NURS 224 Assignment 3_ Conflict Management-Completed:Shadow Health Bedside Shift Report

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Assignment 3: Conflict Management Results | Turned In Return to Assignment Your Results Lab Pass  Overview  Bedside Shift Report  Debrief  Team Delegation  Interprofessional C... ommunication  Prioritizing Individual Patient Needs  Prioritizing Delivery of Care Experience Overview Assignment 3: Conflict Management Digital Clinical Experience Score Total Time 103 minutes 103 minutes interacting with patients 0 minutes spent in post-exam activities 96.0% The DCE score represents a weighted score based on all learning activities in this assignment. Some learning activities have been assigned greater value than others. This score may not be your final grade if your instructor chooses to include additional components, such as rationales or time spent. Activity Scores 96.0/100 points Bedside Shift Report 19.0/20 points Team Delegation 15.0/15 points Interprofessional Communication 17.0/20 points Prioritizing Individual Patient Needs 20.0/20 points Prioritizing Delivery of Care 25.0/25 points Bedside Shift Report Score: 19.0 out of 20 Time: 0600 Ben: Hey there, Dr. Douglas, I'm heading out now. This is the nurse who'll be taking over for me. Anita: Nice to meet you. Nice to meet you too, Dr. Douglas. Anita: Shame it couldn't be under better circumstances. But when bodies get old enough, I guess they just have a habit of breaking. Ben: Anybody can break a bone, Dr. Douglas, but it's true that we'd like you to be careful. All right, I know hospital stays aren't any fun, but I'm leaving you in excellent hands, here. Anita: I sure hope so. [AUDIO COMING SOON] I'll be checking in with you about once an hour today. Ben: Here we go. Dr. Douglas is a 72-year-old woman with a displaced You scored 1.0 out of 1 The correct answer I don't need to ask annow. Dr. Douglas camthe left femur, was gbeen receiving PT for intertrochanteric fracture of the left femur. She had an open reduction and internal fixation two days ago, and now she's receiving physical therapy to help with her mobility. The orthopaedic surgeon on her case is Dr. Mayleen Zhang, and her physical therapist is Dr. Virgil Kline. Her hospitalist is Dr. Mateo Martinez. What else do you need to ask Ben about Anita Douglas's Situation? I don't need to ask any questions right now. Dr. Douglas came in with a fracture of the left femur, was given an ORIF, and has been receiving PT for mobility. Got it. I don't need to ask any questions right now. Dr. Douglas came in with a fracture of the left femur, was given an ORIF, and is now receiving PT for mobility. Got it. Ben: Great! Let's move on to the Background of Dr. Douglas's case . . . Why is this the best question to ask Ben about Anita Douglas's Situation? For review, here are the selections that were available in the previous problem: I don't need to ask any questions right now. Dr. Douglas came in with a fracture of the left femur, was given an ORIF, and has been receiving PT for mobility. Got it. (correct) Will Dr. Kline be visiting Dr. Douglas this afternoon? Does Dr. Douglas have any medical allergies? It is important to practice listening during a Bedside Shift report. Your response shows your understanding and does not cause any unnecessary interruptions to Ben's report. You scored 1.0 out of 1 The correct answer is: It is important to practice listening durireport. Your response shows your undenot cause any unnecessary interruptionBen: So, three days ago, at around 0630 hours, Dr. Douglas slipped and fell while she was alone at home. She felt a sharp pain and knew something was wrong. She couldn't get to her phone, so she held still and waited for her husband to come home. At 0800 hours, Dr. Douglas reported at our Emergency Department with pain in her groin and inability to support weight. She had an open reduction and internal fixation at 1200 hours. At 1700 hours that day, she was moved here to Med-Surg for postoperative care. Ben: The physician has prescribed her 1 hydrocodone/acetaminophen tablet (5 mg hydrocodone and 325 mg acetaminophen) every 4-6 hours for post-operative pain, to be increased as needed up to 2 tabs every 4-6 hours. Physician also prescribed her apixaban for anticoagulation, at 2.5 mg twice a day, and she's been given thromboembolic deterrent hose (known as a TED hose). Dr. Douglas has been receiving regular physical therapy. Ben: Her vital signs are all within normal limits. Her respirations are 15 per minute and her oxygen saturation is 98%. Ben: And now for the provider's orders. Administer the hydrocodone as scheduled. Every four hours, monitor fluid input and output. Perform peripheral neurovascular checks every 8 hours until discharge. Provide ice as needed. Incentive spirometer 10 times per hour while awake. Check SpO2 every 8 hours and as needed to keep oxygen saturation over 92%. Notify the MD if there's a significant increase in O2 needs. Keep dressing dry and notify MD if there's significant drainage. Dr. Douglas will need to perform weight-bearing exercises with physical therapy, and go from bed to chair at least 2 times per day. What else do you need to ask Ben about Anita Douglas's Background? Does Dr. Douglas take any home medications? Ben: Dr. Douglas takes a trandolapril and verapamil combination pill and chlorothiazide for hypertension, along with calcium and vitamin D supplements. She doesn't have any allergies to medicine or food. Why is this the best question to ask Ben about Anita Douglas's Background? Learning what home medications a patient takes can help you to gain a full picture of your patient's circumstances. You scored 1.0 out of 1 The correct answer is: Learning what home medtakes can help you to gainpatient's circumstances. Ben: The dressing is clean and Dr. Douglas's skin shows no sign of infection. Dr. Douglas is stable, alert and oriented x4. Color, pulse, warmth, pain, sensation, and movement in extremities are all within normal limits. No disproportionate swelling. Strength of active movement against moderate resistance was last rated as 4 out of 5. What else do you need to ask Ben about his Assessment of Anita Douglas's condition? What is Dr. Douglas's pain rating, and how well is her pain being controlled by medication? You score1.0 out ofThe correWhat is Drating, anbeing conBen: Good catch! Dr. Douglas's pain is under control with medication. Her pain was last reported as 2 out of 10. Pain at the worst was reported as an 8 out of 10. Why is this the best question to ask Ben about Anita Douglas's Assessment? Assessing a patient's response to medication is an important nursing duty, and you need to understand how well Dr. Douglas's pain medication is working. You scored 1.0 out of 1 The correct answer is: Assessing a patient's response to medicnursing duty, and you need to understaDouglas's pain medication is working. Ben: Dr. Douglas is going to need help with her physical therapy exercises. She's at risk for falls, so you'll be helping with ambulation and self-care, too. Depending on her pain, you may also need to help with positioning throughout the day. Dr. Douglas has a PT session this morning at 0630 hours, and the MD will change her dressing at 0800 hours. Her husband, Jeffrey, is You sc1.0 ou scheduled to visit at 1400 hours today. What else do you need to ask Ben about his Recommendation for Anita Douglas's care? Do you have any recommendations for patient assessment? The coDo yourecompatienBen: Thanks for reminding me! When you do your hourly check-in, I recommend that you perform musculoskeletal, strength, and skin checks, and monitor respiratory status. Monitor fluid input and output and perform neurovascular checks as ordered. You'll want to perform mental status checks every 4 hours with orientation x4. Since Dr. Douglas is on pain medication, I recommend that you assess her pain before and after her physical therapy. Why is this the best question to ask Ben about his Recommendation for Anita Douglas's care? Patient assessment is an important part of the nursing process and therefore something Ben should take into consideration when making his recommendations. You scored 1.0 out of 1 The correct answer is: Patient assessment is annursing process and thershould take into considehis recommendations. What else would you like to ask Ben about Anita Douglas's case? Does Dr. Douglas have any cultural or dietary considerations I should be aware of? You scored 1.0 out of 1 The correct answer is: Does Dr. Douglas have any cultural or dshould be aware of? Ben: Actually, Dr. Douglas here is a vegetarian. I think we've got a few of those on the floor right now. Anita: I can't bring myself to eat animals; I worked with them too long. Eggs and dairy are all fine, though. Why was this the best question to ask Ben as a follow-up to his Bedside Shift Report for Anita Douglas? Learning about a patient's unique needs will help you to effectively and respectfully provide for their care. You scored 1.0 out of 1 The correct answer is: Learning about a patient's unique needeffectively and respectfully provide for tBen: And that should be it. I am transferring Dr. Douglas into your care. You can call me if you have any quesIt was nice to meet you, Dr. Douglas. Anita: You too, I suppose. Time: 0605 Ben: Hi, Mrs. O'Connor. This is the nurse who will be replacing me for the day. Debbie: Hey, there. Hello, Mrs. O'Connor. I'll be checking in with you regularly throughout the day. Debbie: Glad to hear it. Ben: Mrs. O'Connor, I'm going t [Show More]

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