Molly Rejent – Pediatric Treatment in Acute Care: From Early Mobilization to Discharge Decisions

Outline

EMERGING TOPICS WITHIN PEDIATRIC ACUTE CAREEMERGING TOPICS WITHIN PEDIATRIC ACUTE CARE
How treatment is impacted by not treating pediatric patients as “little adults” How treatment is impacted by not treating pediatric patients as “little adults”

• Examine the similarities and differences of ICUsExamine the similarities and differences of ICUs
• What diagnoses you might encounterWhat diagnoses you might encounter
• What age range will you see?What age range will you see?
• Treatment decisions that might negatively affect the outcome of your patient depending on your approachTreatment decisions that might negatively affect the outcome of your patient depending on your approach

WHAT’S YOUR ROLE? WHAT’S YOUR ROLE?
Define who does what in the PICU & Acute Care Define who does what in the PICU & Acute Care

• Delineation of roles – who makes what decisions?Delineation of roles – who makes what decisions?
• Navigate acute care culture successfully – how it is unique and how it can vary from hospital to hospitalNavigate acute care culture successfully – how it is unique and how it can vary from hospital to hospital
• How to build a solid teamHow to build a solid team

IMPROVE YOUR CARE IN CRITICAL SITUATIONSIMPROVE YOUR CARE IN CRITICAL SITUATIONS
Effective techniques you can use immediately when facing: Effective techniques you can use immediately when facing:

• Lines and equipment Lines and equipment
  • Figuring out their purposeFiguring out their purpose
  • What can cause grave danger if dislodged or pulledWhat can cause grave danger if dislodged or pulled
  • How to work around itHow to work around it
  • What do you need to watch out for?What do you need to watch out for?
• Medications Medications
  • What you might findWhat you might find
  • How does it affect treatment?How does it affect treatment?
• Social situations and caregiver engagement Social situations and caregiver engagement
  • How it can affect your care toward the patientHow it can affect your care toward the patient
  • Tips on improving trust and assuranceTips on improving trust and assurance
• Case StudiesCase Studies

DESIGN ROBUST YET FLUID TREATMENT PLANS FOR ANY PATIENTDESIGN ROBUST YET FLUID TREATMENT PLANS FOR ANY PATIENT
Treatment frequency and goals Treatment frequency and goals

• How to determine intervention per level of acuityHow to determine intervention per level of acuity
• When to change your treatment planWhen to change your treatment plan
• Navigate when therapeutic roles overlap – determine who does whatNavigate when therapeutic roles overlap – determine who does what
• How do you know when to adjust your treatment for the changing levels of acuity?How do you know when to adjust your treatment for the changing levels of acuity?
• Trying not to “overthink” the patientTrying not to “overthink” the patient
• Case StudiesCase Studies

ETHICAL TREATMENT SCENARIOSETHICAL TREATMENT SCENARIOS
Comprehensive strategies to navigate patient and caregivers Comprehensive strategies to navigate patient and caregivers

• Ethical concerns with caregivers and patient level of acuityEthical concerns with caregivers and patient level of acuity
• Responding to concerns and reality of the caregiverResponding to concerns and reality of the caregiver
• Overcome compassion fatigue – knowing when to take a breakOvercome compassion fatigue – knowing when to take a break
• Case StudiesCase Studies

INTERACTIVE CASE STUDYINTERACTIVE CASE STUDY
Putting it all together Putting it all together

• Evaluation and treatment strategies for real-life scenarios and patientsEvaluation and treatment strategies for real-life scenarios and patients
• Taking a patient from chart review to assessment and treatment planningTaking a patient from chart review to assessment and treatment planning