Pediatric Application Of Skills Flashcards
When preparing a child for a procedure should the information that may produce anxiety be told first or last?
Last
Should you lie to a child about a procedure to make them feel better?
No you should be honest
You should emphasize ______ aspects of procedure
Sensory- see, feel, hear, smell
How do you identify a child that doesn’t know their name
Reading Name tag
How long do you wash hands for a routine wash
15 seconds
How long do you wash your hands if they are contaminated
1 full minute
Should you wave your hands to dry them?
No you should rub in until dry
You should use soap and water after how many gels?
4
What kind of terms should you use when preparing a child for a procedure
Concrete–example: saying the place on the arm that is red, puffy, and hurts instead of saying infected (abstract term)
Should you only stress parts of the body that are involved when preparing a child for a procedure
No, you should stress parts of the body that are involved and parts that are not involved
Should you avoid medical terms with children
No use both concrete and medical terms….remember the doctors may use medical terms so you don’t want to avoid them
Is crying and being mad okay?
Yes! Allow expression of feelings. Biting and kicking are not ok
The child was awful during a procedure–how should you respond after
Praise the child after no matter how he/she behaved..this may be hard to do but it works because you are setting up positive for the next procedure
A child is on bed rest what kind of bath should the child get
Bed bath
Maximum water temperature for child and elderly for shower/bath/bed bath
100-105
Maximum water temperature for adults needing shower/bath/bed bath
110
Children and elderly 100-105
Should you assume the parent will give the child the bath?
No!! But it is ok if they want to do it just give them equipment and support as you help them
Naps are common in children less than ___ years of age
5
What should you remember when taking a child’s weight
Same time, same clothes, same scale
Are children allowed to run in hospital
No
Should infant sleep on back or belly
BACK!
Back to sleep
When should children be in a crib?
Under 3
When should children be in a bed
Over 3
If a kid gets out of bed do you put the side rails down
No. Side rails are up if a kid is in or out of bed
What is the most difficult vital sign to get
Respirations
How do you get respirations in a baby
Watch abdomen or stethoscope on back. You want to leave them in parents arms if that’s where they are
What may you see with toileting in kids
You may see Regression in kids
Should you go in room and say “I’m going to take your vital signs”
No! Use different words than take
What is the order you should get vital signs
Respirations Pulse Blood pressure Temperature **least invasive to most invasive
When do you use apical pulse
Up to 2 years
When do you do blood pressure on a child
Often not until 3 years or older
Cuff should cover ____ of upper arm in a child
2/3
What should you do if you are unable to ascultate look pressure
Dinamap (electronic) or Doppler
What kind of numbers does the Doppler give you
Only gives you top number. Example: 90/D
