[Roro]

Hello all , I am very pleased to join this community, My name is RoLa Awwad, and my nickname is roro , I am a pediatric RN, and recently I became a clinical Educator in pediatric , I want to know if you use cardiopulmoary monitors in your pediatric open unit and if yes for what kind of pediatric population you use it? with what diseases? note that i would like to know information regarding open pediatric units and not for pediatric intensive care units.
Thank you a lot for your help and i am kindly asking if u can reply as soon as possible

[suzanne4]

The facility that I work PICU at, uses quite a few cardiac/resp/O2 sat monitors on the regular acute care units. They are used to monitor children that were in the ICU, children with asthma, children who have RSV during the season, etc. Because we are a pediatric tertiary center we also get many children with cardiac conditions that need monitoring. The C/R monitors can be used for a variety of conditions, are also very nice to have to monitor the child when they are sleeping.

[Roro]

thank you suzanne for your reply, here in our hospital we received sometimes children with RSV , Bronchiolitis coming to receive IV immunoglobulin that are admitted to a regular pediatric floors not to PICU and we put them on a cardiopulmonary monitors to monitor their heart rates, respirations, blood pressure as well as oxygen saturation. so I am askin are those children supposed to be admitted to PICU or they can be admitted to a regular pediatric floor. and if they are admitted to a regular pediatric floor, should we accept to put a monitor on a regular pediatric Floos?
thank you a lot.
roro.
RN, BSN, MPH

Originally Posted by suzanne4

The facility that I work PICU at, uses quite a few cardiac/resp/O2 sat monitors on the regular acute care units. They are used to monitor children that were in the ICU, children with asthma, children who have RSV during the season, etc. Because we are a pediatric tertiary center we also get many children with cardiac conditions that need monitoring. The C/R monitors can be used for a variety of conditions, are also very nice to have to monitor the child when they are sleeping.

[Roro]

thank you suzanne for your reply, here in our hospital we received sometimes children with RSV, Bronchiolitis, and sometimes we receive children coming to receive IV immunoglobulin that are admitted to a regular pediatric floors not to PICU and we put them on a cardiopulmonary monitors to monitor their heart rates, respirations, blood pressure as well as oxygen saturation. so I am askin are those children supposed to be admitted to PICU or they can be admitted to a regular pediatric floor. and if they are admitted to a regular pediatric floor, should we accept to put a monitor on a regular pediatric Floos?
thank you a lot.
roro.
RN, BSN, MPH

Originally Posted by suzanne4

The facility that I work PICU at, uses quite a few cardiac/resp/O2 sat monitors on the regular acute care units. They are used to monitor children that were in the ICU, children with asthma, children who have RSV during the season, etc. Because we are a pediatric tertiary center we also get many children with cardiac conditions that need monitoring. The C/R monitors can be used for a variety of conditions, are also very nice to have to monitor the child when they are sleeping.

[MissJoRN]

Originally Posted by Roro

thank you suzanne for your reply, here in our hospital we received sometimes children with RSV , Bronchiolitis coming to receive IV immunoglobulin that are admitted to a regular pediatric floors not to PICU and we put them on a cardiopulmonary monitors to monitor their heart rates, respirations, blood pressure as well as oxygen saturation. so I am askin are those children supposed to be admitted to PICU or they can be admitted to a regular pediatric floor. and if they are admitted to a regular pediatric floor, should we accept to put a monitor on a regular pediatric Floos?
thank you a lot.
roro.
RN, BSN, MPH

Our hospital has no PICU and we regulary place our resp kids- RSV, flu, asthma exacerbation, croup, etc on monitors (Cardiopulmonary and SpO2). We do also use them on septic infants without current resp symptoms and kids admitted for new onset of seizure or in status as well as OD/poisonings. We use our values to determine need for "regular floor interventions"... O2 titration, nebs, steriods, or worst case need to transfer across town to PICU or to regional children's.
We use the NIBP monitors only in kids requiring procedural sedation, The way i see it, for as well as kids can compensate, if they decompensate enough that their BP needs frequent monitoring, they 're ready for transfer. Esp since I really don't trust electronic NIBP values in children, they're very often unrealistic. Actually, if the kid is lethargic enough to tolerate constantly wearing a cuff and intermittant inflation he's probably too sick for our unit!

[cheerfuldoer]

Welcome roro!

[suzanne4]

There is no reason that those kids need PICU unless their respiratory or cardiac status warrants it. If you have an infant that is nice and bundled, it is much easier to keep an eye on them when they are monitored. Hard to see the chest rise thru the blankets.

Having the monito doesn't mean that they need ICU, we use the monitors on many of our kids that we send down to the floors once they get out of the PICU.