Pediatric clinical for me was a complete challenge; we all know that our community, country, and the world are suffering the COVID 19 Pandemic. This disease changed our lives, how we work, act, and socialize daily. Mostly all providers are offering services by Telehealth and planning to open at the moment the county officers authorize so physically. The office in which I’m doing clinical is working partially, my preceptor and I meet the office personnel always keeping social distance, they explained to me the way patient’s visits are performed. Using an electronic platform, we see almost every patient, with the exception of infants and small children cases, that a preset appointment is made with one parent always following CDC practice during this Pandemic. It is required by the office and infection control guidelines the use of facemask by the parent and every child over three years of age to be able to receive service. The physical opening of the office will be gradually by capacity percentage and following social distance and CDC guidelines to prevent the spread of this viral infection among our population. The first day was to become familiar with the protocols, personnel, and dynamics of the office and be an observer during preceptor patient encounters. I was able to review guidelines by Pediatric organizations and groups regarding proper assessment, evaluation, and treatment of a pediatric patient. I was able to apply knowledge and experience I had about pediatric patients in a new way to provide care, a form of medicine known for years that become the current form of practice, during this world Pandemic: Medicine by Telehealth.The case that took my attention was a C.E 3-year-old female child with a Urinary Tract Infection. These days in which all families are practicing social distance by staying home, her mother states her child enjoys taking a hot tub bath, under her supervision, very frequently. And two days ago, she started to complain of pain during urinating, and she saw dark color urine. When she looked for other complaints, she found her daughter has lower abdominal pain and low-grade fever. For that reason, C. E’s mother contacted the provider’s office for a consultation. During the visit, the preceptor and I were able to assess the patient’s urine as cloudy and bloody, also noted by the mother that lately, C.E started to wet the bed, and she is already toilet trained. We proceed to prescribe treatment based on clinical symptoms described by the patient’s mother and encourage her to complete medication. Also, the parent has educated in the prevention of UTI and bladder infections by avoiding hot tub bath or swimming pools, and practice proper perineal hygiene. We order a Urinalysis and culture, advising the parent to take the child to the laboratory we sent an order for the study for a sample collection. Indication of proper treatment is implemented to prevent kidney infection and further complications; these infections can be dangerous and cause serious health problems in the child. The infection in C.E is treated it with antibiotics, increasing fluid intake, and adequate hygiene promotion. Further studies like Ultrasound and blood work must be indicated to look for another factor that may influence the infection like abnormal bladder function, constipation, urinary blockage, and poor toilet hygiene. A follow-up visit was scheduled to review the progress of the child and laboratory results, and the parent was advised to call the primary provider is C.E does not respond adequately to the treatment of if symptoms persist.It was an inspiring week, in which I applied nursing knowledge and parent experience in pediatric clinical practice.ReferencesHatch D, Hulbert W. (April 6, 2017) Pediatric urinary tract infections. American Urological Association. Retrieve from https://www.auanet.org/education/pediatric-urinary-tract-infections.cfm (Links to an external site.)Fisher DJ. (August 1, 2016). Pediatric urinary tract infection. Medscape. Retrieve from http://emedicine.medscape.com/article/969643
