Finding:
Asked about
breathing (Found)
Pro Tip: The patient has been ordered medication to treat asthma as needed.
Assess the patient's current breathing status to determine whether the
medication should be administered.
Example Question:
How is your breathing?
Finding:
Asked about medication
allergies (Found)
Pro Tip: Patients may have allergies that are not included in their documentation,
so asking for verbal confirmation can prevent serious adverse events.
Example Question:
Do you have any allergies to medications?
Finding:
Asked for patient identification
(Found)
Pro Tip: Proper identification is critical for the protection of your patient. It is
recommended to check two identifiers before interacting with the patient.
Example Question:
Can you confirm your name?
Finding:
Asked about pain
(Found)
Pro Tip: This patient has been ordered pain medication. Assessing for pain is vital
to determining the efficacy of prior treatment and the need for further analgesic
intervention.
Tina Jones ShadowHealth
Intermediate Patient Case Results
Patient Assessment
