You are an RN working the 7a-730p shift on a 22 bed, Renal/GI Pediatric Unit in a community hospital. The day staff consists of a Nurse Manager, 6 RNs, 4 PCTs (Patient Care Technicians), a C

You are an RN working the 7a-730p shift on a 22 bed, Renal/GI Pediatric Unit in a community hospital. The day staff consists of a Nurse Manager, 6 RNs, 4 PCTs (Patient Care Technicians), a Child Life Specialist, and a Unit Clerk. Patient rounds with the pediatricians, nurse practitioners, physician specialists, and charge nurse occur daily at 0800. After rounds, the charge nurse and nurse practitioner meet with the Nutritionist, PT and OT, Child Life, Certified Teacher, Nurse Case Manager and Social Work to discuss each patient’s daily plan of care. A satellite Pharmacist is assigned to the pediatric unit. You arrive and receive report from the RN on night shift:
Charity Williams Age: 9 yo
Weight: 110 lbs
Admitting Dx: Gastroesophageal Reflux Disease (GERD), R/O aspiration
PMH: pneumonia 2x within last year, Cerebral Palsy, developmental delay
CXR: hazy infiltrate RML
Current medications: Nexium 10mg PO once a day
Diet: bland thickened liquid feedings in upright position
02 Sats 96% on 2 L 02 via NC
Hgb 11.4, Hct 36.4
No emesis last night
Abd soft BM x2 yesterday
IV Saline lock
OOB to wheelchair as tolerated
Mother primary caregiver and is overwhelmed with Charity’s care.
Consults: Surgery to evaluate for Nissen Fundoplication and GT insertion
Dietary to evaluate caloric needs and feeding frequency
Identify probable discharge day (hospital day #) or indicate the length of stay (LOS) and place.
Include at least two scholarly sources (within 5 years)