Hey all.I just joined the forums, and this looks like a wonderful source for information and help along the way, so i figured I'd give it a try. I start my first actual day of my pediatric ckinical rotation tomorrow. I have to take care of 2 patients tomorrow, however we have a care plan due for just one patient. I am the only guy in this particular rotation and that makes me just a little bit uneasy. First of all, our teacher sent us a careplan template this morning that is to be turned in the morning. I havent had too much trouble coming up with nursing diagnosis and/or interventions n the past. However i have had a big problem prioritizing them. I do know to follow the ABC hierarcy, but I still seem to misprioritize. My instructors say the problem will fix it after repitition and practice. Anyways, so basically our careplan is a bit different in that we only have to come up with 2 diagnosis with 4 interventions and a goal for each. My pt is 15, has pneumonia, a g-tube is in place, and is on contact precautions as well as seizure precautions. Since I am only allowed two nursing diagnosis, I am under even more pressure to prioritize correctly. Pneumonia, quickly makes me think of infection, ineffective clearance of his airway, maybe impaired gas exchange going on as well as pain or discomfort. I dont have too much common knowledge when it comes to seizure, but I have read it cause very low self esteem for a kiddo. Also this child is froma group home, he may not have the support other children are gifted with... he may have deficient knowkledge on how to prevent episodes etc. This child suffered ischemic encephalopathy at birth, has a istory of MRSA, and has had a nissan fundoplication, and than his gtube. Looking at all I think my priority dx will be ineffctive airway clearance, and than perhaps address his knowledge? We have learned that a developmental assessment is very important in how you care for a child, I have yet to meet him yet. I also do know he is well underweight and height for his age. 40kg and 143cm. Also on his hart is said pneumonia/ac .... would that just be referring to community acquired? I cant find another explanation.