Open Forum

 View Only

  • 1.  What Pediatric Protocol Would You Use? Pediatric Telephone Protocols 17th Edition - Barton D. Schmitt

    Posted 03-28-2025 18:21
    With the limited information here, can you share what Pediatric Protocol you would have chosen? Thank you!


    ------------------------------
    Rachel Lim BSN,RN
    UCSF Medical Center
    APTOS CA
    ------------------------------


  • 2.  RE: What Pediatric Protocol Would You Use? Pediatric Telephone Protocols 17th Edition - Barton D. Schmitt

    Posted 04-03-2025 14:29

    I use ClearTriage, but I wasn't able to find a better fit than this, either. That is likely the protocol that I would have chosen. 



    ------------------------------
    Dawson Dawson RN
    Optum Care Washington
    Stanwood WA
    ------------------------------

    Original Message


  • 3.  RE: What Pediatric Protocol Would You Use? Pediatric Telephone Protocols 17th Edition - Barton D. Schmitt

    Posted 04-04-2025 09:43

    Mouth Pain and Other Symptoms seems like it may have been a better fit for this situation 



    ------------------------------
    Brianne Finch RN
    RN
    CCHMC
    Cincinnati OH
    5132654519
    ------------------------------

    Original Message


  • 4.  RE: What Pediatric Protocol Would You Use? Pediatric Telephone Protocols 17th Edition - Barton D. Schmitt

    Posted 04-04-2025 12:05

    What would make me hesitate here is that the following areas are listed in the "mouth pain and other symptoms" protocol: 

    USE THIS PROTOCOL FORP

    • Pain or discomfort inside the mouth
    • Site of pain includes lips, gums, teeth, buccal mucosa, tongue, roof of mouth (palate), tonsil and throat (oropharynx)

    It takes the time to list all of the locations, but doesn't include the jaw. 

    Regardless, I think the triage disposition would have been the same. 



    ------------------------------
    Breanne Dawson RN
    Optum Care Washington
    Stanwood WA
    ------------------------------

    Original Message


  • 5.  RE: What Pediatric Protocol Would You Use? Pediatric Telephone Protocols 17th Edition - Barton D. Schmitt

    Posted 04-04-2025 12:34

    Yes great point! I think opportunity for the nurse to expand her assessment and explore jaw vs mouth with the pt - hard to know without reviewing the call recording

    We have done exercises with our nurses where 2 different protocols can be used for the same call but ultimately the same disposition/level of care reached - we really try to emphasize right level of care vs 'right' protocol 



    ------------------------------
    Brianne Finch RN
    RN
    CCHMC
    Cincinnati OH
    5132654519
    ------------------------------

    Original Message


  • 6.  RE: What Pediatric Protocol Would You Use? Pediatric Telephone Protocols 17th Edition - Barton D. Schmitt

    Posted 04-07-2025 18:28

    Thank you Brianne!



    ------------------------------
    Rachel Lim BSN,RN
    UCSF Medical Center
    APTOS CA
    ------------------------------

    Original Message


  • 7.  RE: What Pediatric Protocol Would You Use? Pediatric Telephone Protocols 17th Edition - Barton D. Schmitt

    Posted 04-07-2025 18:28

    Thank you Breanne, appreciate the input.



    ------------------------------
    Rachel Lim, MSHA, BSN, RN
    Clinical Nurse Manager
    UCSF Medical Center
    SAN FRANCISCO, CA
    ------------------------------

    Original Message


  • 8.  RE: What Pediatric Protocol Would You Use? Pediatric Telephone Protocols 17th Edition - Barton D. Schmitt

    Posted 04-08-2025 07:45

    I likely would have used the same protocol but sent to ED based on nursing judgment due to the likelihood that imaging would be needed.



    ------------------------------
    Jaime Fletcher
    Manager Nurse Triage
    Orlando Health
    Orlando FL
    4073947901
    ------------------------------

    Original Message


  • 9.  RE: What Pediatric Protocol Would You Use? Pediatric Telephone Protocols 17th Edition - Barton D. Schmitt

    Posted 04-08-2025 08:16

    I would have used the same guideline and same disposition. I am not sure child is in severe pain (see definition below) especially since child at school at the time of call and true severe pain would have prevented that activity.

    * SEVERE: Unable to do normal activities, unable to sleep or will only fall asleep briefly, may have poor fluid intake or refuse fluids, miserable, incapacitated, excessive or constant crying, difficult or impossible to console. NOTE: Instead of excessive or constant crying, may also be 'groaning, grunting, moaning or whimpering' due to severe pain                                                                                                            


    ------------------------------
    Teresa Baird BSN RN CPN
    Nursing Quality Specialist
    Children's Hospital Colorado
    Elizabeth CO
    (720) 777-3537
    ------------------------------

    Original Message


Related Content