Please complete the below exercise and submit when ready.
Please note there are supporting images to aid your answers.
Paediatric Band 5 Scenario and Care Plan Exercise
You are a qualified nurse on duty with three other trained paediatric nurses and a health care assistant, plus one 2nd year student nurse and one 3rd year student nurse.
One trained nurse is on her lunch break, one is in theatres and the other is doing an admission of a child to the ward.
You receive a telephone call from paediatric A&E informing you of an admission of a baby with a chest infection which may be bronchiolitis:
Joe is a 4 month old boy with chronic lung disease who has home oxygen which is normally delivered at 0.8L/min. He was born at 26 weeks gestation. The A&E nurse hands over that his observations are:
- Respirations: 72
- Pulse: 196
- Temperature: 38.9◦c
- Oxygen Saturations: 94% in 2L oxygen via nasal cannula
- Joe has mild intercostal recession with a tracheal tug
- He weighs 3.8kg
A copy of the ward handover sheet, a map of the ward and a list of staff allocation for the shift are below.
List of staff allocation for the shift
Band 6 (in charge of the ward)
Currently in theatres
No patients allocated – co-ordinator of the ward
Band 5
Currently on lunch break
Allocated cubicles 5 and 6 – these are high dependency cubicles that are opposite the nurse’s station
Band 5
Currently admitting a child
Allocated beds 18, 19, 20 and 21
Working with a 2nd year student nurse
Rooms 18, 21 and 22 are single cubicles. Room 19/20 is a double bedded bay.
These are situated at the far end of the ward.
Band 5 – you
Allocated beds 9, 10 and 12
Beds 7-10 are a 4 bedded bay to the side of the nurse’s station.
Cubicles 11-12 are single cubicles around the corner from the nurse’s station.
Health Care Assistant
Allocated beds 14 and 16.
Beds 13-16 are a second 4 bedded bay next to the first bay.
3rd Year Student Nurse
Allocated beds 1 and 2.
Beds 1+2 are a double bedded bay, cubicles 3 and 4 are single cubicles next to the nurse’s station.
A map of the ward
Ward handover sheet
Chart image
