Quote from JessicaP4588
Just curious if there was anyone out there who's been a CNA in PEDS and if so, what was it like? Daily routine? etc...
Thank you for your time.
There was a time period when I was pulled to peds a lot because they were short staffed. The routine is kind of similar to adult patients, especially on the older peds like teenagers. Vital signs wise you don't really need to check blood pressure on smaller children unless the doctor or nurse tells you to. However you'll need to do rectal temps, weigh dirty diapers, learn how to use wee bags
, and generally be comfortable holding children.
Another consideration when working on a PEDS floor is the heightened security, typically PEDS units are locked and different hospitals have different safety measures in place to prevent abductions. The hospital should give you instructions on their specific programs but here are a few things to keep in mind that apply to most (if not all) hospitals.
- Always check with the mother and check at least two patient identifiers before taking or giving a baby back to a guardian.
- Babies are always transported in a bassinet. Be suspicious of and question anybody transporting a baby by carrying it. Until clarification is obtained follow any suspicious people that refuse to stop, but do not try to grab, hold, block, or detain them in anyway. As soon as you see another person tell them call a code Adam (or whatever your facility uses). Remember to be safe, if your safety is compromised, escape.
- If a code Adam (or code pink, or whatever your facility calls it) know what you're suppose to do. If you're assigned to watch a door or stair well know which one.
- Be aware of the differences between IV tubes and other kind of tubes (like NG tubes, Foleys, etc). Know what the tubes are used for, if you don't know trace it back to it's source.
- Be aware of the difference between syringes for IV use and the ones used for oral meds. Never mix up the two, ie don't use an oral syringe to give an IV injection and vic versa. Ideally your oral syringes and IV syringes will be different colors and sizes so they won't be compatible.
A typical day for me in peds was like this:
0630- Receive report
0700- Take routine vital signs
0900- Distraction therapy for older kids (this can be very fun and silly)
0930- ADL's and linen changes.
1000-Morning meds- make sure all the kids are back in their rooms. This correlated with Sesame street so that made it easy.
1130- Vitals on higher acuity children
1600- Routine vital signs
1730-Start tabulating I&0s, changing out diaper trash bags, weighing diapers, etc.
1800- Stare at clock
1900- Go home!