PEDIATRIC NURSING-NURS 2114
Clinical Practicum
Homework
Assignments
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Clinical Outcomes/Core Competencies
The nursing student will:
1. Define and describe the role of the school nurse and the Advanced Practice Nurse, scope
of practice and collaborative relationship with the community. (measured by written
assignments, journaling) Nursing Judgment
2. Discuss legal/ethical/safety issues addressed by the school nurse. (measured by written
assignments, post conference discussion, journaling) Professional Identity
3. Identify specific cultural considerations managed by the school nurse. (measured by written
assignments, post conference discussion) Human Flourishing
4. List wellness promotion programs coordinated by the school nurse. (measured by written
assignments and journaling) Professional Identity
5. Describe therapeutic communication techniques demonstrated by the school nurse, special
Services faculty and the Day Care Staff/Faculty. Human Flourishing, Professional Identity
6. Illustrate and discuss child health issues related to particular disease processes and identify
nursing management/interventions. (written assignments, group discussion) Spirit of
Inquiry
7. Recognize safety issues and develop teaching plans for families and caregivers of children
using evidence based practice. (class discussion, assignments, journaling) Professional
Identity
8. Demonstrate ability to accurately document appropriate information and safely administer
medications to pediatric patients. (measured by simulation and written assignments)
Professional Identity, Nursing Judgment
9. Demonstrate the ability to safely perform basic care and provide comfort in meeting the
needs of the pediatric patient. (measured by simulation, written assignment and supervised
clinical experience) Spirit of Inquiry, Human Flourishing
10. Identify collaborative relationships within the acute care setting and in the community.
(measured by reflective journaling, class discussion) Nursing Judgment
11. Recognize deviations from normal growth and development as a result of illness and
hospitalization and develop appropriate care plans. (measured by discussion and written
assignments and application of supervised clinical care) Spirit of Inquiry, Human
Flourishing
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CONCEPT MAP
Due _____________________________________________________
Instructions:
1. The clinical instructor will assign a disease process or clinical problem related to childhood for
the concept map.
2. Using the Nursing Process for a guide, formulate a teaching “Map” to illustrate the assigned
problem.
3. Size of the concept map will be determined by the clinical faculty. Many choose half size poster
board.
4. Concepts will be presented in the post conference setting and will be evaluated as part of the
formative/summative clinical evaluation.
PEDIATRIC ASSESSMENT
Due: September 24, 2015 at 0830. LATE ASSIGNMENTS NOT ACCEPTED. To be turned in to classroom
instructor and is considered a “homework” grade. This is to be neatly typed and organized with a cover
page containing the following information: 25 points possible.
1. Title: Pediatric Assessment (with applicable age group-e.g. School Age Child)
2. Date
3. Your name, Student RN
There are three parts to any “intake assessment” Part IV is a student driven component of the
assessment and should be on a separate page of the document.
I.
The Interview & Health History
A. Patient Profile:
Include child’s initials, date of birth, current age (years and months)
Record apparent/subjective information on interaction with family, peers.
For older children ask about school performance: grade, achievements, general
progress.
Note habits-thumb sucking, nail biting; hobbies, sports participation, activities
(fishing, hunting, reading, travel, etc.)
For adolescents add peer group activities and job performance if applicable. (for the
purpose of this assignment we will not assess sexual activity, use of drugs or parentchild conflicts, although in a professional assessment this is considered to be part of
the health history)
B. Developmental Profile:
Note Erikson’s stage of development-document examples of how the patient
evidences the characteristics of this stage.
(Example: a nine year old male-stage of industry vs. inferiority: describes school
experiences with enthusiasm, enjoys math and science classes, plays on basketball
team with classmates…Stage of Industry is apparent. If child is presenting with a
negative resolution-inferiority, what steps might you take to help them reach a
positive resolution?)
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C. Nutritional Status:
Infants: feeding (breast/bottle) if on bottle what type of formula, frequency and
duration of feedings, use of supplemental iron or fluoride, types of solid foods fed
and when introduced.
Children: eating habits, likes/dislikes, specific foods eaten, and vitamin
supplements?
D. Elimination Pattern:
Bladder habits-voiding frequency, presence of enuresis, burning or pain
Bowel habits-assess for presence of constipation, bleeding, complaint of pain with
defecation (and yes you will need to ask specifically about “peeing and pooping” as
defecation, enuresis, voiding, etc. are not in everyone’s vocabulary) and what is the
normal bowel frequency for this child?
E. Sleep/Rest Pattern:
Typical bedtime, average hours of sleep, number and length of daily naps
F. Sensory-Perceptual Pattern:
Presence of corrective lenses, hearing devices or other special equipment.
G. Value-Belief Pattern:
Include religious affiliation if applicable (consider how this information plays a part
in the care of the child in stressed situation)
H. Childhood Illnesses/Accidents/Injuries/Operations/Hospitalizations
II.
Current Health Status
A. Allergies/Sensitivities
B. Current Medications
C. Immunization Status-next due?
D. Reason for Exam : Wellness Exam
III.
Physical Assessment*
A. General Appearance and assessment findings:
a. General Physical Survey to include available vital signs
b. Skin, hair, nails
c. Head and neck
d. Eyes
e. Ears
f. Nose and sinuses
g. Mouth and pharynx
h. Cardiac and peripheral vascular system
i. Thorax and lung
j. Abdomen
k. Musculoskeletal
l. Neurologic
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*Note: use your Pediatric text and Jarvis for appropriate techniques.
IV.
For your selected patient:
A. Identify two priority nursing diagnoses.
B. Identify two measures for injury prevention in this age group (remember to consider
injury prevention for the specific needs of a handicapped/special needs child relative to
their developmental stage)
DAY CARE/HEAD START PROGRAMS WRITTEN ASSIGNMENT
Select one child in your assigned group and complete the following written assignment.
1. Select a child and compare growth and development to the chart in your Wong’s Essentials of
Pediatric Nursing text. Compare expected norms for age to actual findings. Identify and describe
any actual or potential delays observed.
2. Identify the leading cause of death or injury in the age group of children observed. Determine
two injury prevention strategies relating to the cause.
SCHOOL NURSE WRITTEN ASSIGNMENT
1.
2.
3.
4.
Briefly describe the role, skills, and responsibilities of the school nurse.
Identify two legal/ethical issues present in the practice of school nursing.
List wellness promotion programs coordinated by the school nurse.
List number of students seen by the school nurse on day of practicum and what were the three
main health problems assessed?
5. Nutrition has become a key issue for school nurses and communities. Develop a menu (3
Breakfasts and 3 lunches) that will promote optimal nutrition for the school age child or
adolescent. You might find helpful information on the website http://healthymeals.nal.usda.gov
SPECIAL SERVICES WRITTEN ASSIGNMENT
1. Identify the services offered to special needs children and family resources at the site of your
experience.
2. Select a child and describe the child’s disability in relation to the following:
a. The effect on the child’s growth & developmental pattern-physical and/or psychosocial
b. The physical problems/needs related to the disability.
c. The child’s adaptation to the disability/special need.
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SCHOOL HEALTH SCREENING EXPERIENCE WRITTEN ASSIGNMENT
1. Describe the portion(s) of the screening activities in which you were involved. Specify what the
screening will or will not identify, the significance of the defects in relation to the student’s
growth and development and education. How are findings of the screenings handled?
2. Select one student population (kindergarten, 1st grade, junior high, etc.) and describe student
behaviors indicative of their chronological and developmental age as you observe them during
the screening. Describe common behaviors observed within the selected age group.
3. Describe examples of therapeutic communication techniques you used today. How was the
technique adapted for different groups or sub-groups of children?
APN/PHYSICIAN CLINICAL EXPERIENCE
Referring to the general clinical objectives:
1. Describe the role of the Advance Practice Nurse in the family practice clinic.
2. Identify therapeutic communication used with varying pediatric (or other) age groups.
3. Compare physical assessment approaches used in varying pediatric age groups.
4. Identify the top 2-3 most common pediatric illnesses and treatments seen in the family practice
clinic during your experience.
5. Discuss therapeutic strategies a nurse can use to demonstrate procedures to children and their
families.
NOTES:
Clinical Experiences will differ with each clinical group based on availability. Enjoy the differences and
share experiences with classmates. Clinical faculty may adapt or create experiences differing somewhat
from the ones described here and you are responsible for the material given by them. Journaling should
be continued throughout the Pediatric rotation. The Community Health Brochure and the Pediatric
Assessment are considered part of the clinical experience but to be turned in for Homework credit to
the classroom instructor.
Community Health Brochure
Due: October 1(0830) NO LATE ASSIGNMENTS ACCEPTED
Design a Tri-Fold Brochure for a Community Nursing Booth at a Health Fair. Your target cohort
will be young parents, and caregivers of children ages newborn to 19 years. Caregivers may be
of low-income with an average 4th-5th grade reading/comprehension level. There is a large
population of families to whom English is the second language spoken in this community.
Use the rubric for guidance in development. Divide project among the group. Some possible
responsibilities might be design & printing, resource discovery, proofreading, professional gathering of
facts and community needs.
The Community Resource Center in the Durand Center has many resources available.
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Two or three students will be assigned to each project and the rubric will be used for
evaluation. 40 points are possible.
Brochure Subjects Ideas:
1. Immunizations
2. Nutrition/Rest Requirements for the Toddler/Preschooler
3. Nutrition/ Rest Requirements for the School Age Child
4. Asthma
5. Meningitis
6. Nutrition/ Rest Requirements for the Adolescent
7. Diabetes
8. Vision and Hearing Screening
9. Autism
10. Keep your Preschooler Safe
11. Overuse Injuries-Sports/Work (remember that many children are working part time)
12. Croup Syndromes
13. Use of Acetaminophen and Ibuprofen for pain and fever
Brochures may be designed in English with Spanish version if you are able to do this.
Make 2 copies (one for your notebook and one to turn in for evaluation). These subjects are generalized.
You may come up with “catchy” titles for your brochures but be sure they won’t be confusing to your
target audience. Cutting and Pasting from other publications is considered to be plagiarism. I will be
running suspicious content through programs designed to identify this.
Outcomes:
Human Flourishing
 Recognize basic principles of growth and development in caring for patients of all ages that
promote human flourishing.
 Use basic communication techniques to facilitate effective interactions with peers, faculty,
patients, patient families and health personnel.
 Apply to nursing interventions those cultural, social, spiritual, and historical influences which
affect the patient in all phases of life.
Nursing Judgment
 Relate the nursing process to provision of safe, comprehensive, and holistic nursing care to
patients at any stage of wellness or illness across the lifespan.
 Demonstrate the ability to safely meet the needs of adult and pediatric patients in various
healthcare settings.
Professional Identity
 Describe and illustrate the nurses’ role in specific treatment methods designed for health
promotion, maintenance and restoration of health for individuals, families, and communities.
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Spirit of Inquiry
 Plan appropriate nursing interventions to assist the patient and family to adapt physiologically,
psychologically, and socially to stressors occurring across life span with application for diverse
cultural settings.
Grading Rubric for Community Health Fair Brochure (please turn in a copy of this rubric with
your assignment and all names of group members)
Topic:
Organization
Eye appeal
Excellent (10)
Content flow
clear, easy to
follow; shows
nursing
knowledge of
culture and
language abilities
Subject apparent
by design, well
formatted; color
and subject
complementary;
easy to read
Professionalism
Content factual,
informative and
professionally
written to reach
desired audience.
(*4th to 5th grade
reading level)
Subject content
Thorough, offers
community
resources (2 or
more); 2 or more
references APA;
Good (5)
Content
organized, flow
from description
to treatment
awkward
Basic (3)
Comments
Content
disorganized; hard
to follow if ESL
Simple design,
must read to
determine
subject,
information
adequately
presented
Moderate
evidence of
professional
content.
Poor eye appeal,
lacking color and
formatting; very
wordy, font
difficult to read at
assigned level
One community
resource and one
reference, APA
formatting
Lacks overall
indication that
material is
developed by
nurse. Lay
language without
medical reference
for recipient to
relate information
No community
resources given;
only one online
resource (or
opposite)
Developed by: _________________________________________________________________________
Date: ________________________________________________________________________________
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