Assessment
This needs to be complete when admitted to the ped unit within 30 minutes of arrival.
Visualization.
Factors in determining method of temperature assessment.
Age, diagnosis, indication, and physician order.
This is how often a blood pressure must be obtained from a general pediatric patient.
Atleast every 12 hours.
To prevent pneumonia the pediatric RN encourages the patient to do this every 2 hours.
Use an incentive spirometer or cough and deep breath.
I need to monitor the child's vital sign this often.
Every 1-2 hours or every 15 minutes when titrating vasoactive gtts.
This needs to be completed withing 24 hours of admission to the pediatric unit.
The admission history.
This route of temperature management is preferred in pediatrics greater than 6 months old.
Temporal temps.
Pulse oximetry is documented this often when a peds patient is requiring oxygen or requiring continuous pulse oximetry.
Every 2 hours or per physician's orders.
To prevent embolism, the RN encourages the patient to wear antiembolism devices these often.
18- 22 hours a day. Embolism devices off during ambulation and bathing.
It's time for the ET tube repositioned and checked.
Daily reposition and checked every 2 hours.
A pediatric assessment must be complete this often.
Once per shift and as the patient condition warrants.
You should never do rectal temps for which of the following pediatric patient populations.
Oncology patients, low platelet counts, or receiving anticoagulants.
Vitals signs are assessed this often for the general pediatric patient.
Every 4- 6 hours.
This sheet is required to be placed inside the room for code blue emergencies.
Weight based code sheet.
While in PICU, I need to perform oral care this often.
Every 4 hours.
We would need a nutritional consult for these pediatric situations.
If the child weighs less than or equal to 3% or greater than 90% weight for age.
This method of temperature assessment is required of the patients is less than 28 days as indicated or per physician order.
Rectal temperature.
Vital signs must be aligned with these to allow for uninterrupted periods of sleep.
Change of shift and routine assessments.
To prevent falls, this is the age where a child must be placed in a crib/climber crib.
Under 3 years of age.
My ICU pediatric patient has a line. I should assess it this often.
Every 2 hours.
This is how often intake and output should be assessed on the general pediatric unit.
Every 12 hours or as the patient condition warrants.
Patients on cooling blankets need their temperature assess this often.
Every hour.
This is how often vitals must be assessed after a procedure or post op when arriving to the pediatric unit.
Every 30 minutes x1, hourly x2, then every shift or per physician's orders.
Nursing interventions when a family refuses a crib or side rails for their child.
Educate, report to higher chain of command, parents to sign a crib release form, parents will need to be with the child 24/7.
This should be assessed continuously while in the ICU.
Cardiac and respiratory monitoring.