Pediatric rating scales

  1. 0 Hello 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... )
  2. Visit  MasonCarbo profile page

    About MasonCarbo

    MasonCarbo has '1' year(s) of experience. From 'Jesi, Marche, IT'; Joined Jan '13; Posts: 3.

    12 Comments so far...

  3. Visit  brithoover profile page
    0
    We 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
  4. Visit  aeronursenj profile page
    0
    We 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
  5. Visit  KelRN215 profile page
    0
    FLACC is definitely the pain scale of preference for younger children and older children who are developmentally delayed.
  6. Visit  umcRN profile page
    0
    Quote from brithoover
    We 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
    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
  7. Visit  brithoover profile page
    0
    Quote from umcRN

    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
    We 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
  8. Visit  umcRN profile page
    0
    Quote from brithoover
    We 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
    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.
  9. Visit  brithoover profile page
    0
    Quote from umcRN

    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.
    Lol 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
  10. Visit  NotReady4PrimeTime profile page
    0
    Entanglement 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
  11. Visit  umcRN profile page
    0
    Yes 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.
  12. Visit  brithoover profile page
    0
    Quote from umcRN
    Yes 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.
    To be honest I'm new to this unit: peds oncology. Been on the floor for about 1.5 mths and I have yet to see a child spend the night alone. It becomes a major stress financially, the other kids don't seem to become priority. It's extremely sad situation. These parents feel as though if they leave their child for any length of time they might die while they are gone
  13. Visit  umcRN profile page
    0
    Quote from brithoover
    To be honest I'm new to this unit: peds oncology. Been on the floor for about 1.5 mths and I have yet to see a child spend the night alone. It becomes a major stress financially, the other kids don't seem to become priority. It's extremely sad situation. These parents feel as though if they leave their child for any length of time they might die while they are gone

    Well I can see that side of it, especially in a cardiac ICU where a child can be sitting up talking to you one minute, and coding the next (exactly how my first code went, came out of nowhere) so parents have a hard time leaving. However I feel as though that must be very stressful personally and not healthy. Everyone needs a break out of the hospital now and then, a night in their own beds. We encourage parents to take nights off, most do, some don't but we try to create an environment where parents are ok leaving their child for a few hours or a night, especially for the sake of other children who are not allowed in the ICU 24/7.
  14. Visit  NotReady4PrimeTime profile page
    0
    We can't guarantee a parent at the bedside. But our hospital will provide a sitter if the right paperwork is filled out. And all of our inpatient beds are monitored. Even if it's just oximetry. We make extensive use of those line stabilizer gadgets too.


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