Upon completion the student will be able to:

A. Identify the current philosophy of

pediatric care.

B. Identify concepts that are important

when caring for the pediatric client.

C. Discuss the psychosocial,

developmental stage and knowledge

level before beginning nursing care.

D. Assess the child’s age, developmental

stage and knowledge level before

beginning nursing care.

E. Identify developmental tasks for

specific age groups.

F. Identify the effects of hospitalization

on the child.

G. Discuss the "child life program" and

effects of play on the child.

H. Identify the correct procedure for

administering medications to infants

and children.

A. Philosophy of pediatric care

1. Ambulatory

2. Hospitalization

B. Concepts related to the care of

children.

C. Psychosocial developmental theorist.

D. Developmental tasks

E. Effects of hospitalizations to the

child.

F. Child life programs

G. Administering medications to

children.

A/V "Understanding Pediatrics"

Lecture and discussion

Overheads

Critical thinking exercise

Lab assignments

Clinical assignments

Supplement

Speakers/lab

A/V "Medication and Injections"

Review the Principles of Growth and

Development.

A/V "Performance and Pediatric Assessment" "Evaluating Children"

W&W pp. 608-671

A/V "Fluid Balance and IV Therapy"

"Your Guide to Pediatric Drug Administration"

Nursing 91. August

I. Identify the seventh right of giving

pediatric medicine

J. Identify when restraints would be

utilized with the infant and child.

K. Identify the immunization schedule

for infants.

L. Identify the communicable diseases in

children

I. Immunization schedule.

J. Communicable disease

K. Collaborative problems with infants

Supplement

W&W p. 313

Upon completion, the student will be able to:

A. Discuss the developmental changes of

respirations in infants and children.

B. Identify the differences in the infant

and child’s respiratory systems

compared to the adult.

C. Differentiate between upper, and

lower airway abstractions.

D. Identify the long term respiratory

dysfunction’s.

E. Recognize the impact of age on

respiratory dysfunction.

F. Assess the child’s respiratory function

using the functional health patterns.

G. Apply the nursing process to infants

and children with respiratory system

dysfunction.

H. Identify nursing and collaborative

interventions for respiratory system

A. Alterations in respiratory function.

1. Definitions

2. Etiology/pathophysiology

a. Acute upper airway infection

b. Infections of the lower airway

c. Long-term respiratory

dysfunction

B. Assessment/Functional Health Patterns

1. Focal assessment

2. Lifespan considerations

3. Cultural considerations

4. Individual considerations

5. Diagnostics

a. Pulse o₂

b. Blood gases

C. Diagnosis

1. Analysis

2. Nursing diagnosis/dysfunctional

patterns

a. Ineffective airway clearance

b. Ineffective breathing pattern

c. Risk for altered parenting.

3. Collaborative problems

a. Infection

A/V "Physical Differences"

Supplement

Lecture and discussion

Lecture and discussion

Clinical

Supplement

W&W p. 748

W&W pp. 760-766

W&W pp. 775-786

D. Planning

1. Prioritizing

2. Client goals/outcomes

3. Nursing interventions

a. Therapeutic communication

b. Other (caring/safety)

c. Health promotion/education

4. Collaborative interventions

a. Nutrition

b. Pharmacotherapeutics

1) iv antibiotics

2) M.D.I.

3) corticosteroids

4) cromolyn sodium

5) adrenergic and renergic

agonists

6) theophylline

e. Referral (home health,

social services)

E. Implementation

1. Prioritization of interventions

2. Coordination/delegation

3. Cost effectiveness

4. Documentation

F. Evaluation

1. Goal/outcome achievement

2. Continuation/modification

termination.

Test 1

Upon completion the student will be able to :

A. Identify the differences in infants

gastrointestinal system vs. The adult.

B. Describe common alterations in the

infants and child’s gastrointestinal

systems.

C. Recognize the impact of age on

alterations in the gastrointestinal

system.

D. Assess the child’s gastrointestinal

function using the functional health

patterns.

E. Apply the nursing process to clients

with alterations in the gastrointestinal

system.

F. Identify nursing and collaborative

interventions for alterations in the

gastrointestinal system

A. Alterations in the gastrointestinal

function.

1. Definitions

2. Pathophysiology

a. Dehydration in children.

1) risk factors

b. Disorders of motility

c. Structural defects

d. Obstructive disorders

e. Malabsorption syndrome

B. Assessment/Functional Health Patterns

1. Focal assessment

2. Life span consideration

3. Cultural consideration

4. Individual consideration

5. Diagnostics

a. Blood studies

b. Barium swallows

c. Barium enemas

C. Diagnosis

1. Analysis

2. Nursing diagnosis/dysfunctional

pattern

a. Fluid volume deficit

b. Fluid volume excess

c. Alt. Nutrition less than body

requirements

d. Diarrhea

3. Collaborative problem

Lecture and discussion

Supplement

Supplement

A/V "physical differences"

W&W pp. 803-804

W&W

P. 806

Pp. 811-818

P. 832

P. 840

P. 847

D. Planning

1. Prioritization of nursing diagnosis

2. Client goals/outcomes

3. Nursing interventions

a. Therapeutic communications

b. Other (caring/safety)

c. Health promotion/education

4. Collaborative interventions

a. Nutrition

b. Pharmacotherapeutics

c. Other (diagnostic test)

d. Other (RT., O.T., etc.)

e. Referral (home health, social

services)

E. Implementation

1. Prioritization of interventions

2. Coordination/delegation

3. Cost effectiveness

4. Documentation

F. Evaluation

1. Goal/outcome/achievement

2. Continuation/modification/

termination

Upon completion the student will be able to :

A. Identify the differences in the infant

and child’s cardiovascular system vs.

the adult.

B. Describe the assessment of infants

and children with cardiovascular

dysfunction’s.

A. Alterations in the Cardiovascular

functions

1. Definitions

2. Pathophysiology/etiology

a. Three ducts of fetal circulation

1) Risk factors

b. Circulatory changes at birth

c. Altered hemodynamics

d. Acyanotic CHD

1) Atrial Septal Defect

2) VSD

3) PDA

4) Co Arctation of the Aorta

e. Cyanotic defects

1) TOF

2) TGA

3) Truncus Arteriosus

f. Congestive heart failure

g. Rheumatic fever

h. Kawasaki disease

B. Assessment/Functional Health Patterns

1. Focal assessment

2. Life span consideration

3. Cultural consideration

4. Individual consideration

5. Diagnostics

a. Echocardiograms

b. Cardiac catheterization

Lecture and discussion

Supplement

A/V "physical differences"

W&W pp. 857-858

W&W pp. 860-861

W&W p. 864

"" p. 866

"" p. 867

"" p. 868

"" p. 886

"" p. 892

C. Assess the child’s cardiovascular

function using the functional health

patterns.

D. Recognize the impact of age on the

child’s cardiovascular system.

c. Diagnosis

1. Analysis

2. Nursing diagnosis

dysfunctional pattern

a. Ineffective infant eating

pattern.

b. Ineffective breathing pattern

c. Alt. growth and development

d. Risk for alt. Parenting

3. Collaborative problem

D. Planning

1. Prioritization of nursing

diagnosis

2. Client goals/outcomes

3. Nursing interventions

a. Therapeutic communications

b. Other (caring/safety)

c. Health promotion/education

4. Collaborative interventions

a. Nutrition

1) Oral gavage

b. Pharmacotherapeutics

1) Lanoxin

2) Lasix

c. Other (diagnostic testing, etc.)

d. Other (RT, PT, etc.)

e. Referrals (home health,

social service)

E. Apply the nursing process to infants

and children with cardiovascular

dysfunction

F. Identify nursing and collaborative

interventions for children with

E. Implementation

1. Prioritization of interventions

2. Coordination/delegation

3. Cost effectiveness

4. Documentation

F. Evaluation

1. Goal/outcome achievement

2. Continuation/modification

termination

Upon completion, the student will be able to:

A. Describe common alterations of

children with hematologic or

immunologic dysfunction’s.

B. Asses the child’s hematologic and

immunologic functions using the

functional health patterns.

C. Recognize the impact of age on the

hematologic or immunologic systems.

A. Alterations in the hematologic and

immunologic system

1. Definition

2. Pathophysiology/etiology

a. RBC disorders

1) Risk factors

b. Defects in hemostasis

c. Neoplastic disorders

B. Assessment/Functional Health Patterns

1. Focal assessment

2. Life span considerations

3. Cultural considerations

4. Individual considerations

5. Diagnostics

a. Blood studies

b. Bone marrow aspiration

C. Diagnosis

1. Analysis

2. Nursing diagnosis/dysfunctional

pattern

a. Body image disturbance

b. Anticipatory grieving

c. Ineffective family coping

d. Pain

3. Collaborative problems

Lecture and discussion

Supplement

W&W pp. 910-911

W&W p. 918

W&W p. 922

D. Apply the nursing process to children

with hematologic or immunologic

dysfunction’s.

E. Identify nursing and collaboration

intervention for children with

hematologic or immunologic

D. Planning

1. Prioritization of nursing

diagnosis

2. Client goals/outcomes

3. Nursing interventions

a. Therapeutic communications

b. Other (caring/safety)

c. Health promotions/educational

4. Collaborative interventions

a. Nutrition

b. Pharmacotherapeutics

1) Iron fortified formula

2) Iron supplement

3) Cryoprecipitate

c. Other (diagnostic test)

d. Other (Resp. Etc.)

e. Referral (home health, etc.)

E. Implementation

1. Prioritization of interventions

2. Coordination/delegation

3. Cost effectiveness

4. Documentation

F. Evaluation

1. Goal/outcome achievement

2. Continuation/modification/

termination

Upon completion, the student will be able to:

A. Describe the common alterations in

the infants and child’s genitourinary

system.

B. Recognize the impact of age on

genitourinary dysfunction..

C. Assess the child’s genitourinary

functions using the functional health

pattern.

D. Apply the nursing process to infants

and children with genitourinary

dysfunction.

A. Alterations in the genitourinary

system.

1. Definitions

2. Pathophysiology

a. Genitourinary disease

1) Risk factors

b. Glomeruli disease

c. Miscellaneous renal disorder

B. Assessment/Functional Health Patterns

1. Focal assessment

2. Life span consideration

3. Cultural consideration

4. Individual consideration

5. Diagnostic consideration

a. Renal biopsy

b. ASO titer

C. Diagnosis

1. Analysis

2. Nursing diagnosis/dysfunctional

pattern

a. Diversional activity deficit

3. Collaborative problem

D. Planning

1. Prioritization of nursing diagnosis

2. Client goals/outcomes

3. Nursing interventions

a. Therapeutic communication

Supplement

W&W p. 957

p. 958

p. 959

p. 960

E. Identify nursing and collaborative

interventions for genitourinary system

dysfunction’s

c. Health promotion/educational

4. Collaborative intervention

a. Nutrition

b. Pharmocotherapeutics

1) Corticosteroids

c. Other (diagnostic test)

d. Other (PT. , O.T., etc.)

e. Referrals

E. Implementations

1. Prioritization of interventions

2. Coordinating/delegation

3. Cost effectiveness

4. Documentation

F. Evaluation

1. Goal/outcome achievement

2. Continuation/modifications/

termination

Upon completion, the student will be able to:

A. Describe the common alterations in

the infants and children with cerebral

dysfunction.

B. Recognize the impact of age on

cerebral dysfunction.

C. Assess the child’s cerebral function

using the functional health patterns.

A. Alterations in cerebral function

1. Definition

2. Pathophysiology

a. Cerebral trauma

1) Risk factors

b. Central nervous system

1) Tumors

c. Intracranial infections

1) Risk factors

d. Seizure disorders

e. Cerebral malformations

B. Assessment/Functional Health Patterns

1. Focal assessment

2. Life span considerations

3. Cultural considerations

4. Individual considerations

5. Diagnostic considerations

a. MRI or CT

b. 24 hr. Urine

c. Culture

C. Diagnosis

1. Analysis

2. Nursing diagnosis/dysfunctional

pattern

a. Ineffective family coping:

compromised

3. Collaborative problem

a. Infection

Lecture and discussion

Supplement

W&W

P. 982

P. 997

P. 1004

P. 1006

P. 1011

P. 1025

P. 1026

D. Apply the nursing process to infants

and children with cerebral

dysfunction’s.

E. Identify nursing and collaborative

interventions for cerebral

D. Planning

1. Prioritization of nursing

diagnosis

2. Client goals/outcomes

3. Nursing interventions

a. Therapeutic communication

b. Other (caring/safety)

c. Health promotion/educational

4. Collaborative interventions

a. Nutrition

b. Pharmacotherapeutics

1) Antiepileptic drugs

c. Other (diagnostic test)

d. Other (O.T., Resp., Etc.)

e. Referrals

E. Implementation

1. Prioritization of interventions

2. Coordination delegations

3. Cost effectiveness

4. Documentation’s

F. Evaluations

1. Goal/outcome achievement

2. Continuation/modification/

termination

Test 3

Upon completion the student will be able to:

A. Describe common alterations of

children with endocrine dysfunction.

B. Recognize the impact of age on

endocrine dysfunction.

C. Assess the child’s endocrine function

using the functional health patterns.

D. Apply the nursing process in children

with endocrine dysfunction.

A. Alterations in the endocrine function.

1. Definition

2. Pathophysiology

a. Disorders of the pituitary

function.

b. Disorders of pancreatic

hormone function.

1) Risk factors

B. AssessmentFunctional Health Patterns

1. Focal assessment

2. Life span considerations

3. Cultural considerations

4. Individual considerations

5. Diagnostics

a. Blood studies

b. Fasting blood sugar

C. Diagnosis

1. Analysis

2. Nursing diagnosis/dysfunctional

pattern

a. Alt. Growth and development

b. Health seeking behaviors

3. Collaborative problems

D. Planning

1. Prioritization of nursing diagnosis

2. Client goals/outcomes

3. Nursing interventions

Lecture and discussion

Lab

W&W

P. 1038

E. Identify nursing and collaborative

interventions for endocrine

b. Other (caring, safety)

c. Health promotion/education

4. Collaborative intervention

a. Nutrition

b. Pharmacotherapeutics

1) LHRH, Lupron

2) Pitressin

3) Insulin

c. Other

d. Referrals

E. Implementation

1. Prioritization of interventions

2. Coordinating/delegating

3. Cost effectiveness

4. Documentation

F. Evaluation

1. Goal/outcome achievement

2. Continuation/modification/

termination

Upon completion the student will be able to:

A. Describe common alterations of

infants and children with

integumentary dysfunction.

B. Recognize the impact of age on

integumentary dysfunction’s.

C. Assess the child’s integumentary

system using the functional health

patterns.

A. Alterations in the integumentary

system.

1. Definition

2. Etiology/pathophysiology

a. Infections of the skin

b. Skin disorders related to

chemical or physical contact

c. Skin disorders related to insect

and animal contacts

d. Skin disorders associated with

specific age groups.

B. Assessment/Functional Health Patterns

1. Focal assessment

2. Life span considerations

3. Cultural considerations

4. Individual considerations

5. Diagnostics

C. Diagnosis

1. Analysis

2. Nursing diagnosis/dysfunctional

pattern

a. Risk for impaired skin integrity

3. Collaborative problem

a. Infection

Lecture and discussion

W&W

P. 1084

P. 1081

P. 1085

P. 1087

P. 1093

D. Apply the nursing process in infants

and children with integumentary

dysfunction.

E. Identify nursing and collaborative

interventions for integumentary

D. Planning

1. Prioritization of nursing diagnosis

2. Client goals/outcomes

3. Nursing interventions

a. Therapeutic communication

b. Other (caring, safety)

c. Health promotion/education

4. Collaborative intervention

a. Nutrition

b. Pharmacotherapeutics

c. Other

d. Referrals

E. Implementation

1. Prioritization’s of interventions

2. Coordination/delegation

3. Cost effectiveness

4. Documentation

F. Evaluation

1. Goal/outcome achievement

2. Continuation/modification/

termination

Upon completion, the student will be able to:

A. Describe common alterations of

infants and children with

musculoskeletal and articular

dysfunction’s.

B. Recognize the impact of age on

musculoskeletal and articular

dysfunction.

C. Assess the child’s musculoskeletal

functions using the functional health

patterns.

D. Apply the nursing process in infants

and children with musculoskeletal and

articular dysfunction.

A. Alterations in musculoskeletal and articular function.

1. Definitions

2. Pathophysiology

a. Congenital defects

b. Acquired defects

c. Bone and soft tissue tremors

B. Assessment/Functional Health Patterns

1. Focal assessment

2. Life span considerations

3. Cultural considerations

4. Individual considerations

5. Diagnostics

C. Diagnosis

1. Analysis

2. Nursing diagnosis/dysfunctional pattern

3. Collaborative problem

D. Planning

1. Prioritization of nursing diagnosis

2. Client goals/outcomes

3. Nursing interventions

a. Therapeutic communication

b. Other (caring/safety)

c. Health promotions/education

4. Collaborative interventions

a. Nutrition

Lecture and discussion

Clinical assignments

Supplement

W&W

P. 1137

P. 1141

P. 1143

P. 1144

P. 1145

P. 1151

E. Identify nursing and collaborative

interventions for musculoskeletal and

c. Other (diagnostic test)

d. Referrals

E. Implementation

1. Prioritization of interventions

2. Coordination/delegation

3. Cost effectiveness

4. Documentation

F. Evaluation

1. Goal/outcome achievement

2. Continuation/modification/

termination

Upon completion, the student will be able to :

A. Describe the common alterations of

infants and children with

neuromuscular dysfunction.

B. Recognize the impact of age on

neuromuscular dysfunction.

C. Assess the child’s neuromuscular

functions using the functional health

patterns.

D. Apply the nursing process in infants

and children with neuromuscular

dysfunction.

A. Alterations in neuromuscular

function

1. Definition

2. Pathophysiology

a. Congenital neuromuscular

disorders

B. Assessment/Functional Health Patterns

1. Focal assessment

2. Life span considerations

3. Cultural considerations

4. Individual considerations

5. Diagnostics

C. Diagnosis

1. Analysis

2. Nursing diagnosis/dysfunctional

pattern

a. Alt. Growth and development

b. Body image disturbance

c. Risk for alt. Parent/infant/child

attachment.

3. Collaborative problem

D. Planning

1. Prioritization of nursing diagnosis

2. Client goals/outcomes

3. Nursing interventions

a. Therapeutic communication

b. Other (caring, safety)

Lecture and discussion

Clinical assignments

Supplement

W&W

P. 1162

E. Identify nursing and collaborative

interventions for neuromuscular

4. Collaborative interventions

a. Nutrition

b. Pharmocotherapeutics

c. Other (diagnostic test)

d. Other (PT, Resp., Etc.)

e. Referrals

E. Implementation

1. Prioritization of interventions

2. Coordination/delegation

3. Cost effectiveness

4. Documentation

F. Evaluation

1. Goal/outcome achievement

2. Continuation/modification/

termination

Upon completion, the student will be able to:

A. Administer oxygen by:

1. Discussing safety of oxygen

administration.

2. Utilizing the flowmeter

3. Identifying why you utilize the

humidity.

4. Applying the nasal cannula.

5. Applying the oxygen masks.

6. Describing purpose of self-

inflating breathing bag

(amber bag)

7. Understanding the concept of

oxygen/humidity tents.

8. Utilizing extension tubing

9. Utilizing the oximetry.

10. Discussing the general procedure

for administering oxygen.

A. Discuss general procedure for

administering oxygen.

1. Safety of oxygen administration

2. Humidification

a. Tent

3. Oximeter

B. Equipment

1. Flowmeter

2. Nasal cannula

3. Oxygen masks

4. Extension tubing

5. Amber bag

Ellis, Nowlis, Bents

"Volume II- Modules for Basic Nursing Skills." Module 30

B. Prepare and maintain intravenous

infusion by:

1. Describing two types of fluid

containers.

2. Stating rationale for checking

fluid for clarity and sterility.

3. Stating purpose of each type of

administration set.

4. Discussing the following:

a. Phlebitis

b. Infiltration

c. Causes of obstruction of flow.

d. List appropriate checks to be

made when assessing an IV.

5. Stating two methods for

calculating correct drip rate.

6. Describing method for removing

and replacing gown with IV in

place.

7. Stating frequency for changing

fluid container and tubing.

8. Stating appropriate procedure for

dressing IV site.

9. Describing procedure for

discontinuing IV.

10. Stating what should be

documented regarding IV.

11. Utilizing the "Abbot Pump".

A. Type of fluid containers.

1. How to check fluid

2. Changing fluid and tubing

B. Administration

1. Calculating correct drip rate

2. Removing and replacing gown

with IV in place

C. IV site

1. Discuss

a. Phlebitis

b. Infiltration

c. Causes of obstruction of flow

d. Appropriate checks

2. Dressing IV site

3. Discontinuing IV

4. Documentation

D. Abbot Pump

Ellis, Nowlis, Bents

"Volume II - Modules for Basic Nursing Skills." Module 52 p. 507

C. Administer intravenous medications

by:

1. State signs and symptoms that can

indicate adverse reaction to IV

medication.

2. List various types of equipment

available and purpose of each.

3. Know where to find information

on preparations of IV medications.

4. Explain compatibility of IV fluids.

5. State reason for injecting only at

injection ports.

6. Identify purpose of controlled -

volume set.

7. State amount of fluid to be used

for diluting medication when using

controlled - volume set.

8. Identify purpose of small - volume

container.

9. Explain purpose of syringe

infusion pump.

10. Identify the purpose of a PCA

infuser.

11. Lest reasons for using an iv lock.

12. Explain purpose of heparin or

saline solution in lock.

13. Explain purpose of infusion

controller.

14. Explain reasons for differences

in rate of injection.

15. Explain how to decrease

discomfort of IV push medications.

A. Signs and symptoms of adverse

reaction to IV medication.

B. Various types of equipment available

and purpose of each.

1. Controlled - volume set

a. Diluting medication using

controlled - volume set

2. Small - volume container

3. Syringe infusion pump

4. PCA infuser

5. IV lock (heparin lock)

a. Purpose of heparin or saline

C. Where to find information on

preparation of IV medication

1. Compatibility of IV fluids

2. Injecting only at injection port.

3. Decrease of discomfort of IV

push medication.

D. Infusion controller

1. Rates of injection

Ellis, Nowlis, Bents

"Volume II - Modules for Basic Nursing Skills." Module 53 p. 507

D. Monitor the fetus electronically by:

1. Identifying the goals of electronic

fetal monitor.

2. Explaining the equipment used for

electronic fetal monitoring.

3. Recognizing the basic fetal heart

rate and uterine contraction

patterns and deviations from

baseline.

4. Describing decelerations patterns,

the normal pathophysiologic

causes, and the appropriate

treatment.

5. Explaining antepartal fetal heart

rate monitoring.

6. Completing an assessment and

documentation of the fetal heart

rate.

7. Identifying normal and abnormal

tracings and discuss appropriate

nursing interventions.

8. Discussing legal implications

related to fetal monitoring and

A. Goals of electronic fetal monitoring

B. Guidelines for fetal monitoring during

childbirth.

1. Assessment of FHR for low risk

2. Assessment of handout, FHR for

high risk.

C. FHR monitoring

1. External

2. Internal

D. Uterine contractions

1. External

2. Internal

E. Antepartal FH monitoring

1. NST

2. CST

3. Biophysical profile

F. Monitoring patterns

1. Baseline

2. Tachycardia

3. Biolycardia

4. Deceleration

G. Nursing implications

H. Legal implications

Clinical assignment

Lab assignment

Lab test assigned

Lecture readings

AV, - "Fetal Monitoring"

B, L, & J

Chapter 11

E. Calculate OB and pediatric dosages by:

1. Identifying the "seven rights" of

medication administration in the

pediatric setting.

2. Perform the five steps to calculate

a safe and therapeutic dosage for

medication administration in the

pediatric setting.

3. Determining correctly the fluid

maintenance requirements of the

pediatric client, fluid requirements

for the newborn and caloric

requirements for the newborn.

4. Determining how to calculate

intravenous medications for the

use of Pitocin, Magnesium Sulfate,

Yutopar, And Terbutaline.

A. "Seven rights" of administration.

B. Five steps for calculating safe and

therapeutic dosages.

C. Calculation

1. Fluid maintenance for child

2. Fluid requirement for newborn

3. Caloric requirement for newborn

4. Dosages for IV, Pitocin, MgSO₄ ,

Lab assignment

Clinical assignment

Lab test

Lecture

Supplement

Student must achieve 78% on math test before continuing.