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Due to their small size and other physiological differences, children are particularly vulnerable to medication errors. This program focuses on strategies to prevent errors when administering medications to pediatric patients and review the "rights of medication administration" as they relate to pediatric patients.
After completing this course, the learner should be able to:
Describe factors that can lead to medication errors
Identify tools that can be used to prevent medication errors with pediatric patients
Describe the six "rights" of pediatric drug administration
Explain the nurse's role in the administration of children's medications
This program demonstrates and describes the safest, gentlest and least intrusive methods of administering pediatric medications to children of varying ages including instruction on the precise administration of otic, ophthalmic, nasal, oral, rectal and injectable medications.
After completing this course, the learner should be able to:
Demonstrate appropriate strategies for administering medication to children of different developmental levels
Explain the nurse's role in the administration of children's medications
Describe how to administer oral, otic, ophthalmic, rectal, nasal and injectable medications to children
An essential part of preventive pediatric medicine is a complete and thorough physical assessment. Pediatric Physical Assessment Part 1 covers the evaluation of external body functions, including assessing physical growth and observing general appearance of the whole person.
After completing this course, the learner should be able to:
Explain the issues to consider when performing a physical examination of a child.
Perform the necessary steps to acquire and record the patient's health history
Identify key area to assess the pediatric patient's general appearance
Describe the elements necessary to accurately assess the pediatric patient's growth
An essential part of preventive pediatric medicine is a complete and thorough physical assessment. Pediatric Physical Assessment Part 2 covers the examination of internal body functions, including the chest and lungs, heart, abdomen, musculoskeletal system and neurological system. The course presents a systematic, step-by step process for performing a complete internal physical exam on a preschool-age child.
After completing this course, the learner should be able to:
Perform an internal exam using the four basic techniques of a physical assessment.
Assess the health of the skin.
Assess the health of the eyes, ears, nose and mouth.
Evaluate the thorax, chest and lungs.
Assess the function and health of the heart.
Evaluate the abdomen.
Determine abnormalities of the musculoskeletal system.
Pediatric nursing assessment is the gathering of information about a patient's physiological, psychological, sociological, and spiritual status of the child. This video covers elements of a health history for an infant or child of different ages, communication strategies to improve the quality of historical data collected and strategies to gain cooperation of a young child for assessment. It details differences in sequence of the physical assessment for infants, children, and adolescents and adjustments of physical assessment techniques according to the age and developmental stage of the child. The lecture determines sexual maturity rating of males and females based upon physical signs of secondary sexual characteristics present and at least important signs of a serious alteration in health condition that require urgent nursing intervention.
This video covers major theories of development as formulated by Freud, Erikson, Piaget, Kohlberg, social learning theorists, and behaviorists. It helps student plan nursing interventions for children that are appropriate for the child's developmental state, based on theoretical frameworks. It looks at contemporary developmental approaches such as temperament theory, ecologic theory, and the resilience framework and recognizes major developmental milestones for infants, toddlers, preschoolers, school-age children, and adolescents. The lecture stimulates the synthesis of information from several theoretical approaches to plan assessments of the child's physical growth and developmental milestones. It describes the role of play in the growth and development of children and use data collected during developmental assessments to implement activities that promote development of children and adolescents.
The immature respiratory system is very different from that of an adult. Respiratory pathologies are one of the major problems affecting the health and well being of children. These issues can be due to infection, allergy, trauma, or congenital anomalies. Whatever the cause, if distress is not promptly identified and treated, respiratory failure and even cardiopulmonary arrest can follow.
After completing this course, the learner should be able to:
Describe the differences between an immature respiratory system and an adult's
Identify normal pediatric breath sounds
Identify adventitious pediatric breath sounds and their possible causes
Respiratory pathologies due to infection, allergy, trauma, or congenital anomalies are one of the major problems affecting the health and well being of children. Signs of distress must be recognized and assessed promptly. If distress is not promptly identified and interventions begun, respiratory failure and even cardiopulmonary arrest can follow.
After completing this course, the learner should be able to:
List important signs of pediatric respiratory distress
List the components of a pediatric respiratory assessment
Identify the differences in signs between mild respiratory distress and moderate to acute respiratory distress
Identify red flags that can indicate acute pediatric distress
Asthma is one of the most common diseases of childhood, with a prevalence rate of 5.4%in the pediatric population, accounting for 17% of pediatric encounters in US emergency departments. Although there is no known cure for asthma, advances in scientific understanding of the disease's underlying mechanisms have produced treatment tools and management strategies that can improve the health of children with asthma. However, the variability in patient responses to asthma therapies makes a single treatment strategy particularly challenging. In this video, Dr. Jill Baren presents an evidence-based discussion about some of the controversies in the management of pediatric asthma, including the use of metered-dose inhalers versus nebulizers, levalbuterol versus albuterol, the role of ipratropium, and the use of inhaled corticosteroids in acute asthma. In addition, she reviews novel or uncommon therapeutic interventions, such as the use of bi-level positive airway pressure (BIPAP) and heliox therapy.
The program begins by offering an overview of fetal circulation. With this foundation, it goes on to examine the issues related to cardiopulmonary assessment. Topics such as acrocyanosis, retractions, transient tachypnea and infant respiratory distress syndrome are presented. The program then presents and discusses cardiac anomalies. The four categories of cardiac defects are highlighted and the eight most common cardiac defects are outlined.
This program focuses on the New Ballard Gestational Age Assessment. In the process of this discussion, both the assessment of neuromuscular maturity and that of physical maturity are examined. As the infant is assessed, reference is made to the system developed by Dr. Jeanne Ballard. The program concludes with a presentation of 13 newborn reflexes.
The program begins with an examination of such physical anomalies as neural tube defects (anencephaly, spina bifida and meningocele), craniosynostosis and cleft lip and palate. Additionally, features such as simian crease, pilonidal sinus, and gastroschisis are presented. The presentation of neurologic issues includes a brief discussion of the infant brain and neurons and leads to a detailed discussion of neonatal hypoglycemia. This detailed view of neurologic assessment concludes with a presentation of pathologic jaundice, its causes and intervention strategies.
This program begins with a discussion of primary roles of the placenta and umbilical cord during pregnancy. It goes on to describe the role of surfactant in the lungs and presents the current understanding of factors which foster the newborns first breath. Other topics addressed include: steps to be taken if there is meconium in the amniotic fluid, the four routes of heat loss and the seven factors which increase a newborn's susceptibility to cold stress. The presentation ends with an overview of the APGAR score and its role in newborn assessment.
This program looks at the complete head to toe assessment of the newborn. It begins with a discussion of vital signs and continues with presentation of issues related to eye care. Weighing and measuring are examined including presentations of "normal" values. As the assessment continues, the trunk, umbilical cord, skin, extremities, genitalia and anus are discussed. The program concludes with a presentation of issues related to newborn screening such as phenylketonuria (PKU).
This patient education program explains circumcision. It discusses how it is performed and its risks. It also presents how to care for the baby after the procedure, and when to call the doctor in case of complications.
The vaccines for Haemophilus influenza type B and Streptococcal pneumoniae have saved countless lives and prevented many disabilities. But even with the success of these vaccines, and partly because of their success, the diagnosis and management of the febrile child is still a challenge. Healthcare providers need to be aware of how the differences between age groups affect their vulnerability and guide the diagnostic and therapeutic options. Today, while there are fewer cases of pneumonia and meningitis, occult urinary tract infections are on the rise. This is a timely program with practical information on a very serious problem.
Pediatric patients have a much higher risk of injury or death from medication errors than adults. In this program, the physiologic differences that affect their reaction to both illness and medications are discussed. Also included are special medication administration techniques as well as methods for assuring proper dose using Westˇ¦s Nomogram and the Broselow? tape. Furthermore, The Joint Commission risk reduction strategies regarding pediatric medication errors and information on effective
The development of self-esteem begins at birth, so those who care for infants should know how to support this vital internal need. Caregivers demonstrate the importance of being consistent; paying attention to social, emotional, and mental needs during diaper changing; addressing individual needs at nap time; and providing equipment, toys, and an environment that encourages a "look what I can do attitude." Viewers see how a corporate childcare center handles the unique needs of two special children.
Topics covered in this program include: an overview of cystic fibrosis and discussion of new directions in therapy; respiratory viral infections; gene therapy; and the use of pulmonzyme in treatment of cystic fibrosis.
Identify 3 chronic conditions that lead increased risk for medical emergencies, find areas where prehospital or acute care providers can assist children with special health needs, benefits of early referral to physical medical and rehab programs.
Martin G. Hellman, MD, FAAP, FACEP; Lisa Deranek, MD; Jeffrey Ekstein, MD; David Uchlcin, RN
Most common poisons encountered in the pediatric population; Assess the pertinent information in the pre-hospital setting; Discuss the pertinent pre-hospital treatment modalities; Understand common signs and symptoms of lead poisoning; Recognize the pre-hospital provider's role in averting pediatric poisoning.
Identify postpartum patients; List common early healthcare needs of the patient; Nursing interventions for identifying patients; How skilled nurses can effect change through education.
Despite the fact that we now know that unrelieved pain has short and long term consequences in children and that we have the tools to relieve most pain, pain from disease and from its treatment continues to be a major source of psychological trauma in pediatric healthcare facilities.
This talk highlights the current status of pain relief in children, reviews current efforts to improve it, and offers additional strategies to enhance the compassionate medical care of children.
The viewer will learn:
1. An increased understanding of the history and present status of pain management in children.
2. The gaps in knowledge and implementation.
3. Strategies to alter pain-related practice patterns in health care providers and institutions.
Learning Objective: This program will help facilities prepare for a pediatric cardiopulmonary arrest and aid healthcare staff in developing the knowledge and skills necessary to respond efficiently and effectively to a pediatric code.
The first five minutes of any arrest is critical. A child's condition can deteriorate quickly, and mortality following a cardiopulmonary event is high. Equipment needs to be ready and personnel need to be trained and prepared. Quick intervention and a clear understanding of the roles and responsibilities of each healthcare member is key to saving lives.
Program includes:
Recognizing signs and symptoms of impending cardiopulmonary arrest
Resuscitation team members, including their roles and responsibilities