Development of a pediatric orientation resource for new nurses in the operating room

Tompkins, Rebecca (2024) Development of a pediatric orientation resource for new nurses in the operating room. Practicum Report. Memorial University of Newfoundland. (Unpublished)

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Abstract

Background: Education on diverse patient populations is crucial for many unit orientations within nursing. Few units in acute care hospitals care for multiple populations; however, the operating room (OR) is a common one. Many ORs care for patients across their lifespans and should receive education on pediatric and adult populations. This is not the case at one acute care hospital. To address this issue, I developed a pediatric orientation for new nurses to the OR to increase their knowledge and competency when caring for pediatric patients. Methods: I completed a literature review, consultations with unit stakeholders, and an environmental scan to identify the impact of education on nursing practice, critical pediatric knowledge for OR nurses, and impactful delivery modalities for a pediatric orientation for new nursing hires to the OR. Utilizing the data from the literature review, consultations, and environmental scan, I created an OR pediatric orientation for new nursing hires. Results: Using the information from the literature review, consultations, and environmental scan, I created a one-day pediatric orientation. The foundational perioperative pediatric content covered in the orientation includes pediatric vital signs, airway and skin anatomy, thermoregulation, perioperative anxiety, parental presence for induction, developmental stages, and pediatric anesthesia and surgical considerations. This foundational content will be delivered by lecture using a PowerPoint presentation that will include text, videos, pictures, and gamification through knowledge checkpoints, rewards, and a crossword. Following the lecture, simulation and demonstration will be utilized to provide hands-on experience with parental presence for induction, mask induction, nasal and oral induction, and surgical instruments.

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