*NURSING > SHADOW HEALTH > Cardiovascular - due Week 4 _ Completed _ Shadow Health Tina Jones (All)
Overview Transcript Subjective Data Collection Objective Data Collection Documentation Student Survey Interview Questions (36) Statements (1) Exam Actions (81) Hello! Hi. I'm Preceptor Diana. ... I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Pay close attention to this information as it will help guide your exam. At the end of this prebrief, you will answer a short question about the upcoming assignment. During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript. What is the situation? It's 4 p.m. on Tina Jones' first day as a patient here at Shadow General Hospital. Your role in this simulation is that of a healthcare provider who will perform a cardiovascular exam on Ms. Jones. This will give you a baseline of her cardiac condition prior to the new blood pressure medication her attending physician will be starting her on. What are my objectives in this assessment? All Lines (118) 3/6/2019 Cardiovascular - due Week 4 | Completed | Shadow Health https://westcoast.shadowhealth.com/assignment_attempts/4501722 2/13 Question 02/12/19 9:22 PM PST Question 02/12/19 9:23 PM PST Question 02/12/19 9:23 PM PST In your interview with Ms. Jones, you will ask about her cardiovascular system and identify any risk factors so that you can determine any current and potential issues. If you discover any disease states, ask about symptoms and the patient's experiences of them. Your questioning should cover a broad array of the symptoms' characteristics. You will also inquire into the health history of Ms. Jones' family with regards to the cardiovascular system so you can determine her genetic predisposition to any diseases. Regardless of whether you have assessed Tina previously, ask all questions that are medically relevant to her cardiovascular system. In addition to collecting subjective data, you will perform a physical exam on Ms. Jones' cardiovascular system to gather objective data about the system's health and physiology. While you should communicate with patients using accessible, everyday language, it is standard practice to use professional medical terminology everywhere else, such as in documenting physical findings and nursing notes. You may complete the exam activities in any order and move between them as needed. What else will this exam involve? You will complete nursing tasks to protect the patients safety, privacy, and health. You can document your findings, including vital signs, in the Electronic Health Record. This record provides necessary information for healthcare professionals who will continue patient care. Activities other than Subjective and Objective Data Collection, such as Documentation and Education and Empathy, provide valuable practice for their real-world counterparts. However, they are not automatically graded by the simulation. How will I be evaluated? In this assignment, you will be evaluated on your Subjective and Objective Data Collection. The evaluation of your interview is dependent on how you word your questions therapeutically and precisely and explore all relevant topics with comprehensive breadth and depth. The evaluation of your physical exam is based on how successfully you report on your physical findings by selecting among clinical terms in the Electronic Health Record. This assignment takes on average between 40 and 60 minutes. You can pause and resume the assignment at any time; your work is always saved automatically. How does this assignment prepare me for the real world? In this assessment, you will become familiarized with the structure and content of cardiovascular exams so that with real-life patients, you can: º ask effective and comprehensive questions º use therapeutic language º evaluate the patient's risk of disease, infection, injury, and complications º and obtain and assess objective data. 3/6/2019 Cardiovascular - due Week 4 | Completed | Shadow Health https://westcoast.shadowhealth.com/assignment_attempts/4501722 3/13 Statement 02/12/19 9:25 PM PST Greet 02/12/19 9:25 PM PST Exam Action 02/12/19 9:27 PM PST Question 02/12/19 9:28 PM PST Exam Action 02/12/19 9:28 PM PST Exam Action 02/12/19 9:28 PM PST Exam Action 02/12/19 9:28 PM PST Exam Action 02/12/19 9:28 PM PST Exam Action 02/12/19 9:28 PM PST Exam Action 02/12/19 9:28 PM PST In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: How might you educate a patient about high blood pressure? High blood pressure can lead to a lot of system failures for example kidney failure. Time to begin. Hello my name is karen and I will be your student nurse today Hey. Checked vitals how is your pain on a scale of 0 to 10 Right now the pain's about a. . . 6, maybe? Inspected anterior chest wall Inspected left side chest wall Inspected posterior chest wall Inspected right side chest wall Inspected posterior chest wall Inspected right side chest wall Inspected anterior chest wall 3/6/2019 Cardiovascular - due Week 4 | Completed | Shadow Health https://westcoast.shadowhealth.com/assignment_attempts/4501722 4/13 Exam Action 02/12/19 9:28 PM PST Exam Action 02/12/19 9:29 PM PST Exam Action 02/12/19 9:29 PM PST Exam Action 02/12/19 9:29 PM PST Exam Action 02/12/19 9:29 PM PST Exam Action 02/12/19 9:29 PM PST Exam Action 02/12/19 9:29 PM PST Exam Action 02/12/19 9:29 PM PST Exam Action 02/12/19 9:30 PM PST Exam Action 02/12/19 9:30 PM PST Exam Action 02/12/19 9:30 PM PST Exam Action 02/12/19 9:30 PM PST Exam Action 02/12/19 9:30 PM PST Exam Action 02/12/19 9:30 PM PST Inspected for jugular venous distension: JVP 1 cm above sternal angle Checked capillary refill in fingernails Checked capillary refill in fingernails Checked capillary refill in fingernails Checked capillary refill in fingernails Checked capillary refill in fingernails Checked capillary refill in fingernails Checked capillary refill in fingernails Checked capillary refill in fingernails Inspected legs Inspected left leg for edema: No edema Inspected right leg for edema: Pitting edema, 1+ Inspected toenails 3/6/2019 Cardiovascular - due Week 4 | Completed | Shadow Health https://westcoast.shadowhealth.com/assignment_attempts/4501722 5/13 Exam Action 02/12/19 9:30 PM PST Exam Action 02/12/19 9:31 PM PST [Show More]
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