peds concepts, roles, and issues (1) Flashcards
what are the roles of the pediatric nurse?
- direct care provider
- patient/family educator
- patient advocate
what peds nurse role…
* enables family/child to deal with changes in health in their own way
* awareness of family’s needs and resources
* assist in making informed choices
patient advocate
what experience do nurses need to do case management
experienced peds nurses / APRNs
what role of nursing includes discharge planning?
case management
what is creating a disciplinary team to address significant health problems in a child (like setting up a home nurse for IV meds)
case management
what needs does case management cover?
- medical and nursing needs
- developmental needs
- educational needs
- psychological needs
briefly describe the evolution of pediatric care
Before…
* limited visiting
* extended stays
* children treated same as adults
Now…
* parents stay at bedside
* shorter stay, procedures outpatient
* recognition of needs (private room)
what is clinical reasoning?
utilizing the nursing process
what is the reasoning process used to problem solve
critical thinking
what describes sequence and timing of interventions that should result in expected patient outcome
clinical practice guidelines
what are clinical practice guidelines?
intedisciplinary care plans for specific conditions
what are examples of conditions that have clinical practice guidelines?
- DM1
- TBI
- some cancers
describe family centered care?
- recognize importance of family presence and involvement involving recovery
- families are care partners
what is the #1 cause of death in neonates
congenital malformation
top 5 injuries in infants
- suffocation
- homicide
- vehicle accidents
- undetermined suffocation
- drowning
what is the leading cause of death in children 1-19 years old
injury
what is important for parents involving childhood injury
education
what is an illness that limits activity, requires medical attention or hospitalization, or results in a chrinic condition
child morbidity
What is CHIP?
- Child’s health insurance program, for families who make too much money for Medicare, but not enough for private insurance.
- Coverage is based on income
Out of CHIP, Medicaid, and private insurance, which ones are public and which are private
CHIP is public
Medicaid is public
Private insurance is private
What is …
* Regulated by each state
* defines legal roles and responsibilities of nurses
Nurse practice act
what organizations were the standards of clinical practice developed by?
ANA, SPN, NAPNAP
What defines standards for nursing care and performance, patient safety is number one priority
standards of clinical practice
What is formal pre authorization for an invasive procedure, signed and witnessed
Informed consent
What procedures require informed consent????!!!!! (Blank, check)
Surgery, procedural sedation, bone marrow transplant, photos, blood products, and anesthesia
is informed consent needed to participate in research?
Yes
what information must be provided in order to obtain informed consent?
1. explanation of condition
2. Detailed description of treatment
3. Risks and benefits of treatment
4. Possible alternative treatments
5. Right to refuse treatment for child
6. All of the above
All of the above
Who is legally responsible for obtaining informed consent?
1. RN
2. physician
3. LPN
4. nurse practitioner
Physician
When parents are divorced, who is eligible to consent to medical treatment of the child?
* Only the parent with legal authority may give consent
* both parents must consent
* either parent may consent
only the parent with legal authority may give consent
when can a child under 18 years old give informed consent
- if they are a parent or if they are pregnant
- If they are an emancipated minor
- If they are seeking birth control, mental health, or substance abuse treatment
What classifies an emancipated minor
finished high school and 18 years old, married, or joining the military
When does a parent not have legal authority about health care choices for their children
- the choice doesn’t permit lifesaving treatment for the child, like a blood infusion
- There is potential conflict of interest between child and the parent, such as abuse or neglect
What is the concept of the information discussed during care will not be shared without patient permission
Confidentiality
What are exceptions to confidentiality?
- Adolescent with a reportable disease
- suspected child abuse
- suicide risk
What act makes sure that patients are informed of their rights about preferences and treatment options and making advanced directives
patient self determination act
When is the patient self determination act especially important
for adolescents with life threatening conditions
what is another term for DNR
AND
