Quote from luvschoolnursing
When I went from med-surg to school nursing (read-mostly healthy kids) there was a HUGE learning curve. I can't imagine doing it with trached/vented kids without further orientation. Kids are definitely not little adults.
School nursing is way different than peds LTC. Like you said, those are healthy kids. These are chronically ill kids where many of the norms do not apply.
I'm not saying your friend should aceept an assignment she is unconfortabl;e with. But honestly, peds LTC/chronic patients are not that much different than adults. The trachs, vents, tubes and all are essentially the same (I stress essentailly, not exactly, I know). I could understand being a bit intimidated by it at first (smaller and more fragile tubes), but once you get used to it, it is not that much different. The psychosocial aspect is very different though. Dealing with the parents, many of which are in such denial. takes a lot of adjustment.
If I were your frined, since there is no orientation, I would be proactive and orient myself. Ask the NM if she can shadow a nurse on that unit for a shift. Talk to the team, including the therapists, resp therapy, etc, and get acclimated to the differences (vent settings, types of trachs, mobility equipment, drug clacs, solution and fluid amounts, etc) and make a little notebook. Try to convince her that this could be an opportunity to discover a new niche, rather than going in in fear.
I hate to say this, because while I don't agree with it, it's a part of nursing that doubtfully willl change any time soon. I can't tell you how many units I've had to float to where I was unconfortable, yet it was considered within my units 'floating radius'. As a peds nurse, we can go to NICU, PICU, Peds ED, nursery, postpartum and antepartum. And on the antepartum unit, there are gyn surical patients. Tell me what a 60 yr old with a hysterectomy has to do with Peds patients?