Interview Video

In this evaluation I am going to share with you what has happened during my interview with the nursery manager (Ms Beauchamp).

Firstly she asked me if I was in a situation where I had to remain calm what did I have to do? Then I answered: ” If there were three or more casualties in the room I would go to the quiet one first to check if they’re breathing and still alive, if this happened in a nursery it wouldn’t be a problem because like wise I would go to the unconscious casualty first. I would check for any danger whilst entering the room then if I saw something lying on the floor I would remove it. I would then walk over to the casualty, get down to their level, gently tap them on the shoulder or softly shake them and call out their name to get a response. Secondly, I would slowly open their mouth to make sure that nothing was blocking the airways. I would then gently tilt the hand with one hand and open the mouth with the other by using two fingers and check if the casualty is breathing. Thirdly, I would check for a pulse from the neck or the rist. I would place them in a recovery position and check for breathing once again.”

The manager then asked me what my experiences were with children and I replied: “I have had some past experiences with looking after children including going to a nursery on my work experience earlier this year. I even look after my mothers friends children sometimes. I would use my skills to make children happy and laughing by making silly faces and animal noises and my discipline skills by telling off the child without shout or getting angry if they misbehave and my consulting skills to talk to the child if they’re feeling low and try my best to cheer them up.”

Lastly she asked me what attracted me to the nursery and I replied: The staff here are so polite. The environment is just great and the fact that this nursery is multi-cultural and multi-racial is brilliant. I like the way that they except children with disabilities such as autism, ADHD and ASD. This nursery even welcomes children from different boroughs like Lewisham, Greenwich and Lambeth and not just one standard borough. This nursery also has a good way of celebrating a variety of festivals such as Christmas, Eid, Diwali, Chinese New Year and Black History Month.”

Firstly, I would check for any danger whilst entering the room then if I saw something lying on the floor I would remove it. I would then walk over to the casualty, get down to their level, gently tap them on the shoulder or softly shake them and call out their name to get a response. Secondly, I would slowly open their mouth to make sure that nothing was blocking the airways. I would then gently tilt the hand with one hand and open the mouth with the other by using two fingers and check if the casualty is breathing. Thirdly, I would check for a pulse from the neck or the rist. I would place them in a recovery position and check for breathing once again.

I have had some past experiences with looking after children including going to a nursery on my work experience earlier this year. I even look after my mothers friends children sometimes.

The staff here are so polite. The environment is just great and the fact that this nursery is multi-cultural and multi-racial is brilliant. I like the way that they except children with disabilities such as autism, ADHD and ASD. This nursery even welcomes children from different boroughs like Lewisham, Greenwich and Lambeth and not just one standard borough. This nursery also has a good way of celebrating a variety of festivals such as Christmas, Eid, Diwali, Chinese New Year and Black History Month.

D for danger-You must always check for any danger/health hazards when entering a room, if not you can easily loose balance and hurt yourself.

R for response-Try calling the casualty and see if they respond back to you. You must ensure that they are still very much alive although unconscious.

A for airways-Before performing CPR you must check the casualtys airways to see if there isn’t any blockage. You can’t do CPR if the is anything blocking the casualty’s airway, this will cause incapable breathing and possible death.

B for breathing-Always check if the casualty is breathing by gently tipping their head back and slowly opening their mouth, then lean forward to hear if they’re breathing. If they’re not then you must perform CPR at once.

C for circulation-Check if the casualty’s circulation is functioning properly by checking their pulse from their rist or their neck. You must do this to ensure that their pulse beats are still going and not irregular.

The reason we have Dr ABC is to show how easy it can be to save another individuals life from danger of any kind.

In this evaluation I am going to share with you my experiences of what I’ve learnt in health & social care so far.

Practical:

I have learnt how to treat people with burns, in the past so it was easy for me to demonstrate it to others. For a minor burn you just run it under cold water to cool it down. For a major burn you rap it in clingfilm instead of a towel, this way the burn won’t stick and get fluff onto the skin. You will also need to go to the hospital to get it treated.

I have done learnt CPR in the past so I obviously have a bit more experience with it than the others, I have also helped them with it when they struggled and needed help by demostrating it myself.

Even though we didn’t demonstrate heimwick manouver on each other we did have a little taster on how to do it by watching a video clip on the computer. You place both of your hands underneath the casualty’s abdomen and you then press your hands several times to release the blockage from their airways, you also need to encourage the casualty to cough so the blockage will come out quicker.

Communication skills:

I have learnt how to communicate with an injured casualty without raising my voice. Instead I get down to their level and calmly call out their name. I ask if they’re ok and where are they hurt.

I have a good way of asking for some information from the casualty, I then gather all of that information and ring the ambulance. I can then give out the information when and where the accident has taken place and also a list of injuries the casualty is suffering from.

This video shows my demonstration of first aid. In the clip I’m entering a restauraunt and in it I spot an unconscious casualty, an injured casualty and a shocked casualty.

Before proceeding with my life skill duties I took my time to check for danger, then when that was out of the way I went over to Mazy first (she was unconscious and I had to get to her quickly otherwise she could be dead in an instant) I checked if she was breathing then I placed Mazy on her back. I shook her a bit and called her name to see if I can get a response back from her, she didn’t talk back.

I then checked if her airways were blocked, nothing was there. I checked if she was breathing, and she was, so I placed in recovery position and checked again if she was still breathing.

I called for an assistant to look after her while I went over to Sarah (who was in shock) I went down to her level to calm her down and told her to just relax and concentrate on her breathing, I asked for another assistant to look after her while I went over to the last casualty, Emma (who had a fractured leg) I sat down with her and asked her which leg was fractured, it was the left leg (lifting up) I then asked one of the residents to call an ambulance. It is important when you’re entering a room that you go to the unconscious casualty first, as you may never know if they’re breathing or not, then you go to the less serious casualties. I think did very well and completed this task successfully. If I was to do this all over again I wouldn’t take so long checking for danger.

CPR work because whilst you’re compression the casualty’s chest you’re addiing pressure to the heart to get it pumping up again, also by applying mouth to mouth resusatation and holding them by the nose you’re ensuring that the oxygen travels down into their lungs.

Heart attacks: The causes of heart attacks can be a result of a gradual build-up of fatty material within their walls. This fatty material is called atheroma.

If the atheroma becomes unstable, a piece may break off and lead to a blood clot forming.

The treatmnet for a heart attack:

You will be given pain relief, oxygen and aspirin and a combination of medication, which you should keep taking after you go home.

Other treatment you are likely to have depends on the results of your tests and overall assessment of your condition. The most common types of treatment that are given to people with a heart attack are:

• Thrombolysis: a treatment that helps dissolve the clot that is blocking the artery and helps to restore the blood supply to the heart. It involves injecting a drug in to the blood stream. Thrombolysis is sometimes called a clot buster.
• Coronary angioplasty: a treatment to widen the artery.

Some people may also be advised that they need a heart bypass operation. (This depends if the disease is severe.)

This information is in association with the British heart foundation.

Asthma: It is rather complicated to describe the causes of asthma, however, the information below shows what is known:

• you are more likely to develop asthma if you have a family history of asthma, eczema or allergies
• it is likely that this family history combined with certain environmental factors influences whether or not someone develops asthma
• many aspects of modern lifestyles – such as changes in housing and diet and a more hygienic environment – may have contributed to the rise in asthma over the last few decades
• research has shown that smoking during pregnancy significantly increases the risk of a child developing asthma
• children whose parents smoke are more likely to develop asthma
• environmental pollution can make asthma symptoms worse and may play a part in causing some asthma
• adult onset asthma may develop after a viral infection
• irritants found in the workplace may lead to a person developing asthma (occupational asthma). (This information is in association with Asthma UK at www.asthma.org.uk)

The treament for asthma:

Asthma can’t be cured. Treatments, along with removing triggers, aim to restore normal activities of daily living by reducing the frequency, severity and length of your asthma attacks. A lot of different factors are involved in asthma, so your treatment plan will be individual to you, combining medicines and asthma management in the way that works best for you.

Medicines

Inhalers

Inhalers (sometimes called “puffers”) contain a gas that propels the correct dose of medicine either when the top is pressed down or on inhalation (some inhalers may be dry powder inhalers). This is inhaled into the airways. You will need to use your inhaler correctly in order for it to work properly, so ask your GP for advice.

There are two basic categories of inhaler medicines that are used for asthma:

• relievers - to treat your symptoms
• preventers - to help prevent your symptoms

You should use relievers when your asthma symptoms occur. They can be short-acting or long-acting, and are usually a blue (releases your airways) or green colour (Relieves symptoms). This information is in association with Bupa at hcd2.bupa.co.uk.

Pregnancy treatments: For Choking-Treatment-In the case of pregnant women or anyone who is obese, you need to use a chest thrust. This is the same as the regular maneuver, but you put your arms around the middle of the chest, between the breasts, instead. This information is in association with Blisstree at www.blisstree.com.

In this picture, it shows an example of an accident in an environment whether its in a nursery, school, or retirement home.

Here, I am demonstrating along with my fellow classmates a scenario about communicating with an injured casualty. The role play was based on an accident when I participated as a first aider, it was my duty to treat the child and anyone else suffering from shock after witnessing this accident.

Some of the children were ok, only one suffered from shock so I comforted them and tried to put them at ease by talking to them and keeping them warm with a sheet. After that was out of the way I got straight into action and treated the injured child, I tried responding to him/her but there was no answer so I layed them into a recovery position.

This was wrong because I should’ve checked for any danger at first and I go to the injured casualy. However, on the up side of it I did well making sure everyone else was ok and made the injured child comfortable.

Today I designed a plan of what type of health hazards can happen in a nursery or any other environment. I then indicated the whereabouts of the health hazards and then try to proceed a percaution in each hazard to prevent any more danger in the environment.

For instance, the children could get seriously hurt if they’re not supervised while playing on the slide or the swings therefore none equipment must be in use whilst the children are frolicing in any outdoor activities.

Sharp objects in the childrens toy box is also a health hazard and should not be allowed near them, period! If a fire drill is activatied then all children must be ordered in a single file line before being lead outside the meeting point next to the gates.

Wet coats is another health hazard, children can easily slip and fall where bruises will appear so in order to insinuate this caution we must place a non-slip mat below the coats.