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

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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 t... oo, 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 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. You scored 1.0 out of 1 The correct answer is: I don't need to ask annow. Dr. Douglas camof the left femur, was has been receiving PTit. 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 You scored 1.0 out of 1 The correct answer is: It is important to practice listening durreport. Your response shows your undenot cause any unnecessary interruption 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. Ben: 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 MedSurg for post-operative 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? Y1TDtamBen: 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? Reminding Ben to discuss Dr. Douglas's home medications can jog his memory and prompt him to add that Dr. Douglas does not have any food or medical allergies. This is significant information that could greatly impact the health of your patient. Learning what home medications a patient takes can help you to gain a full You scored 0.5 out of 1 The correct answer is:Learning what homepatient takes can helppicture of your patien picture of your patient'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 scored 1.0 out of 1 The correct What is Dr.rating, and being contrmedicationBen: Good catch! Dr. Douglas's pain is under control with medication. Her pain was last reported as 2 out [Show More]

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