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80 views2 pages

Peds

Uploaded by

api-719825532
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Maci Musolino

Pediatric Clinical

November 21st, 2023

The role of the pediatric emergency nurse is to have 3 patients maximum in their section

of the department. They triage their patient, do vitals signs, head to toe assessments, administer

medications, and perform any treatments that the doctor orders. They also chart everything they

do, perform hourly rounding, report any abnormalities to the doctor, and discharge their patient

with specific instructions. All the nurses in this unit also go around and help each other when

needed. A big part of pediatric nursing is communication with the parents. Before they perform

anything on the patient, they make sure to communicate with the parent to get consent and tell

them everything they’re doing. They also ask the parents a lot of questions depending on the age

of the patient. The nurses in the pediatric emergency department have to tend to the needs of the

parent as well. They have to communicate with the parents and make sure they are not in need of

anything. The needs for the adult and the pediatric patient are very different. When discussing

treatments with the child, you do not use medical terms or say things like “needle” or “shot”.

When discussing with the adult, you talk more professionally and can use nursing terms. The

pediatric patient also needs more comfort than the parent does. The children that come into the

emergency department are usually scared and crying. The triage system for a child admitted into

the pediatric emergency department is similar to a regular emergency room. They have a section

for triaging, where the chief complaint and vitals are assessed. They also have a different section

for fast track which is for minor issues that they will not need a lot of resources for. They then

have a section for regular rooms that are more for emergencies. They also have two treatment

rooms that can be for any traumas that may come in. My clinical experience in the pediatric
emergency department was the best clinical I've had so far. The first thing I did was get a tour of

the department where they showed me the different sections of the department. After that I

stayed with my nurse and followed her around. The first patient we saw was a teenager that

needed an IV and fluids. She was not very cooperative so it was interesting to see how the nurses

deal with a patient like this. I assisted the nurse with the IV and administering fluids. The nurse

used the cold spray on this patient to comfort her and help her cooperate more. The second

patient I saw with my nurse was a younger kid with asthma. I observed my nurse administer the

nebulizer treatment to the kid. I thought it was really cute how the masks have an animal on them

for the kids' comfort. The third patient I saw was a 4 week old baby that came in for having a

low oxygen saturation. I observed the nurse take the vitals, put on oxygen, insert a catheter to get

a urine specimen, and then put in an IV. It was really challenging to do this with an infant this

young, but the nurses handled it really well. They used sugar on the pacifier to help the baby

calm down. I also saw a patient who had a complication with a circumcision. They did a pineal

gland block to remove the excess part that was on the child. I then assisted another nurse to swab

a patient's nose and suction it. They put saline in the nose then used a suction to get the contents

out to help the patient breathe. I then assisted the nurse with doing orthostatic blood pressure and

giving medications to a patient. I also got to see what the protocol is for a patient that comes in

with seizure activity. I witnessed the ambulance team come in and give a report to the nurse. I

followed two nurses around and they were both so nice. I learned a lot from both of them.

Overall, it was such a great experience and I really enjoyed my time in the pediatric emergency

department.

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