Distraction

Leave a comment Standard

During my internship, my supervisors would often challenge me to provide distraction for patients without using an iPad. I’d often shrug it off because, in the rush of getting called for a procedure while they’re already setting up, the patient already crying and tension rising, the iPad 9 times out of 10 would work like magic.

I love iPads for distraction! They’re big so they cover the view of the procedure. They’re interactive which promotes distraction, kids use them at home which promotes normalization, you can easily sanitize them, c’mon! Well, fast forward 1 month after my internship when I began my first job as a CCLS in the emergency department, not only did I not have an iPad, but I wasn’t approved to use an iPad even if I had one!

I spent 10 months working in the ER without an iPad and boy, did I become creative in my distraction interventions! It was during this time that I saw the real magic of child life. You guys, I once distracted a 2-year-old for an IV start with them laying on the bed alone by reading a sound book! Honest! I have witnesses! No one in the room, including the 2-year-old patient, could believe the #childlifemagic that happened that night.

Don’t get me wrong, as soon as I got approval for an iPad I surely put it to good use, but the tricks I learned during those 10 months of being iPad-less in a busy ER gave me confidence. I remember a great CCLS once told me that to be a CCLS you do not need anything but the head on your shoulders; “bubbles, toys, and gadgets help of course, but the only thing you need to be a CCLS is your knowledge and understanding of child life theory and practice.”  In hindsight, I now understand that this is very true! All that work and practice sans iPad gave me the confidence to be a CCLS that is called into a room with nothing but a dry erase marker in her pocket and doesn’t even think twice about going in.

Here’s a list of some of my favorite distraction itemsMusthaveDISTRACTIONitems.jpg

  1. Bubbles – classic
  2. Sound Books – great for toddlers/preschoolers
  3. Buzzy Bee Distraction Cards – I got a pack of these in my welcome bag at the 2017 FACLP conference. I use it all the time – definitely must have!
  4. Melissa & Doug Reusable Stickers – These are puffy too so no need to worry about them ripping
  5. Light Spinner – classic
  6. Find It – one of my forever favorites
  7. I Spy books – love these which you can find for different age groups in TONS of different character themes
  8. Bright Beats – coolest toy in the toy box! Very interactive, colorful, and musical. Great for toddlers

For a full list of my must-have distraction items, follow the link to my Amazon wishlist: http://a.co/6gscxMo

Again, I love using my iPad as a tool for distraction. It’s an incredible resource and has kept my patients calm and coping during difficult procedures. I have tons of go to apps but as for my favorite iPad app right now I’d definitely have to say the Spellbound app!

I was able to get my hands on a couple of augmented reality cards made by Spellbound. I love technology and was a huge fan of Pokémon Go so I was definitely looking forward to using Spellbound with my patients.

First & foremost, cards are made of wipeable material so you can sanitize in between use; YAY! Set up for the app was very easy – just download the app, enter your email, allow camera access, & you’re ready to see into another world.

My demo came with three cards and kept me and my patient completely distracted throughout an entire IV start and a little while afterward. I can definitely see how having a whole deck of these cards can lead to very distracted patients.

For more information on Spellbound AR follow the link to their website: http://spellboundar.com/

 

What are some of your favorite distraction tools?

Advertisements

Medical Play

Leave a comment Standard

I’m all about cool toys to promote medical play with my patients. I recently found Pandora’s box of playmobile medical play sets and needless to say, I’m obsessed! I got the “Hospital Play Box” which resembles an OR to use on my surgery/ortho unit. They also have a bunch more like an X-ray room, pediatrician, and hospital.

IMG_0927.JPG

Want to see other medical play toys I’m using? Check out my Amazon list!

Medical Play
Link: http://a.co/0iAbvOO

Increasing Compliance

Comment 1 Standard

There are many times that I am asked to help a patient to increase compliance with their plan of care. This can be anything from helping a patient take their medicine to helping them walk around the unit post-op to simply helping them breathe after a breathing treatment. These are the times that creativity really kicks in and I need to have more than one trick up my sleeve. Here are some of the tools I use to help increase compliance:

 

  • Incentive charts – there are tons you can find online like this one that I found on Amazon. Lots of times a sticker chart alone is enough to help a patient increase compliance with their plan of care. Never underestimate the power of stickers, people!71KFeBlCzQL._SL1000_
  • Increase ambulation – this one is always tricky and requires a lot of back up plans. Depending on the age, there are various floor toys that require kids to walk, stand, or move around to engage in play. Again this will all depend on the specific patient and his/her likes, interests, and pain level when needing to walk. Think outside of the box when selecting toys; for example, I once had a teen soccer player who was reluctant to walk after his surgery. I brought out a soccer ball during one of his laps aro614sLwN22hL._SX355_und the unit and he lit up with excitement to be able to lightly kick the ball down the hallway. Another example was a 5-year-old patient that didn’t want to walk after having her appendix removed. I was called in to help after the nurse had tried for over 30 minutes to convince her to walk. As soon as I came into the room the patient exclaimed: “I’M NOT GOING TO WALK!” I validated her feelings and told her I wasn’t going to make her walk. However, I noticed her Rapunzel doll looked a little hungry so I asked the patient if she wanted me to bring in a play kitchen so she could make her some food. The patient eagerly accepted and spent over an hour walking, sitting, standing, and moving around her room as she played preparing food for her doll.
  • Increase PO intake – when it comes to food one must always be empathetic. I would never want to ruin a child’s relationship with food so I always use caution with these interventions. Depending on the age, fun plates/cups/utensils of their favorite characters will do the trick. Other times an incentive chart will help. I’v71PGEs0JBGL._SY355_e had a lot of success with simply changing the subject; stop talking about food and do something else. Leave the food around, engage in play, and the eating will often start organically. I mean, who doesn’t like to munch on some waffles while setting up Lego’s. It’s definitely a syrupy mess but hey, he ate! Providing play food and letting them freely play and feed their toys can also be helpful.
  • Incentive spirometer – many patients are required to use an incentive spirometer after certain breathing treatments. The ones at my hospital have fun designs on them that make them look like a game. However, I get consults to help with these patients all the time! Kids hate using them! So, leave it to me with my bag of tricks to get kids to breathe. Check out my previous post on yoga and deep breathing as this is always my first go to. I also like to give kids choices so I have kazoo’s, bubbles, string pipe toy, and other fun 61n+WVdutdL._SY355_breathing toys to get them to take those deep breaths. Even toddlers get in on the breathing fun by blowing out the candles on my birthday cake. There’s nothing toddlers love more than songs, repetition, and a cause and effect toy!

 

 

 

 

For a full list of resources to increase compliance, check out my Amazon list here:

Increasing Compliance
Link: http://a.co/1sKYUcg

Child Life Market

Comment 1 Standard

All week long I’ve shared with you some of my favorite resources I use to help my patients cope with hospitalization. Let’s end another week with a peek into my child life market, Coping + Normalization Edition!

 Normalization
Link: http://a.co/3sqZ08E

Coping Tools
Link: http://a.co/2uwX17K

Child Life Market

Leave a comment Standard

All week long I’ve shared with you my NICU tips and tricks. Today I want to share my NICU shopping lists with you!

Must-Have Items for NICU Siblings
Link: http://a.co/hVPChxj

Must-Have Items for Bereavements
Link: http://a.co/gh3Fq3w

Must-Have Items for NICU
Link: http://a.co/9x22vgR

What are your NICU must-have items?

NICU Siblings

Leave a comment Standard

You may remember that back in June I began providing coverage in NICU. While I am in no way a child life NICU expert, I wanted to share some tips and tricks in working with this unique population and their families. Luckily, my NICU already had a sibling program set in place when I arrived. Siblings ages 3-12 are able to visit their new baby brother/sister for 1 hour each day after completing the child life sibling program. I, of course, lead the sibling program where I go over why their baby is in the hospital, introduce medical play opportunities along with therapeutic activities, and orient them to the hospital. I then accompany the siblings to their baby’s room and help foster that first connection between the siblings. In doing these sibling visits I’ve witnessed some of the most tender, precious moments and I’m so thankful that I’m able to be a part of it.

Here are some of the things I use during my sibling visits

IMG_0621.PNG1. The Big Brother & Big Sister Guide to NICU; this is a workbook I made that goes over everything we need to cover during our sibling program. It includes pictures of things the siblings will see, a dictionary for things they may hear, the rules they must follow while in the NICU, and some therapeutics.

2. Big Sister/Big Brother Award; these I got for free on teacherspayteachers.com. I laminated them and then fill in the sibling and the baby’s name with sharpie; very official!

3. Baggie filled with medical play materials to take home.

4. Crayons

5. I’m a big brother/ I’m a big sister stickers

6. “Your New Baby is Here!” coloring book. I found this coloring book on NATUS.com. Not only are they cute, printable, and developmentally appropriate but you can download them in 6 different languages!

7. (not pictured) gold medal to celebrate sibling for being a great big brother/sister.


For all of the resources mentioned above:

Click here for PDF printables: https://drive.google.com/open?id=1SgijvFCj2Yj5fqNK_eY_wG2D21qDNdUX

Click here for Must Have items for NICU Siblings: http://a.co/6fv0Eav