Reflective Journal on Pediatric Triage Practice and Patient Care

This reflective journal discusses experiences in pediatric triage practice, focusing on the challenges of treating children with severe malnutrition and related conditions. The author reflects on the application of WHO guidelines for managing cases involving impaired circulation, hypoxemia, and seizures. Effective diagnostic processes, oxygen therapy, and intravenous fluid selection are highlighted as crucial interventions. The journal analyzes the increasing death rate of children due to malnutrition and emphasizes the importance of accessible treatment in rural areas. The author concludes by outlining an action plan for further training in oxygen therapy, diagnosis, intravenous fluid treatment, nutrition, and anticonvulsant medication to improve service delivery. Desklib offers this assignment solution and many other resources for students.

Running head: PEDIATRIC TRIAGE WORKPLACE PRACTICE REFLECTIVE JOURNAL
PEDIATRIC TRIAGE WORKPLACE PRACTICE REFLECTIVE JOURNAL
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PEDIATRIC TRIAGE WORKPLACE PRACTICE REFLECTIVE JOURNAL
Description
Due to low nutrient level most of the deaths of the sick children occur within 24 hours of
admission in the hospital. Such situation could be controlled by identifying appropriate treatment
process in the health organization such as triage pediatric practice. The WHO steering committee
has provided guidelines related to triage pediatric practice for example, appropriate intravenous
fluid and its rate of flow in the children with impaired circulation, effective oxygen therapy and
the flow rate of oxygen in the ill children, anticonvulsant medicine for acute seizures and
effective diagnostic process. In the session of triage pediatrician practice I have attended many
children that were suffering from severe nutrition problem and most of them were from the rustic
area and their family income was below the standard national income level. Due to lack of
education the parents fail to understand the importance of essential nutrients in the children’s
growth, thus fail to provide essential nutrients to them. Due to lack of proper nutrients most of
the children suffers from malnutrition, acute seizures, impaired circulation and even end life risk.
The care provided by the triage pediatric practice helps to cure such severe illness in an effective
manner.
Feelings
As a triage pediatric practitioner I feel happy while providing care service to such sick
children to cure their illness with effective treatment process. I feel that the guidelines of the
WHO steering committee regarding triage pediatric practice are useful to solve issue of
increasing death rate due to sickness and lack of nutrients. It seems to be a positive step towards
addressing the issue.

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PEDIATRIC TRIAGE WORKPLACE PRACTICE REFLECTIVE JOURNAL
Evaluation
In my practice session the with effective diagnosis I have identified the central problem
of the patient, the oxygen therapy has helped me to manage children with breathing problem and
the intravenous fluid selection has helped me to manage the patient with diarrhea, vomiting or
reduced fluid intake. According to WHO guidelines such practice is important to manage
patients with severe illness (World Health Organization, 2016). Thus, the guideline has helped
me to evaluate my practice in managing triage pediatric patients.
Analysis
Death rate of children due to malnutrition, impaired circulation, hypoxemia and seizure
has increased in the recent days (World Health Organization 2015). The triage pediatric practice
targets to manage the sick children with such severe illness. In case of impaired circulation
children face difficulties in food intake, thus providing intravenous fluid helps to fulfill their
nutrient requirements. In hypoxemia and acute seizures children suffer from breathing problem;
hence the oxygen therapy helps them to reduce difficulties in breathing (Barata et al. 2015).
Anticonvulsant medication and proper diagnosis would be helpful for the practitioners in order to
learn how to manage such sick children with the health care facilities (Henry et al.
2017).However, mostly the children suffer from nutrient related problem due to poverty, thus the
treatment process needs to be accessible to rustic area so that it could provide service effectively
to counter the issue of increasing death rate of children.

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PEDIATRIC TRIAGE WORKPLACE PRACTICE REFLECTIVE JOURNAL
Conclusion
From the above discussion it can be concluded that, the triage pediatric practice is
different from other treatment and it provides effective guidelines to manage sick children with
severe illness. The implementation of such guidelines would help to counter the issue of
increasing death rate due to lack of nutrition and sickness in an effective manner.
Action Plan
As a triage pediatric practitioner, in order to learn more about oxygen therapy, diagnosis
and intravenous fluid treatment I would avail training for 6 months. I would like to join
workshop for 4 months to gather knowledge about nutrition value and the anticonvulsant
medication to understand its effectiveness. I expect that such actions would help me to provide
service effectively.

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PEDIATRIC TRIAGE WORKPLACE PRACTICE REFLECTIVE JOURNAL
Reference:
Barata, I., Brown, K.M., Fitzmaurice, L., Griffin, E.S., Snow, S.K., American Academy of
Pediatrics Committee on Pediatric Emergency Medicine and Emergency Nurses Association
Pediatric Committee, 2015. Best practices for improving flow and care of pediatric patients in
the emergency department. Pediatrics, 135(1), pp.e273-e283.
Henry, B.W., Ziegler, J., Parrott, J.S. and Handu, D., 2017. Pediatric Weight Management
Evidence-Based Practice Guidelines: Components and Contexts of Interventions. Journal of the
Academy of Nutrition and Dietetics.
World Health Organization, 2015. World health statistics 2015. World Health Organization.
World Health Organization, 2016. Paediatric emergency triage, assessment and treatment: care
of critically-ill children. Geneva: WHO.