Pediatric Herpes

Simplex Virus

InfectionPrevention

Presented by: Sabrina Orta

*Some information in this presentation comes from outside sources*

My Mentor and I

Student: Sabrina OrtaMentor: Valerie Gray, BSN, RNC(mentor occupational info)Location: Clear Lake Regional Medical Center Field: Neonatal Intensive Care NursingProgram: Independent Study Mentorship- Fall 2014ISM Teacher: Mrs. Kristi Click

"Clear Lake Regional Medical Center - Photos - Google+." Clear Lake Regional Medical Center - Photos - Google+. N.p., n.d. Web. 13 Oct. 2014.

Description:• Offered to self-motivated and passionate

students to study career pathways or topics. • Meet regularly with a mentor in their individual

field of interest• Explore their topic in a one-on-one, hands-on

format as opposed to conventional classroom instruction

What is ISM?

Requirements:• Collegiate quality of work• Mentorship Activity Logs (5 hours ea.

week)• Weekly journal entry (ISM Student Journal)• ISM Professional Portfolio: both a binder

and a website • Mid-Term Presentation• Final Presentation complete with a tangible

product and PowerPoint done at the professional level presented to a panel of graders

• Attend ISM Presentation Fair: Saturday, December 13th (1-4pm)

Sign Out Days: Tuesday & Thursday, Field Trip Days

ISM: Weebly Portfolio

http://sabrinaorta.weebly.com/

What is NICU Nursing• NICU= Neonatal Intensive Care Unit• Care for severely underdeveloped

children to secure basic bodily functions after birth

• Divided between Levels 2 and 3• Some common procedures: suctioning,

phototherapy, evaluative physical exams, blood gas tests, respirator/ventilator use

Why I Chose NICU Nursing as My Study Topic

• Fascinated by it (strength of the small, miracles, power of medicine, etc.)

• Diverse, never boring, busy• Personal gratification from helping those who

can’t help themselves• Potential future career pathway

Various Daily Mentorship Activities

• PPE/ Sanitary precautions… These are very important

Interview Responses to this Topic:• “varying shift times, managing doctor’s orders, and communication with the

patient ‘s family, managing patient care with feedings/baths/medications/charting, regular procedures such as suctions, blood cultures, and pre-/post- surgical procedures” – Mentor

• “charting and managing patient care for those on respirators or ventilator, attend high-risk deliveries, surgeries, care for other patients at other, not-as-advanced, hospitals” –RT

• “deal with nurses and evaluate patients, make orders, and go to deliveries, perform procedures…day to day activities commonly fluctuate depending on if I am on call, working all day or all night, or making rounds” - MD

Daily Activities

Work Environment DescriptionInterview Responses to this Topic- Fantasy

vs. Reality:• “Fantasy: NICU Nurse is happy all the time, doctor does all of patient care

Reality: Doctors submit orders for procedures, nurses handle the “grunt work” of being with the patient and are in charge of their care” -Mentor

• “Fantasy: Job is not as important or as intensive as the work that the nurses and doctors do. Reality: job is quite stressful and essential to patient care (life and death situations, specifically in the NICU)” - RT

• “Fantasy: I can save every patient I have, all of my patients will end up to be fine and turn out smart with perfect development. Reality: the fantasies aren’t always what happens” -MD

Work Environment

Collective Personal Observations on Care

• Simulation of the environment that the patient was used to in the womb

• Weaning• Building up patient

strength to grow, develop, and recover

My Project Topic • Focused on the Education, Awareness,

and Prevention of Herpes Simplex Virus Transmission from mothers to their babies

• Includes:• this informational PowerPoint • a Public Service Announcement (PSA) animated

video

Why I chose Genital Herpes as My Project Topic

• Prevalence of babies exposed/infected with HSV2• Relevant to my age group with an increased amount of

teenagers participating in risky sexual behaviors• Witnessing an actual case of a baby infected at birth and

others receiving exposure

National Statistics: PSA Demographic• 46% of high school teens, and 62% of high school seniors have had

sexual intercourse in the United States• 39% of sexually active teenagers in the United States did not

practice “safe sex” in their last intercourse• 14 % of U.S. high school students have had 4 or more sexual

partners in their lifetime• Risky sexual behaviors are proven to increase in late adolescence• Increasing poverty rates has limited the impoverished educationally

in both academics and health.• U.S. teenage birth rates, when compared to those of other

industrialized countries, are 8x higher

"Adolescent Sexual Behavior: Demographics." Adolescent Sexual Behavior: Demographics. Advocates for Youth, Feb. 2012. Web. 09. Nov. 2014

National Statistics: Genital Herpes• Of STIs, Genital Herpes is one of the most common• Lower socioeconomic status individuals, as well as city dwellers and

divorced individuals are more susceptible to Genital Herpes contact• HSV-2 infection rates are higher in women• HSV-2 can be contracted during pregnancy (2% of women contract it during

this time period)• 15-30% of pregnant woman show a prevalence of HSV-2• Only 5% of infected pregnant women have a history of symptoms• Women infected by HSV-2 who are pregnant are more likely to have

miscarriages, premature labor, babies whose growth is retarded, and babies infected with HSV-2.

• Infants are at a much lower risk of they are born to mothers with a recurring case of the disease because they are better informed of their condition and may caution doctors

Pinninti, Swetha G., MD. "Pediatric Herpes Simplex Virus Infection." Web log post. Medscape.com. N.p., n.d. Web. <http://emedicine.medscape.com/article/964866-overview>.

What is Genital Herpes?

• A sexually transmitted disease (STD) caused by 2 different strains of virus (Simplex type 1 and 2)

• Sores begin to develop- the fluid of the sores also contain the virus and may be spread if come into contact with

"Genital Herpes - CDC Fact Sheet." Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 01 July 2014. Web. 11 Oct. 2014.

How is it Transmitted through Pregnancy?

• Passed on in a variety of categories: • SEM (skin, eyes, mucous membrane)• Disseminated infection• CNS Infection

• 3 Main Pathways:• Vaginal secretions at birth• Oral secretions (kissing)• Rare: in utero

• Diagnosed by tissue cultures and biopsies• After research gone over– display “model” of transmission process

Pinninti, Swetha G., MD. "Pediatric Herpes Simplex Virus Infection." Web log post. Medscape.com. N.p., n.d. Web. <http://emedicine.medscape.com/article/964866-overview>.

Transmission

ComplicationsMother Child

Sores that blister then break to leave painful ulcer

Symptoms: fever, skin rash, eye infection, mouth sores

Other Symptoms: irritation, burning, fever, and incontinence

Untreated cases can be lethal

Recurring outbreaks (permanent disease)

Can spread to the brain and CNS causing encephalitis and meningitis

Can cause cerebral palsy, mental retardation, and death

Lung and Liver Damage

Blindness

Simon, Harvey, MD., ed. "Herpes Simplex: Possible Complications." The New York Times. A.D.A.M., Inc., 5 Nov. 2010. Web. <http://www.nytimes.com/health/guides/disease/herpes-simplex/possible-complications.html>. "Genital Herpes - CDC Fact Sheet." Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 01 July 2014. Web. 11 Oct. 2014.

Complications

Treatment• NICU placement of the baby• Isolated area• Topical Treatments to manage lesions• Antiviral medications to manage infection

VS.

Prevention

-Condoms and other Contraception

-Self-awareness

-Sexual Education

-Talking with the Doctor

PSA Intro and Purpose

• WHY I chose to do a PSA

http://www.powtoon.com/show/bhbEoy7ag7J/fall-final-ism-product/

Or you tube “Fall Final ISM Product”

Summary:

• What genital herpes is • How it is transmitted from mother to

child (including model)• Mother and Child’s individual and

combined complications• Key Statistics• Prevention Information (with PSA video

presentation)

THANK YOU!

Valerie Gray, BSN, RNC

Kristi Click

David and Sara Orta

Works Cited

Adolescent Sexual Behavior: Demographics." Adolescent Sexual Behavior: Demographics. Advocates for Youth, Feb. 2012. Web. 09. Nov. 2014

Pinninti, Swetha G., MD. "Pediatric Herpes Simplex Virus Infection." Web log post. Medscape.com. N.p., n.d. Web. <http://emedicine.medscape.com/article/964866-overview>.

Simon, Harvey, MD., ed. "Herpes Simplex: Possible Complications." The New York Times. A.D.A.M., Inc., 5 Nov. 2010. Web. <http://www.nytimes.com/health/guides/disease/herpes-simplex/possible-complications.html>.