NR 603 Week 4 Clinical VISE Assignment-Chamberlain College Of Nursing:(SATISFACTION GUARANTEED,RATED A )

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Purpose: The VISE assignment (Virtual Interactive Student Evaluation) is to evaluate student progress in clinical, based on per course clinical objectives. This will be a midterm check to identify an... d assist students who may be struggling with clinical critical thinking and communication. Students who do not pass the VISE on the first attempt will be placed on a clinical PIP and given a second attempt at passing the VISE prior to course end. The student must successfully pass the VISE to pass clinical within a course. Directions: These will be done by phone between the VP and the student sometime between the beginning of week 3 and the end of week 5. Immediately following the VISE the VP and student will do the mid-term phone call check in and review of clinical. VPs should have clinical logs pulled up to review with the student. 603 – Referral to specialist - The student reviews their logs and picks one patient seen in clinical in the last two weeks with a complex chronic illness who needs specialist referral. The VP will act as specialist taking the call. The student is to do the following:  Pick the correct specialty to refer to  Give a SNAPPS summary to the specialist  Answer the specialists questions about the patient VISE Assignment Process and Expectations The NR603 Virtual Interactive Student Evaluation is an exercise for student's to demonstrate their communication and critical thinking skills in the clinic environment. VISE in NR603 focuses on the student's ability to refer a patient to a consultant for ongoing care. Students need to come to the call thoroughly prepared to meet the criteria for a successful referral. A successful VISE call is where the student is prepared and presents the information without needing prompting by the Faculty. Faculty may then ask any pertinent follow up questions after the patient is presented by the student. Process: - Faculty will reach out to students via email to schedule the VISE phone call - Student identifies a patient from their clinical logs who needed a referral to a consulting provider. Student sends the patient's Initials and date of the clinical log to their Faculty member in advance of the call so the Faculty can prepare for the interaction - The Faculty will initiate the call according to the scheduled time. - Student will address the faculty as the consulting provider and begin the referral communication process. - Faculty will ask any follow-up questions - Faculty will debrief with student This study source was downloaded by 100000831988016 from CourseHero.com on 04-18-2022 07:43:41 GMT -05:00 https://www.coursehero.com/file/62540667/603VISEdocx/ Criteria for Successful Presentation of Referral: LMC is a 70 year old Native American male seen on 3/5/20 -Thorough HPI LMC comes in today for follow up on left wrist pain and no change in symptoms. Patient with complaint of pain to left wrist and report of “feeling a bump under my skin on my wrist” since a week ago. Patient reports this started several months ago and has recently began to hurt him more (within the past week). Patient was in a motor vehicle accident 2 years ago and injured his left wrist and required surgical intervention at that time. He reports there had been no pain to the site since after it healed and that he only felt discomfort in the cold. Patient reports there has been no new trauma to his wrist since after the accident and surgical repair. He reports the pain is 10/10 with use and 2-3/10 at rest, is aching in nature and does not radiate. He reports he feel it is always stiff. He reports using topical medications such as biofreeze and oral OTC NSAIDS help decrease the pain, but it is never truly gone. He is currently also taking gabapentin 300 mg three times/day for chronic neuropathic pain post MVAhe had a fusion of T12 to L1. The gaba is also not helping to provide relief from the pain. Recent referral to physical therapy for his wrist did not help decrease the pain. Patient reports the pain is inhibiting him from completing activities of daily living such as chopping wood and hauling water as his wrist is weak. He is right-handed and tries to complete as much as possible with his dominant hand. Xray one week ago was negative for fracture, however degenerative changes due to osteoarthritis were noted. -Physical Exam completed by student- Physical assessment: 5 mm surgical incision noted on lateral aspect of left wrist. No signs of infection or irritation noted to incision. Small moveable bump 0.5mmX0.5mm noted under surgical incision, palpation elicited pain. Patient grip stronger in right than in left upper extremity. No intention tremor and no tremor at rest. No swelling, deformities, no cyanosis, no clubbing of fingernails noted on observation. Pulses equal and strong 2+ in radial pulse. Limited range of motion noted to left wrist: patient is unable to flex, extend, adduct, or abduct at the wrist completely and attempting to do so increases pain. BP, vitals within normal limits. -Diagnostic tests completed with results, any treatment that has already taken place Xray one week ago was negative for fracture, however degenerative changes due to osteoarthritis were noted. -Outcome of the existing treatment plan Patient has had no relief from pain from physical therapy, topical medications, and OTC NSAIDs. In addition, he reports the gabapentin he is taking for his chronic back pain is not helping either. -Specialty patient is being referred to Ortho -Reason for referral i.e., evaluate for Rheumatoid arthritis, etc... Evaluation for osteoarthritis -Actions you are looking to have the C [Show More]

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