Description
Admission Ticket Questions:
What are some key assessments for the nurse generalist to perform on an infant that appears in respiratory distress?
What are some signs that indicate respiratory distress in children, other than a high respiratory rate?
What are the indications and contraindications of common medications used to treat respiratory distress?
What are some of the nursing considerations for caring for a child in respiratory distress and prolonged respiratory illness?
List some educational components that the nurse would want to explore with families of a child with respiratory distress?
The Journal Entry Question has to be half a page to a page long
Journal Assignment #1:
What has been your experience with journal writing? How would you like to use this journaling strategy in the course to enhance your resiliency skills? Reflect on someone you know who models self-care and resilience. What specific traits or habits do you admire about that person that demonstrates a strong sense of well-being?
Unformatted Attachment Preview
Name: Joshua Bowman
Age: 18 months
Weight: 9.5kg
Height: 74.3cm
Gender: Male
Situation:
You are working in the ED and are asked to see an 18-month-old infant that was brought into
the ED by mom due to increasing respiratory distress. The infant is to be admitted for 24-hour
observation.
Background:
18-month-old born at term.
Joshua had symptoms of a respiratory infection 48 hours ago. He has 2 siblings at home who
have also had these same symptoms. Yesterday, Joshua’s mom took Joshua to his pediatrician
and because of worsening respiratory distress she has brought Joshua to ED and he is going to
be admitted for 24-hour observation. Patient is irritable and fussy, but consolable by mom.
Mom had to step away from bedside to call her husband.
Assessment:
Recommendations:
We need to give Mom discharge teaching on how to administer medication through the nebulizer. She
also needs reinforcement of education on the importance of the medication and when to give it.
Student Roles:
Primary nurse, medication nurse, team leader
Revision Number: 29
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Scenario:
Joshua Bowman 18 months old
Objectives:
The Student Will:
1) Demonstrate principles of caring
2) Positively identify the patient
3) Demonstrate the ability to perform a systematic approach to pediatric assessments.
4) Identify and perform interventions for pediatric patients with respiratory emergencies.
5) Utilize the nursing process and clinical judgment in the development of quality, safe, comprehensive, patient-centered care
for children and their families including:
a. pediatric assessments
b. developmentally appropriate health teaching
c. pediatric medication administration
6) Complete a discharge plan and the education for a client with respiratory complications
Please review the following PRIOR to your simulation experience:
Read the following:
• Review Bulb suctioning (p.554), Respiratory Secretion Specimens (p 554) in Maternal Child Nursing Care Textbook. Review also
•
oropharyngeal and nasopharyngeal suctioning in ATI book.
Review the following pages from Maternal Child Nursing Care textbook: Respiratory assessment pages; 737, 1109-1116, Oxygen
therapy pages 1098-1099 and RSV/bronchiolitis page 1128-1130
Watch the following:
•
Please review video on administering a nebulizer treatment to a child. https://youtu.be/Ns7vZnhreYk
Revision Number:9
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Review the patient’s chart including:
•
Review “patient story” that is posted on BB. See the calendar listed in Blackboard for your assigned time. The student will participate in the
simulation assignment and group debriefing.
Pre-Scenario Questions:
Complete the following questions prior to the Simulation. Answers must be completed for review prior to simulation session to allow
student to participate in session.
1. What are some key assessments for the nurse generalist to perform on an infant that appears in respiratory distress?
2. What are some signs that indicate respiratory distress in children, other than a high respiratory rate?
3. What are the indications and contraindications of common medications used to treat respiratory distress?
4. What are some of the nursing considerations for caring for a child in respiratory distress and prolonged respiratory illness?
5. List some educational components that the nurse would want to explore with families of a child with respiratory distress?
Revision Number:9
Document1Document1
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