Pnp Corner

Emerging dermatologic conditions in the presence of COVID-19 pandemic

September 21, 2020

Growing evidence indicates that COVID-19 impacts more than the respiratory system. Clinicians should keep an eye out for dermatologic conditions that may be associated with the illness.

Let’s proactively stop another public health nightmare!

August 20, 2020

This is the critical moment in time for all health care providers to proactively stop this potential public health nightmare by speaking with all parents and adolescents about the absolute need for everyone to receive the influenza vaccine.

Identification of children at high-risk for MIS-C

July 17, 2020

Every pediatric provider including pediatric nurse practitioners and pediatric nurses working in hospital or in outpatient settings must know the various ways children and adolescents may present with possible COVID-19 symptoms. They must also know which patients are at high risk of developing multisystem inflammatory syndrome in children (MIS-C).

Delivery of primary care services amid the COVID-19 pandemic

June 23, 2020

COVID-19 has wrought many changes, including how medical practices provide care and keep patients safe.

Severe COVID-19 in children: Now termed MIS-C

May 26, 2020

It was initially thought that children were primarily unaffected by COVID-19 and were asymptomatic carriers if they did have the disease. The rise of multisystem inflammatory syndrome in children (MIS-C) has radically changed this thinking.

COVID-19 remains a major threat to our nation’s health and well-being

April 23, 2020

The COVID-19 pandemic continues to rage, but many questions remain. Questions like: How are children coping with the trauma many families are currently experiencing in their family lives? Are schools and pediatric offices prepared to help children and adolescents cope with their losses?

Our world is upside down-COVID-19 is the culprit

March 23, 2020

The world in which we live, work, socialize, learn, and play has turned upside down and is spinning out of control, directly related to COVID-19. Numerous questions have emerged and more emerge every day: How do we make sense of our world that changes direction within a millisecond of time?

Don’t forget the value of the PNP on the cystic fibrosis team!

February 24, 2020

Cystic fibrosis (CF) is an emotionally and medically complex disorder. Advancements on the care management for children with CF are very promising. Pediatric nurse practitioners are a critical part of that team.

Are the issues and attitudes PNPs have similar to or different from pediatricians?

January 28, 2020

I believe that professional practitioners survey results/research, and especially comparative survey results, offer professionals and professional organizations opportunities to make impactful change, and, in this case, changes that can improve health care delivery for infants, children, adolescents, and their families.

Advocate for removal of toxic heavy metals in baby foods

December 19, 2019

As advocates for child health, PNPs should actively support the Healthy Babies Bright Futures recommendations to create public health policies that ensure food safety and the removal of toxic heavy metals from infant and toddler food supplies. In fact, our advocacy should go beyond the infant food supply to all foods, to protect the health and well-being of all individuals regardless of age. Toxic metals should not be a part of anyone’s daily dietary intake.

Educational updates help improve pediatric healthcare outcomes

November 25, 2019

Pediatric educational and policy conferences are always special, providing opportunities to update knowledge and practice skills; introduce new practice guidelines with rationales for evidence-based changes; present the most recent research findings that have the potential to improve practice and healthcare outcomes; and unequalled opportunities for networking.

Providers need to consistently implement immunization schedules

October 21, 2019

The evidence is clear: Practitioners who fail to administer immunizations according to the Centers for Disease Control and Prevention and Advisory Committee on Immunization Practices schedules results in adverse outcomes for children and adolescents who are needlessly exposed to vaccine preventable diseases.

Cannabidiol use: We do not know the potential to harm

September 24, 2019

I totally agree with Dr. Schuman’s perspective in his article that “it is inappropriate and irresponsible for pediatricians [and I include, PNPs] to encourage the use of cannabidiol (CBD) until more studies are available” to assure the safety and efficacy of CBD are clearly established in rigorous randomized controlled clinical trials (RCTs).

Autistic spectrum disorder: Challenges in the medical home

August 22, 2019

'Building a medical home for children with autism' describes the importance of establishing a medical home in a pediatric office for children with a diagnosis of autistic spectrum disorder (ASD) and discusses five major management strategies for the successful management of children in the medical home.

Social justice, health policy, and vaccine-refusing parents

July 23, 2019

To me, it seems that we are trapped traveling around the world within ‘non-connected circles’ that encompass viewpoints adversely affecting significant scientific immunization advances developed to improve the health and well-being of infants, children, adolescents, their families, and all individuals who interact with them.

New insights on the impact of paternal parenting

June 24, 2019

Covering the father as both parent and influential partner in childrearing from preconception to entrance into young adulthood, this issue provides the foundation for thoughtful consideration of how we, as nurse practitioners, can address paternal parenting and apply the past 10 years of research results on fathers to better inform our practices.

Taking a journal club approach

May 22, 2019

Best practices for both hospital and ambulatory care centers include methods to encourage the continuous educational development of all members of nursing and interprofessional (IP) teams. One successful, but sometimes resisted strategy, is to engage all members of the team in planned monthly journal club luncheons in which the members review a recently published article that may impact practice management strategies.

Rethink adolescent privacy

April 22, 2019

The dilemmas and barriers that providers encounter daily in clinical practice in attempting to maintain confidentiality for their adolescent patient while simultaneously protecting the adolescent from potential harm are daunting for providers as there are no nationally recognized, evidence-based standards addressing adolescent confidentiality and privacy issues in the delivery of quality healthcare to adolescents.

4 reasons NPs get sued and 4 malpractice counterstrategies

March 26, 2019

I recommend not only reading "You've been served! What to do if you get sued for malpractice," but also consider current practice strategies and those that can be implemented with the goal of preventing malpractice claims.

Prescribing new antivirals for influenza

February 21, 2019

Imagine the joy of experiencing a late fall, winter, and spring season of never having to press the e-prescribing submit button in the electronic health record for an antiviral medication to treat an infant, child, or adolescent who is very ill after contracting influenza.