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Pediatric Nurses: Who are they and What do they do ? A Profile of School Nurses and Certified Pediatric Nurses (CPNs ® ) . Janet S. Wyatt, PhD, RN, FAANP Executive Director – IPN Sandi Delack, MEd, RN, NCSN NASN Past President & IPN Board Member . Certified Pediatric Nurse (CPN ® ) Exam

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Pediatric Nurses:Who are they and What do they do ?A Profile of School Nurses and

Certified Pediatric Nurses (CPNs®)

Janet S. Wyatt, PhD, RN, FAANP

Executive Director – IPN

Sandi Delack, MEd, RN, NCSN

NASN Past President & IPN Board Member

slide2

Certified Pediatric Nurse (CPN®) Exam

Launched 1989

Founding Leadership –

Donna Wong, PhD, RN, CPN

Total Certified Oct 2011 = 15,220

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Definition of Pediatric Nursing

  • Includes health promotion, acute & chronic illness management and health restoration of infants, children, adolescents & their families.
  • Pediatric nurses practice in a variety of settings & roles such as direct caregiver, educator, consultant, advocate, or care coordinator.
  • Pediatric nurses assess, analyze, plan & implement nursing interventions & evaluate outcomes.
pncb s 2008 practice analysis study
PNCB’s 2008 Practice Analysis Study

Knowledge & Skills linked to pediatric nursing practice??

  • Practice Analysis - Largest research survey ever completed of practicing pediatric nurses – over 2800 respondents
  • Respondents identified a total of 72 pediatric nursing knowledge competencies and tasks critical to pediatric nursing practice
  • These competencies and tasks are reflected in the exam
dedicated experienced cpn s
Dedicated , Experienced - CPN®s
  • Certified an average of 6 yrs (range 0-30 yrs)
  • With current employer = 13 yrs (range 0-49 yrs)
  • 93% Plan to remain with current employer for next six months
examples of competencies tasks on the cpn exam
Examples of Competencies/Tasks on the CPN Exam

Assessment

  • Assess physical status, growth and development
  • Assess nutritional status of child
  • Assess barriers to care
  • Assess & report signs of abuse and neglect

Health Promotion

  • Teach health promotion strategies to child/family e.g. safety, infection control
  • Discuss environmental factors that influence health
examples cont
Examples (cont.)

Management

  • Monitor for patient responses and adverse reaction to medication
  • Manage pain
  • Identify and intervene when patient needs immediate care
  • Nursing procedures (e.g. physiological monitoring, F&E admin., med. admin.)
top five illness conditions
Top Five Illness Conditions

Respiratory

Gastrointestinal

Infectious Disease

Neurology

Emergency Trauma

cpn exam content outline cont
CPN Exam Content Outline (cont.)

Professional Role

Incorporate evidence-based findings into practice

Participate in disaster preparedness

Recognize legal applications in clinical situations (e.g. assent)

2008 cpn content outline 150 questions
2008 CPN ® Content Outline (150 questions)

Assessment (30% )

  • Physical – Growth and development
  • Psychosocial/Family

Health Promotion (10%)

Management (50%)

  • Illness
  • Psychosocial/Behavioral
  • Chronic Care/End of Life

Professional Role (10%)

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2008 Pediatric Nursing Scope and Standards

  • Pediatric Nursing Scope and Standards of Practice. A collaborative document combining pediatric nursing Scope & Practice documents from the ANA, SPN and NAPNAP
  • Six Standards of Pediatric Nursing Practice
    • ◊ Assessment ◊ Planning
    • ◊ Diagnosis ◊ Implementation
    • ◊ Outcomes Identification ◊ Evaluation
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2008 Pediatric Nursing Scope and Standards

  • Standards of Professional Performance

◊ quality of practice ◊ education

◊ collegiality ◊ collaboration

◊ professional accountability ◊ ethics

◊ resource utilization ◊ leadership

◊ research ◊ advocacy

◊ professional practice evaluation

2008 – Published by ANA, NAPNAP and SPN

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“School nursing is a specialized practice of professional nursing that advances the well being, academic success, and life-long achievement of students. To that end, school nurses facilitate positive student responses to normal development; promote health and safety; intervene with actual and potential health problems; provide case management services; and actively collaborate with others to build student and family capacity for adaptation, self management, self advocacy, and learning.”

nasn membership survey results 15 000
NASN Membership Survey Results (~15,000)

92% Caucasian

29% Nationally Certified (NCSN)

14% > 36 years experience

86% public schools

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Education

50% Bachelors

28% Masters

10% Associate

*3% are NPs

slide18
Most work directly for public schools
  • All work within public health.

NASN 2007 Membership Survey

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National Board for Certification of School Nurses

27% HEALTH APPRAISAL

28% HEALTH PROBLEMS AND NURSING

MANAGEMENT

20% HEALTH PROMOTION/DISEASE PREVENTION

10% SPECIAL HEALTH ISSUES

15% PROFESSIONAL ISSUES

250 test questions

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Does your district/school use electronic student health records?

56% use electronic health records

(2009 NASN Survey)

Potential New Knowledge/ Practice Competency

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Emerging Issues Affecting School Nursing Practice

More school children are uninsured, underinsured and undocumented – public health departments depend on school health services for these children

Increasingly complex care is provided in schools to medically fragile children and children with chronic health issues - schools hiring RNs to serve specific (special needs) students due to regulatory requirements

Physical and psycho-social health status of children is confounded by new social and environmental threats

Fragmented & underfunded school health resources

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Knowledge Expectations in Pediatric Nursing Practice

NCSN

27% HEALTH APPRAISAL

28% HEALTH PROBLEMS AND NURSING MANAGEMENT

20% HEALTH PROMOTION/DISEASE PREVENTION

10% SPECIAL HEALTH ISSUES

15% PROFESSIONAL ISSUES

  • CPN
  • Assessment (30% )
    • Physical Assessment
    • Psychosocial and G & D
  • Health Promotion (10%)
  • Management (50%)
    • Illness
    • Psychosocial/Behavioral
    • Chronic Care/End of Life
  • Professional Role (10%)

Is this content in Undergrad BSN/RN Education ?

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Thank You!

QUESTIONS?