Pediatric rating scales
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This is a discussion on Pediatric rating scales in Pediatric Nursing, part of Nursing Specialties ... Hello everyone! I would like to talking about the pediatric rating scales used in our units. In...
by MasonCarbo Mar 22Hello everyone!
I would like to talking about the pediatric rating scales used in our units.
In my unit we use principally two scales:
- Faces pain rating scale;
- Conley scale (for falling risk), used for patients with more of 14 years old.
I would like to know other rating scales to improve my job.
Which scales used in your unit?!
(I'm sorry for my bad english...
)
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Mar 23 by brithooverWe use FLACC, faces and 1-10 scales for pain. We also do a falls risk assessment for all ages and an ESE assessment which is basically an entanglement risk -
Mar 23 by aeronursenjWe use NIPS , Flaccs, Faces and Numerical (based on the age/ mental status of the child) in the ER. I am not sure if they have a fall scale on our peds floor, but it makes me wonder now. I have to check it out.
AeronurseNJ -
Mar 23 by KelRN215FLACC is definitely the pain scale of preference for younger children and older children who are developmentally delayed. -
Mar 23 by umcRNQuote from brithooverEntanglement? That sounds interesting! What do you do for a high score? I work ICU so don't have this problem too often but occasionally we get those movers who I'm worried are going to be strangled if their not watched 24/7We use FLACC, faces and 1-10 scales for pain. We also do a falls risk assessment for all ages and an ESE assessment which is basically an entanglement risk - Mar 23 by brithooverQuote from umcRNWe assess based on age, activity, and have an iv or tube of any kind automatically scores them 2 points. Among other things. If they are high risk a patent must be with them at all times and we would check in on them more often
Entanglement? That sounds interesting! What do you do for a high score? I work ICU so don't have this problem too often but occasionally we get those movers who I'm worried are going to be strangled if their not watched 24/7 - Mar 23 by umcRNQuote from brithooverSo a 13 month old with 5 continuous IV's, continuous g-tube feeds and continuous tele/sat monitoring would be pretty high riskWe assess based on age, activity, and have an iv or tube of any kind automatically scores them 2 points. Among other things. If they are high risk a patent must be with them at all times and we would check in on them more often
haha stopped that kid from hanging himself a few times. Unfortunately we cannot mandate that a parent stays with a child 24/7, especially when the child has been in the hospital for 6 months.
- Mar 23 by brithooverQuote from umcRNLol yes that is about as high risk as they get. I'm not sure what they do in our ICU, I'm in oncology but all of our parents stay overnight. Our new AMLs are in the hospital for their first 6 months of treatment
So a 13 month old with 5 continuous IV's, continuous g-tube feeds and continuous tele/sat monitoring would be pretty high risk haha stopped that kid from hanging himself a few times. Unfortunately we cannot mandate that a parent stays with a child 24/7, especially when the child has been in the hospital for 6 months. - Asst. Admin
Mar 23 by janfrnEntanglement assessments are standard protocol on our peds floors. About a dozen years ago one of our kids was accidentally strangled with IV tubing while an inpatient on one of the floors.
Strangulation With Intravenous Tubing: A Previously Undescribed Adverse Advent in Children
http://www.saskatoonhealthregion.ca/...trics-1063.pdf - Mar 24 by umcRNYes I can definitely see the importance of it...interesting. I'm on my units practice council. Maybe something to be brought up.
That's pretty impressive you can always guarantee a parent at the bedside! How do they manage their work/other children? We certinaly have our parents that never leave but sometimes they just have to spend a night away, even if only for their sanity. Just curious.
