Pediatric Variations of Nursing interventions

Pediatric Variations of Nursing interventions

  • General concept related to pediatric procedures
    • Informed consent
      • The person must be capable of giving consent: Age at majority (usually age 18)
      • The person must receive the information needed to make an intelligent decision
      • The person must act voluntarily when exercising freedom of choice
    • Requirements for obtaining informed consent
      • Separate informed permissions must be obtained for each surgical or diagnostic procedure, including
        • Major surgery
        • Minor surgery (e.g., cutdown, biopsy, dental extraction, suturing a laceration [especially one that may have a cosmetic effect], removal of a cyst, closed reduction of a fracture)
        • Diagnostic tests with an element of risk (e.g., bronchoscopy, angiography, lumbar puncture, cardiac catheterization, bone marrow aspiration)
        • Medical treatments with an element of risk (e.g., blood transfusion, thoracentesis or paracentesis, radiotherapy)
      • Other situations that require patient or parental consent include the following:
        • Photographs for medical, educational, or public use
        • Removal of the child from the health care institution against medical advice
        • Postmortem examination, except in unexplained deaths, such as sudden infant death, violent death, or suspected suicide
        • Release of medical information
      • Assent should include:
        • Helping the patient achieve a developmentally appropriate awareness of the nature of his or her condition
        • Telling the patient what he or she can expect
        • Making a clinical assessment of the patient’s understanding
        • Soliciting an expression of the patient’s willingness to accept the proposed procedure
      • Parents have full responsibility for rearing of their minor children, including legal control over them.
      • If children are minors, their parents or legal guardians are required to give informed consent before medical treatment is rendered or any procedure is pre-formed. 
      • If the parents are married to each other, consent from only one parent is require in nonurgent pediatric care. 
      • If parents are divorced, consent goes to who has legal custody.


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