Which of the following actions by the nurse best exemplifies atraumatic care?
a. using a eutectic mixture of local anesthetics (EMLA) cream 1 hour before blood draws or the use of any needle
b. requesting assignment to a general medical unit rather than the intensive care unit
c. handwashing when entering the room and before leaving the room
d. reverse isolation for the child who is immunologically compromised
A
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A Correct. Examples of atraumatic care include: 1) age-appropriate explanations before any and every procedure; 2) prior to surgery, helping the child to become familiar with the hospital, equipment, dress, etc.; 3) pain control; and, 4) local anesthetics prior to blood samples, IVs, and injections.
B Incorrect. Atraumatic is the avoidance of physical or psychological distress, and has nothing to do with the trauma unit, the ER, the ICU, etc.
C Incorrect. Handwashing is general hygeine, and has no impact upon lowering or eliminating the physical or psychological distress of the child patient.
D Incorrect. Reverse isolation violates the philosophy of atraumatic care.
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