Exposure

• What is the role of exposure in an A-E assessment?

  To ensure that no significant clinical information is missed
• Why is it important to maintain a child's dignity during exposure?

  To ensure the child feels respected and comfortable
• What should be looked for during the exposure part of the assessment?

  Signs of injuries, colour changes, and signs of rashes
• How should a child's temperature be recorded if not done earlier?

  It should be recorded during the exposure assessment
• What are the common methods to measure a child's temperature?

  From the tympanic membrane or from the axilla
• What is the normal temperature range for children?

  Between 36.5 and 37.5 degrees Celsius
• Why is the skin vital for human survival?

  Due to its physiological functions
• What percentage of body mass does the skin make up?

  Approximately 10%
• What types of rashes are common in childhood illnesses?

  Chicken pox, eczema, measles, allergy, and purpura
• What is the importance of considering harm when moving children during assessment?

  To prevent further injury, especially in trauma cases
• What is the procedure called to keep a child's spine aligned during movement?

  Log rolling
• What are the personal safety guidelines for performing a log roll?

  • Approach the child in height order
  • Ensure the bed is at the right height
  • Use a palm hold to support the child
  • Position feet for stability and bend knees slightly
  • Communicate with the child and family
• Who is positioned at the head of the bed during a log roll?

  The team leader
• What is the role of Assistant 1 during the log roll?

  To place hands on the child's shoulder and hip
• What should the team leader do before initiating the log roll?

  Speak aloud instructions to move
• What is the responsibility of Assistant 2 during the log roll?

  To ensure the lower spine is not twisted
• What does Assistant 3 do during the log roll?

  Places hands under the knee and ankle of the furthest leg
• How should the patient's legs be positioned during the log roll?

  The upper leg must be kept in alignment with the lower leg
• What is the order of hand removal after the log roll?

  Assistant 3, Assistant 2, Assistant 1, then the team leader
• Why should the team leader be the last to remove their hands?

  To ensure the C spine remains immobile until the roll is complete
• Why is it important to communicate with the child and family during the log roll?

  To ensure they understand what is happening
• What are the physiological functions of the skin?

  Protection, regulation of temperature, and sensation
• What significant changes does the skin undergo throughout a lifetime?

  It changes in thickness, elasticity, and appearance
• Who can perform the log rolling procedure?

  Many varieties of healthcare workers
• Why is stability important in positioning feet during the log roll?

  To prevent falls and ensure a safe movement
• How does maintaining the child's dignity impact the assessment process?

  It fosters trust and cooperation from the child