High Midwifery Diploma

2011
College of Nursing
Pediatric Nursing Department
Simulated Clinical Experience (SCE)
Edited By
- Dr. Afkar Ragab
- Dr. Laila Abu Salem
- Dr. Ahlam Hussien
- Dr. Ahlam Hussien
Pediatric Nursing Course (MDNU: NURS431)
First Semester Academic year 2010-2011G 1431/1432 H
Skills Lab. Protocol of Work
Training of pediatric nursing students in skills lab is necessary before starting the
clinical experience in different clinical settings. Skills lab training will support students’
psychomotor skills in real situation in the hospital clinical settings and increase student's self
confidence during caring with children
Setting of Practice:
Neonatal & Pediatric skill Laboratories
Length of Practice:
2 weeks (2 days/ week)
Number of students:
10-15 students/ group
Learning Objectives:
At the end of this rotation (6 days) the student nurse will be able to:

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Perform physical assessment.
Measure weight, length, height, circumference of the head, chest, and mid-arm for
infants and children

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Measure vital signs
Bathe infant
Restraint infants and children
Feed infant and children (nasogastric tube and bottle feeding).
Administer oxygen through mask, nasal cannula, and oxygen hood.
Demonstrate care of newborn in incubator.
Practice care for infant with colostomy.
Administer medication by different routes of administration.
Insert peripheral venous access to pediatric model and demonstrate care of
intravenous line.
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Apply principles infection control in all pediatric procedures.
Resuscitate newborn
Collect specimens (sputum, urine , stool)
Student’s Activities
1. Prepare and discuss the assigned topic presentation.
2. Create and prepare learning audiovisual material.
Methods of evaluation:
- Observational check lists.
- Assignment preparation and presentation
- Preparation of audiovisual material
- Post clinical examination
- Attendance
Topic presentations for lab experiences are
- Incubator care
- Infection control in pediatric settings (neonatal unit(
- Collection of specimens
NB
Post clinical exam held in the last day of skill lab experience.
Pediatric Nursing Skill Practice Lab
Academic Year 1431/1432 H 2010/2011 G
Students’ Guidelines:
Pediatric nursing skill laboratory is established along many years ago. It is equipped with
the most recent educational tools including appliances and models. Students are trained on
simulators, to simulate the actual management on infants and children. Emphases also will
focuses on pediatric nursing skills commonly practiced with pediatric patients.
Goal:
The students will be able to utilize basic scientific principles and concepts to provide safe
and accurate care to infants and children with deferent medical / surgical conditions
Objectives
The student will be able to:
1- Provide proper physical assessment for children
2- Measure Vital Signs for an infant/ child simulator accurately and safely.
3- Perform growth measurement accurately and record them on growth chart.
4- Provide proper cannula care
5- Administer medication safely and accurately for children simulator.
6- Provide proper bathing for a bed ridden child
7- Perform proper ostomy care.
8- Provide proper Naso-gastric Tube Feeding.
9- Perform CPR. Accurately for older children
10- Apply proper types of restraints
Pediatric Nursing Skill Practice Lab. Procedures
1. Complete physical assessment for Children
2. Vital Signs
3. Colostomy Care
4. Growth measurement
5. Breast Feeding Techniques/ bottle feeding
6. Gastrostomy feeding
7. CPR.
8. Iv therapy
9. Cannula care
10. Oxygen Therapy
11. Suctioning
12. Drug administration
13. Restraining
Neonatal Skill Practice Lab
Academic Year 1431/1432 H 2010/2011 G
Students’ Guidelines:
Newborn skill laboratory is established along many years ago. It is equipped with the most
recent educational tools including appliances and models. Students are trained on
simulators, to simulate the actual management on the newborn babies as well as infants.
Emphases also will focuses on pediatric nursing skills commonly practiced with newborn
infants.
Goal:
The students will be able to utilize basic scientific principles and concepts to provide safe
care to newborn baby.
Objectives
The student will be able to:
1- Measure Vital Signs for a newborn simulator accurately and safely.
2- Perform growth measurement accurately and record them on growth chart.
3- Provide proper eye care, cord care.
4- Identify the indications of sponge bath.
5- Provide proper sponge bath for a newborn.
6- Perform infant bathing.
7- Provide deferent methods of newborn and infants' feeding
8- Perform neonatal CPR. Accurately and safely
Neonatal Skill Practice Lab. Procedures
1- Complete physical assessment for neonates.
2- Assessment of Gestational Age.
3- incubator care
4- Vital Signs
5- Sponge bath
6- Infant bath ( Table Tub Bath)
7- Eye & Cord care, diaper care
8- Growth measurement
9- Breast Feeding Techniques
10- Feeding baby with Gastrostomy
11- Neonatal CPR.
12- Infant CPR
13- Iv therapy
Pediatric Nursing Course (MDNU: NURS431)
First Semester Academic year 2010-2011G 1431/1432 H
Student's Skills Lab Evaluation Sheet
Student's Name: ………………………………..
ID: ……………….
Group No.: ………………. Date: from ………. to ………….
Procedure Performed: ………………………..
Items
Maximum
Marks
25 Marks
1- Nursing procedure (25 Marks)
-
Preparation of equipment/environment and child
3
-
Carry out procedure accurately
20
-
Returning equipment
2
II- Knowledge (10 Marks)
10 Marks
III- Preparing Audio visual Materials (10 Marks)
10 Marks
-
Clear
2
-
Colored
2
-
Relevant
4
-
Submitted on time
2
VI- Professional Behavior (5 Marks)
5 Marks
-
Eager to learn
1
-
Show punctuality
1
-
Complete uniform
1
-
Communicate effectively with instructor / colleagues
1
-
Respects rules, regulations, and constructive criticism
1
Total
Total Marks obtained:
Instructor signature:
50
Date:
Student's
Marks
Roles and Regulations for Using Skill Labs.
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Students have the right to demonstrate procedures with her own based on written
request from lab. Coordinator.
Students should have the right to re-demonstrate procedures in the front of instructor
once, twice, or more to master the skills
Students are forbidden to enter the lab. Without wearing uniform and lab. Coat.
An evaluation tools and lab objectives should be explained prior actual conduction of
Training.
Students are not allowed to be in the lab without instructor or staff member from the
pediatric department.
Students are not allowed to handle Sim Baby or other sensitive equipment without the
presence of assigned pediatric Nursing staff

Students are not allowed to take any drinks or food in the lab.

Students are not allowed to take any bags inside the lab during training.
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Any accidental damage in equipment or simulator must be recorded and reported to
labs. Coordinator to take an action.
Equipment list should be prepared prior any procedure by the lab technician or
assigned instructor
Each student should come with her checklists and procedure manual.
Skill labs can be used by other specialty staff after filling request from the lab
technician and acceptance from lab. Coordinator.

Students have the right to accept or reject to be a model taking picture in the Lab.
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Universal infection control measures are used for students' safety in skill Labs.
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In case of accidental injuries student should be referred to the nearest facilities to take
vaccine and proper management.
Occupancy of Newborn & Pediatric nursing labs along the academic year
Time
1st. Semester
Newborn Lab
Newborn master students
Pediatric nursing undergraduate
students
2nd. Semester
Obs/ Gyne undergraduate
students
Pediatric nursing lab
Newborn master students
Pediatric nursing undergraduate
students
Pediatric Nursing Master Students
Under graduate M. S. Students
Pediatric Nursing Skill Practice Lab
Sample of Performance Checklists
Performance Check List for Naso / Oropharyngeal suctioning
Student’s name :
Area :
Group :
Action
1. 1-Wash hands.
2. 2-Turn on suction apparatus and set vacuum regulator
to appropriate negative pressure.
3. 3-Select appropriately sized suction catheter.
4.Secure one end of connecting tube to suction machine
and place the other end in a convenient location within
reach.
5.Open sterile catheter package on a clean surface using
the inside of the wrapping as a sterile field.
6.Set up the sterile solution container or sterile basin on
the sterile field. Be careful not to touch the inside of the
container. Fill with approximately 100 ml of normal
saline or sterile water.
7.Open lubricant and squeeze on to sterile catheter
package without touching package.
8.Provide 3 hyperinflation, hyperoxygenation breaths
with a bag valve mask connected to a manual
resuscitation bag attached to 100% oxygen.
9.Don sterile glove.
10.Pick up suction catheter, being careful to avoid
touching the nonsterile surfaces. With the nondominant
hand, pick up connecting tubing and secure the suction
catheter to the connecting tubing.
11.Check equipment for proper functioning by
suctioning a small amount of sterile saline from the
container.
12.Coat the appropriate length of suction catheter with
water-soluble lubricant or sterile water,
13.Leave catheter air vent open.
15.Slowly withdraw the suction catheter while rotating it
back and forth between dominant thumb and forefinger.
Apply intermittent suction of the air vent during
withdrawal.
16.Rinse catheter and connecting tubing with sterile
water or saline.
17.Suction both sides of mouth and pharynx.
18.Repeat steps 14 through 17 to clear nasopharynx and
oropharynx.
19.Monitor patient’s ECG tracing and heart rate between
suction passes.
21.Reposition patient.
22.Reassess patient’s respiratory status.
Yes
Date :
No
Comments
23.Discard remainder of supplies in appropriate
receptacle.
24.Wash hands.
25.Dispose of suction cannisters and connecting tubing
every 24 hours and set up new system.
Performance Check List For Endotracheal Suctioning
Student’s name :
Area :
Group :
Date :
Action
1- Explain to the child and the family the need for
endotracheal suctioning, as time permits.
2-Note the child’s cardiac monitor and pulse
oximetry readings.
3-Wash your hands thoroughly with Betadine, don
gloves and mask.
4- Connect suction catheter to the tubing of the
suction device and set the suction pressures to the
desired negative pressure.
5- Ventilate the child with
100 % oxygen for 3 hyperinflation, hyper
oxygenation with a bag valve device.
6- Lubricate the appropriate size of catheter with
sterile water.
-Auscultate anterior lungs bilaterally.
7-Without applying suction, quickly and gently
insert catheter into the endotracheal tube and apply
suction while rotating the catheter between the
thumb and forefinger. and use a septic technique.
8 –Apply suction by occluding the on / off port, and
gently withdrawing the catheter with a twisting
motion.
-limit suction not more than 5 seconds.
9- After withdrawal of catheter, rinse it with sterile
water.
10-Ventilate child in-between and after attempts
with 100 % oxygen.
Yes
No
Comments
11 –Monitor child’s heart rate, color throughout the
procedure.
12- Repeat steps 7-11 as needed.
13- Return child to previous oxygen setting,
auscultate anterior lungs bilaterally.
14- Comfort child during and after procedure.
15- Discard reminder of equipment according to
institution policies.
16- Document the child’s response to suctioning,
the type and amount of suctioned secretions, any
changes in heart and respiratory rates.
Oxygen Therapy
Performance Check list for simple face mask
Instructor ‘s name :
Student’s name :
Action
Simple face Mask
1. Wash hands.
2. Attach humidifier to flowmeter .
3. connect flowmeter to oxygen source,
and check operation of flowmeter and
humidifier . Set prescribed oxygen
flow .
4. Attach oxygen mask to connecting
tubing and then to humidifier and
flowmeter .
5. Turn on oxygen .
6. Place mask on patient’s mouth and
nose, adjust elastic or tubing for a
snug fit .
7. Check oxygen flow .
8. Stress fire hazards involved with
oxygen administration .
9. Wash hands.
Area :
Group :
Date :
Yes
No
Comments
Performance Check list for nasal cannula
Instructor ‘s name :
Student’s name :
Date :
Area :
Group :
Action
Oxygen therapy through
nasal cannula
1. Wash hands .
2. Attach humidifier to flowmeter .
3. connect flowmeter to oxygen source,
and check operation of flowmeter and
humidifier .
4. Open cannula package and attach to
humidifier with care to avoid
contamination of cannula nasal tips .
5. turn oxygen flowmeter on to
prescribed liter flow/ oxygen
concentration prior to applying cannula.
Observe that water in humidification
container is bubbling .
6. Insert the nasal tips into the nares.
Direct prongs posteriorly .
7. Loop the two plastic tubes of the
cannula over the ears and under the chin,
or place elastic band around the head .
8. Gently adjust the plastic slide until
cannula is secure .
Yes
.
No
Comments
Performance Checklist for Table Tub Bath
Nursing Action
Explain the procedure to the child’s mother.
Check room temperature and free from drafts (close
windows and doors).
Assemble the equipment.
Fill the baby tub half to two third full of warm water
Assess water thermometer (37.8C°) (40.68C°)
Spread the bath towel on the bed or table.
Wash hands.
Place the infant still dressed on the bath towel.
Wash the infant eye, starting from the far eye, wipe the eye
with moist cotton, then dry it with clean dry cotton in one
direction. Water only.
Wipe the infant’s face, forehead, cheeks and mouth (clean
inside the mouth if needed and nose with a moist cotton).
Soap the scalp; support the infant using the football hold.
Close ears with your fingers
lather your hand with soap then apply it to the scalp
Soap the scalp; support the infant using the football hold (the
baby is supported under the nurse’s arm and no her hip) first
lather your hand with soap then apply it to the scalp
Rinse the soap off the infant quickly.
Again lift the infant from the tub back to the towel and dry
well.
Dress the infant, comb his/her hair gently.
Clean all used equipment and return to its place.
Wash hands.
Record time and observations.
Yes
No
Comment
Performance Checklist for Colostomy Care
Nursing Action
Explain procedure to the mother/ child
Prepare Equipment
Place tray to be easily accessible
Place mackintosh and towel well tucked under the patient.
Wear disposable gloves to remove soiled dressing,
Assess the stoma output for volume, consistency and odor in
relation to the type and location of the stoma.
Gently and thoroughly wash the skin using warm water and
mild soap (not irritant) or any solution.
Assess the stoma and surrounding skin by using gauze or
wash cloth.
When the stoma became clean, repeat with gauze or wash
cloth soaked in clear water.
Wipe the peristoma skin with mild soap and water and dry it
put zinc oxide, or any soothing cream
If bag is used: Measure the circumference of stoma and choose appropriate
bag size.
Fix bag on skin applying even, firm pressure tight to stick
bag.
If bag is not used: Apply a folded wash cloth over the stoma and secure it with
long gauze or a tape (Tape must be not irritant if available).
Remove and clean all used equipment.
Wash hands.
Record condition of dressing and stoma color of stools and
character, time and signature.
Reassure child, and mother, praise him for co-operation.
Yes
No
Comment
INVENTORY OF PEDIATRIC SKILL LAB.
&
NEWBORN SKILL LAB.
New born care LABORATORY
SIMULATOR / MANIKIN
CLA Hospital Training Baby
1
2004
Flexible baby female
1
MS5275290504/RU
Flexible baby male
1
MS 53-4782.8.04 FK; new
Infant Airway Management Trainer
1
LF 03623U; new
Infant ECG Crisis Manikin
1
old; w/ accessories
Infant ECG Crisis Manikin
1
new ; w/ accessories
Infant Arterial Training Arm
1
2006
Intubation Phantom of NB
1
Old
Intubation Phantom of NB
2
CLA 8/58-262.3.04/FR; new
Kevin Infant CPR
1
Kim NB CPR manikin
1
2004
Kim NB CPR manikin
1
Old
NB intubation training model
2
2004; 2008
Nita NB
1
2004
Pediatric Injectable Training Head
1
2004
Premature baby-female
1
2004
Premature baby-male
1
2004
Resusci Baby
1
Old
FURNITURE
QTTY
Model 34200 Baby care crib trolley w/
REMARKS
1
double locker accessible through doors
complete w/ baby crib, mattress
Steel Cabinet w/ glass door
5
Swivel chair (lab)
16
Table (lab)
5
Patient's screen (white)
1
Bedside table
1
Returned from CCL2 01/11/08
Incubator
2
1 donation from KFHU & 1 2006
Infant warmer (Hill-Rom Airshields)
1
2006
ELECTRONICS
TV (colored; JVC 29")
QTTY
1
1 broken
REMARKS
Model:AV-29WX11;
SIMULATOR / MANIKIN
SN/ 09981100; w/ RC
Video cassette recorder (JVC)
1
Model: HRV-401AS
SN/: 10970085; w/ RC
Data Show
1
Eiki model; w/ RC; 30775
Ip 3000 Primax Canon Printer
1
feb. 2007; w/ CD & manual
Dell CPU Optiplex GX520
1
SN:H3LBJ2J; SC 37222508107
LCD Monitor
1
67I-4KRU
Keyboard
1
71616-697-11N9
Mouse
1
HC622QA036T
CD (Neonatal & Pediatric Assessment)
4
IP Fast Dome Camera
1
13/11/07
INSTRUMENTS
REMARKS
Ambu bag
1
pedia size; old
Laryngoscope
1
w/ 3 straight blades
Physical Assessment kit
1
03/05/08 1 missing penlight
Oxygen hood, transparent
1
Stethoscope (Riester)
1
Stethoscope (Allgaier)
1
Rectal thermometer
1
Thermoscan
1
Urine bag stand
1
Portable suction machine
1
2006
OTHERS
QTTY
REMARKS
Bath basin
1
Compiled Catalogue for manikins
1
Mounted / piped in O2 & suction
1
Filing trolley
1
Draw sheet yellow
3
Bath towel
4
Children gown blue
2
Children suit
4
2 blue; 2 pink
Koken baby boy/girl
2
12/11/2007
Baby IV head Laerdal
1
12/11/2007
ALS baby 200
1
12/11/2007
Multivenous trng. Arm
1
12/11/2007
Special needs infant female
1
12/11/2007
IV baby arm Nasco
1
12/11/2007
Pediatric injection head Adam
1
12/11/2007
29/10/07
3 yellow; 1 white
NEW DELIVERIES:
SIMULATOR / MANIKIN
Nita Newborn
1
12/11/2007
Alaris IV pump
1
02/03/2008
Thermometer electronic suretemp plus
1
10/11/2008
Balance baby scale digital
1
10/11/2008
Balance baby scale
1
10/11/2008
Sphymomanometer miniature
3
10/11/2008
Stethoscope littmann classic II
7
10/11/2008
Ambu bag resuscitator w/ connector
1
10/11/2008
Trolley w/ 1 drawer 2 shelves
1
10/11/2008
Pulse oximeter audio & visual
2
10/11/2008
Abdominal colostomy model
1
IV Arm, Laerdal
1
Pediatric care LABORATORY
ITEM #
EQUIPMENT / SUPPLIES
QTTY.
REMARKS
A
SIMULATOR / MANIKIN
1
Child Crisis Manikin
1
old
2
Child Nursing Doll
1
w/ accessories
3
Infant model for nursing practice
1
2004
4
Kyle 3y/o child CPR
1
04
5
Kyle 3y/o child CPR
1
old
6
Mike/Michelle
1
old; R-lower leg removed
7
Mike/Michelle 5y/o
1
old
8
Mike/Michelle infusion leg
1
old; worn out
9
Mike/Michelle injection arm
1
old; worn out
10
Laerdal Sim Baby:
1
14/11/07
11
Dell Laptop gray
1
SN: 3ZG3F1
12
HP iPAQ Bluetooth
1
13
Logitech webcam
1
14
Entuitive monitor
1
14
link box
1
15
Compressor
1
16
Dell CPU Optiplex 745
1
3GNJFDI
17
Dell keyboard
2
759-GBIW;7BE-ODJM
18
Dell mouse
2
ODJ301; G1401JL0
19
Virtual IV
1
SN: 33070082-C
20
Laerdal mega-code vitalsim w/ RC
1
12/11/2007
21
Little Junior
1
11/09/2008
22
Disposable lungs
25
11/09/2008
23
Resusci Junior w/ skillguide
1
11/09/2008
24
Disposable lungs
25
11/09/2008
25
Manikin face shields
pk/6
11/09/2008
B
FURNITURE
1
Bed (electronic)
1
from KFHU
2
Child Bed
1
3
Bedside locker
1
4
Computer table
2
from KFHU; from Comp. Lab.
5
Laboratory table
4
from KFHU
6
Swivel chair
17
7
Steel cabinet w/ glass door
4
2006; 3 big; 1 small
8
Steel cabinet w/ glass door
1
from KFHU
9
Filing trolley
1
29/10/07
new, replaced on 14/07/2009
ITEM #
EQUIPMENT / SUPPLIES
QTTY.
REMARKS
C.
ELECTRONICS
1
Dell Optiplex GX520 CPU
1
SN: 36VBT1J
2
Dell monitor
1
67I-1YUU
3
Dell keyboard
1
6AB-A1GU
4
Dell mouse
1
ODJ301
5
Dinamapp
1
from KFHU
6
Terumo IV pump
1
from KFHU;in Store room
7
EIKI data show w/ RC & manual
1
11/11/2007; 39719
8
Alaris IV pump
1
02/03/2008
D
INSTRUMENTS
1
Laryngoscope
1
2006; w/ 3 blades curved
2
Physical Assessment kit
2
3
Oxygen hood
2
4
Stethoscope (Spectrum)
2
5
Thermoscan
1
E
OTHERS
1
Screen projector
1
from KFHU
2
Footstool
1
from KFHU; store room
3
Patient's screen white
1
4
Piped in O2 & suction (mounted)
1
5
Bedsheet (blue)
2
6
Draw sheet (yellow)
2
7
Bath towel
18
16 yellow; 2 white old
8
Hamper
9
2006; 1 old
9
Pillow
2
10
Bed cover blue
4
11/11/2007
11
Bed cover white
2
11/11/2007; 3 old
12
Bed sheet white
8
11/11/2007; 4 old
13
Bed sheet w/ design cream
3
11/11/2007
14
Pillow case (blue)
17
11/11/2007; 12 old; 5 new
15
Face towel white
15
11/11/2007
16
Flannel sheet white
12
11/11/2007
17
Children gown
8
11/11/2007;3 blue, 5 pink
18
Children suit blue
1
11/11/2007
NEW DELIVERIES
1
Thermometer electronic
1
11/10/08 missing probe
2
Weighing scale electronic
1
10/11/2008
3
Balance baby scale digital
1
10/11/2008
4
Balance baby scale regular
1
10/11/2008
ITEM #
EQUIPMENT / SUPPLIES
QTTY.
REMARKS
5
Sphygmomanometer miniature
2
10/11/2008
6
Stethoscope (Littman)
3
10/11/2008
7
Ambu bag resuscitator
1
10/11/2008
8
Trolley w/ 1 drawer
1
10/11/2008
9
Automatic Voltage Regulator
2
23/11/08
List of Equipment Requiring Maintenance
-
One swivel chair (broken).
List of Equipment to Be Purchased
1- Gastrostomy Manikin.
2- Colostomy Manikins
3- Gastrostomy feeding tubes.
4- Napkins.
5- Different types of baby feeds.
6- Educational Stethoscopes