Chn Roles

Parents may feel overwhelmed by the assessment process and this assessment allows them to be involved every step of the way. Their role is also crucial to obtaining an accurate developmental level for the child. As part of the screening, there is an informal questionnaire and

The sooner any issues or concerns are raised the sooner the child or young person can be monitored and help or assistance given.

A psychologist or psychiatrist carries out interviews with the child and family and a review of the child’s past records, behavioural interventions, and developmental history are taken.

INTRODUCTION Throughout the clinical attachment in SGH for Paediatric Nursing Practicum, I get to know that there are a lot of clinical and critical thinking skills that I had to sharpen in order to manage various types of cases and situations in the future. I learned that we as nurses have to always be prepared for whatever situations that we encounter and had to deal with. I am a person who does not love kids as much as my colleagues do, but through this practicum, I had learnt to be more patient and caring towards them as they are so fragile and vulnerable to different types of injuries and diseases. Kids are sensitive to the environment as they are not familiar with their surroundings, thus, they tends to express their anger, fear or even cry in front of you in order to show their unpleasant feelings.

Information from carers and colleagues- the parents and carers would give helpful information that would tell the practitioners if the child has a disability and that would help tell whether they are going to need extra support. The parent knows lots about the child they would be able to tell if something is not right at home. The practitioners would notice if something is wrong at the pre-school if the practitioner is concerned about the child they would let the parent know if they think something is different. The parent could ask questions at parents meeting with the child’s key person about what the

No knowledge of child’s medical history which can cause problems in diagnosing illness or most appropriate medical treatment

When assessing a child you must be careful to take into account confidentiality before carrying out an observation you must have parents and the settings permission and not to leave confidential material lying around they must be secured in a locked cabinet. Only talk to authorized personal about

1.1. When assessing development some factors need to be taken into account one of these is confidentiality, this means that you will need permission from a child’s parents/carers before doing observations, also when information is wrote down about a child is important that it is kept in a safe place were only the relevant people can access it. Also making sure that information about a child is only shared with parents/carers or colleagues and professionals that have the right to know. Another factor to take into account is a child’s wishes and feelings, this means to take into account the child’s wishes when doing an observation or assessment. The child may not want to be assessed at

Use these observations and assessments to identify learning priorities and plan relevant and motivating learning experiences for each child.

After the recovery process was completed, the patient was placed in the care of the discharge nurse. She was given a report and was aware that the mother had not showed up to collect her child and several overhead pagers had been performed. While the interview was taking place the nurse stated that she was unsure how to proceed, with the mother not being located, the nurse stated that she was relieved when she was informed that the patient father was there, the discharge nurse stated that the

Confidentiality - When assessing a child or young person it is important to gain the permission of parents/carers as well as the young person themselves if they are old enough to understand. You should always make sure that notes of assessments are kept safe and private & only discuss the assessment with the correct members of staff. If training and you want to use an assessment as evidence than no names should be used on generic references such as Child A.

Today I shadowed a registered nurse. I saw a variety of appointments. The first pt was in for a well child check up. The nurse recorded her vital signs and asked several safety concern questions about her lifestyle and home life. The pt also received a portion of the HPV vaccine. The HPV vaccine can cause fainting spells or an allergic reaction, so the pt had to wait 15 minutes after receiving the vaccine for observance purposes(S). Between each pt, the rooms were cleaned and a new sheet of paper was stretched out over the bed(IC). The next pt was a 6-week-old baby who had been hospitalized for respiratory syncytial virus (RSV). RSV(D) is a common and very contagious virus that affects the respiratory tract. RSV in babies can lead to serious problems like breathing rapidly and cause the lips and fingernails to become cyanotic(MT1). The last pt has a history of repeated ear infections. The doctor suggested a

Cutoff grids appear on each Information Summary Sheet that can easily be compared with the child’s performance at that age interval to determine whether the child should be referred for further evaluation. At the bottom of the page, for programs with digital scanning capabilities, ovals may be darkened so that scores can be automatically scanned into computer records

You are concerned about the behaviour of one of the children with whom you are involved. You believe that this is due to learning development problems, and suspect this may be due to underlying medical issues.

I was working night shift in a level 3 Neonatal Intensive Care Unit facility and my 10 days orientation was over. It was my first day working without my preceptor. Since I was a new staff, the charge nurse allocated two stable babies for me. One was Baby Zahra, a 33 weeks preemie, on room air, with nasogastric tube, with peripheral intravenous line to keep the vein open and feeding with expressed breast milk every 3 hours. I started my shift with a bit of nervousness knowing that I am on my own and wondering if I can remember everything that my preceptor had taught me during our orientation. I started my assessment and observed Baby Zahra to be pale, her skin was slightly mottled. I checked her vital signs. The cardiac monitor showed that she