ER Nurses -- Evaluated situation, helped calm Hally, retook vital signs, prepared for NP

ER Nurse Practitioner -- Examined Hally, ordered X-Ray, reviewed all symptoms and signs; interpreted x-ray, with Nurse, administered muscle relaxer and anesthesia, set arm in cast.

X-Ray Technetium -- Took X-Ray films of Hally's right arm; processed for NP's review.

General Practitioner -- Follow up after ER visit, watched for signs of infection or discoloration; insured blood flow to arm, managed pain and swelling medication. Removed cast at appropriate time.

Rehabilitative Personnel -- Specialized to help Hally gain full use of her arm through exercise therapy, ultrasound, Jacuzzi, and massage therapy.

Part 3 -- in its very basic form, broken bones are quite common in children. However, there were a number of factors that needed to be assessed by health professionals during Hally's incident:

Location and type of Break -- Ensure no bone or part of bone is sticking through the skin; assess location of potential break; immobilize, consider age, level of activity and distance to treatment facility

Symptoms of Shock -- Prevent shock by keeping Hally warm, head down if necessary, and keep her calm.

Ancillary Wounds -- Check for secondary or ancillary wounds; including head wounds (concussion) or other scrapes or cuts from injury.

Assessment of break and appropriate procedure -- Through x-ray assess whether bone is broken cleaning, how much reduction is necessary, and the actual type of dislocation (Wrist Bone Connected, 2011).

Ability to set and be released...

Hally is young and will likely recover completely. The system this time, worked well, with no adverse or traumatic effects.
REFERENCES

Kids and their Bones: A Guide for Parents. (January 2011). NIH Osteoporosis and Related Bone Diseases National Resource Center. Retrieved from: http://www.niams.nih.gov/health_info/bone/Bone_Health/Juvenile/default.asp

Wrist Bone Connected to the…. (2011). Castoo.com. Retrieved from:

http://www.casttoo.com/Casttoo.com/Design_Catagories/Entries/2007/10/14_Bones_&_X-rays.html

Baniukiewicz, a., et.al., (2011). Broken Arm. EMedicineHealth. Retrieved from:

http://www.emedicinehealth.com/broken_arm/article_em.htm

CNN Health Editors. (2012). Broken Arm. CNN.COM. Retrieved from:

http://www.cnn.com/HEALTH/library/broken-arm/DS01001.html

Sears, D. (2011). Ask Dr. Sears -- Ibuprofen. Askdrsears.com. Retrieved from:

http://www.askdrsears.com/topics/childhood-illnesses/medicine-cabinet/ibuprofen

Tremblay, L. (January 2011) What Vitamins Promote Bone Healing? LiveStrong.com.

Retrieved from: http://www.livestrong.com/article/353630-what-vitamins-promote-bone-healing/