The document discusses safety measures for pediatric patients in the hospital. It aims to ensure the safety of pediatric patients by recognizing their physiological differences from adults and providing age-appropriate care. Some key safety measures discussed are careful drug dosing calculated by weight, frequent vital sign monitoring, use of trained pediatric nursing staff, prevention of falls, strict infection control protocols, and educating parents on their child's treatment plan and medications. The overall goal is to achieve maximum safety for pediatric patients in the hospital.

1. SAFETY OF PAEDIATRIC
PATIENTS
PRESENTED BY:
PRINCY VARGHESE
PMICU STAFF

2. OBJECTIVES
 TO ENSURE THE SAFETY OF PEDIATRIC PATIENTS
 CHILDREN ARE DIFFERENT FROM ADULTS.
 PROVIDE SAFE CARE IN THE HOSPITAL.
 PREVENTION OF ACCIDENTS AND INJURIES IN
CHILDREN.
 TEACH SAFETY TO PARENTS AND CHILDREN.
 LEARN & MODEL SAFE PRACTICE FOR CHILDREN.

3. SCOPEScope
All clinical areas
Definition:
Pediatric patient is a
patient upto 16 years of age

4. IMPORTANT SAFETY MEASURES THAT HAS TO BE
FOLLOWED IN THE HOSPITAL FOR PEDIATRIC PATIENT
SAFETY.
 DRUG DOSAGES:
1. DRUG DOSAGES IN PEDIATRIC PATIENTS ARE STRICTLY
CALCULATED ACCORDING TO THE WEIGHT OF THE PATIENT
AND SOMETIMES ACCORDING TO BODY SURFACE AREA
2. NO MEDICATION ARE GIVEN UNLESS CHECKED BY THE
REGISTRARS.
3. DURING INTRAVENOUS FLUID THERAPY STRICT
MONITORING HAS TO BE DONE ABOUT INTAKE AND OUTPUT
EVERY HOURLY TO AVOID FLUID OVERLOAD.
4. ALSO CARE HAS TO BE TAKEN TO AVOID
EXTRAVASATION BY REGULARLY CHECKING IV LINE.
5. INCLUDE CLINICAL PHARMASIST TO REDUCE
ADVERSE DRUG EVENT.

5. NURSING STAFF:
STRICTLY PEDIATRIC TRAINED NURSING STAFF IS
TO BE APPOINTED FOR MONITORING PATIENTS AS
THEY SHOULD BE ABLE TO PREVENT THE
ALARMING SIGNS(RED FLAG SIGNS) IN PATIENTS
IMMEDIATELY.
PATIENT MONITORING: PEDIATRIC
ADMISSION NEED FREQUENT MONITORING AS
COMPARED TO ADULT PATIENT AS THEY CAN
DETERIORATE FAST. VITAL SIGNS TO BE CHECKED
AT LEAST EVERY 2HOURS OR AS PER THE
INSTRUCTIONS AND ANY UNUSAL FINDING HAS TO
BE INFORMED BY REGISTRAR ON DUTY

6.  PREVENTION OF FALLS AND INJURIES: PATIENT
BEDS ARE TO BE PROVIDED ON ALL FOUR SIDES
BY SLIDING RAILINGS TO PREVENT ANY FALL
FROM BED.
 DIET FOR PEDIATRIC PATIENTS:
PEDIATRIC PATIENTS USUALLY DO NOT
ACCEPT ANY UNACCUSTOMED FOOD, HENCE CO
OPERATION FROM DIETICIANS IS REQUIRED IN
ORDER TO MAKE FOOD AS PER THEIR
REQUIREMENT.
DESIGNING DIET FOR THE PATIENTS
REQUIRES COORDINATION OF PARENTS WITH
DIETICIAN AND FLEXIBILITY OF ALLOWING HOME
MADE FOOD SHOULD BE CONSIDERED.

7.  PREVENTION OF NOSOCOMIAL INFECTION:
1. PEDIATRIC PATIENTS ARE MORE PRONE TO
NOSOCOMIAL INFECTIONS AS COMPARED TO
ADULTS.HENCE STRICT HYGIENIC MEASURES ARE TO
BE FOLLOWED BY THE ATTENDING STAFF (INCLUDING
DOCTORS AND NURSING STAFFS).
2. ALL FIVE MOVEMENTS OF TRUTH TO BE
FOLLOWED STRICTLY.
3. ALSO IT IS MANDATORY TO WEAR A MASK BY ANY
ATTENDING STAFF, SUFFERING FROM ANY
UPPER RESPIRATORY TRACTINFECTION.
INFECTION CONTROL GUIDELINES NEED TO BE IN
PLACE AND ARE STRICTLY ADHERED TO.

8. OTHER MEASURES TO IMPROVE PAEDIATRIC SAFETY
 ENCOURAGE THE PARENTS TO BE INVOLVED IN THEIR
CHILD’S CARE. PARENTS WHO ARE INVOLVED IN THEIR
CHILD’S CARE GET BETTER RESULTS.
 MAKE SURE THAT YOU ASK ABOUT ANY KNOWN
ALLERGIES THE CHILD MAY HAVE AND HOW THE CHILD
REACTS TO MEDICATION.
 MAKE SURE THAT THE PARENTS INFORMS THE
DOCTORS ABOUT ALL THE MEDICATION THE CHILD IS
TAKING: THIS INCLUDES PRESCRIPTION AND OVER THE
COUNTER MEDICINES, AND DIETARY SUPPLEMENTS
SUCH AS VITAMINS AND HERBS.

9.  WHEN THE CHILD’S DOCTOR WRITES A
PRESCRIPTION, MAKE SURE IT IS READABLE AND
EXPLAIN THE PRESCRIPTION TO THE PARENTS
 ENCOURAGE THE PARENTS TO ASK FOR
INFORMATION ABOUT THEIR CHILD’S MEDICINE IN
TERMS THEY CAN UNDERSTAND
 WHAT IS THE NAME OF THE MEDICINE?
 ACTION OF THE DRUG?

10.  IS THE DOSE OF THIS MEDICATION APPROPRIATE FOR
MY CHILD BASED ON HIS OR HER WEIGHT?
 HOW OFTEN IS MY CHILD SUPPOSED TO TAKE IT, AND
FOR HOW LONG?
 WHAT SIDE EFFECTS ARE LIKELY? WHAT TO I DO IF
THEY OCCUR?
 IS THIS MEDICINE SAFE FOR MY CHILD TO TAKE WITH
OTHER MEDICINES OR DIETARY SUPPLEMENTS?
 WHAT FOOD, DRINK, OR ACTIVITIES SHOULD MY CHILD
AVOID WHILE TAKING THIS MEDICINE?
 WHEN SHOULD I SEE AN IMPROVEMENT?

11.  MAKE SURE THE MOTHER KNOWS HOW TO MEASURE A CHILD’S
LIQUID MEDICINE AND THAT SHE IS FAMILIAR WITH THE
MEASURE.
E.G. FOR ASTHMA MEDICATIONS, MAKE SURE THE MOTHER
TAUGHT HOW TO USE THE DEVICE.
 EXPLAIN TO THE PARENTS THE SIDE EFFECT THAT MAY OCCUR.
IF YOU KNOW WHAT MIGHT HAPPEN, YOU WILL BE BETTER
PREPARED IF IT DOES OR , IF UNEXPECTED HAPPENS INSTEAD,
THEY CAN REPORT THE PROBLEM RIGHT AWAYAND GET HELP
BEFORE IT GETS WORSE.
 IMPLEMENT THE HAND WASHING GUIDELINES BEFORE
CONTACT WITH THE CHILD, HAND WASHING IS AN IMPORTANT
WAY TO PREVENT THE SPREAD OF INFECTIONS IN HOSPITALS

12.  WHEN THE CHILD IS BEING DISCHARGED FROM THE
HOSPITAL, ASK HIS OR HER DOCTOR TO EXPLAIN
THE SUMMARY PLAN YOU WILL USE AT HOME. THIS
INCLUDES
 LEARNING ABOUT YOUR CLIENTS MEDICINES AND
FINDING OUT WHEN SHE OR HE CAN GET BACK TO
REGULAR ACTIVITIES.
 ENCOURAGE PARENTS TO ASK WHY EACH TEST OR
PROCEDURE IS BEING DONE.IT IS A GOOD IDEA TO
FIND OUT WHY A TEST OR TREATMENT IS NEEDED
AND HOW IT CAN HELP.

13. CONCLUSION
BY FOLLOWING THESE MEASURES PAEDIATRIC
PATIENT SAFETY CAN BE ACHIEVED TO THE
MAXIMUM