PEDIATRIC ASSESSMENT - Trinity Valley Community College ...



TRINITY VALLEY COMMUNITY COLLEGE ASSOCIATE DEGREE NURSINGPEDIATRIC ASSESSMENT – LEVEL II & TRANSITIONStudent Name: ________________________________Course: _________________Patient’s Initials: ____Age: _____Sex: _______Date of Contact: ________________(You may not use your own child or grandchild.)Human Development - Growth & DevelopmentComponent AreaTextbook – What isExpected for AgeClient – What Client DemonstratedAnalysis – Compare & ContrastGross motorFine motorLanguageSocializationCognitionSensory - VisionSensory – AuditorySensory – TactileSensory – TasteSensory – SmellReference: Summary of Analysis: I. Human Development - Growth ChartsInstructions: Measure client’s height and weight Calculate client’s BMI (if over 2 years old)Download growth charts from CDCHeight for ageWeight for ageBMI if over 2 (use weight for stature chart if under 2)Graph client information on the growth chart and submit. Do not submit computer generated resultsAnalyze results and write summary – include description of percentiles for each chartClient Height: Client Weight:Client BMI:Include a copy of the completed growth charts with your submission. Summary of analysis of results:I. Human Development - Erickson Stages of DevelopmentMajor developmental task (what vs. what):Give examples that show patient is meeting or not meeting the task:Is child meeting or not meeting task?I. Human Development - Play ActivitiesInstructions: Identify play activities and toys that would be appropriate for this age child.Play activitiesToysReference: II. Perfusion, Gas Exchange & Thermoregulation - Vital SignsAge AppropriateClient’s ResultsAnalysisPulseRespirationsTemperatureBlood PressureReference: Summary of analysis of results:III. Interpersonal RelationshipsInstructions: Describe the following observed interactions:Between child and primary caregiverBetween primary caregiver and the nursing studentBetween child and the nursing studentIV. NutritionInstructions:Ask primary caregiver to describe average nutritional intake for child for a day or ask them to write down intake for a typical day (including amounts).Go to and find out the recommended number of servings in each food group for this child.Determine the number of servings and calories the patient consumed.Determine the difference between the actual intake and the recommended intakeWrite an analysis of the nutritional intake. Breakfast:Snacks:Lunch:Snacks:Dinner:Snacks:Food Group# Servings Recommended for this age child# Servings Patient Consumed in average dayDifference(+ or -)GrainsProteinsFruitsVegetablesDairyReference: Analysis of results and recommendations: V. ImmunityRecommendedImmunizations (Use Texas website) Recommended ages for child to receive immunizations.Client’s age when immunization was actually received. AnalysisHepatitis BRotavirusDiphtheria, Pertussis, TetanusHaemophilus influenza type BPneumococcalInactivated PolioMeasles, Mumps, RubellaVaricellaReference (Use current Texas website and not textbook): Summary of analysis of results:Discuss primary caregiver’s knowledge of immunizations including side effects, adverse effects, and safety measures for patient and patient contacts and analyze teaching needs:VI. Evidence-based Nursing PracticeInstructions: Discuss one evidence-based nursing practice guideline related to health promotion of children this age Evidence-based Nursing Practice Guideline: Reference: VII. Health PromotionInstructions: Identify health promotion activities and safety precautions that would be appropriate for this age childHealth Promotion Activities Reference: VIII. SafetyInstructions: Identify safety precautions that would be appropriate for this age childSafety PrecautionsReference: N:\Syllabus\CBC Curriulum\Clinical II & Transition Pediatric Assessment Revised3/17Student Name:_________________________________TRINITY VALLEY COMMUNITY COLLEGE ASSOCIATE DEGREE NURSINGCLINICAL II and TRANSITION CLINICALRUBRIC FOR PEDIATRIC ASSESSMENT Total Points (Grade)_______________/20_____CONCEPTEXEMPLARYAVERAGEUNSATISFACTORYOMITTEDGRADEHUMAN DEVELOPMENT6 5Compared and contrasted the normal growth/development of pediatric patient to the “textbook picture” of the specific age group including activity restrictions. Addressed all areas including 1) Gross motor; 2) Fine motor; 3) Language; 4) Socialization; 5) Cognition; 6) Sensory (Discussed all 5 senses - tactile, auditory, etc.). Gave specific descriptive examples of child meeting or not meeting the tasks that did not copy what the textbook said. Comparison included more analysis than “meeting current level”. 4 3 Compared and contrasted the normal growth/development of pediatric patient to the “textbook picture” of the specific age group including activity restrictions but omitted one or more areas. Examples were not very descriptive or were exactly what was written in the textbook. Comparison included that child was meeting current level. 2 1Listed the normal growth/ development of pediatric patient to the “textbook picture” of the specific age group including activity restrictions but didn’t compare and contrast with an analysis. 0 Did not complete section. ___pts2 1.75Completed 3 growth charts (available on-line) (stature for age, weight for age, and stature for weight or BMI) and graphed accurately. Analyzed data correctly stating the percentiles from each chart and discussed findings. 1.5 1.25At least one of the growth charts was not graphed correctly. Or analysis was given that included at least one incorrect percentile. 1 0.75More than one of the growth charts was not graphed correctly. No analysis was given. 0Did not complete section. ____pts1Correctly identified the major developmental task (Erikson’s what vs. what) for this child. Stated whether child was meeting or not meeting task and gave rationale.0.75Correctly identified the major developmental task (Erikson’s what vs. what) for this child. Stated whether child was meeting or not meeting task but didn’t give adequate rationale.0.5Misidentified or did not identify the major developmental task (Erikson) for this child or did not state whether child was meeting or not meeting task.0Did not complete section. ____pts1Identified at least 5 play/activities and 5 toys that would be appropriate for the child according to the developmental level and physical condition/illness.0.75Identified at least 3 play/activities and 3 toys that would be appropriate for the child according to the developmental level and physical condition/illness.0.5Identified play/activities and toys that would not be appropriate for the child according to the developmental level and physical condition/illness. Or identified less than 3 of each. 0Did not complete section. ____ptsPERFUSIONGAS EXCHANGETHERMO-REGULATION1 Listed patient’s vital signs and “normal” vital signs for a child of the same age. Compared and analyzed the vital signs correctly. If not within normal limits gave suggested explanation for aberrancy. 0.75 At least one of the vital signs were not analyzed correctly. No explanation for abnormal vital sign was given. 0.5 More than one of the vital signs were not analyzed correctly or there was no analysis given. 0Did not complete section. ____ptsINTERPERSONALRELATIONSHIPS1 Described interactions between 1) child and primary caregiver; 2) child and nursing student; and 3) primary caregiver and student. Was descriptive and included at least 3 sentences for each. 0.75 Described interactions between 1) child and primary caregiver; 2) child and nursing student; and 3) primary caregiver and student but was not descriptive and was too brief. 0.5 Omitted one or more of the required descriptions of interactions. 0Did not complete section. ____ptsNUTRITION2 1.75Described typical nutritional intake of pediatric patient. Listed the recommended number of servings for each food group for this age child. Determined number of servings child consumed and compared with recommended number of servings. Included analysis of the findings. 1.5 1.25Described typical nutritional intake of pediatric patient. Listed the recommended number of servings for each food group for this age child and determined number of servings child consumed and compared with recommended number of servings. Did not include analysis of the findings or analysis was incorrect for at least one area. 1 0.75Described typical nutritional intake of pediatric patient. Listed the recommended number of servings for each food group for this age child but did not determine number of servings child consumed and compared with recommended number of servings nor include analysis of the findings. Or determination of servings consumed and analysis was incorrect. 0Did not complete section. ____ptsIMMUNITY 2 1.75 Listed immunizations that are required for this age child in provided table. Listed immunizations that the child received at what age. Provided analysis of current immunization status. Identified and discussed primary caregiver’s knowledge of immunizations including side effects, adverse effects and safety measures for patient and patient contacts and list at least one teaching need.1.5 1.25Listed immunizations that are required for this age child in provided table. Listed immunizations that the child received at what age. Provided analysis of current immunization status that was incorrect in at least one area. Did not adequately discuss primary caregiver’s knowledge of immunizations including side effects, adverse effects and safety measures for patient and patient contacts and list at least one teaching need.1 0.75 Listed immunizations that are required for this age child in provided table. Listed immunizations that the child received at what age. Did not provide analysis of current immunization status in all areas. Did not adequately discuss primary caregiver’s knowledge of immunizations including side effects, adverse effects and safety measures for patient and patient contacts and list at least one teaching need.0Did not complete section. ____ptsEVIDENCE-BASED PRACTICE1 Discussed one evidence-based nursing practice guideline related to health promotion of children this age. Included reference0.75Discussed one evidence-based practice guideline but it was not related to health promotion. Reference included. 0.5 Discussed practice guideline related to health promotion that was not evidence-based.Reference not included.0Did not complete section. ____ptsHEALTH PROMOTION1 Identified at least 6 health promotion activities for this age child.0.75Identified at least 4 health promotion activities for this age child.0.5Identified at least 2 health promotion activities for this age child. 0Did not complete section. ____ptsSAFETY 1 Identified at least 10 safety precautions for this age child. 0.75Identified at least 6 safety precautions for this age child.0.5Identified at least 3 safety precautions for this age child.0Did not complete section. ____ptsPROFESSION-ALISM1 Typed with accurate spelling, & grammar (< 2 errors per submission), and references cited correctly in APA format. Criteria sheet submitted.0.75Typed with accurate spelling & grammar (< 5 errors per submission), but references not in APA format. Criteria sheet submitted.0.5Typed with accurate spelling & grammar (> 5 errors per submission), and no references cited. Criteria sheet submitted.0No criteria sheetNot typed___pts N:/ADN Syllabus/CBC Curriculum/Transition 2016/RNSG 1162& 1163/Level 2 and Transition Pediatric AssessmentRevised 03/17 ................
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