Nursing 345: Clinical Practicum with Expanding Families: Pediatrics

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Community

Post-Conference Assignments

This section includes the directions you need to complete the requirements for the Community Pediatric rotation. Each week an online post conference assignment is due. PLease post your assignment in the Discussion Form indicated. Weekly journal should be posted to your faculty advisor.

Post Conference One:

Evaluating Growth:

Text: 174-175,1711,1882-1895

1.Complete the tutorial on evaluating growth at the Center for Disease Control Web Site

: http://www.cdc.gov/nccdphp/dnpa/growthcharts/training/modules/index.htm

2. Complete the tutorial on growth chart training at the Health Resources and Services Adminstration, Maternal and Child Health Bureau Site:

http://depts.washington.edu/growth/index.htm

Growth Posting: Upon completion of the tutorial evaluate the growth of two children of different ages and describe your individual findings in a rief (three sentence) statement on Discussion Form (Subject: Evaluating Growth, name)(ie - Evaluating Growth,Greenwald. Post response statements.

Observation Posting: Observe two children of different ages: 1/2 page write-up for each child, include: a) Observation of motor skills and physical development b) Social interactioins with peers, parents, other adults c) personality characteristics.Subject: (Observation,name)

Due: Friday, Week 2

POST CONFERENCE TWO:

IMMUNIZATIONS

Text pgs. 527-541

CDC Web Site: http://www.cdc.gov/nip: Child & Adolescent Immunization Schedule, Catch Up Schedule, Vaccine Safety, Why Immunize

American Academy of Pediatrics Web Site: www.cipsimmunize.org: Checklist for safe vaccine handling and storage, Vaccine Handling & Storage, Vaccine Information Statements

Group Posting: Divide the following learning activities among the group members and post answers to the following items.

1. Define inborn immunity, acquired immunity, live attenuated vaccine, inactivated vaccines.

2.As an RN you are asked these questions by first time parents, how would you respond? a)I never received a chickenpox vaccine when I was young? Why should my child receive the vaccine? b) How can I comfort my baby while he is being vaccinated? c) Does my baby need immunizations if I am breastfeeding?

3. Discuss the correct sites, needle sizes, route of administration for the following vaccines: DTP, Hepatitis B, MMR, HIB, IPV

4. Discuss an appropriate response/action for these situations:

a) A 10 month old presents for routine immunizations with a history of lethargy, tachycardia, fever of 104, decreased urine output.

b) A father of a 15 month old asks the nurse to give the IM vaccination in the buttocks so his child does not have to see the needle

c) The parents of an 18month old child are fearful of the MMR vaccine, because of their concerns about the relationship between MMR vaccine and autism.>

5. A 5 yr old child recently arrived from Mexico without any immunization records. The parents want to enroll the child in school. What vaccines would this child need to receive.

DUE: FRIDAY WEEK 3

The remainder of this site is underconstruction. Updates soon.

School Health

Review the following assignments:

School Nursing: Text - pp. 729-730, 714-716. 728-730

The Center for Health and Health Care in Schools: http://www.healthinschools.org/home.asp

The American School Health Association: http://www.ashaweb.org/

School Nursing.com: http://schoolnurse.com

American Association of School Nurses: http://www.cehn.org/cehn/resourceguide/nasn.html

California School Nursing Association: http://www.csno.org/

Posting: Comment on your on your own school experience in relation to health care as identified in the readings. Subject: My Experience.

Post Conference Three: See the following link Pediatric Screening

Post Conference Four: Communicable Diseases

Post Conference Five: Adolescent Health Issues

1. Based on guidelines from the following web sites and your text write up the key points and rationale for the following clinic visits:

12 yr old female well child exam
17 yr old male, sports physical

Discuss issues of risk reduction, screening, immunizations and health education

2. As a clinic nurse, how would you manage the following situation:

15 yr old female arrives for her sports physical exam with her mother. The patient appears withdrawn and quiet during the registration process. The patient's mother answers all the questions directed toward her daughter. In reading the health questionaire you notice that there is no answer to the questions " When was your last menstrual period (LMP)" and "Are you sexually active".

Discuss issues of confidentiality and health concerns.

http://www.ama-assn.org/ama/upload/mm/39/gapsmono.pdf

http://www.medem.com/MedLB/article_detaillb.cfm?article_ID=ZZZTZ1SEKEC&sub_cat=12

http://youth.ucsf.edu/nahic/img/2010.pdf

Webliography

www.brightfutures.org.pocket/pdf

www.keepkidshealthy.com

www.cdc.gov

The Center forHealth and Health Care in Schools: http://www.healthinschools.org/home.asp

The American School Health Association: http://www.ashaweb.org/

School Nursing.com: http://schoolnurse.com

American Association of School Nurses: http://www.cehn.org/cehn/resourceguide/nasn.html

California School Nursing Association: http://www.csno.org/

American Academy of Pediatrics: http://www.aap.org/

Copyright ©2003 by SSU Nursing Department

Stewart, Vandeveer, Greenwald