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Week 6 Clinical 1-Amanda Blaire Pediatric Clinical

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Week 6 Pediatric Clinical Amanda Blaire Room 301 Amanda Blaire, 14-year-old female, who was in an ATV accident and now has a fractured tibia and fibula. Her vital signs are Temperature 98.6 F, 37.0 C, HR 87, BP 111/72, RR 18, PaO2 97%. She is post-op day 1 with continuous traction and skeletal pins to immobilize leg. Educational Needs Health LOC Pain Psych Safety You responded correctly to 4 out of 6 evaluations: Category Your response Explanation Educational Needs Increased acuity Status Assessment reports fracture and surgery and rehabilitation needs Health Normal acuity Status Assessment reports fractures, major surgery, and rehabilitation n LOC Normal acuity Status assessment reports no indication of increased LOC acuity Pain Increased acuity Status Assessment reports fractures, major surgery, and rehabilitation n Psych Increased acuity Status assessment reports no indication of increased Psychiatric acuity Safety Increased acuity Status Assessment reports fractures, major surgery, and rehabilitation n Hayden Clark Room 302 Increased acuity Normal acuity Normal acuity Increased acuity Increased acuity Increased acuityHayden Clark, 6-year-old male, weighing 44 lbs., comes to school looking disheveled, and not wearing a coat with the outside temperature in the low 40’s. Educational Needs Health LOC Pain Psych Safety You responded correctly to 3 out of 6 evaluations: Category Your response Educational Needs Increased acuity Health Increased acuity LOC Increased acuity Pain Increased acuity Psych Increased acuity Safety Increased acuity Explanation Education needed for child and parents relating to clothing, hygiene, and physiological needs. Status assessment reports patient not wearing coat in 40-degree weather. Status assessment reports no indication of increased LOC acuity Status assessment reports no indication of increased Pain acuity Status assessment reports does not give clear indication to increased Psych acuity Status assessment reports not wearing coat which places patient at risk for hypothermia Suzanne Williams Room 303 Suzanne Williams, 5-year-old female, weight 35.2 lbs., recently diagnosed with leukemia. CBC results: neutrophil count 1.7, white blood count 30,000. She is reporting gradual arm and leg pain at a 6/10 over the last 4 weeks. Parents attributed pain to “growing pains”. Patient experiencing n/v/d and loss of appetite. Increased acuity Increased acuity Increased acuity Increased acuity Increased acuity Increased acuityVital Signs Temperature 100.8 F, 38.2 C, HR 115, BP 100/65, RR 23, PaO2 95%. The patient is beginning a second round of chemotherapy. Educational Needs Healt

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