Pediatric Lab DayPediatric Lab Day

Kim Martin, RN, MSN

Nursing Instructor

Harrisburg Community College

Kim Martin, RN, MSN

Nursing Instructor

Harrisburg Community College

May 2011May 2011 Kimberly S. Martin RN, MSNKimberly S. Martin RN, MSN

IntroductionIntroduction

• Overview– Daycare 0700-1400

• Syllabus Guidelines-observation• Growth and Development Cards• Objectives in Tool• Worksheets

• Overview– Daycare 0700-1400

• Syllabus Guidelines-observation• Growth and Development Cards• Objectives in Tool• Worksheets

Day Care GuidelinesDay Care Guidelines

• 0700-1300

• Attire-casual dress – You are a Professional– No jeans or tank tops – No shorts– No flip flops– All other HACC nursing policies apply– Bring worksheets, Completed G&D cards and

HACC ID AND NAME TAG

• 0700-1300

• Attire-casual dress – You are a Professional– No jeans or tank tops – No shorts– No flip flops– All other HACC nursing policies apply– Bring worksheets, Completed G&D cards and

HACC ID AND NAME TAG

IntroductionIntroduction

• Overview– Acute Care Peds 0700-1500

• Parking• Tool• Worksheet with concept map• Diagnosis Cards 6• Medication Sheet

• Overview– Acute Care Peds 0700-1500

• Parking• Tool• Worksheet with concept map• Diagnosis Cards 6• Medication Sheet

Growth and DevelopmentGrowth and Development

• Age Range– Infant

– Toddler

– Preschooler

– School-Aged

– Adolescent

• Age Range– Infant

– Toddler

– Preschooler

– School-Aged

– Adolescent

• 4 Weeks- 1 year

• 1 year-3 years

• 3 years-5 years

• 6 years- 11 years

• 12 years-18 years

• 4 Weeks- 1 year

• 1 year-3 years

• 3 years-5 years

• 6 years- 11 years

• 12 years-18 years

Growth and DevelopmentGrowth and Development

• Physical Growth and Development increas in physical size of the whole or any parts measured in inches/centimeters or pounds/ kilograms– Height– Weight– Head and chest circumference– Fontanels– Dentation

• Physical Growth and Development increas in physical size of the whole or any parts measured in inches/centimeters or pounds/ kilograms– Height– Weight– Head and chest circumference– Fontanels– Dentation

Growth & Development Cards

Growth & Development Cards

• Piaget’s Cognitive Development– Sensorimotor Phase 0-2 years

– Pre-Operational Phase 2-7 years• Symbolic Function 2-4 years• Intuitive Thought 4-7 years

– Concrete Operations Phase 7-11 years

– Formal Operational Phase 11-16 years

• Piaget’s Cognitive Development– Sensorimotor Phase 0-2 years

– Pre-Operational Phase 2-7 years• Symbolic Function 2-4 years• Intuitive Thought 4-7 years

– Concrete Operations Phase 7-11 years

– Formal Operational Phase 11-16 years

Growth & Developmental Cards

Growth & Developmental Cards

• Erikson’s Psychosocial Development– Trust vs. Mistrust 0-1 years

– Autonomy vs. Shame & Doubt

1-3 years

‒ Initiative vs. Guilt 3-6 years

‒ Industry vs. Inferiority 6-12 years

‒ Identity vs. Role Confusion 12-21 years

• Erikson’s Psychosocial Development– Trust vs. Mistrust 0-1 years

– Autonomy vs. Shame & Doubt

1-3 years

‒ Initiative vs. Guilt 3-6 years

‒ Industry vs. Inferiority 6-12 years

‒ Identity vs. Role Confusion 12-21 years

Growth & Development Cards

Growth & Development Cards

• Language Skills: separate by ages– Coos, laughter, babbles, consonants sounds,

imitation, to vocabulary and sentence structure

• Fine Motor Skills (dexterity)• Gross Motor Skills (coordination)• Nutritional Needs

– Favorite foods, calories needed, portions

• Language Skills: separate by ages– Coos, laughter, babbles, consonants sounds,

imitation, to vocabulary and sentence structure

• Fine Motor Skills (dexterity)• Gross Motor Skills (coordination)• Nutritional Needs

– Favorite foods, calories needed, portions

Growth & Development Cards

Growth & Development Cards

• Normal Vital Signs

• Age appropriate Toys

• Immunizations as per CDC

• Parent- Child Teaching– Safety, feeding, toileting, regular medical

and dental check –ups, discipline, independence

• Resources

• Normal Vital Signs

• Age appropriate Toys

• Immunizations as per CDC

• Parent- Child Teaching– Safety, feeding, toileting, regular medical

and dental check –ups, discipline, independence

• Resources

5X7 GROWTH AND DEVELOPMENT CARDS

5X7 GROWTH AND DEVELOPMENT CARDS

• AGE RANGE

• PHYSICAL G&D

• COGNITIVE DEVELOPMENT

• PSYCHOSOCIAL DEVELOPMENT

• LANGUAGE SKILLS

• FINE AND GROSS MOTOR SKILLS

• NUTRITIONAL NEEDS

• NORMAL VITAL SIGNS

• AGE APPROPRIATE TOYS

• IMMUNIZATIONS

• PARENT/CHILD TEACHING

• AGE RANGE

• PHYSICAL G&D

• COGNITIVE DEVELOPMENT

• PSYCHOSOCIAL DEVELOPMENT

• LANGUAGE SKILLS

• FINE AND GROSS MOTOR SKILLS

• NUTRITIONAL NEEDS

• NORMAL VITAL SIGNS

• AGE APPROPRIATE TOYS

• IMMUNIZATIONS

• PARENT/CHILD TEACHING

Day Care ObjectivesDay Care Objectives

• Pages 13-16• Three objectives per day• Complete cognitive developmental

anecdote on page 13• Complete psychosocial development

anecdote on page 14• Complete one of the anecdote on page

15

• Pages 13-16• Three objectives per day• Complete cognitive developmental

anecdote on page 13• Complete psychosocial development

anecdote on page 14• Complete one of the anecdote on page

15

PreconferencePreconference• Each day in preconference you will

discuss your cards

• Complete your cards according to your room assignment

• Example: If you are assigned to the Toddler room you will bring your completed Toddler card and participate in the preconference discussion

• Each day in preconference you will discuss your cards

• Complete your cards according to your room assignment

• Example: If you are assigned to the Toddler room you will bring your completed Toddler card and participate in the preconference discussion

Post ConferencePost Conference

• Worksheets will be completed for the assigned age group– Infant Review Sheet and Small group

Activity– Toddler Review Sheet and Group Activity

side One – Preschooler review Sheet and Group

Activity side Two– Review

• Worksheets will be completed for the assigned age group– Infant Review Sheet and Small group

Activity– Toddler Review Sheet and Group Activity

side One – Preschooler review Sheet and Group

Activity side Two– Review

Acute Care PedsAcute Care Peds

• Parking in the furthest garage area from the hospital• Be ready to go at 0700 on the 7th floor• Assignments will be posted behind nurses station• I&O is charted for every child• Vital signs ever 4• Chart in Celcius• If febrile, 37.9 or above, notify me IMMEDIATELY• Apical pulse please• BP on all children at 0800. • Post op children VS are q 4 hr for 24 hours

• Parking in the furthest garage area from the hospital• Be ready to go at 0700 on the 7th floor• Assignments will be posted behind nurses station• I&O is charted for every child• Vital signs ever 4• Chart in Celcius• If febrile, 37.9 or above, notify me IMMEDIATELY• Apical pulse please• BP on all children at 0800. • Post op children VS are q 4 hr for 24 hours

Acute Care PediatricsAcute Care Pediatrics

• Hershey Med Center 7th floor

• Pin HACC ID at waist level or use adhesive tape for label

• Meet at nurses station

• Receive report at 0700

• Tour after report

• Review IV pumps

• Hershey Med Center 7th floor

• Pin HACC ID at waist level or use adhesive tape for label

• Meet at nurses station

• Receive report at 0700

• Tour after report

• Review IV pumps

Acute Care WorksheetAcute Care Worksheet

• Full assessment• All mediations listed; use white sheet• ALL labs and WHY they were done

EVEN IF YOU HAVE NORMAL VALUES

• Clusters and concept map• I will also need your tool with antedotes

• Full assessment• All mediations listed; use white sheet• ALL labs and WHY they were done

EVEN IF YOU HAVE NORMAL VALUES

• Clusters and concept map• I will also need your tool with antedotes

Acute CareAcute Care

• Weights are to be obtained prior to breakfast KG• Head circumference CM• Height Inches

• Students are responsible for the daily baths by 10 AM• All IV are on a pump with a 2 hour limit. Do not

disconnect IV tubing from pump. Call instructor• May complete tube feedings, add to feedings as long as

instructor is observing

• Weights are to be obtained prior to breakfast KG• Head circumference CM• Height Inches

• Students are responsible for the daily baths by 10 AM• All IV are on a pump with a 2 hour limit. Do not

disconnect IV tubing from pump. Call instructor• May complete tube feedings, add to feedings as long as

instructor is observing

Acute CareAcute Care

• Know correct fluid, rate and amount • Dynamaps are to be turned off when not in use,

Please wait til CAN is completed with dynamap before you take hers. This is often viewed as crime punishable by death

• Pain assessment, I&O, vital signs, treatments, Routines

• Know correct fluid, rate and amount • Dynamaps are to be turned off when not in use,

Please wait til CAN is completed with dynamap before you take hers. This is often viewed as crime punishable by death

• Pain assessment, I&O, vital signs, treatments, Routines

MiscellaneousMiscellaneous

• AA meeting worksheet• Surgical worksheet due with next tool• Prenatal class work sheet• Objectives are due next clinical day for:

– Children and Teen Center – Home Health – Same day surgery

• AA meeting worksheet• Surgical worksheet due with next tool• Prenatal class work sheet• Objectives are due next clinical day for:

– Children and Teen Center – Home Health – Same day surgery