wow......get the enpc course book and read it. pediatrics is a speciality all it's own. their airways are different....smaller and structurally....they can eat and breathe. remember that 1mm of swelling on an adult airway that is 5mm wide is completely than 1mm of swelling on a 1mm airway. vital signs are not a predictor of how sick a kid is for they can compensate forever and by the time they reflect it in their vitals....they are in critical trouble. the cap refill/urine output is a great indicator on the younger pedi population as an indicator of distress and end organ perfusion.
so when did they last pee and how many wet diapers in x amy of time is huge!!!! using accessory muscle is a huge sign of distress.
they need fluid, o2, and keep them warm. a crying and screaming kid is a stable kid....it's the quiet ones that will/should scare you. if the child has a congenital/chronic illness listen to the parent.....they have done this before and can help you.
rhythms for kids....slow, fast, and absent. familiarize yourself with the normal vital signs for the age group!
infants....was the baby full term, what was birth weight, weigh all babies regardless of what the parents say...emphasize how important it is as that is how the medicines are given. small mistakes have huge consequences for the pedi population. if they are small so should the dose be as all doses are weight based.
the enpc (emergency nursing peds course) has a terrific pets triage standard that should be used by all eds.
ciiamppedds: c i
s chief complaint, i
is immunizations, i
is isolation (has the child been exposed to any communicable diseases), a
is allergies, m
is past medical history, p
is parents impression of the child's condition, e
is the event surrounding the illness or injury, d
is diet, d
is diapers (voids) and s
is signs and symptoms
great power point triage assessment
triage course - nursing continuing education (ce) - nurse ce - ceufast.com
||systolic blood pressure
|infant (1-12 mo)
|toddler (1-3 y)
|preschooler (3-5 y)
|school age (6-12y)
|adolescent (13y +)
pews.....the pediatric early warning (pew) score system can help nurses assess pediatric patients objectively using vital signs in the pediatric intensive care unit. the scoring system takes into account the child's behavior, as well as cardiovascular and respiratory symptoms.
ahrq innovations exchange | pediatric early warning (pew) score system
this is another great assessment tool for assessment short and sweet but informative.