Pcc Case Studies

PCCC Alternate Setting Dhruv Mayank Patel NUR 374B: Nursing Care and Health Promotion for Pediatric Clients and Their Families University of Rochester Professor Zugnoni MS, RN, CPN, CNEcl March 6, 2024

1) Observe a child on mechanical ventilation. Identify nursing needs for this child. I observed patient T.B., male 4 months old, on mechanical ventilation. The major nursing needs were to monitor his O2 status. The nurse notified a safety concern that the machine’s screen could only be unlocked by the respiratory team, which would be an issue if an emergency were to arise. The client is on a breathing tube, with suctioning done constantly to ensure their airway is not compromised. The client was cannulated onto ECMO, as a prophylactic measure. …show more content…
I have not observed any special procedures in the treatment room. Patient T. B. being prepared for extubation and transitioning towards independent breathing. The patient had multiple nursing needs such as constant monitoring, ND tube feeding, and suctioning secretions in the mouth. Another patient, patient A.C., male, 2 years old, was prepared for a diagnostic cardiac catheter. 4) If possible, observe admission in the PCCC. How is the care organized? What are the roles of the different care providers? I did not observe any admissions into the PCCC. I did, however, witness interdisciplinary care from numerous members of the healthcare team such as the Nurse, the ECHO team, and the providers working together to provide care to the client. Client needs are more complex/immediate than what I have witnessed so far in pediatrics. 5) Calculate at least 5 medications (may be for different patients) currently being administered in the PCCC. Please find at least two antibiotics and one analgesic. 1. What is the difference between a. and a. Vancomycin: 21 mg/kg * 3.5 kg = 74 mg/kg. Cefepime: 50 mg/kg * 11.9 kg = 595.2 mg. Morphine: 0.075 mg/kh *4.4 kg = 0.34 mg/kg. Midazolam (VERSED) : 0.05 mg/kg * 4.4kg = 0.22 mg, 1mg/1ml = 0.22 mL. Milrinone (PRIMACOR) 5 mg in dextrose 5% 25 mL (200 mcg/mL) IV syringe: 0.75 mcg/kg/min * 4kg = 3 mcg/min, 0.9 mL HOUR 6) List at …show more content…
I entered the PCCC at 6:45 AM. At the beginning of my shift I introduced myself to the charge nurse and she assigned me to one of the nurses to shadow for the day. After meeting with the nurse and introducing myself, we went to the 7 am huddle where the charge nurse gave a general overview of the patients, staffing, any planned surgeries, discharges, entries, and/or any other important information. I followed my nurse as she received reports on her patients from the overnight nurses. It was there I learned the background of some of the clients, 2 of whom I had worked with extensively throughout the day. The first client was A.C., a 2 year old toddler on telemetry that was scheduled to receive a cardiac catheter diagnosis in the afternoon before I left. The second client was T.B. a 4 month old infant that requires additional continuous care and monitoring. I first went in to see A.C. where I introduced myself to his mother and performed a full head to toe assessment, under the nurse’s supervision, and helped with diaper changes/I/Os, and hygiene care. Next, I observed that medications were administered to the client. Afterwards, the nurse and I went to see T. B. and introduced himself to his parents. I very carefully performed a head-to-toe assessment, under the nurses supervision, on the client. Hygiene care was delayed for this client as the nurse and caregivers wished for the client to calm down

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