Responsibilities of a paediatric first aider Essay

Maintain your own in force(p)tyContact the mite goGive accurate and useful information to the emergency services Support the casualty physi dealy and emotionallyAppreciate your own limitations know when to intervene and when to clutches for more specialist serve up to arrive. PEFAP 001 1.2 observe how to derogate the risk of infection to self and another(prenominal)s Wash your hand with soap and irrigate before and immediately after giving premier(prenominal) off caution. If gloves are procur adequate for use in first abet situations, you should also wash your hands thoroughly before putting the gloves on and after disposing of them.(Plastic bags do-nothing be used when gloves are unavailable.) Avoid run into with body fluids when possible. Do non touch objects that may be soiled with agate line or other body fluids.Be careful not to prick yourself with broken ice-skating rink or some(prenominal) exquisite objects found on or beloved the inju sanguine person. Pr until nowt injuries when exploitation, handling, cleaning or disposing of sharp instruments or devices. frustrate cuts or other skin-breaks with dry and clean changes. Chronic skin conditions may move open sores on hands. People with these conditions should avoid direct contact with all injured person who is bleed or has open breaks.PEFAP 001 1.3 observe suitable first aid equipment, including personal protection and how it is used appropriately. (Print mend your PPE report) All first aid boxes should take over a white grant chase on a green background. Guidelines published by the National stand of Child Minders, NCMA, as well as Ofsted and experienced paediatric first aid trainers, recommend that the first aid box in a baby bird care setting should contain the items listed include1 first aid guidance leaflet1 large sterile breach dressing1 p line of reasoning disposable gloves10 individually confined wipes2 sterile eye pads1 pair of scissors1 packet hypoallerge nic plasters in assorted sizes3 medium sterile exasperate dressings2 triangular band boards5 finger bob bandages (no applicator studyed)4 safety pinsIt is recommended that you do not sustainment tablets and medicines in the first aid box.PEFAP 001 1.4 Describe what information needs to be included in an shot report/incident record and how to record it. Details of all reportable incidents, injuries, diseases and dangerous occurrences moldiness be recorded, including The date when the report is madeThe method of reportingThe date, time and place of the eventPersonal details of those relateA brief description of the nature of the event or disease. shows erect be kept in any form only must conform to data protection requirements . PEFAP 001 1.5 Define an sister and or a churl for the purpose of first aid word. Paediatric first aid focuses on babes and nipperren. An infant is defined as being from birth to the age of integrity year and a peasant is defined as one year of age to the onset of puberty. Children are however different sizes and a small baby over the age of one may be treated as an infant. Similarly puberty stomach be difficult to recognise, so treat the peasant according to the age that you think they are, large small fryren should be treated with adult techniques.PEFAP 001 3.2 Describe how to continually assess and proctor an infant and a squirt whilst in your care. Remember your ABC and slide by to monitor the infant or child in your care until you can hand over to a doctor or paramedic. A is for airline check that the air lane remains open. ceaselessly monitor a child while in reco precise position. B is for BREATHING Check that ventilation system is normal and regular. C is for CIRCULATION check the pulse (if you are trained and experienced) but ensure you take no more than ten seconds to do this (a) In a child over oneyear life for the carotid pulse in the neck by placing your fingers in the groove amid the Adams a pple and the large muscle running from the human face of the neck . (b) In an infant feel for the brachial pulse on the inner aspect of the upper arm by lightly crush your fingers towards the bone on the inside of the upper arm and hole them thither for five seconds.PEFAP 001 4.1 Identify when to administer CPR to an unresponsive infant and a child who is not breathing normally. CPR should only be carried come out of the closet when an infant or child is unresponsive and not breathing normally. If the infant or child has any signs of normal breathing, or coughing, or movement, do not begin to do chest compressions. Doing so may cause the heart to stop beating. PEFAP 001 4.3 Describe how to deal with an infant and a child who is experiencing a seizure. Witnessing a child having an epileptic seizure is a very unpleasant experience, particularly the first one. However, some young children experience what is termed a Febrile Seizure which is brought on when the child has a high temp erature or infection.RecognitionStiffening of childs bodyTwitching of weapons system and legsLoss of consciousness may wet or soil themselvesMay vomit or foam at the mouthUsually lasts for slight than five minutesMay be sleepy for up to an hour afterwards actmentProtect them with modifying or padding- do not hold them down. Cool them down by removing some vesture.When the seizures stop, place the child in the recovery position and monitor signs of life. If they become unresponsive or the seizure lasts for more than 5 minutes and so you must call 999/112 for an ambulance.PEFAP 001 5.1 Differentiate between a mild and a severe airway obstruction. A mild airway is usually a partial obstruction, it delegacy the entire airway is not closed off, so air is able to pass by the obstruction,and the victim can respond and cough forcefully , or may wheeze between coughs. In a serer airway obstruction, the airway is completely blocked off and the victim cannot breathe because air cannot pa ss by the object. PEFAP 001 5.3 Describe the procedure to be followed after administering the treatment for choking. The child may experience difficulties after having treatment for choking-for type, a unconquerable cough or difficulties with swallowing or breathing. It is important to monitor and assess the childs condition and to seek medical help if the problem persists. PEFAP 001 6.1 Describe common types of breachs.A cut (incision) This can be caused from a sharp edge, such as a tin can ,that can stretch out to a lot of discharge. A torn appal (laceration) is a boney wound that can be caused by a broken toy, a fall or collision. Graze or abrasion cause by friction or scraping, generally happens when children fall. Bruises or contusion is bleeding underneath the skin. The rip collects and results in a black/blue mark. Children often have bruises on their skin, chin and head from knocking themselves or falling. Soft create from raw material bruises should be investigat ed if you have a concern about them. Puncture wound cause by the body being pierced by an object, for example , a child falling whilst carrying a pair of scissors. Velocity wound cause by an item travelling at high upper such as a bullet from a gun.PEFAP 001 6.4 Describe how to administer first aid for fry injuries. With minor bleeding from cuts and abrasions the tenseness is on keeping the wound clean and to concord any blood loss. birth disposable gloves.Examine the injury for any embedded foreign objects. sightly the wound under fresh running water. dumbfound the casualty down. If they feel weak and unsteatimedy, position them on the floor. Clean the skin or so the wound with wet sterile gauze or sterile non-alcoholic wipes and carefully channelize any grit or dirt. Do not remove any embedded object.Elevate the injury to control any blood loss. run dry the wound with sterile gauze and apply a plaster or sterile dressing.Advise the parent or guardian of the child or infant to seek medical attention if infallible.PEFAP 001 7.1 Describe how to recognise and perform an infant and a child who is hurt from shock. After an initial epinephrin rush, the body withdraws blood from the skin in order to maintain the vital organs and the oxygen supply to the brain drops. The infant or child allow for have Pale, cold, clammy skin that is oftern grey-blue in colour, especially around the lips A rapid pulse, becoming weakerShallow, fast breathing.In an infantThe anterior fontanelle is drawn in (depressed).In an infant or a child may showUnusual restlessness, yawning and gasping for air smartLoss of consciousnessThe treatment is the same for an infant and a child.If possible, engage someone to call an ambulance while you stay with the child . Lay the child down, keeping her head low to improve the blood supply to the brain. Treat any obvious cause, such as severe bleeding. Raise the childs leg and support them with pillows or on a cushion on a pile of books. Lo osen any unwavering costume at the neck, chest and waist to help with the child/s breathing. For an infant hold the infant on your lap while you loosen her clothing and offer comfort and reassurance.Cover the child with a blanket or coat to keep her solid. Never use a hot-water bottle or any other direct source of heat. Reassure the child keep talking to her and monitoring her condition while you wait for the ambulance. If the infant or child loses consciousness, open her airway, check her breathing and be prepared to give present breaths. Do not give the child anything to eat or throw if she complains of thirst, just moisten her lips with water.PEFAP 001 7.2 Describe how to recognise and manage an infant and a child who is suffering from anaphylactic shock. During an anaphylactic reaction, chemicals are released into the blood that widen (dilate) blood vessels andcause blood pressure to fall. Air passages then narrow (constrict), resulting in breathing difficulties. In additio n, the tongue and throat can swell, obstructing the airway. An infant or child with anaphylactic shock will need urgent medical help as this can be fatal. The pursuit signs and symptoms may come all at once and the child may rapidly lose consciousness High-pitched wheezing soundBlotchy, itchy, raise rashSwollen eyelids, lips and tongueDifficulty speaking, then breathing abdominal muscle pain, vomiting and diarrhoeaIf you suspect an infant or child is suffering from anaphylactic shock, follow the steps below Call an ambulance. If the child has had a reaction previously, she will have medication to take in sequel of more invades. This should be given as soon as the attack starts, following the instructions closely. Help the child into a comfortable academic term position to relieve any breathing problems and loosen any tight clothing at her neck and waist. Comfort and reassure her while you wait for the ambulance. If the child loses consciousness, open her airway, check her breat hing and be prepared to stat rescue breaths.PEFAP 001 6.2 Describe the types and severity of bleeding and the affect it has on an infant and a child. Even tiny a mounts of blood can seem standardised a lot to a child. Any bleeding may dash children because they are too young to realise that the blood loss will stop when clotting occurs. When a child loses a large tot up of blood, he or she may suffer shock or even become unconscious. Platelets and proteins come into contact with the injured site and plug the wound. This function begins within ten minutes if the loss of blood is brought under control. at that place are different types of bleedingBleeding from arteries This will pump blood from the wound in time with the heartbeat and is bright re in colour. If the bleeding from a major artery will lead to shock, deadness and death within minutes. Bleeding from veins The bold will gush from the wound or pool at the site of the wound. This will depend on the size of the vein tha t has been damaged. The blood will be dark red in colour due to the oxygen being depleted. Bleeding fromcapillaries guck at the site as with an abrasion or maybe internally from a bruising to muscle tissue and internal organs.PEFAP 001 6.3 Demonstrate the safe and effective management for the control of minor and major external bleeding. With minor bleeding from cuts and abrasions the emphasis is on keeping the wound clean and to control any blood loss. Wear disposable glovesExamine the injury for any embedded foreign objectsClean the injured area with cold water, using cotton wool or gauze Do not taste to pick out pieces of gravel or grit from a graze. solely clean gently and cover with a light dressing if necessary Sit the child down if they feel weak and unsteady, position them on the floor. Elevate the injury to control any bold lossRecord the injury and treatment in the Accident news report Book and make sure that the parents/carers of the child are in formed. When a child is bleeding severely, your main aim is to stem the flow of blood. With severe wounds and bleeding the emphasis is on controlling blood loss and treating for shock.Wear disposable glovesSit or lay the child down on the floor to help disallow shock Examine the injury to establish the extent of the wound and to check for any foreign embedded objects Try to stop the bleedingApply direct pressure to the wound use a dressing or a non-fluffy material, such as a clean tea towel Elevate the affected part if possible if the wound is on an arm or leg, raise the injured limb above the train of the heart Apply a dressing if the blood soaks through, do not remove the dressing, apply another on top and so on Support the injured part and treat the child for shock. Keep them warm and do not let them have anything to eat or drink Call 999/112 for an ambulance and monitor the childs conditionContact the childs parents or carersIf the child loses consciousness, follow the ABC procedure for resuscitat ion Always record the incident and the treatment given in the Accident ReportBook. Always wear disposable gloves if in an early years setting, to prevent cross-infection.