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Welcome!!!

Welcome!!!. Parent – Child Nursing. General Information. Graduation Advisement Application is due July 1 Advisor. Course Information. Angel http://westgatech.angellearning.com/default.asp Textbook http://thepoint.lww.com/home/index. ATI. If it’s on the Practice Test, it’s

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Welcome!!!

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  1. Welcome!!! Parent – Child Nursing

  2. General Information • Graduation Advisement • Application is due July 1 • Advisor

  3. Course Information • Angel • http://westgatech.angellearning.com/default.asp • Textbook • http://thepoint.lww.com/home/index

  4. ATI If it’s on the Practice Test, it’s on the Proctored Test. If it’s on the Proctored Test, it will be on NCLEX!

  5. ATI • Assignments • Submit to Angel Drop Box • Submit upon achievement of minimum score of 90 • Remediation • Focused Review • Remediation Templates • ATI • https://atitesting.com/Home.aspx

  6. Course Information • Teaching Project • Clinical Written Assignments • Intrapartum Assessment • Postpartum Assessment • Pediatric Care Plan

  7. Prepare for Class • Answer Objectives • Look up Medications • Review Assigned Readings • Review/Listen to PowerPoint • Review Case Studies

  8. Prepare for Lab • Review Reading Assignments • Watch Assigned Videos • Ped Lab at CHOA at Scottish Rite • Will include tour

  9. OB Information • Carrollton Groups • Villa Rica Groups • West GA Heath Groups • Group Leader • Daily Assignments

  10. Clinical and Personal Safety • Arrive to clinical prepared • Arrive well rested • Coming to clinical after working all night will not be tolerated. You will be sent home. • Leaving clinical to go to your personal job is not condoned

  11. PedsInformation • Angel • Lab • Growth & Development • Diseases & Medications • Written Care Plan

  12. Care is provided under direct supervision of the clinical instructor: Brenna Frankish and Claudette Anderson • Keep your voices low - “Soft Talk” • Report is received outside the patient’s room: Transfer of Care and “Safe Start”

  13. Discuss the plan for the day with the nurse assigned to the patient • The RN obtains the first AM set of vital signs • The nurse does the AM assessment

  14. Patient Electronic Record • History & Physical • Nursing Kardex • MAR

  15. Student Responsibilities • Noon Vital Signs • Pain Assessment • PEWS Score

  16. PEWS: Pediatric Early Warning Score • Identification of early signs of patient deterioration • Elimination of preventable codes • Intuition and objective data

  17. PEWS: Pediatric Early Warning Score Behavior 0 = Playing/Appropriate 1 = Sleeping or irritable 2 = Irritable/not consolable 3 = Lethargic/confused

  18. PEWS: Pediatric Early Warning Score Cardiovascular 0 = Pink/CRT 1 – 2 sec 1 = Pale/CRT 3 sec 2 = CRT 4 sec/tachy 3 = CRT  5/abn HR (↑/↓)

  19. PEWS: Pediatric Early Warning Score Respiratory 0 = WNL for age 1 = ↑ RR/O2 use/↑ WOB 2 = ↑ RR/↑ O2 /↑ WOB 3 = ↓ RR/↑↑ O2/↑ WOB

  20. PEWS: Pediatric Early Warning Score Interventions Add 2 points for frequent interventions such as suction, positioning, O2 changes or multiple IV attempts.

  21. Student Responsibilities • Intake and Output every 2 hours • Bathing • Bed linen change • Dressing changes • Medication administration • Interacting with child and family

  22. Oral Medication Administration When giving oral medications be sure to consider: • The child • The circumstances • Your resources

  23. The child’s ability to cooperate depends on: • Age, growth, development • Previous experience with various medication routes • Approach taken by the healthcare provider

  24. Gaining Cooperation • Prepare child and/or parents right before it is to be given. • Incorporate play • Offer choices only when one is available. • Expect success

  25. Age Specific Considerations • Choose appropriate form of the medication • Meds should not be mixed with large amounts of food or in a bottle with formula • Empty gel-caps are available from pharmacy

  26. Medication Safety • Identify your patient using 2 patient identifiers before administering any medications • If you don’t know what it is or what it’s for….look it up! • If you need more than 2 of something…recheck your dose and calculations

  27. Medication Administration Success • Consider the child • Be safe • Be confident

  28. Medication Safety • Place a zero before the decimal: 0.25 mL • No trailing zeros after a decimal: 0.1 mL • Always label your answer: 325 mg = 1 tablet • Your answer will be incorrect if these guidelines are not followed

  29. Best Wishes for aWonderful Semester!

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