Clinical Tips

Reality: Hypotension is the LAST sign in pediatric shock. Children compensate through vasoconstriction until they sud

HR: 168, BP: 92/58, Temp: 39.2°C Quiet, staring, not reaching for mom. Cap refill: 4 seconds. Mottling to knees. BP is

| Age | Tachycardia If > | |-----|------------------| | Neonate 0-1 mo | 180 bpm | | Infant 1 mo-1 yr | 180 bpm | | Tod

Don't expect fever in neonates with sepsis. Neonates may present with: • Hypothermia <36°C instead of fever • Poor fee

F — Fatal: 2x medical errors with burnout; 130% higher suicide rate in nurses A — Assess: 3-D RADAR — Emotional exhaust

76% of ICU nurses meet criteria for burnout post-COVID. Prevalence ranges from 33-79% in ICU settings. 130% higher sui

| Dimension | What It Looks Like | |-----------|-------------------| | E — Emotional Exhaustion | Drained before shifts

Q1: "I feel burned out from my work" Emotional Exhaustion Q2: "I have become more callous toward people since I took th

Reality: Depersonalization is the dimension MOST strongly linked to medical errors When nurses start referring to pat

Reality: They require different interventions | Feature | Burnout | Depression | |---------|---------|------------| |

| FROM | TO | Dimension | |------|-----|-----------| | Engaged, energetic | Withdrawn, dreading shifts | E — Exhaustion

Once the go-to mentor on the unit. Now: E: Exhausted before every shift, calls in sick more often D: "These patients a