When caring for a toddler with hemophilia who has sustained multiple injuries after falling off a sliding board, the nurse's highest priority is to ensure the child's safety and prevent further bleeding or complications related to their condition. Since hemophilia is a bleeding disorder characterized by the inability of the blood to clot properly, it is crucial to take certain precautions. Here are some important considerations for the nurse:
1. Assess and monitor for signs of bleeding: Hemophilia puts the child at risk of internal bleeding, so the nurse should closely observe for any signs such as bruising, swelling, pain, or changes in vital signs. Promptly report any concerning findings to the healthcare team.
2. Protect from trauma: Take measures to prevent additional injuries or trauma. Ensure the child's environment is safe and free from potential hazards. Provide close supervision and avoid activities that may increase the risk of falls or injuries.
3. Administer appropriate treatment: Follow the healthcare team's prescribed treatment plan for hemophilia management. This may involve administering factor replacement therapy, such as clotting factor concentrates or recombinant factors, to control bleeding episodes or prevent spontaneous bleeding.
4. Educate the child's caregivers: Teach the child's parents or guardians about hemophilia, its signs and symptoms, and proper management strategies. Provide education on how to prevent bleeding episodes, recognize early signs of bleeding, and administer necessary treatments at home. Empowering caregivers with knowledge is essential for the child's long-term care and safety.
5. Collaborate with the healthcare team: Maintain effective communication with the healthcare team, including the child's physician, hematologist, and other specialists involved in their care. Regularly update them on the child's condition, any changes or concerns, and follow their recommendations for treatment and monitoring.