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Introduction to Pediatric Home Care: Infants and Toddlers

presented by Deborah Boroughs, RN, MSN

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Disclosure Statement:

Deborah Boroughs receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Deborah Boroughs has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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This course provides students with an overview of nursing care in the home of infants and toddlers with special health care needs. Important differences between nursing care of children and adults are differentiated. Normal growth and development patterns are described so that the home care nurse may detect pathologic deviations and 'red flags' that may indicate abnormal growth and development. Common diagnoses of infant and toddlers who receive in-home nursing care are identified. General assessment home care guidelines for infants and toddlers are outlined. Required skill preparation for pediatric home care nurses to become proficient and safe to deliver autonomous care to an infant or toddler with complex medical needs is presented.

Meet Your Instructor

Deborah Boroughs, RN, MSN

Deborah Boroughs, RN, MSN, has extensive professional and personal experience in the management of medically complex children. As an advanced practice nurse, she led a professional team of nurses and social workers as the director of the Pennsylvania Ventilator Assisted Children's Home Program (VACHP), a Pennsylvania Department of Health program with offices at Children's Hospital…

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Chapters & Learning Objectives

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1. Infants and Toddlers are Not Small Adults

Pediatric home care nurses need to recognize important anatomical and physiological differences in infants and toddlers that put them at risk for harm compared to adults. This chapter identifies normal patterns of pediatric growth and development so that home care nurses may detect pathological deviations.

2. Assessment of Infants and Toddlers: Part I

Advances in technology have led to the rescue of children with complex medical needs who formerly did not survive infancy; however, their survival often requires long-term nursing care at home that is delivered by highly-skilled nurses. Home care guidelines for physical, motor, sensory, cognitive, language and psycho-social assessments of infants and toddlers are unique.

3. Assessment of Infants and Toddlers: Part II

This is part two of our discussion on assessment of infants and toddlers. In this chapter, common diagnoses and proper assessment of infants and toddlers who receive home care are identified.

4. It Takes a Special Nurse

Nurses who provide care to infants and children and their families at home, especially premature infants, require a special skill set. Minimum requirements for preparing the nurse and determining competency to provide safe, autonomous care to infants and children with complex healthcare needs are listed. Important consideration is given to the role of the pediatric home care nurse in supporting all caregivers in the home. These guidelines are taken from the new “gold standard” of care by home care providers published by the American Thoracic Society (ATS) in 2017.

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