Tuesday, September 3, 2013

Summer Part 2: Pediatrics!

Pediatrics was my only clinical of the last 7 weeks of summer!

Well Peds has been over for a couple of weeks but I only had 4 days off in between my summer and fall semesters so I feel like I'm still playing catch up.

We did our clinicals on a general pediatric floor with kids of all ages and diagnoses. I worked with a 2 week old, 1 year old, 10 year old and 11 month old on my weeks there. They were all in for various diagnoses like fever, seizures, short gut, etc.

Procedures accomplished:
- Vitals
- Med administration
- Swab/culture on newborn

Care plans:
Still required. These ones were better than others. They required less info overall, although more about cognitive and developmental stages obviously. I did my three early on so I was done with them.

Observations:
Pediatric Clinic
I observed in the peds clinic run by the hospital where they see all the kids that don't have insurance or are on the state insurance. It was a pretty routine doctor's office routine. Bring kids back, get vitals, height, weight and then get them in a room. I did watch them do a couple lead tests, other blood tests and vaccinations. Super cute kids, but I think I would be bored working there.

Pediatric ER
I really enjoyed my pediatric ER observation. They weren't super busy while I was there but I got to observe them triage, assess, treat, etc. They attempted to put an IV in a 6 month old who was actually diagnoses with an intussusception (which I had just learned about so that was cool). It was interesting to see how the child life specialist helps the nurses by trying to distract/entertain the child.

Overall Peds was fine... although nothing spectacular. When I was younger I always though I wanted to be a pediatric nurse but I don't really think I do. I could possibly do Peds ER, but not floor work probably. It's just like doing procedures on adults, but they're smaller and they scream more. Also most children come with parents.