Haiti: OrientationJudy Hafner MS, RN, CNE, CMSRN

Patient Population

• Newborn to elder

• Males/Females

Disorders/Diseases/Complaints

• Scalp/skin

• Eye

• Allergies

• Respiratory infection

• Cardiac

• Gastrointestinal

• Vaginitis/Chlamydia/STI

Lice

Transmission of Lice and Scabies

• Humid

• Warm

• Close living conditions

• Sleeping together

• Shared clothing, bedding

Scabies

Ringworm/Tinea

Eye dryness/Vision

Allergy complaints

• Sneezing

• Wheezing

• Nasal congestion

• Coughing

• Itchy, watery eyes

• Runny nose

• Itchy throat

• Stomach discomfort

Respiratory Infections

• Upper respiratory infections

• Sinus infection-sinus pressure, drainage, cough, temperature

• Bronchitis-persistent cough, possible wheezing, temperature

• Lower respiratory infections• Pneumonia –cough, SOB, adventitious lung sounds, temperature, fatigue

• SOB-move to front of the line

Cardiac disorders

• Vital sign alterations

• Shortness of breath (SOB)

• Dizziness

• Fatigue

• Edema

Intestinal worms

Vital Signs

• Temperature

• Pulse

• Respirations

• Blood Pressure

• Pain

Temperature

• Normal values

• 36.5-37.7 C

• 96.0-99.9 F

• Many factors that affect temperature

Pulse

• Rate (60-100)

• Rhythm (regular)

• Amplitude/strength

• Radial/apical

• 15- 60 seconds

Respirations

• Rate (12-20)

• Character

Do not let your patient know that you are counting the respirations!!!

Blood Pressure

• Systole

• Diastole

• Affected by…

• Normal <120/<80

• Prehypertensive <130/<89

• Hypertensive

>140/90

https://www.youtube.com/watch?v=_TD--mTgdU8&list=PL4FE29DBDF68B046D&index=14

https://www.youtube.com/watch?v=S648xZDK7b0

Scabies and Lice Medications

• Sulfur ointments (Crisco mixture)

• Ivermectin (must repeat the dose in 10 days to kill eggs)

• Trimethoprim-sulfamethoxazole (Bactrim, Septra)

• Wear gloves

• Do not wash off the ointment

• Address hygiene issues

Medication Administration

• Eye drops

• Normal Saline

• Do not contaminate the tip

of the bottle.

Medication Administration

• Oral antibiotics

• Usually 3-5 days

• Take until GONE!

• Give first dose in

clinic!

• Side effects-N/V/Diarrhea, rash, Allergic

reaction (SOB, hives, swelling of lips or face)

Deworming

• Mebendazole

• Ivermectin

• One tablet treatment (Hide in bread)

• Side effects-abdominal pain, diarrhea, N/V, dizziness, ringing in the ears