Sharon Payne QSM

Nurse Practitioner

Hawkes Bay

• Population 148000

• 23% less than 15 years

• Poverty

Hawkes Bay Hospital

• Regional hospital

• 40000 presentations annually

• 1/4 Children

• Adult facilities

• Tertiary facility -Starship

Why Paediatrics?

“Sometimes”, said Pooh. “The smallest things take up the most room in your

heart.”

Carpal Tarsal Osteolysis

Nurse Practitioner Role

• Registration 2009

• Defined scope

• Paediatrics included

Scope of Practice

• Minor illness and injury

• Leadership in resuscitation

• Paediatrics across the entire spectrum of illness and injury

Minor Emergency Care Area

• Sprains strains fractures

• Colds, flu, asthma

• Pick out children specially

Minor Illness Team

• Screening smoke free parents

• Non accidental injury

• Opportunistic immunisations

Meet Rangi Sore throat

Heart foundation

guidelines

Whanau education

Antibiotic use

Pain relief

Rangi

National heart foundation guidelines

Throat swab positive for Group A strep

GP contacted

Public health

Good outcome

http://www.heartfoundation.org.nz/files/Algorithm%204%20A%20Guide%20to%20sore%20throat%20management.pdf

Fractures

Ouch!!

Good pain relief

Our patients come in all shapes and sizes

Facilities

Equipment

Simple Things

Paediatric Resuscitations

• 24 hour call back for paediatric resuscitations

• Education

• Support

• Family presence facilitation

Practicing

Liaison

http://www.childrenshospitalla.org/default.cfm

Australian Experiences

Queens Service Medal

Thank you