Part B From the handover received on Max’s current condition, the following care plan was constructed for the upcoming early shift. Phototherapy and Bilirubin Monitoring Max’s SBR level of 300mmol/L at 60 hours old requires phototherapy treatment according to the SAPPG hour specific bilirubin chart (Image 2) (SAMNCN 2010). Following the recommendation of the ISBAR, phototherapy using a bilibed is to be commenced on the early shift. Seeing as Max is otherwise well, it is appropriate for him to remain in the open bassinet with correct monitoring whilst receiving phototherapy treatment via a bilibed (Flinders Women & Children Division 2014; QMNCGP 2012). Important points to consider when caring for a baby receiving phototherapy treatment include: ensuring correct skin care – washing with water only, no oils or creams used on exposed skin, ensuring the neonate is naked aside from a nappy and eye protection pads to maximise skin exposure to the lights and ensuring adequate hydration by monitoring fluid intake, urine output and observing stool consistency (RPAHNC 2005; Maisels, J 2006). Max’s SBR should be rechecked according to local protocol but generally 6 hours after phototherapy was commenced to assess the effectiveness of the phototherapy (QMNCGP 2012). It is vital to ensure phototherapy lights are …show more content…
It is important to closely monitor Max’s weight gain/loss daily and alter his feeding and treatment regimes accordingly (QMNCGP 2012). Seeing as Max has been tolerating his increased feeds well, the recommendation has been to further increase to 120mls/kg/day as he is now day 4 (Flinders Women & Children Division 2014). This means that each 3 hourly nasogastric tube feed will be 37.5mls (Flinders Women & Children Division
4. describe actions to take where any concerns with the agreed care plan are noted
Well, if you haven’t had time before this you’re going to have to make time now because this ICD-10 transition is most likely going to be not only stressful but also expensive for you and your staff.
Nightingale leadership will update the hand-off policy and form as soon as possible and within 30 days, to include verification that the history and physical is completed prior to the end of shift when patient is admitted.
Care plans are developed by the service users, and when needed with help and assistance from friends and family. These plans are then to be agreed by a social worker or senior care manager e.g. the nurse or senior care worker depending on if the person is nursing or a residential client. The planning system allows the individual’s to:
Prepare gurney beds, oxygen tanks, resuscitation rooms by restocking and setting up supplies readily to be use
It is similar to other Major Plans of Care with face sheet, lab sheets, TACTIS, assessment forms, and etc., but will be different in that it will incorporate elements of care plans you have already done, along with content you will develop using Nurse Squared, our new Electronic Medical Record software that you will be using. After having worked with this software over the summer,
Handover and formal care reviews or multidisciplinary meetings will be appropriate places to discuss and note any changes or issues. You should be
• Administer Care Plan in order to ensure that it is delivered in an appropriate, caring and respectful
This helped me create a specialized plan of care for my patients and their families.
The bilirubin test is used to evaluate liver function. Your health care provider may recommend this test:
This should all be written within the individuals care plan as well as a step by step plan on that has been agreed with them on how to move and handle them.
Optimizing the thermal environment has proven significant for improving the chances of survival for small infants. Understanding the basic physiologic principles and current methodology of thermoregulation is important in the clinical care of these tiny infants.
Make a List: Don’t leave the respite care provider without clear instructions, a schedule, and emergency contact information. List all special needs your loved one will require during your
The infant is placed under artificial light in a warm, enclosed bed to maintain constant temperature. The baby will wear only a diaper and special eye shades to protect the eyes. The American Academy of Pediatrics recommends that breastfeeding be continued through phototherapy, if possible. Rarely, the baby may have an intravenous (IV) line to deliver fluids.
The next stage is to implement the care package, ensuring all the care staffs involved are made aware of the individuals’ needs and preferences. After 6 weeks we would then review the care package, making any adjustments if required, and following that the care package would be reviewed again in 12 months. If for any reason there was a change to the individuals needs or situation then a review would be carried out at an earlier date in order to address the change.