TNA-GEN General nursing actions
A short summary in PICUlearn's own words. The original wording is in the publisher's document.
- TNA-GEN-1 Recognising deterioration and escalating
- TNA-GEN-2 Full physical and psychosocial assessment
- TNA-GEN-3 Interpreting diagnostic investigations
- TNA-GEN-4 Interpreting laboratory and blood gas results
- TNA-GEN-5 Family-centred care
- TNA-GEN-6 Age-appropriate pain assessment
- TNA-GEN-7 Care of organ and tissue donors
- TNA-GEN-8 Handling monitor alarms
- TNA-GEN-9 Preventing hospital-acquired harm
- TNA-GEN-10 General therapies and care needs
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Course modules
- Fluids, lines and accessPICU BasicsCourse module
- Sedation and analgesiaPICU BasicsCourse module
- Communicating with familiesPICU BasicsCourse module
- Central venous catheter insertionPICU ProceduresCourse module
- Recognising deterioration and escalatingPICU BasicsCourse module
- Procedures you will see: lines, access and other proceduresPICU BasicsCourse module
- Lumbar puncturePICU ProceduresCourse module
- Urinary catheterisationPICU ProceduresCourse module
- Arterial line insertion and transducer set-upPICU ProceduresCourse module
- Intraosseous accessPICU ProceduresCourse module
- Peripheral cannulation, including ultrasound guidancePICU ProceduresCourse module
- Flexible bronchoscopy: the bedside team's rolePICU ProceduresCourse module
Courses
Videos
- Paediatric Early Warning System (PEWS) Training video – Generic editionRoyal College of Physicians of IrelandVideo
- Pediatric Medical Complexity: Shared Insights by B. Markovitz & A. Schrooten | OPENPediatricsOPENPediatricsVideo
- How to... perform a paediatric lumbar punctureDon't Forget The BubblesVideo
- Trauma Evaluation in the ICU by C. Weldon | OPENPediatricsOPENPediatricsVideo
- Paediatric Palliative Care in the Paediatric Intensive Care Unit and Beyond-Info EAPCVideo
- Stabilising the Critically Ill Child pre transfer - Dr Kennedy - 11Jun2020London School of PaediatricsVideo
- Sedatives & Analgesics for Intubation by R. Pascucci | OPENPediatricsOPENPediatricsVideo
- How To: Ultrasound Guided Insertion Internal Jugular Catheter (Long) 3D VideoSonositeVideo
- Ultrasound Tips for Central Venous Catheter InsertionJason WilliamsVideo
- LIVE WEBINAR: PAEDIATRIC EARLY WARNING SIGNS (PEWS)KPJ Healthcare UniversityVideo
- A to E Assessment for Deteriorating and Acutely Unwell Patients | ABDCE Clinical ApproachRhesus MedicineVideo
- Pediatric Illnesses You Should Not Miss | EM & Acute Care CourseThe Center for Medical EducationVideo
- Pediatric End-of-Life Guidelines & Insights by D. DeCourcey and S. Derrington | OPENPediatricsOPENPediatricsVideo
- 2025 2 Recognising and managing the deteriorating patientTrevor DukeVideo
- 🩺 PEWS Lecture (Pediatric Early Warning Score) For Nursing & OT Students𝕍𝔼ℕ𝕋 & 𝕍𝕀𝕋𝔸𝕃 𝔸ℂ𝔸𝔻𝔼𝕄𝕐Video
- Monitoring Sedation by A. Calhoun | OPENPediatricsOPENPediatricsVideo
- Recognition of the Sick Child - Paediatric Emergencies 2020Paediatric EmergenciesVideo
- DKA in Pediatrics – Emergency Management | Emergency Medicine - WebinarYashoda HospitalsVideo
- Communication Strategies & Palliative Care in the PICU--Part 2Zac HodgesVideo
- SBAR (Situation | Background | Assessment | Recommendation) | ABCDE Emergency | OSCE Guide | PLAB 2Geeky MedicsVideo
- Types of IV Fluid - Fluid ManagementICU AdvantageVideo
- Respiratory Assessment by B. Leary, L. DelSignore | OPENPediatricsOPENPediatricsVideo
- Pediatric EZ-IO | How to Use Intraosseous Needles for Paramedics and Emergency NursesSCCAD Paramedic and EMT TrainingVideo
- Placement of an Intraosseous Line by M.Kleinman | OPENPediatricsOPENPediatricsVideo
- Intravenous (IV) Cannulation under Ultrasound (US) guidance - 5 steps to optimise your view!ABCs of AnaesthesiaVideo
- Ultrasound-Guided Peripheral Vascular Access -- BAVLSAmerican Thoracic SocietyVideo
- Arrow® EZ-IO® Infant Child Needle Selection and Insertion Technique Animation VideovidacareVideo
- Ultrasound for Subclavian Central Line PlacementClarius Mobile HealthVideo
- An Approach to Lumbar PuncturespedscasesVideo
- Neonatal Spinal Taps every time!!//Step-by-step instructions!Tala Talks NICUVideo
- Pediatric Assessment, Vital Signs, and Pain - Pediatric Nursing - Principles | @LevelUpRNLevel Up RNVideo
- Re-ACT Talks: Scores or Systems: What is a PEWS?NHS England Video
- Infection Control & Bundles in the Medical Surgical ICU by D. Morrow | OPENPediatricsOPENPediatricsVideo
- Bronchoscopy Paediatric a NeonatalCUHNHSVideo
- How To: Ultrasound Guided Insertion of a Subclavian Vein Catheter 3D VideoSonositeVideo
- 2023 2 The deteriorating paediatric patientTrevor DukeVideo
- Emergency Procedures: Intraosseous Access - EZ-IOUNMC HEROESVideo
- Paediatric Lumbar Puncture - A How to GuideRBHSC SimEdVideo
- Ultrasound Guided Peripheral IV Placement STEP BY STEPPOCUS 101Video
- KeepMeSafe Workshop: Pain and Sedation in Paediatric critical careBSAPCHVideo
- Cardiac RESTORE:Protocolized Sedation and Weaning for Pediatrics by P.Lincoln, et al |OPENPediatricsOPENPediatricsVideo
- Confirmation Bias and The Independent Double Check by J. Murphy, K. Gustafson | OPENPediatricsOPENPediatricsVideo
- Procedural Sedation and Analgesia in Children by E. Fleegler | OPENPediatricsOPENPediatricsVideo
- IV Access in Babies: 4 TOP TIPSNYSORA - EducationVideo
- Pediatric Pain Management in the Emergency Department by C. Chumpitazi | OPENPediatricsOPENPediatricsVideo
- Paediatric Early Warning System (PEWS) Training Video – permitted variances editionRoyal College of Physicians of IrelandVideo
- Ultrasound Guided Peripheral IVs in Pediatric Patients: Part 4, Cannulation TechniqueHaig SetrakianVideo
- Communication Strategies & Palliative Care in the PICU--Part 1Zac HodgesVideo
- Sedation in ICU Patients (Part 1) - ICU DripsICU AdvantageVideo
- Optimized Approach to the Sick or Injured Child | The Mastering Pediatric Emergencies CourseThe Center for Medical EducationVideo
- PICULiber8: the ABCs of recoveryChildren's Healthcare CanadaVideo
- Re-ACT Talks: Deterioration: How to Spot the Sick ChildNHS England Video
- SuppoRTT– Knowledge Refresher –APLS Plus - Waiting for the Paediatric Critical Care Retrieval TeamNHS England Workforce, Training and EducationVideo
- Intraosseous Insertion | Competency: PE 24.17 | PediatricsLearning PediatricsVideo
- Emergency & Trauma AssessmentNursing School ExplainedVideo
- Medication Errors and High Alert Medications by J. Murphy, K. Gustafson | OPENPediatricsOPENPediatricsVideo
- Accessing a Central Venous Catheter by M. Manning | OPENPediatricsOPENPediatricsVideo
- Paediatric IO Needle InsertionDr Matthew SayersVideo
- Lumbar Puncture | Competency: PE 30.23 | PediatricsLearning PediatricsVideo
- POV Pediatric Central Line PlacementThe Gurney RoomVideo
- SCCMPod-572: Propofol in the ICU: Balancing Sedation and StabilitySCCMVideo
- Central Venous Catheter Insertion DemonstrationRoyal Berkshire NHS Foundation TrustVideo
- Neonatal Peripheral Arterial LinesDr Matthew SayersVideo
- National Paediatric Early Warning System (NPEWS) Emergency Department VersionDamian RolandVideo
- Peripheral IV CannulationClarius Mobile HealthVideo
- SBAR Handover for Sick ChildHSC CECVideo
- “The ONLY Pediatric Fluid & Electrolyte Video You’ll Ever Need 🧠💉 (Exam + Emergency)”Dr Sukanya DeyVideo
- Sedation Safety by D. Fagin | OPENPediatricsOPENPediatricsVideo
- AEMT I99 Paramedic - Advanced Skills: Pediatric Intraosseous Infusion - EMTprep.comEMTprepVideo
- When blood meets air: VQ matching & shunt mysteriesWFPICCSVideo
- Management of Diabetic Ketoacidosis by M. Agus | OPENPediatricsOPENPediatricsVideo
- General Ventilator Set-up by N. McGowan | OPENPediatricsOPENPediatricsVideo
Guidelines and evidence
- National Paediatric Early Warning System (PEWS) for EnglandNHS England (SPOT programme, with RCPCH and RCN), 2023Guideline or evidence
- Paediatric Early Warning Score (PEWS) charts for ScotlandHealthcare Improvement Scotland (Scottish Patient Safety Programme)Guideline or evidence
- Irish Paediatric Early Warning System (PEWS): National Clinical GuidelineHSE / National Clinical Effectiveness Committee (Ireland), 2016Guideline or evidence
- UK Paediatric Early Warning Systems (PEWS): overview across the four nationsRoyal College of Paediatrics and Child Health (RCPCH)Guideline or evidence
- Standard Intravenous Concentrations in German Neonatal Intensive Care: Results of a National Consensus and Cross-Sectional Survey.German Society for Neonatology and Paediatric Intensive Care (GNPI) / ADKA, 2026Guideline or evidence
- Parental experiences of their infant's hospital admission undergoing cardiac surgery: A systematic review.Acta Paediatrica, 2021Guideline or evidence
- Virtual reality for rehabilitation and engagement in pediatric intensive care: a systematic review of feasibility, safety and outcomes.Frontiers in Pediatrics, 2026Guideline or evidence
- European Resuscitation Council Guidelines 2021: Paediatric Life Support.European Resuscitation Council, 2021Guideline or evidence
- European Resuscitation Council Guidelines 2025 Paediatric Life Support.European Resuscitation Council, 2025Guideline or evidence
- Supporting clinical guidelines for opioid conversion to methadone and tapering to prevent withdrawal in critically ill children using physiology based pharmacokinetic modeling and simulation.PLoS One (Dutch Pediatric Formulary expert panel), 2026Guideline or evidence
- Society of Critical Care Medicine 2026 Guidelines on the Care and Management of Pediatric and Neonatal Intensive Care Patients at the End of Life.Society of Critical Care Medicine (SCCM/ACCM), 2026Guideline or evidence
- Good practices for humanization in pediatric intensive care units: a national Delphi consensus study.Intensive & Critical Care Nursing (HU-CI Project, Spanish expert panel), 2026Guideline or evidence
- Prearrest vital sign abnormalities are associated with adverse outcomes in pediatric ICU cardiac arrest: a get with the guidelines-resuscitation analysis.Resuscitation (American Heart Association Get With The Guidelines-Resuscitation registry study), 2025Guideline or evidence
- Guidelines for the use of lung ultrasound to optimise the management of neonatal respiratory distress: international expert consensus.BMC Medicine (international expert Delphi panel), 2025Guideline or evidence
- Effect of therapeutic hypothermia on renal and myocardial function in asphyxiated (near) term neonates: A systematic review and meta-analysis.PLoS One, 2021Guideline or evidence
- Intravenous fluid therapy in children and young people in hospital (NICE guideline NG29)NICE, 2020Guideline or evidence
- 2022 Society of Critical Care Medicine Clinical Practice Guidelines on Prevention and Management of Pain, Agitation, Neuromuscular Blockade, and Delirium in Critically Ill Pediatric Patients With Consideration of the ICU Environment and Early Mobility.Society of Critical Care Medicine (SCCM), 2022Guideline or evidence
- Executive Summary of Society of Critical Care Medicine 2026 Guidelines on the Care and Management of Pediatric and Neonatal Intensive Care Patients at the End of Life.Society of Critical Care Medicine (SCCM), 2026Guideline or evidence
- Adapting Evidence-Based Practice Guidelines for Sedation, Analgesia, Withdrawal, and Delirium Assessment and Management in Critically Ill Children.Critical Care Research and Practice (institutional guideline adaptation panel), 2026Guideline or evidence
- Good Practice Concepts in Pediatric Critical Care Point-of-Care Ultrasound: A Modified Delphi Consensus Initiative.Pediatric Research Collaborative on Critical UltraSound (PeRCCUS/PALISI), Pediatric Critical Care Medicine, 2026Guideline or evidence
- Efficacy of Smartphone Active and Passive Virtual Reality Distraction vs Standard Care on Burn Pain Among Pediatric Patients: A Randomized Clinical Trial.JAMA Network Open, 2021Guideline or evidence
- Perceived family-centered care and post-traumatic stress in parents of infants cared for in the paediatric cardiac intensive care unit.Nursing in Critical Care, 2024Guideline or evidence
- Effectiveness and family experiences of interventions promoting partnerships between families and pediatric and neonatal intensive care units: a mixed methods systematic review.JBI (JBI Evidence Synthesis), 2024Guideline or evidence
- Updated guideline: paediatric emergency triage, assessment and treatment: care of critically-ill childrenWorld Health Organization, 2016Guideline or evidence
- Emergency triage assessment and treatment (ETAT)World Health Organization, 2005Guideline or evidence
- A systematic review of dexmedetomidine pharmacology in pediatric patients.Clinical and Translational Science, 2024Guideline or evidence
- A Core Outcome Set for Family-Centered Care in Neonatal Intensive Care Settings: An International eDelphi Study and Online Consensus Meeting.Children (Basel), 2026Guideline or evidence
- Impact of pediatric tracheostomy on family caregivers' burden and quality of life: a systematic review and meta-analysis.Frontiers in Public Health, 2024Guideline or evidence
- The minimally effective dose of sucrose for procedural pain relief in neonates: a randomized controlled trial.BMC Pediatrics, 2018Guideline or evidence
- Effect of a Mobile App on Prehospital Medication Errors During Simulated Pediatric Resuscitation: A Randomized Clinical Trial.JAMA Network Open, 2021Guideline or evidence
- Adherence to Sedation Protocol Recommendations in Intubated ICU Patients.Pediatric Critical Care Medicine (SCCM/WFPICCS), 2026Guideline or evidence
- A Mobile Device App to Reduce Time to Drug Delivery and Medication Errors During Simulated Pediatric Cardiopulmonary Resuscitation: A Randomized Controlled Trial.Journal of Medical Internet Research, 2017Guideline or evidence
- In-line filtration in very preterm neonates: a randomized controlled trial.Scientific Reports, 2020Guideline or evidence
- Effects of Early versus Standard Central Line Removal on the Growth of Preterm Infants with Very Low Birth Weight: A Non-Inferiority, Randomized Clinical Trial.Nutrients (MDPI), 2022Guideline or evidence
- ASH/ISTH 2026 guidelines for anticoagulant prophylaxis in pediatric patients at risk of venous thromboembolism.American Society of Hematology / ISTH, 2026Guideline or evidence
- A simulation based difficult conversations intervention for neonatal intensive care unit nurse practitioners: A randomized controlled trial.PLoS One, 2020Guideline or evidence
- Futile therapy protocols: A 3-year review of the implementation of Polish guidelines on ineffective organ function maintenance in pediatric intensive care unit-A pilot study.BMC Palliative Care, 2025Guideline or evidence
- Canadian Guidelines for Controlled Pediatric Donation After Circulatory Determination of Death-Summary Report.Canadian Critical Care Society / Canadian Blood Services (Canadian national DCD guideline panel), 2017Guideline or evidence
- A Systematic Review of the Factors Associated with Post-Traumatic Growth in Parents Following Admission of Their Child to the Intensive Care Unit.Journal of Clinical Psychology in Medical Settings, 2022Guideline or evidence
- A Survey of Hospital Pharmacy Guidelines for the Administration of 3% Sodium Chloride in Children.Children (Basel) / Children's Hospital Association survey, 2022Guideline or evidence
- 0.9% saline versus Plasma-Lyte as initial fluid in children with diabetic ketoacidosis (SPinK trial): a double-blind randomized controlled trial.Critical Care (London), 2020Guideline or evidence
- ESPNIC clinical practice guidelines: intravenous maintenance fluid therapy in acute and critically ill children- a systematic review and meta-analysis.ESPNIC, 2022Guideline or evidence
- A randomized trial of Plasma-Lyte A and 0.9 % sodium chloride in acute pediatric gastroenteritis.BMC Pediatrics, 2016Guideline or evidence
- Early resuscitation of dengue shock syndrome in children with hyperosmolar sodium-lactate: a randomized single-blind clinical trial of efficacy and safety.Critical Care (BioMed Central), 2014Guideline or evidence
- Balanced Versus Unbalanced Fluid in Critically Ill Children: Systematic Review and Meta-Analysis.Pediatric Critical Care Medicine (SCCM/WFPICCS), 2022Guideline or evidence
- Balanced crystalloid versus saline for resuscitation in pediatric septic shock: a systematic review and meta-analysis.BMC Pediatrics, 2025Guideline or evidence
- REstrictive versus StandarD FlUid Management in Mechanically Ventilated ChildrEn Admitted to PICU: a pilot randomized controlled trial (REDUCE-1).Pediatric Critical Care Medicine (SCCM/WFPICCS), 2026Guideline or evidence
- A systematic review of clinical practice guidelines and recommendations for the management of pain, sedation, delirium and iatrogenic withdrawal syndrome in pediatric intensive care.Frontiers in Pediatrics, 2023Guideline or evidence
- Clinical recommendations for pain, sedation, withdrawal and delirium assessment in critically ill infants and children: an ESPNIC position statement for healthcare professionals.ESPNIC, 2016Guideline or evidence
- The Effect of Foot Reflexology Massage on Delirium and Physiological Indicators in Children Admitted to Pediatric Intensive Care Unit: A Randomized Clinical Trial.TheScientificWorldJournal, 2026Guideline or evidence
- Is There Any Dose of Benzodiazepines Safe for Delirium in the PICU? A Secondary Analysis of the PICU Up! Pilot Trial Dataset.Critical Care Explorations (PICU Up! trial investigators), 2026Guideline or evidence
- Turkish Neonatal Society guideline on the neonatal pain and its management.Turkish Neonatal Society, 2018Guideline or evidence
- Practice guidelines for sedation and analgesia management of critically ill children: a pilot study evaluating guideline impact and feasibility in the PICU.BMJ Open, 2015Guideline or evidence
- Efficacy and safety of combined oral sucrose and nonnutritive sucking in pain management for infants: A systematic review and meta-analysis.PLoS One, 2022Guideline or evidence
- The effect of facilitated tucking during endotracheal suctioning on procedural pain in preterm neonates: a randomized controlled crossover study.Global Journal of Health Science, 2014Guideline or evidence
- A randomized controlled trial of daily sedation interruption in critically ill children.Intensive Care Medicine, 2016Guideline or evidence
- Daily Sedation Interruption vs Continuous Sedation in Pediatric Patients Receiving Mechanical Ventilation: A Systematic Review and Meta-analysis.JAMA Network Open, 2024Guideline or evidence
- Hypothermia for moderate or severe neonatal encephalopathy in low-income and middle-income countries (HELIX): a randomised controlled trial in India, Sri Lanka, and Bangladesh.The Lancet Global Health, 2021Guideline or evidence
- Permissive versus restrictive temperature thresholds in critically ill children with fever and infection: a multicentre randomized clinical pilot trial.Critical Care (BioMed Central), 2019Guideline or evidence
- Evidence-based practical guideline for procedural pain management and sedation for burn pediatrics patients undergoing wound care procedures.Annals of Medicine and Surgery, 2022Guideline or evidence
Calculators
- Maintenance fluids (Holliday–Segar)Calculator
- Fluid bolus by weightCalculator
- Burns fluid resuscitation (Parkland)Calculator
- Glasgow Coma Scale (adult and paediatric)Calculator
- Anion gapCalculator
- Corrected sodium in DKACalculator
- Effective osmolalityCalculator
- Oxygenation index (OI and OSI)Calculator
- Bedside Schwartz eGFRCalculator
- Normal vital signs by ageCalculator