Bold Voices - May 2014 - (Page 8)

AT THE BEDSIDE Detecting Abuse When Kids Have Fractures Significant consequences can follow an incorrect or missed diagnosis of child abuse. U pdated guidelines from the American Academy of Pediatrics, Elk Grove Village, Ill., provide expanded tools when evaluating children's fractures for possible physical abuse. "Evaluating Children With Fractures for Child Physical Abuse," in Pediatrics, reviews new knowledge about fractures and how they occur, predisposing diseases and conditions, and laboratory evaluations. The consequences of incorrectly diagnosing or missing a diagnosis of abuse can be significant, so knowing what to look for, understanding the child's full history and performing thorough examinations are critical. Highlights include: * Fractures make up 8 to 12 percent of pediatric injuries. Physical abuse causes 12 to 20 percent of the fractures. * Multiple fractures, different healing stages, delay in seeking treatment and existence of other injuries consistent with abuse are clues to potential abuse. * Fractures from abuse are less frequent once a child begins to walk. * Rib fractures and classic metaphyseal lesions of long bones highly suggest abuse. Other long bone, linear skull and clavical fractures are seldom abuse-related. * Osteogenesis imperfecta, prematurity, vitamin and mineral deficiencies, and previous injuries can create vulnerability to fractures and should be considered when testing, evaluating and diagnosing. Earn CE While Learning About Pediatric Fractures Through February 2015, earn CE hours when you read "Fractures in Children: Identifying Abuse," a detailed analysis of the new pediatric fracture guidelines. The article in Medscape features a synopsis of the guidelines, report highlights and implications for practice. Link to it from this month's digital edition of AACN Bold Voices. 8 HaveMore REWARDING DAYS With more than 30 hospitals to choose from, HCA of West & North Florida and Georgia is a growing system that combines stability with all the rewards of working in small community hospitals. We have more training opportunities, more advancement potential, an impressive range of benefits, and of course, a lot more- that's something we're proud of. » I F L You Always Wanted to be a [Certified Registered Nurse Anesthetist] We'll Build Your Future. Apply now for the Midwestern University Nurse Anesthesia Program. To apply and for more information, please visit: Office of Admissions | 19555 N. 59th Ave. | Glendale, AZ 85308 888.247.9277 | |

Table of Contents for the Digital Edition of Bold Voices - May 2014

Another Angle
Pres Note Teaser: What Were We Thinking
Come for the Day. Learn for a Lifetime.
How AACN CSI Academy Changed My Practice
Healthcare Professionals Smoke Less Than General Population
Sleep-Deprived Nurses May Regret Clinical Decisions
Detecting Abuse When Kids Have Fractures
Effective Screening and Counseling for Alcohol Use
Most People Who Need Palliative Care Don’t Receive It
Interruptions Are Dangerous
AACN Community Steps Forward on Early Mobility
Satisfied and Engaged Staff Improve Patient Satisfaction
Involve Nurses When Developing Healthcare Technology
Nurses Concerned About Nursing’s Future
How Does This Year’s Flu Compare to Previous Trends?
Fewer Hospital Opportunities for Nursing Graduates
Excessive Crying as a Preemie, Behavioral Problems Later
Hand Amputees Can Feel Objects With New Prostheses
In Our Journals
Certification Capsules
New Editions of ‘AACN Essentials’ Textbooks
New at NTI 2014: Editorial Consults
Call for Nominations: AACN Board, Nominating Committee
Experience a Wasatch Mountain High This Summer at REACH
Thrive at NTI: 10 Tips for the Best Experience
President’s Note

Bold Voices - May 2014