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Expert spotlight: Boosting pediatric care through communication

Nurse Leader Weekly, June 23, 2008

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This week, our expert, Jill Duncan, RN, MS, MPH, shares some advice on how to improve medication safety when caring for young patients.

Q: Medication administration can be stressful when I am caring for a child. How can I improve communication between myself and the parents of my younger patients?

A: Medication safety can be dramatically improved through enhanced communication among caregivers. This includes improved communication with families as well as improved communication among caregivers during transitions and from shift to shift.

Make parents a part of the care team and remember that parents know their child better than anyone. Their observations, assessments, and feedback must also be taken into account. If a parent questions a medication or dose, double-check it. Studies have shown that in these instances, the parent is often right and is an important link in patient safety.
The shift-to-shift report should include a review of all medications, including scheduled, PRN, and continuous infusions. Take advantage of having two people present to double-check medication schedules as well as all continuous fluid orders, pump rates, and any titration plans.

Editor's note: Do you have a question for our experts? Email your queries to kmucci@hcpro.com and see your name in print next week! In the meantime, head over to our Web site and view a collection of advice from our experts.

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