S- Valley Baptist responded to a call of motor vehicle accident. The 24 year old male that had injuries on his body. The paramedic greeted us to the patient while they escorted him to the room. O- The nurses and I DCAP-TLS and expose him with sheers as i did my patient assessment.…
Late Entry On 5/24/2016, CM met with the client and completed Bi-Weekly ILP Review. In the meeting client was dressed appropriately for the weather. Client appears to be cooperative, friendly and forthcoming with all information. SOCIAL SUPPORT UPDATE:…
On 9/6/17 I met Mr. Reid at the office of Dr. Rampersaud. I have printed and provided Mr. Reid the information on how and where to get medications filled along with a form for him to fill out for reimbursement of prior out of pocket expenses. I also provided Dr. Rampersaud with a letter with requirements and instructions on filling medications. I met Mr. and Mrs. Reid at the appointment with Dr. Rampersaud.…
This writer address with the patient about his UA result dated on 5/15/2017 as there were mutliple reschedule and cancellation from this writer and the patient. This writer address with the patient about the opiate and benzo use. The patient was admit that he haven't relapse on any benzo since his last conversation with this writer and honestly feels that the benzo could potentially have been in the "dope." This writer discuss the seriousness with the patient about his recovery and discuss clinical intervention with the patient. First and foremost, this writer discuss with the patient about his depression but according to the patient, he is not depress anymore.…
The patient is a 56 year old Bangladesh male came by ambulance due to sudden onset of shortness of breath at 3 o’clock in the morning when he woke up to go to the washroom. The patient also has chest pain, nausea and vomiting, fever and worsening orthopnea The patient is having dementia, hypertension and ESRF stage 4. However, patient reused HD and was under nephro clinic, but planned for palliative management. The patient had been admitted to the hospital due to the same presenting complaint for several times.…
In the VSim the doctor wanted the nurse to call as soon as the ordered labs returned with results; they were pending in the beginning of the VSim. Carl is on 4 Liters of oxygen with a saturation reading at 97%, so they decided to transfer…
As Salas et al (2003) states synchronization between skills is needed to provide seamless treatment of high quality, resulting in a reduction in stress to the patient and decreasing the recovery period. A view supported by both Duggan et al (2003) and Mumford et al (1982) who concluded that decreasing anxiety of patients’ aids in the recovery from operations. In real terms this will decrease the number of hospital admissions/appointment required, save money and maximise the use of the National Health Service’s resources enabling more patients to receive vital treatment (Department of Health 2001) .This seamless administration of effective multidisciplinary care will only be achievable if co-ordination between team members is monitored through effective leadership ensuring they are all working to the same goal. As Mickan and Rodger (2005) stated that effective leaders posses the ability to maintain the basis for reaching the goal whilst providing encouragement for all team members an attribute important in healthcare as the environment is stressful (Cornwell and Goodrich…
Nursing Standard. 20, 39,67-75. Date of acceptance: October 10…
Directly observed, participated and managed hospitalized patients in ICU unit. Observed and supervised directly by Rahat Hussain MD, of Memorial Hermann Hospital (1028 bed hospital) in Houston, TX. Obtained direct clinical experience working within an advanced, U.S. hospital under expert supervision. I was responsible for my assigned patients, from whom I took histories, reviewed daily lab reports and overnight events and update their progress to Dr. Hussain during rounds. I attend clinics where I gather H&P and presents cases and discuss management plans.…
3801NRS Advanced Clinical Decision Making Student Name: Rebekah Stanley Student Number: S2929435 Essay/Report Title: Case Study Essay Assessment Item 1 WORD COUNT: TBA Clinical decision making and reasoning can be seen as one of the most important roles taken on board by the registered nurse within the healthcare setting (Pinnock & Welch, 2014).…
Introduction to the Dental Hygiene profession has been a complete and enjoyable class that set the core all the clinical documentation and protocol to follow here at Fortis college. As part of this class the instructor had create a variety of interactive assignments where students get to experience what it feels when having a real patient in front of them. Such was the clinic observation activity where we, the lower clinic class, had the opportunity to observe how students of a higher class were handling a full clinic section with the help of their high qualified instructors. One of the expectations I had for this activity was that I would be able to see the process of care in action, since the clinician brings the patient to the operatory…
Review of the medical record indicates that on August 8/14 she twisted her ankle and sustained an opened left distal fracture and had undergone an ORIF. The site became infected and the wound was surgical debrided and she started on IV antibiotic for osteomyelitis. Other medical history includes obesity, thyroid disease, congenital heart disease, HTN, bilateral PE May 2014, protein losing enteropathy, pleural effusion, , lower extremity cellulitis, Pseudomonas infection, acquired spastic diplegia of lower extremities, pulmonary stenosis, atrial septal defect and tricuspid regurgitation. At today’s visit she is accompanied by her father and private aide. She is awake, alert and oriented and is lying in bed on her back.…
Looking at the ADDS chart from admission to 0100 and relating the information to interventions provides valuable information. Using the five rights of clinical reasoning could the RN predict the outcome for Mr Jones? Identifying the right patient for “at risk” through clues picked up in the initial assessments is a valuable skill that improves patient’s outcomes (Levett-Jones, et al., 2009). Mr Jones was at risk upon presentation at the hospital as he had already experienced an hour of chest pain that was unrelieved by GTN tablets and rest. This ongoing pain and the ECG indicate a MI at time of admission.…
The extrication modality of patient to ambulance would be spinal board it is because to prevent the patient from further injuries. The patient will be hospitalized in a closed hospital in this situation the patient will transfer to Flinders Hospital as he is living in Marion. After the patient arrived in hospital, he will be handover to Emergency department in the category of sirens as he is suffering high pain.…
The patient claimed that she was also constipated. After addresses her with questions, the nurses together, proceeded in taking her vitals, doing…