Nursing 104 Virtual Pediatrics Patient Alison Babinsky- Los Angeles City College
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NURSING 104
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NURSING 104
Nursing 104 Virtual Pediatrics Patient Alison Babinsky- Los Angeles City College/Nursing 104 Virtual Pediatrics Patient Alison Babinsky- Los Angeles City College/Nursing 104 Virtual Pediatrics Patient Alison Babinsky- Los Angeles City College/Nursing 104 Virtual Pediatrics Patient Alison Babinsky- ...
At the end of this simulation scenario, the learner will be able to:
1. Implement Joint Commission safety standards in the care of an acutely ill pediatric patient.
2. Use situational, background, assessment, and recommendations (SBAR) during the patient transfer.
3. Provide safe nursing care to the newly admitted pediatric patient with multiple health care needs.
4. Demonstrate evidence-based safe care for the pediatric patient receiving IV therapy
and medications.
5. Calculate accurate medication doses based on the pediatric patient’s weight.
6. Perform a systematic physical assessment on a simulated, acutely ill, pediatric patient.
7. Differentiate developmentally appropriate and inappropriate responses to nursing care.
8. Analyze pediatric laboratory values and their influence on patient care decisions.
9. Demonstrate professional behaviors during the simulation.
10. Recognize the importance of family-centered care.
11. Demonstrate adherence to infection control standards when performing nursing care.
Pediatric Simulation (Office Visit)
Background Information:
Alison is a 12 month old who has been vomiting for the past 12 hours. Since waking at 6 AM
she has “not held anything down.” It is now 5:30 PM and Alison’s mother is becoming
concerned.
She calls the primary care office and the nurse recommends that Alison be brought into the
office for evaluation. On initial assessment, Alison is lethargic and very quiet. Her lips and skin
are dry. She is crying at times, but does not produce tears. Her diaper is dry; her mother says that
she has not needed to change her diaper since 7 AM.
How do you, the nurse ensure that Alison is correctly identified? List how you would indentify
patient.
By 2 Patient identifiers patient's name and DOB (or medical record number). In this case, patient
is 12 months old baby so we check with pt's parents and check pt's parents name and DOB also.
What are the nurse’s primary concerns based on these findings in the background information?
List at least 3 primary concerns with rationales
- Dry diaper for > 8 hours -> dehydration
- Absence of tears & dry mucous membranes- >dehydration
- Very drowsy & quiet while in the office ->very sick, no energy.
- Unable to keep anything down all day -> fluid and electrolytes imbalance
- Age of patient
On your assessment, this is your data:
Alison lies very quietly on the examination table. Her vital signs are:
Temperature: 101O F
, Apical Rate: 150 bpm
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