Basic nursing care in child ward

This Presentation has been made for orientation of newly appointed nurses in child ward

1. Basics of Nursing Care for Children Prof. Shaheen Akter

2. Outline What is different in pediatric nursing? How a nurse will look like? What are the responsibilities of a Paediatric nurse? How can we improve ourselves?

3. Children are unique Children are very sensitive, weak, vulnerable Anatomical , physiological- BSA, HR, soft bones, nerves, fontanels Immunological- Poor Psychosocial- can not communicate, dependent on parent Cognitive – React too much on environmental changes R equire specialized Nursing care

4. A nurse Should have a proper dress code, clean , Ironed Should appropriately wear a mask! Hair tied Nail trimmed No bangles, rings, nail polishes, mehendi Appropriate shoes

5. Maintain Cleanliness Clean Hands ( Appropriate Hand wash) Clean environment Clean instruments Clean Patient’s Linens Proper disposal of Medical wastes

6. Know – size and colors of Your gadgets Instruments Fluids Tubes Bags Sensors Needles Collection tubes

7. Check and Record- Vitals- HR, RR, Temp, BP ( whenever needed) SPO2 Blood Glucose Intake Output

8. Know the Procedures Airway clearance/ Suctioning Blood Sampling Introduction of I/V cannula Introduction of NG tube Fixing the tubes and lines Using slpints

9. Sites of venipuncture

10. Suctioning

11. Positive pressure while introducing ..

12. Keep records Write all the medicines given, mention time Write your name clearly , not sign or initials Ask Doctors if you are not clear, or if the order needs clarification

13. Hand over Everything All information about the patients Your responsibilities All equipment, drugs Report to be collected

14. At the start of your shift- Look at the baby Condition Oxygen Cannula I/V channel ( change every 72 hours) Sucker machine Clothing Papers, x-rays

15. Please have look at the baby Whenever you pass by!!

16. Therapeutic Hugging for Extremity Vein Puncture

17. Elbow Restraints

18. Puncture Site on Sole of Infant’s Foot

19. When you receive a child Consider TRIAGE Attend at shortest possible time, Do not leave the baby unattended for long Do something like positioning, giving suction, starting Oxygen inhalation, seeing CBG Make a rapport, Assure,Ensure Show Sympathy, Empathy

20. Have A good Relationship with…. Your Patients / and their Parents Your Colleagues Your Seniors Your Assistants And With Doctors Be Nice to the Visitors

21. A good Nurse-patient communication Improves compliance with medical treatment Improves health, functional and emotional status Improves clinician’s satisfaction Improves patient’s satisfaction

22. When you discharge….. Be thankful Update all of your Papers Supply all of Patients Paper Counsel the parents about the advices given.