|
|
|
|
|
 |
|
 |
Posted by Pam RPSGT on June 14, 2002 at 14:56:45:In Reply to: Pediatric Sleep studies posted by Marcy, RPSGT on June 06, 2002 at 06:52:38:
I don't know about the insurance end of it, but do have some tips for you:
Be sure to develop policies re: patient safety issues (outlet covers, bed rails or cribs, etc.)
Be sure to test the kids on their regular sleep schedules -- when you keep kids up too late, some of them turn into little monsters, and some of them get bouncing-off-the-wall hyper!
Get some videotapes (Barney for little ones, Disney for older) to play to distract them during hookup.
Be sure parents understand that one of them needs to stay with the child at all times (this protects you against charges of abuse, and also prevents parents viewing you as free babysitting, which has happened to us a couple of times.)
If you can, have wires flow UP and away from the child's head... Some kids are "helicopter sleepers" and will become tangled easily.
We often use the big toe for oximetry, rather than a finger -- kids don't futz with the probe as much that way. (That wire obviously should go down and away, rather than up over the head.)
Wrapping the head in gauze sometimes helps leads stay more secure. (Kids sleep so deeply they may scratch and pull at the wires in their sleep.)
For the above reason, we sometimes run the thermocouple down the bridge of the nose, and bend the wires so they hang DOWN into the nasal airflow.... (One of the most frequent problems we have with kids is that they rub the upper-lip-style nasals off repeatedly.)
When scheduling, encourage parents to bring books, juice or snack, etc. in order to replicate the at-home "bedtime routine" as much as possible.
Of course, availability of night lights is a must.
Allow kids to bring "security items" (teddy bears, blankies, favorite pillows, etc.)
GOOD LUCK! Testing and treating this population has its headaches, but has HUGE rewards for all involved.
- IMPORTANT : Information not intended as medical advice. If you suspect that you have a sleep disorder you should seek care from a qualified professional. Read Terms of Use.
- The Sleep Forums are not to be used for commercial purposes.
- Commercial products and services are not endorsed by Sleepnet.com.
- Sleep Deprivation due to Sleep Apnea and insufficient sleep are common and can present as insomnia, narcolepsy, or idiopathic hypersomnia. In infants and children sleep problems commonly present themselves as ADD or ADHD.
Copyright ©1995-2006 Sleepnet.com., All rights reserved