1. Haiti: Orientation Judy Hafner MS, RN, CNE, CMSRN

2. Patient Population Newborn to elder Males/Females

3. Disorders/Diseases/Complaints Scalp/skin Eye Allergies Respiratory infection Cardiac Gastrointestinal Vaginitis/Chlamydia/STI

4. Lice

5. Transmission of Lice and Scabies Humid Warm Close living conditions Sleeping together Shared clothing, bedding

6. Scabies

7. Ringworm/Tinea

8. Eye dryness/Vision

9. Allergy complaints Sneezing Wheezing Nasal congestion Coughing Itchy, watery eyes Runny nose Itchy throat Stomach discomfort

10. 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

11. Cardiac disorders Vital sign alterations Shortness of breath (SOB) Dizziness Fatigue Edema

12. Intestinal worms

14. Vital Signs Temperature Pulse Respirations Blood Pressure Pain

15. Temperature Normal values 36.5-37.7 C 96.0-99.9 F Many factors that affect temperature

16. Pulse Rate (60-100) Rhythm (regular) Amplitude/strength Radial/apical 15- 60 seconds

17. Respirations Rate (12-20) Character Do not let your patient know that you are counting the respirations!!!

18. 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

19. 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

20. Medication Administration Eye drops Normal Saline Do not contaminate the tip of the bottle.

21. 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)

22. Deworming Mebendazole Ivermectin One tablet treatment (Hide in bread) Side effects-abdominal pain, diarrhea, N/V, dizziness, ringing in the ears