Diaper Rash – Yeast Superinfection in Pediatric Patients Standing Order
EFFECTIVE DATE: ____________________________________________________________
APPROVED FOR USE AS A POPULATION BASED STANDING ORDER BY: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________
PURPOSE: To provide a population-based standing order for pediatric patients with classic symptoms of diaper rash – yeast superinfection without complications: Rash is very raw or bleeds or has spread beyond the diaper area, Mild diaper rash not improving after 3 days using standard care advice and has not tried yeast treatment.
POLICY: This standing order follows AAP recommendations in addition to Schmitt-Thompson nurse triage protocols and is to be implemented by the registered nurse as part of the telephone triage encounter.
PROCEDURE:
- The RN will follow Clear Triage software assessment pathway using Schmitt-Thompson approved protocols for nurse triage to include “diaper rash”
- The RN will screen the patient for complicated symptoms or history to include spreading red area or red streak and fever (Exception: fever and rash from diarrhea illness), skin is bright red and peels off in sheets, pimples, blisters, open weeping sores, pus, or yellow crusts.
- If the patient answers “yes” to any complicating factors or history the RN will advise the patient according to the care advice found in the selected protocol. If the patient answers “no” to any complicating factors or history the RN may continue with procedure for standing order.
- Symptomatic patients without complicating factors or history will be treated with ____________________________________________________________________.
- RN will provide the patient with care advice as indicated by Schmitt-Thompson protocols in Clear Triage software to include reasons to call back i.e., Rash isn't much better in 3 days on treatment for yeast or rash becomes worse.
