual disability, epiglottitis, pneumonia, death.