#pediatric nursing

[sheathandshear]

It's fascinating (and disheartening) how much casual ableism happens in large institutions not because resources don't exist but because communicating how to access those resources isn't prioritized. Patients with "No men!!!" buried at the bottom of their chart somewhere where no one ever sees it, Hoyer lifts that aren't used because no staff has ever been trained on how to safely operate them, a whole $$$$$s big sensory regulation machine collecting dust in the hallway because no one knows how to turn it on or what it even does. Had an autistic kid last night who was chewing his IV and clearly needed some chewable stim toys, his nurse recognized that and was trying to get into Child Life's autism cart where the stim toys are, except that not a single staff member on night shift knew the cart access code, so even though the hospital had disability resources he didn't get them because no one thought that information was worth making accessible.

#adventures in nursing #pediatric nursing #disability #ableism #in some ways peds world is much better than adults bc at least people know what a stim toy IS #in others... not so much #health care

[justanothernicunurse]

Writing about my day yesterday at work and I want to preface it by saying I know some it may come across as judgemental and I don't intend that but I also know some of these beliefs and ethical dilemmas are things many nurses and health care providers experience. Also TW for talk of death

Yesterday was "one of those days" from start to finish. I noticed when I got there one of the dayshift nurses was already there running around and she said she had been there since 615 because the night charge sent an SOS and asked her to come in early.

They told us in huddle that they delivered micropreemie twins and one had done OK and was sent to our bigger level 4 NICU hospital and the other had died. The reality was this baby had needed extensive resescitation and the doctors advised the parents to make them comfort measures only given the severity of the situation. So that baby was staying near their mom instead of coming up to the NICU. The baby was on a vent so was being kept alive ny machines and they werent going to be doing any more measures for them. They also told us downstairs, our L&D unit was busy and there were lots of preemies/multiples/ c-sections.

Things changed kind of quickly though because the twin that was originally downstairs with their mom got transfered to the NICU because the family decided they wanted to do everything to save them. Even though me and my preceptor were first admit, they ultimately had another nurse take this baby because there was another admission coming at the same time that they thought would be a better admission for me.

Here's where I want to be careful with my own judgement and thoughts because I can only imagine being in that position and dealing with all of that (x2), but I also have the perspective of knowing what the quality of life for these babies/kids is when they are kept alive on machines and how much suffering that leads to for them and their families. Everyone wants to save babies and no one will easily throw in the towel for them, especially a NICU team so for them to be saying this baby is suffering and will not have a good quality of life and will ultimately die a painful death speaks volumes. I wish families could and would listen because it's not fair to the poor babies. I also dont fault the families, although its hard to manage as the care team having to do things that feel so ethically wrong, are causing pain and suffering to little babies who dont deserve that.

We do the best we can, but we can't save them all. Severe brain bleeds, HIE, respiratory distress, needing multiple rounds of CPR...the list goes on. That kind of situation will not get better or lead to any quality of life. It's so hard, for everyone involved. This family ultimately wanted to transfer the baby to the level 4 NICU to keep trying to save them. I'm talking extreme measures and surgeries...and so much suffering for a likely awful, painful, extreme outcome.

At the same time we got our admission who was a little older but still a young preemie. They came up and it was immediately a disaster. They ended up intubated, not tolerating the vent well at all and needing umbilical lines all at once. It was pure chaos. I tried to help the most I could but was pretty useless. I mostly observed and tried to learn what I could while staying out of thr way. The only positive was that the team was amazing. We had like 5 to 6 nurses just helping us out, then all the residents, 2 neonatologists, and a few NPs.

The baby was not stable and it was clear they needed to be transferred to the bigger level 4 hospital too. Transport got there relatively quick while the team had to put in a chest tube. We were also giving blood, meds, getting the baby on the right vent and vent settings, placing lines, running fluids. It was about 2.5 hours from the time they got to the unit to when the transport team had to literally run out with them to get to the ambulance. I felt so bad for the father who came up and was watching a lot of the work we (mostly the amazing transport team) was doing and then watched them run out with his baby. I also was so sad for the mother as she was in surgery and recovery and didn't even know they had to transfer the baby.

After it all, my preceptor and I debriefed and she answered all my questions because obviously that was not happening in the moment as we were just trying to keep the baby ok and help the team. We didn't eat lunch until like 4 pm. I felt like I neglected my other babies for a bit but it slowed down and they had families around so that was good.

Things settled for a bit but then another transport team came for the other baby. Then right before shift change we got another admission. At that point there was only one resident left for the day but thankfully this baby was stable enough. So there were like 5 nurses just getting everything done for this baby before nightshift came in. I felt much more useful with this admission as I'm definitely learning the routine with admissions and knowing where and how I can help.

All to say, it was a very difficult emotional and long exhausting day. These days are tough, but can also be envigorating and remind me that I'm where I want to and love being. I think I really like this level of acuity because there's quite a bit of high acuity but it's not crazy all day everyday and there's enough time to snuggle babies, get close to families and do all of the "extra" stuff too. We're getting nitric vents soon so we'll start keeping much sicker babies too.

#nurblr #pediatric nursing #nicu #nicu nurse #nursing

[otpassionproject]

Happy Black History Month! According to the National Black Occupational Therapy Caucus, African Americans have participated in OT since 1940, but in a small percentage (NBCOTC History, 2023). "Historically, the profession of OT consisted of primarily white female practitioners. Considering diversity is important because if the demographics of OT practitioners (both OTs and OTAs) do NOT represent the diversity found in the population that they work with, patients may not have the best experience and outcomes (OT Dude, 2022)." According to the 2019 AOTA’s Workforce and Salary Survey, “the profession is mostly white (84%) and female (91%) which is consistent with past surveys. The only racial group to grow more than 1% is Asian/Pacific Islander.” As of 2018, African Americans make up 3% of occupational therapy practitioners. Similarly, physical therapy has 3.9% of its practitioners being African American. The question is why? Why are two important therapy services so largely NOT diverse? Research is being conducted into OT students and the bias that can be identified related to entry into programs, grading throughout academic programs and whether it may or may not be harder to work in a group that is made up with a largely white female cohort. Right now, what we know is that both professions are "pushing" for more entry of diverse practitioners. Occupational therapy and physical therapy can only benefit through the inclusion of a more diverse demographic of practitioners! If anyone is interested or knows someone who is interested in becoming an OT or PT please message us! We want more minorities in our professions and we want to help you achieve your dreams of becoming a therapist! 

Checkout the links below for more information!

#occupationaltherapy#physicaltherapy#occupationaltherapist#physicaltherapist#occupationaltherapyresearch#therapy#blackoccupationaltherapists#blackhistorymonth#blackphysicaltherapists#aota#ilota#apta@aotainc

__ (wildapricot.org) National Black Occupational Therapy Caucus - Home (wildapricot.org) Are Occupational Therapists Becoming More Diverse? – Let's Find Out – OT Dude

#registered nurse #hospital #pediatric nursing #nursing #healthcare #public health #black history #blackblessedandbeautiful #education #student nurse

[limlibrary]

Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank

Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank use promo code EXAM07https://limlibrary.creator-spring.com/listing/introductory-maternity-and-ped?product=1227

#Pediatric Nursing #testbank #exam

[optimistichomecareagencyinc]

When your child is recovering from medical treatment or has a chronic condition, pediatric home healthcare services in Davie, Florida are a good option. Pediatric home health provides treatment and support in the comfort of your home. This care option enables children to receive care in their own environment to foster comfort, convenience, and a higher quality of life.

#Child Care #Child Well-Being #Pediatric Nursing

[dynamikshomecareinc1]

Severe and chronic disorders like asthma, childhood cancer, and heart disease require pediatric nursing to administer medications, monitor vital signs, evaluate symptoms, and deliver infusion therapy. For children and teens with terminal illnesses, a pediatric nurse focuses on providing support, comfort, and assistance. Young adults up to 21 years are still eligible for pediatric hospice care.

#Child Assistance #Child Health #Pediatric Nursing

[medicaltips]

Importance of Nursing Process | Pediatric Nursing Concept

Importance and Objects of the Pediatric Nursing Process What is the Nursing Process? The nursing process may be defined as a systematic problem-solving approach used to identify, prevent and treat potential health problems and promote wellness. In other words, it is a method of planning organizing, and delivering nursing care. Purpose of Nursing Process: The purposes of using the nursing…

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#Pediatric Nursing

[thetidemice]

gold star for being brave

#apparently u guys liked when nurse bendy is in actual nurse gear doing nurse stuff #she is not dumb! idc what canon is she's studying hard to specialise in pediatrics she knows her stuff #moral orel #orel puppington #nurse bendy #nursula bendy #fanart #adult swim

[oatm3al-c00kies]

"he had to lose her to be able to control his time slipping and get her back!!!" but what if it wasn't just about that!

what if it was about the fact that he doesn't want to be alone. the fact that he just wants his friends back. the fact that exactly what he had just said he didn't want, the thing that was his biggest fear, just happened.

they all disappeared in front of him, one by one. and then he was all alone. completely alone as the world fell apart around him. that was what made him able to control his time slipping. that was what he was trying to get back because that's all he's ever wanted. to not be alone.

#i mean also obviously he was about to maybe get spagettied and die which would be good motivation #and it could be about her as well!!! #but i feel like reducing it to just that makes less sense #sometimes family is a jetski salesman a pediatric nurse a nerdy sci-fi writer a wanted criminal a mcdonalds employee & a god of mischief #loki #loki series #loki spoilers #loki season 2 #loki laufeyson

[heardatmedschool]

“There, there, now you can throw up all you want.”

Resident to baby, while passing baby to the intern.

#medicine #med school #medblr #nursing #baby #pediatrics #neonatology #friendly teasing

[wikipediapictures]

Midwife

“Village Midwife Rachel Yusufu (holding the baby), Mnyiramba, and Ayah Brim Masasi, Msukuma, weighing an infant and giving advice to the mother during an infant welfare clinic session at Kishapu Native Authority Dispensary and Clinic in Shinyanga District, Lake Province.” - via Wikimedia Commons

#midwife #midwifery #wikipedia #wikipedia pictures #wikimedia commons #healthcare #global health #neonatal care #pediatrics #history #medicine #medcore #medicalcore #medicore #medical #medical procedure #medical professionals #hospitalcore #hospitals #public health #healthcare professionals #healthcare provider #medical provider #Shinyanga Urban District #tanzania #medical clinic #medical history #nursing #nuresecore

[justanothernicunurse]

I've been at my job for almost a year and haven't had any codes in that time. Until yesterday at 4am, on my third to last day at the job before I leave. I won't write about details because of patient privacy but it's helpful to process at the same time.

My patient was completely fine when I went in the room initially and it was dark because I had the lights off. I noticed something off and called the charge nurse in, not thinking much at this point because the patient was ok. By the time the charge nurse walked the 10 ft in, the patient was unresponsive and down. It happened so quick. By far the scariest thing I've seen. It was truly horrifying with some of the things that were happening.

I did compressions and then once we got an airway I was both bagging and doing compressions until someone else took over compressions. We only did about 1.5 minutes of compressions before the patient returned to baseline with their breathing and cardiac status. There was some delay in getting the code actually called which was insane and hopefully gets addressed. Thankfully the help that needed to be there got there semi-quickly despite the operator not actually calling the code. The other issue and this is common where I work, is that all staff was newer. Besides the charge nurse it was all of ours first codes, and it was also a true code blue which isn't super frequent there. So people were trying to help but no one knew what to do and the charge nurse was focusing on the patient and trying to get the appropriate help to come to us while also directing us to do what we needed to do. It was controlled chaos.

I'm relatively happy with how I responded, especially with it being my first code, first time doing compressions, and it being so severe and scary too. I didn't hesitate to start compressions and responded well to feedback when I was bagging too quickly. I felt like time stopped in that moment and everything happened so slowly, yet so quickly too. After we had initially stabilized the patient I felt like my legs were gonna buckle underneath me I was shaking and panicking so much. At that time I was able to take a quick break out of the room, gather myself and then return back to help out. We transferred them out for an evaluation after which I'm glad we did, despite the fact that they were ultimately ok. I learned a lot from the situation ans think I'll respond better next time. I'm also having lots of anxiety around it and keep running it over and over in my head, which has not proven to be so helpful. I'm so thankful the patient is OK and there is some pride in knowing that I truly did play a huge role in that. The weight of it is also a lot though, like I restarted their heart and that's just crazy to me, and probably everyone else. I know moving into a nicu I'll probably be a part of a lot of codes, so I'm sure I'll get more used to it. I had a lot of support and people to process it with at work and I honestly think we did a very good job, given the circumstances.

#code blue #pediatric nursing #nurblr #first code #nicu nurse #nicu

[otpassionproject]

Check out our fun sticker collection! We have stickers for OTs, PTs, SLPs, Teachers, Nurses and more!

#diy design #design #stickers #sticker design #occupationaltherapist #pediatric occupational therapy #occupational therapist #occupationaltherapy #physicaltherapist #physicaltherapy #physiolife #physiotherapy #pediatric nursing #student nurse #nursing #spedteacher #speech language pathology #speech pathology #speech #educationalresources #special education #preschool #earlyeducation #early childhood education #early childhood development

[rainbow-baby-one]

Pediatric Dream Team!!

#gift #gifts #sweatshirt #cute #peds nurse #pediatrician #pediatrics #pediatric #pediatric nurse #pediatrcian gift

[sapphireginger]

STEREK WEEK 2022

Everyone receives a spirit dragon at the age of five. The dragons help their humans find a mate. The one person meant to be theirs and by doing so they find the dragon's other half as well.

DAY #2: Dungeons & Dragons

@sterekweek-2022

#stiles stilinski #teen wolf #fluff #derek hale #sterek #stiles x derek #derek x stiles #mates #dragons #scale-mates #fantasy #soulmates #fire #fire festival #implied mpreg #magic #colored flames #teacher derek hale #second grade teacher derek hale #pediatric nurse stiles stilinski #dragon tails #kid fic #sterek week #sterek week 2022 #sterekweek2022

[liverpool-enjoyer]

fuck me man i got to retake an exam i did poorly on and DID WORSE

#ITS TEN PERCENT A MY GRADE 😭😭 #FUCK pediatrics #nursing school ramblings