Analysis and Application of a Clinical Practice Guideline: Child Passenger Safety
Chamberlain College of Nursing
NR505 Advanced Research Methods
May 2012
Analysis and Application of a Clinical Practice Guideline: Child Passenger Safety Motor vehicle crashes are identified as the leading cause of death in children under 19 years of age across the United States (Sauber-Schatz, West, & Bergen, 2014). Due to the large number of child deaths that occur each year, education regarding the proper use of child passenger safety seats must be provided to families. According to Basco, Hletko, West, and Darden (2009), although death and injury caused by motor vehicle accidents are deemed accidental, they are
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Recommendations Based on results of the guideline there are specific recommendations that should be followed by families and medical personnel regarding child passenger safety practices. Rear-facing car seats should be utilized for infants and toddlers until they are 2 years old, or have reached the maximum weight identified by the car seat manufacturer. Forward facing seats with a harness should be utilized once the child has outgrown the rear-facing seat and should be utilized until the maximum height or weight identified by the car seat manufacturer has been reached by the child. Once the maximum height or weight requirement has been reached, the child should be transitioned into a belt-positioning booster seat. The belt-positioning booster seat should be utilized until the lap-and-shoulder seat belt fits properly, which is usually between 8 and 12 years of age or around the height of 4 feet nine inches. Until children are at least 14 years of age children should travel in rear seats of vehicles to promote optimal protection (Committee on Injury, Violence, and Poison Prevention, 2011). Whether working as a nurse in the community or on an inpatient hospital unit it is important to continually offer education to families regarding appropriate practice for child passenger safety. Parents often base car seat selection on age of their child, but that is only one of the factors that
The Indiana University Health Bloomington Car Seat Program provides free car seat inspections and installations to families in Monroe County, Greene County, and Owen County. This program is a result of a funding partnership between IU Health Bloomington and Automotive Safety Program. The car seat technician does around 300 inspections and installations a year. The program sessions take place from 9:00a.m. to 3:00p.m. on Fridays at the Assisted Medical Transport Department garage, which is located at 630 South Patterson Dr. Bloomington, IN 47403. The inspection is completed in the participant’s vehicle. Most participants find out about the IU Health Bloomington Car Seat Program by referral from their pediatrician, family, friends or a community organization. While the program ideally targets low income families who fall under the Women, Infants and Children guidelines, families from all socioeconomic statuses are welcomed.
“The risk of motor vehicle crashes is higher among 16 to 19 year olds than among any other age group.” (Teen Drivers: Fact Sheet 1) “The presence of teen passengers increases the crash risk of unsupervised teen drivers. The risk increases with the number of teen passengers.” (Teen Drivers: Fact Sheet 1) In the United States motor vehicle accidents are the number one cause death in teens. “In 2010, seven teens ages 16 to 19 died every day from motor vehicle injuries.” (Teen Drivers: Fact Sheet 2) This alarming number of casualties could be prevented by educating our teenage drivers prior to them being on their own and operating a couple ton weighing
Risk for trauma related to misuse of seat restraints and physical proximity to vehicle pathways.
In today’s society, and even generations before us, kids safety is very important. Also, traveling in an automobile is
The next component of the argument is the qualification. Here is where I ask myself is this really the safest or best option. If I am being honest no, the safest would be that they both ride in the back seat however that argument has long since been dismissed as there are no laws explicit to Oregon that children have to ride in the back seat when they are out of car seats. However it is “suggested” that they ride in the back until they are 12 year old or they reach the 4’9” height requirement to ride in the
The purpose of this study was to see and learn about caregivers and physicians knowledge and comfort levels regarding safety restraint transitions with belt positioning booster seats. The literature review section of this article was short, but very factual. It was not full of jargon and was very easy to read and understand. This section was very informative and talked about belt-positioning booster seats (BPBs) which are normally used for children between the ages of four to eight or under four foot nine inches. This section also talked about how forty-three states (as of 2008) had passed laws mandating booster seats for varying
A few solutions to this problem is parents should find the right seat for their child and use it and also harness them in right. Law Enforcement could do safety checks free for families and offer discounted booster seats. People could also design booster seats so the kids would like them and want to use them. This would fix the problem tremendously because if they use them they would not get so injured or die in a crash. Parents should make sure your child has the correct type and date of booster seat and check if it is on the recall list.
What steps would you take? Now think about this anywhere from 72% to 84% of child restraints show misuses. The most common forms of misuse are using the wrong seat for the child’s age and weight, wrong or loose safety belt attachment to the car seat and harness straps on the child. This is terrifying because a statistic says 96% of parents believe their child safety seats are installed correctly. Taking this information approximately 20%-30% of child restraints don't show misuses. The proper steps would be making sure your children are properly buckled up in a car seat, booster seat, or seat belt, whichever is appropriate for their age, height and weight. For the best protection, infants and children should be buckled in a rear-facing car seat, in the back seat, until age 2 or when they reach the upper weight or height limits of their particular seat When children outgrow their rear-facing seats they should be buckled in a forward-facing car seat, in the back seat, until at least age 5 or when they reach the upper weight or height limit of their particular seat. Once children outgrow their forward-facing seat, they should be buckled in a belt positioning booster seat until seat belts fit properly. Seat belts fit properly when the lap belt lies across the upper thighs and the shoulder belt lays across the chest. Once a seat belt fits properly without a booster seat: For the best possible protection keep children properly buckled in the back seat. Seat Children in the Backseat buckle all children aged 12 and under in the back seat. Don't seat children in front of an airbag, airbags can kill young children riding in the front seat. Never place a rear-facing car seat in front of an air bag. Seat children in the Middle of the back seat buckle children in the middle of the back seat when possible, because it is the safest spot in the vehicle. Use proper restraints every trip buckles
According to the systematic review covered by Apfel, Turan, Souza, Pergolizzi & Hornuss, 2013 there is a significant reduction in postoperative nausea and vomiting and opioid use when using intravenous acetaminophen. The reviewers used Medline and Cochrane databases to conduct their search along with a hand search of abstracts to identify randomized-controlled trials using intravenous acetaminophen. The review was to determine if the acetaminophen was going to have a significant decline in nausea and vomiting following surgical procedures as
Many parents lack education on, or do not fully know, proper car seat use and the consequences of improper car seat safety implementation. Car seat safety is important for children as they face increase risk of injury at certain ages or physical size.
According to the article “Child Vehicular Stroke Fact Sheet” from KidsAndCars.org, “The average number of U.S. child vehicular heat stroke deaths is 37 per year.” That is one death of a child every nine days. Although, some individuals may or may not have unintentionally left their children in the car. A majority of parents that left their child in the vehicle unknowingly did it. However, there is a small percentage of parents that knowingly left their child unattended in the vehicle. In some cases, the child even entered the vehicle on their own without the parent or caregiver noticing in time. Statistics of child vehicular heat stroke deaths reveal that 54.25% of parents unknowingly left their child in the vehicle, 11.58% knowingly left their child in the vehicle, and 33.58% of the children entered the vehicle by themselves without parents or caregivers noticing in a reasonable amount of time (Child Vehicular Heat Stroke). Some individuals, usually non-parents, believe that it is completely absurd to forget a child is in the vehicle. However, the most dangerous mistake a parent or caregiver can make is to think leaving a child alone in a vehicle could never happen to them or their family (Child Vehicular Heat Stroke). A heat stroke can be extremely lethal to young children if it is not recognized and treated in time.
Transporting children Transporting children in a vehicle is a huge responsibility that the director of the childcare center must take it seriously. The author of the book “Administration of Programs for Young Children” (Click, Korkos, & Robertson, 2014) provided a various of tips that the child care director must be taken when transporting children. So regardless of your own center's policies, always follow these transportation safety tips:
CRITICAL APPRAISAL OF A SYSTEMATIC REVIEW AND NARRATIVE REVIEW RELATED TO COMPUTERISED PHYSICIAN ORDER ENTRY SYSTEM
Did you know that every hour, someone dies in a car crash for not wearing his or her seat belt? When you are driving or even riding in a vehicle, buckling your seat belt will decrease your chance of death or serious injury, if you are involved in a severe accident. Seat belts are there regarding to your safety and protection for the prevention of your life being in danger. In 2015, seat belt use in passenger vehicles saved an estimated 13,941 lives, according to National Highway Traffic Safety Administration (Seat Belts np). Recognizing the importance, consequences, and how an individual can deal with the problem are the key aspects to this solution.
Infants should ride rear facing until they are the maximum weight allowed by the car seat manufacturer. At a minimum, the child should remain rear facing until they are at least one year of age and at least 20 pounds. Toddlers/Preschoolers should be placed in a face forward car seat with the full five-point harness. School age children should be in a booster seat until they are able to wear a seat belt correctly which is usually when a child reached the height of 4’9” and between eight and twelve years old. Older children who have outgrown the booster seat should ride with a lap belt and shoulder belt in the back seat until they are thirteen years old.(Christophersen,1977)