An 11-month-old baby is brought into the walk in clinic with a fever of 38.0C.

The nanny says she does not know

what to do. There is minimal information on the childs immunization card and when asked for more information, the
-p
Lack of immunization records

Ineffective coping from

nanny

Fever
-If the baby is
bundles in excess
clothing, remove
layers.
-Ask the walk in
for infants Tylenol
to be
administered.
-Keep baby in
loose cotton
pyjamas to sleep
for ventilation and
comfort.
-Bring baby to a
cooler area or a
lukewarm bath to
bring down the
fever.
-use a lukewarm
sponge or towel
and dab on the
childs skin to cool
down infant.

Risk for infection

Risk for

Anxious nanny

-Educate nanny
about infection
control and hand
washing while
handling the infant.

-refer the nanny to

a paediatrician that
can introduce more
fluids into babies
diet.

-Implement soothing
methods the nanny
can use such as
rocking and holding
baby.

-Educate nanny on
how to prevent
bacteria and
pathogens from
spreading on infants
items by proper
cleaning methods.

- Send the nanny

with a list of fluids
the baby should be
in taking to
promote hydration.

-Recommend future
doctor check ups to
ensure interventions
are effective.

-give the nanny a

prescription for
antibiotics in the
case the baby has a
bacteria infection.
-have nanny
implement sleeping
schedule for baby to
rest so body can
fight if infection is
present.
-monitor babys
temperature to
ensure if is settling
and reaching normal

-monitor intake and

output of the infant.
-ensure the nanny
understand the
importance of
regular feeding
times with a
nutrient riched
formula.
- teach nanny how
to identify signs
and symptoms of
dehydration such
as a dry mucous
membrane.

-Provide nanny with

tools and a schedule
on what to do at
home with the
infant.
-Ensure the nanny
that contacting the
parents to state it is
an emergency is
important and the
parents can give
additional info on
the childs
immunization status.
- Asses the nannys
anxiety levels and
how she can relieve
the feeling on her

Nannys lack of
knowledge/training

No information
from parents and
cannot call unless
emergency

-send nanny with

pamphlets and
accessible information
about fevers in
infants.

-obtain parents

-Implement health
teaching on signs and
symptoms of having a
fever.

-inform the nanny

that a fever of
38.0C is serious
and parents should
be notified.

-Implement teaching
on signs and
symptoms of
dehydration and the
importance of
introducing nutrients
into the babies diet.
-Show the nanny how
to use a rectal
thermometer and the
appropriate readings
for an infant at 11
months.
-provide information
on how the nanny can
attend nanny
information classes.

contact information
from nanny to
inform them of
situation.

-Encourage the
nanny to seek
information from
the infants primary
health care
provider to see the
baby and provide
more records.
-Inform the nanny if
symptoms persist
or get worse to
bring the infant to
the emergency
room for proper
care.
-Although there is
minimal