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SWIFT RIVER MEDICAL-SURGICAL STUDY GUIDE
- Ann Rails: Educational - Increased Fall Risk - Increased Health Change - Increased Pain - Increased Psychological Needs - Normal Sensorium - Normal
- Ann Rails: Acute pain Impaired comfort Impaired mobility Disturbed sensory perception Fall, risk for Peripheral neurovascular dysfunction
- Ann Rails: Scenario #1 Use therapeutic Educate pt. Evaluate pt. learning Place call light Document Scenario # Wash and glove hands Assess Provide comfort measures Notify doctor Document Scenario # Listen to pt. concerns Reassure pt. of options Notify lead nurse/doctor
Contact Social Services Document
Replace O Use therapeutic Notify Dr. and charge nurse
Scenario # Remind physician Explain to physician Assist physician Obtain recent Reassure pt. Scenario #3 Tap pt. Elevate HOB Call rapid response Start secondary Remain with pt. Scenario # Provide verbal report Emergency intubation Assume role Obtain pt. record Provide information Scenario # You explain that his condition You explain that he is receiving You have them remain with you You escort them with you You call his doctor
Psychological needs - normal Neurological - normal
- Calvin Umbyuma: Acute pain Deficient knowledge
- Calvin Umbyuma: Scenario #1 Place on respiratory isolation Ask Mr. U Obtain blood cultures Start IV Collect sputum culture Scenario# Wash hand, don PPE Explain to the visitor Respiratory assessment Explain to Mr. U Place signage on door Scenario # Ask pt. what he knows Ask pt. what his mother's Educate pt. Evaluate effectiveness Report findings Scenario #4 Pt. teaching Contact respiratory therapy
Chest x-ray Western blot Bronchoscopy Scenario # Elevate HOB Initiate O2 at 4L Reassess VS Reevaluate amount of blood lost Contact HCP
- Cameron Daniels: Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - normal Neurological - normal
- Cameron Daniels: Acute pain Impaired mobility Deficient knowledge Fall, risk for Infection, risk for
- Cameron Daniels: Scenario # Give tylenol Start another IV Initiate
Inform charge nurse Call local law enforcement
- Chanthavy Chhet: Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - increased Neurological - normal
- Chanthavy Chhet: Acute pain Impaired mobility, risk for Nausea Cultural competence Deficient knowledge Impaired verbal communication
- Chanthavy Chhet: Scenario #1 Obtain translator Initiate IV Begin fluid and electrolyte Administer IV ABX Consult with MD Scenario # What is going on? We need to stop the bleeding Tell me where you are Who were you talking to? What were the voices telling you? Scenario # Attempt to establish rapport Notify HCP of findings Attempt to restart IV Contact dietary Obtain a sitter Remove potential harmful objects Scenario # Delay insertion of IV Contact HCP Contact CC's uncle Request the uncle come Request the uncle participates
Check placement Scenario # Remind pt. Reassess pt. Obtain an order Teach pt. to avoid Teach pt. to apply Scenario # Assess pain Administer morphine NG tube to LIS Call for triple lumen Address concerns Scenario # Therapeutic communication Pt. teaching Evaluate learning Make referral Dietary consult
- Dana Fitzgerald: Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - normal Neurological - normal
- Dana Fitzgerald: Deficient knowledge Grieving, risk for
- Dana Fitzgerald: Scenario #1 Sit with the pt. Reinforce provider teaching Assess family support system Reassure the pt. Ask the pt. Scenario # Head-to-toe assessment Inspect catheter Teach pt. Instruct pt. Ask the charge nurse Scenario # Teach the pt. Explain to the pt. Administer pain meds Tell the pt. Have the pt. ambulate Scenario # Inspect pt's abdomen Auscultate Percuss & palpate Contact provider Tell husband & pt.
sounds Empty foley bag Administer pain meds Notify HCP Document Scenario # Elevate HOB Assess pt's sputum Reassure the pt. Assure the pt. Contact respiratory therapy Scenario # Obtain doppler pulse Adjust rate of IV Ask for available tech Change dressing Determine if the pt. Scenario # Obtain bear hugger Explain to the pt. Notify nursing supervisor Contact nutritionist Allow visitors to enter
- Dotty Hamilton: Educational - increased Fall Risk - normal Health Change - normal Pain - normal
Psychological Needs - increased Neurological - normal
- Dotty Hamilton: Bleeding, risk for Impaired comfort, risk for Deficient knowledge Infection, risk for
- Dotty Hamilton: Scenario # Contact surgeon Complete pre-op Ensure surgical consents Check to see Pt. teaching Scenario #2 Wash hands Complete full assessment Check wound sites Use therapeutic Encourage first IS Scenario # Reassure & communicate Check blood glucose Administer ABX Encourage aggressive IS Start PCA pump Scenario
- Glenn Massey: Acute pain Impaired mobility, risk for Nausea, risk for Deficient knowledge
- Glenn Massey: Scenario #1 Ensure room was cleaned Disinfect call light Clean and obtain IV pole Obtain burn sheets Notify infection control nurse Scenario # Obtain VS Initial assessment Administer pain meds Educate pt. Check pt's chart Scenario # Hand hygiene Set up supplies Apply clean gloves Gently peel ott Clean wound site Apply new dressing Scenario # Notify HCP
Inform pt. Initiate cardiac telemetry Give 1L NS Empty foley Scenario # Explore why pt. Educate pt. Evaluate pt's understanding Contact social services Involve family
- Hannah Knox: Educational- increased Fall Risk - increased Health Change - increased Pain - increased PsychologicL Needs - increased Neurological - normal
- Hannah Knox: Chronic pain Impaired comfort Deficient knowledge Fear of death Gas exchange, risk for Infection, fisk for
- Hannah Knox: Scenario # Full assessment Contact IV team
