Pediatric Grand Rounds NURS 440- Nursing Care of Infants and Children Purpose of Assignment To provide the student

an opportunity to integrate knowledge from the sciences, developmental theory and physical assessment data to the care of a pediatric client and family in the acute care setting. The student will utilize critical thinking and independent judgments in presenting a holistic plan of care in a formal oral presentation. Student Approach to Assignment Through the use of PowerPoint, lecture and discussion I discussed with my colleagues a pediatric patient that I cared for during one of my clinical rotations. This patient was a 5-year-old Hispanic male who was admitted due to infection related to complication of a recent osteotomy. He had a history of Down’s Syndrome, cerebral palsy, seizure disorder and bilateral developmental hip dysplasia. I approached this assignment by discussing the patient’s background, circumstances of admission and assessments and discussed with the class relevant nursing diagnoses with the incorporation of research. I chose to present this patient because his unique health history was very interesting. Reason for Inclusion of the Assignment in the Portfolio This assignment is included in my portfolio because as an oral presentation it showcases my communication skills, which are an important part of interacting in the clinical setting. The following program objectives are highlighted:  Communication  Adapts communication methods to patients with special needs.  Example: The patient presented in this assignment was a special needs patient because he suffered from learning disabilities related to Down’s Syndrome and cerebral palsy, and was nonverbal. Additionally, his movement was severely restricted due to a Spica cast up to the chest. Traditional communication techniques were not practical for this patient. Instead, I made sure to come close to the bed and look the patient in the eye while talking to him. I also used very short and simple phrases, such as “Time for your feeding” before hooking up his next tube feeding. I reserved more complex communication and teachings for his family, which remained at the bedside almost continuously.  Expresses oneself and communicates effectively with diverse groups and disciplines using a variety of media in a variety of contexts.  Example: By keeping it simple, I believe I communicated effectively with the patient and family as described above. I also expressed myself effectively to my colleagues during the presentation of this patient by using eye contact, refraining from reading the slides exclusively and instead using them to guide

elaboration and discussion, and asking comprehension questions throughout to assess understanding of the presentation.  Leadership  Delegates and supervises the nursing care given by others while retaining the accountability for the quality of care given to the patient.  Example: As discussed during this presentation, I utilized some delegation during the care of this patient. For example, my patient was on a Ketogenic diet via tube feeding and one of my classmates had never started a tube feeding before. Since I had, I delegated to that classmate with faculty supervision the task of starting the next tube feeding. However, keeping to my ultimate accountability to that patient, I went behind this student with my nurse and verified that the pump had been set correctly.