Yoa Li Vsim Feedback Log – Management of Morphine Overdose in a Hospitalized Patient

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Feedback Log 0:00 You arrived at the patient's side. 0:00 You reviewed the patient information. 0:00 You reviewed the diagnostics. 0:00 You reviewed the MAR. 0:00 You reviewed the orders. 0:00 ... You introduced yourself. 0:10 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 1:10 Patient status - ECG: Sinus bradycardia. Heart rate: 49. Pulse: Present. Blood pressure: 116/66 mm Hg. Respiration: 8. Conscious state: Somnolent. SpO2: 92%. Temp: 99 F (37.4 C) 1:18 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 1:36 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. This will allow you to reassess the patient continuously. 1:40 You looked for normal breathing. He is breathing at 8 breaths per minute. The chest is moving equally. 2:08 You listened to the lungs of the patient. The breath sounds are clear and equal bilaterally. 2:10 Patient status - ECG: Sinus bradycardia. Heart rate: 49. Pulse: Present. Blood pressure: 114/66 mm Hg. Respiration: 8. Conscious state: Somnolent. SpO2: 91%. Temp: 99 F (37.3 C) 2:27 You listened to the abdomen of the patient. You could hear hypoactive sounds from the abdomen. This is reasonable. 2:39 You assessed the patient's consciousness. The patient scores 11 on the Glasgow Coma Scale (GCS). This was reasonable. 2:52 You assessed the patient's neurological status. 3:10 Patient status - ECG: Sinus bradycardia. Heart rate: 50. Pulse: Present. Blood pressure: 117/67 mm Hg. Respiration: 9. Conscious state: Somnolent. SpO2: 91%. Temp: 99 F (37.2 C) 4:00 You assessed the patient's sedation level using the Pasero Sedation Scale. This was reasonable. The patient was somnolent and had minimal or no response to verbal or physical stimulation. On the Pasero Opioid-Induced Sedation Scale, the patient was graded to 4. 4:10 Patient status - ECG: Sinus bradycardia. Heart rate: 50. Pulse: Present. Blood pressure: 119/68 mm Hg. Respiration: 9. Conscious state: Somnolent. SpO2: 90%. Temp: 99 F (37.1 C) 4:17 You assessed the patient's dressing. This is correct. Assessing any dressings the patient has is always important. 4:29 You phoned the provider in order to discuss the patient. 5:10 Patient status - ECG: Sinus bradycardia. Heart rate: 51. Pulse: Present. Blood pressure: 122/69 mm Hg. Respiration: 9. Conscious state: Somnolent. SpO2: 90%. Temp: 99 F (37.1 C) 5:52 You assessed the patient's IV. The site had no redness, swelling, infiltration, bleeding, or drainage. The dressing was dry and intact. This is correct. Assessing any IVs the patient has is always important. 6:10 Patient status - ECG: Sinus bradycardia. Heart rate: 51. Pulse: Present. Blood pressure: 120/68 mm Hg. Respiration: 9. Conscious state: Somnolent. SpO2: 90%. Temp: 99 F (37 C) 6:21 The patient-controlled analgesia was stopped. 6:34 You flushed the cannula. 6:42 The infusion of lactated Ringer's and 5% Dextrose was stopped. 6:43 The medication label did not match the MAR. [Show More]

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