NUR 320 Exam 1 Notes

● Lots of family members in the room - family centered care ○ Some situations deal with separation anxiety ● Child and the families or their primary care taker - main focus - extended patient ● The younger the child t ...

● Lots of family members in the room - family centered care ○ Some situations deal with separation anxiety ● Child and the families or their primary care taker - main focus - extended patient ● The younger the child the worse the mortality rate - still have extremely high mortality rate compared to other first world countries - health disparity ● Main goal as pediatric nurse ○ Keep kids healthy - primary intervention ■ Screening, immunizations ○ Going to see 1-3% of things that can go wrong at any given time - 97% of kids are healthy ● Peds nurse is a family nurse ● Wide range of settings ○ Hospitals ○ Offices and clinics ○ Home of the child ○ Rehabilitation centers ○ Schools, childcare centers, camps ○ Community ● Many school systems cannot afford in house nurses mon-friday ○ Nurses at schools tend to be on rotating basis ○ In miami dade - school nurses cannot give an epipen because not there every day ● Pediatric healthcare ○ Role of the nurse ■ Interact effectively with children and family. ■ Modify physical assessment techniques to age. ■ Identify strategies to reduce pain and stress. ■ Calculate accurate medication dosages. - very few standardized doses ● Weight per kilo - important to look up meds ● Overdoses can cause worse side effects or be lethal ■ Provide safety for child’s developmental status. ■ Adapt procedures to child’s age and development. ■ Education ● May be challenging because of range of understanding ● Goals in helping child and parents/guardians. ● Make informed choices. ● Adapt to healthcare settings. ● Prepare for procedures. ■ Advocacy ● Enable child and family to adjust to changes in child’s health. ● In their own way and time ● Needs of both children and adults ● Awareness of resources ● Psychosocial needs ■ Case management ● Importance of coordinated interprofessional team ● Nurse is often aware of family’s desires ● Continuity of care ● Utilizing evidence based practice ○ Ask and clearly describe specific clinical question. ○ Collect most relevant and best evidence from well-designed studies. ○ Review, synthesize, analyze evidence using critical thinking. ○ Integrate evidence with clinical experience. ○ Develop practice guideline. ○ Evaluate change in practice for effect on quality care. ○ Examples include infection control practices to prevent infections, antibiotic stewardship, IV catheter size for blood administration and noninvasive measurement of BP in children. ○ “Babies should start solid foods at 6 months” - new evidence shows parents can start feeding them whatever they want ■ Give what they are allergic to ● Bindler-Ball Continuum of Pediatric Health Care for Children and Their Families ○ ● Standards of pediatric nursing ○ The Society of Pediatric Nurses (SPN) developed the scope and standards of pediatric nursing practice ○ National Association of Pediatric Nurse Practitioners (NAPNAP) ○ Clinical practice guidelines-evidence based statements about care used to make decisions about care for a child with a certain diagnosis. ● Responsibilities of pediatric nurses ○ ● Nurses may work in many different areas of pedatric care ○ Direct patient care ■ Many sub–specialization areas (i.e. intensive care, trauma, neonatal, cardiac, med-surg) ○ Education ○ Advocacy ○ Case management ○ Research ● Advanced practice nurses ○ Master’s-level education: ■ Master’s Degree in nursing (MSN) ■ Clinical nurse specialist (CNS) ■ Pediatric nurse practitioner (NP, PNP, APRN) ○ More responsibility for care of client and client outcomes ○ Doctoral-level education: ■ Doctor of Nursing Practice (DNP) ■ Doctor of Philosophy in Nursing (PhD) ○ More research related responsibilities ● Supervising unlicensed persons ○ Medical assistants (MA) ○ Certified nursing assistants (CNA) ○ Licensed practical nurse (LPN)/Licensed vocational nurse (LVN) ● History of child health care