This Presentation has been made for orientation of newly appointed nurses in child ward

1. Basics of Nursing Care
for Children
Prof. Shaheen Akter

2. Outline
• What is different in pediatric nursing?
• How a nurse will look like?
• What are the responsibilities of a Paediatric nurse?
• How can we improve ourselves?

3. Children are unique
• Children are very sensitive, weak, vulnerable
• Anatomical , physiological- BSA, HR, soft bones, nerves,
fontanels
• Immunological- Poor
• Psychosocial- can not communicate, dependent on parent
• Cognitive – React too much on environmental changes
• Require specialized Nursing care

4. A nurse
• Should have a proper dress code, clean , Ironed
• Should appropriately wear a mask!
• Hair tied
• Nail trimmed
• No bangles, rings, nail polishes, mehendi
• Appropriate shoes

5. Pediatric Nursing care
Disease
Management
First –
Do no Harm
Family
Management

6. Maintain Cleanliness
• Clean Hands ( Appropriate Hand wash)
• Clean environment
• Clean instruments
• Clean Patient’s Linens
• Proper disposal of Medical wastes

8. Know – size and colors of
• Your gadgets
• Instruments
• Fluids
• Tubes
• Bags
• Sensors
• Needles
• Collection tubes

9. Check and Record-
• Vitals- HR, RR, Temp, BP ( whenever needed)
• SPO2
• Blood Glucose
• Intake Output

10. Know the Procedures
• Airway clearance/ Suctioning
• Blood Sampling
• Introduction of I/V cannula
• Introduction of NG tube
• Fixing the tubes and lines
• Using slpints

11. Sites of venipuncture

14. Suctioning

15. Positive pressure while introducing..

16. Keep records
• Write all the medicines given, mention time
• Write your name clearly , not sign or initials
• Ask Doctors if you are not clear, or if the order needs
clarification

17. Hand over
• Everything
• All information about the patients
• Your responsibilities
• All equipment, drugs
• Report to be collected

18. At the start of your shift-
• Look at the baby
• Condition
• Oxygen
• Cannula
• I/V channel ( change every 72 hours)
• Sucker machine
• Clothing
• Papers, x-rays

19. Please have look at the baby
•Whenever you pass by!!

20. Therapeutic Hugging for Extremity
Vein Puncture

21. Elbow Restraints

22. Puncture Site on Sole of Infant’s
Foot

23. When you receive a child
• Consider TRIAGE
• Attend at shortest possible time, Do not leave the baby
unattended for long
• Do something like positioning, giving suction, starting Oxygen
inhalation, seeing CBG
• Make a rapport, Assure,Ensure
• Show Sympathy, Empathy

24. Have A good Relationship with….
• Your Patients / and their Parents
• Your Colleagues
• Your Seniors
• Your Assistants
And With Doctors
Be Nice to
the
Visitors

25. A good Nurse-patient communication
Improves compliance with
medical treatment
Improves health,
functional and emotional
status
Improves clinician’s
satisfaction
Improves patient’s
satisfaction

26. When you discharge…..
• Be thankful
• Update all of your Papers
• Supply all of Patients Paper
• Counsel the parents about the advices given.