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hands, arms) and painful and sensitive assessment last (i.e. Examine least intrusive areas first (i.e.Use a systematic approach but be flexible to accommodate child’s behavior. Gather as much information as possible by observation first.Privacy of the patient always needs to be considered. Implement behaviours that show respect for child’s age, gender, cultural values and personal preferences.Use play techniques for infants and children.Consider the age and developmental stage of the child. Modify language and communicate style to be consistent with child’s needs.Completed/documented in the Focused Assessment flowsheet in EMR. This may involve one or more body systems. Focused assessment: Detailed nursing assessment of specific body system(s) relating to the presenting problem or current concern(s) of the patient.Completed/Documented in the Primary Assessment flowsheet or progress/patient encounter note in EMR. Primary assessment: Concise nursing assessment completed at the commencement of each shift, patient encounter or if patient condition changes at any other time.Link EMR for documentation of assessments.The guideline specifically seeks to provide nurses with: The aim of this guideline is to ensure all RCH (Royal Children Hospital) patients receive consistent and timely nursing assessments. The Nursing and Midwifery Board of Australia (NMBA) in the national competency standard four for registered nurses' highlights that nurses conduct a comprehensive and systematic nursingĪssessment in order to plan holistic and patient family centered nursing care and responds effectively to unexpected or rapidly changing situations. Assessment is a key component of nursing practice, required for planning and provision of patient and family centered care.
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