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Uncooperative Kids

Posted
by Minnesota123 Minnesota123 (New) New

How do y'all handle difficult behaviors? I work in a ped ER and it's so hard to get some of the kids to cooperate. They'll often just sit there and pretend that I don't exist. It's so hard to get medical procedures done. How do you get IVs in, meds given, shots injected?

LessValuableNinja

Specializes in Cardiac (adult), CC, Peds, MH/Substance. Has 8 years experience.

Depends on the age.

There was much therapeutic holding (restraint) when I was in peds. If it's less urgent, emla works decent, but there are a variety of sprays that are faster.

If there's a protocol or order, a temporary restraint (arm board) can help getting the IV in, sine that makes it easier for nurse 2 / tech / parent to snuggle therapeutically.

If you have time, certain ages of children are more prone to bribery than others. Some places have the white / clear popsicles without dye that work well when negotiating agreement terms with the littleun.

Shots are a lot easier than IVs, since they're Uber fast.

For older kids, I usually found treating them more like an adult and explaining the process and reasoning beyond it helps. For younger kids, I've seen a lot of simple explanations, therapy snugs, bribery, and puppets.

Also, television. Or parents iPhone. Or whatever. Be a ninja and sneak it in when they are mesmerized with Twilly dilly and pilly, or whatever their favorite show is.

KelRN215, BSN, RN

Specializes in Pedi. Has 14 years experience.

Ask the parents what works best for their child. If it's a child with chronic illness, the parent may give them medication every day.