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Precautions and Protocols For Pediatric Acute Care

Precautions and Protocols For Pediatric Acute Care. By: Judi Smerilson, PT. What are the current protocols in pediatric acute care?. What is the time frame post-op before a patient can be placed in sitting or prone? What are the precautions for orthopedic injuries?

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Precautions and Protocols For Pediatric Acute Care

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  1. Precautions and Protocols For Pediatric Acute Care By: Judi Smerilson, PT

  2. What are the current protocols in pediatric acute care? • What is the time frame post-op before a patient can be placed in sitting or prone? • What are the precautions for orthopedic injuries? • When are patients on contact precautions allowed out of their rooms with therapy?

  3. How do we make sure all acute care staff are following the proper precautions and protocols? • Where are the precautions and protocols posted? • What format can we use to get the information to all staff so that it is easily accessible?

  4. Who should determine the precautions and protocols? • Doctors have specific protocols based on surgeries performed • Nurse Practitioners are aware of protocols and precautions that the doctors want followed

  5. Procedure • There are currently no written guidelines for post surgical precautions and protocols. I gathered information from various doctors and nurse practitioners throughout the hospital to ensure that proper precautions and protocols were being followed. I compiled a chart that each therapist can carry with them to reference when needed.

  6. Summary • A chart was created that therapists could carry with them to look up precautions and protocols. References were included.

  7. References • Orthopedic protocols received via email from Dr. Gregory Mencio, orthopedic surgeon • Surgical Protocols received via email from Amy Gann, ARNP General Surgery • Trach Protocal received via email from Kimberly Huffman, ARNP ENT Surgery • Infection Control Protocols received via email from Tracy Louis, ARNP Infection Control per CDC recommendations and Vanderbilt Policy • PICC line protocol received via email from Kathleen Polis, ARNP PICC Services • Cardiac Protocols received via email from Judy Berger, ARNP Cardiac Surgery and verbally from Dr. Debra Dodd, cardiac surgeon • Cardiac Catheterization Protocol received verbally from Dr. Debra Dodd, cardiac surgeon • Lumbar Puncture Protocol received verbally from Dr. Avery Mixon, oncology

  8. Assessment • In reviewing current operating procedures all staff were not aware of all precautions and protocols. There was no written reference for specific surgical protocols. I developed a tool that could be used and accessed by all acute care therapists.

  9. Recommendation and Plan • All acute care therapists will be provided with a copy of the chart of precautions and protocols for easy reference. A copy will be placed in the Acute Care Orientation Manual.

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