[Hannah Estes]

Peer Evaluation of Maddi Capps
Orientation: 5/5
Verbal Clarity: 5/5
Active Listening: 5/5
Patient Focused: 5/5
Tone of Voice: 5/5
Eye Contact: 5/5
Other Body Language: 5/5
Empathy: 5/5
Rapport: 5/5
Respect: 5/5
Therapeutic Alliance: 5/5
Environment: 5/5
Maddi did an excellent job evaluating the developmental milestones of a NICU grad! She observed the baby play in addition to verifying what the parent was saying about meeting milestones. Great job!

[Hannah Estes]

Peer Evaluation of Margaret Beaver:
Orientation: 5/5
Verbal Clarity: 5/5
Active Listening: 5/5
Patient Focused: 5/5
Tone of Voice: 5/5
Eye Contact: 5/5
Other Body Language: 5/5
Empathy: 5/5
Rapport: 5/5
Respect: 5/5
Therapeutic Alliance: 5/5
Environment: 5/5
Margaret did a great job assuring her patient was in a safe environment. She listened to concerns and provided excellent education and feed back. Great job!

[Hannah Estes]

Remote Patient Monitoring and Pediatric Asthma

As a future Pediatric Nurse Practitioner (PNP), I am interested in implementing a Remote Patient Monitoring (RPM) program to manage pediatric asthma. Asthma is one of the most common chronic conditions affecting children, and effective management requires consistent monitoring and early intervention. RPM offers an ideal model to support this by allowing real-time tracking of respiratory symptoms and lung function outside of traditional clinical settings. Through the use of Bluetooth-enabled pulse oximeters and connected inhaler sensors, I would be able to monitor a child’s oxygen saturation and medication adherence from a distance. Data would be transmitted securely to a centralized dashboard for regular review, with alerts set for abnormal trends such as decreased peak flow or skipped inhaler doses.

My role as a PNP would include enrolling appropriate patients, particularly those with moderate to severe asthma or frequent emergency room visits, into the program, educating families on device use, and monitoring incoming data daily. I would respond to alerts, adjust medications as needed, and provide virtual coaching to reinforce asthma action plans and trigger avoidance. The target population would be children aged 5–17 years, especially those in rural or underserved areas with limited access to specialists.

Program effectiveness would be evaluated through metrics like reduction in ER visits, improved symptom control, and patient/family satisfaction. Legal considerations would include ensuring HIPAA compliance for all data transmission, using only FDA-approved devices, and verifying that my licensure covers telehealth services within the jurisdiction. I would collaborate with pediatric pulmonologists for complex cases, respiratory therapists for device training, and IT specialists for platform support. Protocols would be developed for triaging alerts and determining follow-up frequency. Informed consent would be obtained electronically from a parent or guardian before initiating services, including a full explanation of how the data will be used, privacy protections, and expectations for communication. This RPM model would allow me to extend high-quality, proactive care to children living with asthma, thus improving outcomes and empowering families in their day-to-day management.

[Author]

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