Talk:Pediatric intensive care unit

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 25 October 2021 and 20 November 2021. Further details are available on the course page. Student editor(s): DrFRahlouni.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 02:12, 18 January 2022 (UTC)

Wiki Education Foundation-supported course assignment

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Peer reviewers: Kmartsbest.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 06:18, 17 January 2022 (UTC)

Welcome

I have gone ahead and created the stub for the topic closest to my heart, PICU. I look forward to working with any and all interested editors.

BTW and for the record, it should be obvious to NICU page editors that I consulted their lead when drafting this one! Cheers, Basie (talk) 08:23, 8 January 2009 (UTC)

Additional Information and Sources

Because the Pediatric Intensive Care Unit is very complex and critical, I feel as if there is plenty of information and sources that can be added to this wiki page.

• Promoting Staff Resilience in PICU

Lee, K. J., Forbes, M. L., Lukasiewicz, G. J., Williams, T., Sheets, A., Fischer, K., & Niedner, M. F. (2015). PROMOTING STAFF RESILIENCE IN THE PEDIATRIC INTENSIVE CARE UNIT. American Journal Of Critical Care, 24(5), 422-430. doi:10.4037/ajcc2015720

• The Lived Experience of Parents of Children in PICU

Majdalani, M. N., Doumit, M. A., & Rahi, A. C. (2014). The lived experience of parents of children admitted to the pediatric intensive care unit in Lebanon. International Journal Of Nursing Studies, 51(2), 217-225. doi:10.1016/j.ijnurstu.2013.06.001

• Rapid Response Team and Unplanned Transfers to PICU

Humphreys, S., & Totapally, B. R. (2016). RAPID RESPONSE TEAM CALLS AND UNPLANNED TRANSFERS TO THE PEDIATRIC INTENSIVE CARE UNIT IN A PEDIATRIC HOSPITAL. American Journal Of Critical Care, 25(1), e9-e13. doi:10.4037/ajcc2016329

• Noise Level in PICU

do Carmo da Silveira Neves de Oliveira, F. M., Barbosa de Paiva, M., Aparecida de Luca Nascimento, M., Marinho Rezende, V., Sousa da Silva, A., & Lyra da Silva, C. R. (2013). Noise levels in a pediatric intensive care unit: an observational and correlational study. Online Brazilian Journal Of Nursing, 12(3), 431-441.

• Noise Pollution Prevention Strategies

Kaur, H., Rohlik, G. M., Nemergut, M. E., & Tripathi, S. (2016). Comparison of staff and family perceptions of causes of noise pollution in the Pediatric Intensive Care Unit and suggested intervention strategies. Noise & Health, 18(81), 78-84. doi:10.4103/1463-1741.178480

• Unique Solutions in PICU

Campbell, J., Bell-Scott, W., Boehm, A., & Schlichting, D. (2001). Unique solutions in pediatric critical care. Pediatric Nursing, 27(5), 483-491

• Children's Psychological and Behavioral Responses Following PICU

Sachdev, A., Sharma, R., & Gupta, D. (2010). Cerebrovascular complications in pediatric intensive care unit. Indian Journal Of Critical Care Medicine, Vol 14, Iss 3, Pp 129-140 (2010), (3), 129.

• Children's Perceptions of PICU

Board, R. (2005). School-age children's perceptions of their PICU hospitalization. Pediatric Nursing, 31(3), 166-186.

Kelly Kilber 00:18, 22 September 2017 (UTC) — Preceding unsigned comment added by Kellykilber (talk • contribs)

Possible sources to add

The PICU is a crucial unit in the hospital setting, yet many people are not familiar with what occurs in the NICU setting. Here are a few topics that could be added to this article. I have included a few sources that could provide information on these topics. If anyone has any suggestions please let me know.

Family-centred care and traumatic symptoms in parents of children admitted to PICU  Mortensen, J., Simonsen, B. O., Eriksen, S. B., Skovby, P., Dall, R., & Elklit, A. (2015). Family-centred care and traumatic symptoms in parents of children admitted to PICU. Scandinavian Journal Of Caring Sciences, 29(3), 495-500. doi:10.1111/scs.12179

Adults in the PICU Williams, L. (2017). Adults in the Pediatric Intensive Care Unit: A Pediatric Nurse's Perspective. AACN Advanced Critical Care, 28(2), 107-110. doi:10.4037/aacnacc2017492

Nursing certificates and education Hickey, P. A., Gauvreau, K., Tong, E., Schiffer, N. P., & Connor, J. A. (2012). PEDIATRICCARDIOVASCULAR CRITICAL CARE IN THE UNITED STATES: NURSING AND ORGANIZATIONAL CHARACTERISTICS. American Journal Of Critical Care, 21(4), 242-250. doi:10.4037/ajcc2012853

Preventable admissions Peter, H., Andrew, A., Lee, W., Steve, R., Rafael, P., Sian, H., & ... Alison, W. (n.d). Pathways to Care for Critically Ill or Injured Children: A Cohort Study from First Presentation to Healthcare Services through to Admission to Intensive Care or Death. Plos ONE, Vol 11, Iss 1, P E0145473 (2016), (1), e0145473. doi:10.1371/journal.pone.0145473

ICUs with most productive work environments Schmalenberg, C., & Kramer, M. (2007). TYPES OF INTENSIVE CARE UNITS WITH THE HEALTHIEST, MOST PRODUCTIVE WORK ENVIRONMENTS. American Journal Of Critical Care, 16(5), 458-469.

Akammin (talk) 00:35, 22 September 2017 (UTC)

Improvements needed to "Challenges of Working in the PICU"

The section states "Once a plan of care is developed, then the staff must communicate the plan with the patient's family in order to see if it matches their beliefs.[5] If the plan of care does not match the family's beliefs, then it must be modified the plan causing more stress on the staff."

Maybe this was the case 20 years ago, but care in the PICU is not this paternal. PICU physicians do not come up with a plan, present it to the family, and then get stressed because they need to do something other than what they wanted. Major decisions about a child's care are made as a team with the family.

The paragraph also states, "They must collaborate with other members the healthcare team in order to develop the best plan of care." While this is true, how is collaboration a source of burnout? When people discuss burnout in the PICU, it is most often regarding physicians yet nothing is made of this in the paragraph nor any discussion of why the ICU is especially difficult.

Anyone else have any thoughts? — Preceding unsigned comment added by Catlee18 (talk • contribs) 20:50, 4 May 2018 (UTC)

Removed section

Just did a quick pass on section titles and removed this unsourced and fairly opinion-based section "Hospital Team":

In the PICU, it is important that all team members hold a wide variability of training and experience in order to provide high quality care. Due to different priorities among inter-professionals, the PICU care team includes many different roles. (physicians, nurses, pharmacists, respiratory therapists, child life, intensivists, cardiologists, physical / occupational therapists, social workers) Each member of the inter-professional team are highly skilled and trained to deliver the best care for each and every child. It is important for each one to introduce themselves to the family and to explain their role to hopefully expand understanding to family members.

There's quite a bit of recommendation and advice-giving in the article at the moment, which I'll try to pare down at some point. Cheers, Basie (talk) 20:19, 29 January 2019 (UTC)

TCOM Medical Student Editing PICU

Article Evaluation

Question	Comments
Initial analysis of the article?	This is a start-class article of mid-importance in the Pulmonology task force Available content is a good initial overview There is room for improvement and expansion The tone is neutral and appropriate
Overall organization?	Well-organized Concise and easy to follow
What will you change/add?	Overall, update and expand the common conditions section Add sections touched on in lead summary but not in article Add information on monitoring, procedures, complications similar to info in the critical care medicine page Many paragraphs need citations, with talk page containing potential citations for use
Which sections will you prioritize?	Common conditions Levels of Care Growth of the PICU in the US since the 2000s

DrFRahlouni (talk) 22:25, 12 November 2021 (UTC)

Peer Review

Overall, this article has shown vast improvement. Here are a few comments regarding each section.

Lead: great introductory sentence that summarizes what a PICU is. The sentence starting with "The unit may also have" may not be necessary in the lead as additional members of the PICU staff are listed in the "Characteristics" section. A sentence referring to the different levels of care later discussed in the article may be added to the lead paragraph.

Content: Relevant to topic and up-to-date. Personal preference: rename "Characteristics" section to "PICU environment and staff". I appreciate the external links added to the "Common Conditions" section and beyond. I would also expand the certification section to include certifications that doctors need to practice in the PICU.

Tone and Balance: article is written in a neutral and non-biased tone. Sources and references: Relevant sources were used and links work. A few sentences lack proper citation, but I believe editor is working on that due to "citation needed" notation.

Organization: sections of article are well organized and important aspects of the topic were addressed.

Images and media: Picture is helpful. Adding to the infobox may be beneficial.

Overall, great work! Strengths demonstrated by this article are the breadth of information that is covered regarding the topic as well as the neutral unbiased tone. I would suggest continuing to cite references in the body text and adding to the infobox.

Best, Medicalendeavor (talk) 00:28, 18 November 2021 (UTC)