1. Pediatric Lab Day Kim Martin, RN, MSN Nursing Instructor Harrisburg Community College Kim Martin, RN, MSN Nursing Instructor Harrisburg Community College May 2011 Kimberly S. Martin RN, MSN

2. Introduction 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

3. Day 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

4. Introduction 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

5. Growth 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

6. Growth 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

7. 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

8. 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

9. 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

10. 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

11. 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

12. Day 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

13. Preconference 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

14. Post 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

15. Acute Care Peds Parking in the furthest garage area from the hospital Be ready to go at 0700 on the 7 th 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 7 th 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

16. Acute Care Pediatrics Hershey Med Center 7 th 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 7 th 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

17. Acute 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

18. Acute 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

19. Acute 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

20. Miscellaneous 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