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#PUPIL SIZE CHART TO SCALE PROFESSIONAL#

However, the clinical need of the assessment should also be considered against the need for the child to rest.

Where possible, assessments should be clustered with other cares at a time when the child is relaxed and compliant.

Encourage the child and family to ask questions and voice any concerns listen and follow up any concerns they may have regarding the clinical condition of their child.

Involve the family, parents and carers in the assessment process.

Determine what parts of the exam is to be completed before possible crying which may be seen in some children (i.e.

hands, arms) and painful and sensitive assessment last (i.e.

Examine least intrusive areas first (i.e.

Use a systematic approach but be flexible to accommodate child’s behavior.

Gather as much information as possible by observation first.

Privacy of the patient always needs to be considered.

Implement behaviours that show respect for child’s age, gender, cultural values and personal preferences.

Use play techniques for infants and children.

Consider the age and developmental stage of the child. Modify language and communicate style to be consistent with child’s needs.

Completed/documented in the Focused Assessment flowsheet in EMR. This may involve one or more body systems.

Focused assessment: Detailed nursing assessment of specific body system(s) relating to the presenting problem or current concern(s) of the patient.

Completed/Documented in the Primary Assessment flowsheet or progress/patient encounter note in EMR.

Primary assessment: Concise nursing assessment completed at the commencement of each shift, patient encounter or if patient condition changes at any other time.Link EMR for documentation of assessments.The guideline specifically seeks to provide nurses with: The aim of this guideline is to ensure all RCH (Royal Children Hospital) patients receive consistent and timely nursing assessments. The Nursing and Midwifery Board of Australia (NMBA) in the national competency standard four for registered nurses' highlights that nurses conduct a comprehensive and systematic nursingĪssessment in order to plan holistic and patient family centered nursing care and responds effectively to unexpected or rapidly changing situations. Any neurological deterioration must be reported promptly as support and intervention may be required.Assessment is a key component of nursing practice, required for planning and provision of patient and family centered care.

#PUPIL SIZE CHART TO SCALE PROFESSIONAL#

Professional knowledge, judgement and policy, will influence the frequency of this assessment, which can be as regular as every 15 minutes ( Derbyshire and Hill, 2018). The frequency of neurological observations will be informed by the condition of the patient and reviewed regularly by a registered practitioner ( NICE, 2017). Neurological observations should only be performed by appropriately competent staff and must be recorded accurately ( National Institute for Health and Care Excellence (NICE), 2017). If concerns are raised, assessment will include observations that indicate the function and status of an individual's nervous system. Generally, this relates to consciousness, which is the earliest and most sensitive indicator of change in neurological status ( Hickey, 2013). That is, issues related to neurological function, which in turn disable the individual in some manner. This is the ‘D’ for ‘disability’ in the ABCDE algorithm taught in professional health settings. Nurses completing a structured assessment will consider the neurological status of their patient.