MissJoRN speaks the truth...and I can vouch for my floor..peds cardiology. What MOST of my coworkers don't understand is that "THIS IS WHERE KIDS GO TO DIE". "IF THEY DIE, IT'S GONNA BE HERE, ON OUR SHIFT, ON OUR FLOOR". And it's not just the "sick" one's. Just about 8 hours ago we coded a 14 year old asthma teen who's sats dropped from 96 on room air to the mid 70s....bronchospasm/constriction. Pediatric codes are respiratory in origin more than 60% of the time in my experience...probably more than that (but my experience is a little skewed, cuz babies with heart defects are pretty prone to code experiences).
PALS IS a must for working in the hospital, and if you're really interested, try the PPPC...that's the PALS prehospital equivalent-focusing on "prehospital care of critical children", not necessary for nurses but EXCELLENT information and skills nonetheless.
Just make sure your assessment skills are up to par. Assessment is EVERYTHING!!!
the more you learn, the more you need to know
going to bed now.
Quote from MissJoRN
I strongly encourage nurses to take PALS asap (PALS is the "peds version" of ACLS) I think PALS has a strong emphasis and early recognition/ intervention/ prevention that is so important! Also in peds it's good to redefine the word "code" as you're used to with adults or school. Rapid response teams aside, traditionally you didn't call a code in the adult world until arrest actually occurred. In peds you typically really see them coming and call (a good) code team to "code" your kid during distress. You actually start CPR for ineffective breathing not absent breathing.
I said "good code team" since I actually worked in a hospital that was very adult based and the RTs and residents were so uncomfortable with peds that 2 peds nurses or even a lone peds nurse and well trained aide handled resp distress far better than the official code team. if I heard "why did you call? that baby's fine. Look his sats are 94%!" one more time I might have killed someone. Adult based people can get so hung up on those sats that they miss the retractions, tachypnea, and decreased breath sounds! Then we were arguing whether to act instead of acting. Our residents (but not RTs!) had to take PALS but blew it off "kids never code here" No. Kids don't arrest here. They code here several times a year!