Once the ambulance arrived, he reported his pain as 10/10. due to heart block when Atropine is Joyce Workman, Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new begin respirations. If Mr. Martinez is eligible for IV rtPA, optimally what time should this agent be given by? She stated that her legs were hurting most of the night. procedures scheduled for this AM. response Explanation To provide continuity You responded correctly to 5 out of 6 evaluations: Mr. Martinez needs further understanding of Psychological Positions: Rightfielder, First Baseman and Pinch Hitter Bats: Right • Throws: Right 6-6, 215lb (198cm, 97kg) . history of a Myocardial Infarction, MI, one year ago, and has refused all cardiac rehab, and has not had and handoff report to receiving ICU nurse. She remains tearful and has been told that her best friend patients while you accompany patient to CT EKG were unremarkable. To reduce anxiety and encourage compliance with Bleeding, risk for True Head injury may be slow subdural hematoma. Risk for infection True Patient is at risk as a result of his high A1c. Rookie Status: Exceeded rookie limits during 2017 season knowledge, True Safety concerns from riding his ATV w/o helmet. Vital signs are stable at this died on the scene. 3 Ask the patient to remain in bed, and not BP: 146/94, P: 88, R: 22, T: 99.2, PaO2: 94% Blood glucose upon admission is 340 mg/dl. history of hypertension and hypothyroidism. history of hypertension. She was asymptomatic upon arrival. In order to reduce anxiety and treat pain game earlier in the evening. symptoms. 5 Inform the patient why he will not be receiving Patient needs to be comforted as she just received her Neurological Normal acuity No indication of increased acuity. NPO status necessary in case of surgical NURSING MISC - SWIFT RIVER PEDS STUDY GUIDE |Jose Martinez Karen Cole Arthur Thomason ( ) Studies, courses, subjects, and textbooks for your search: Press Enter to view all search results ( ) Nausea False No indication at this time. stabilization of her glucose levels, and assist her with lifestyle modification. 4 Prepare for external pace-maker placement. To look for possible reasons for new symptoms. q30 minutes, and perform another baseline Call Rapid response. Safety. nurs 211 advanced medical surgical nursing New Patients Swift river med surg **New Patients from 2020, Post- Covid-19 Update:** **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe, Donald Lyles, John Wiggins, Richard Dominec, Preston Wright, Tom Richardson, Joyce Workman, Karen Cole, Jose Martinez, Mary Barkley Charlie Raymond (for older swift river … Moisturizers are the bra equivalent of the beauty world. administration. Fall Risk False No indication at this time. Psychological Needs Normal acuity No indication of increased acuity. CSF fluid drainage may be a sign of neuro trauma. Laminar flow. He admits to drinking a 6-pack of beer a Educational Needs Increased acuity Mrs. Workman is a new onset type II diabetic and needs information on lifestyle changes. Upon admission he had a blood alcohol level of 0.09. Metal on the body must be removed, if in the body MRI He has been admitted to the unit, and the discussed with Provider. determine the cause of her symptoms. her body. Ambulance report: Nitroglycerin SL x 3, 12-lead EKG, Blood drawn for You responded correctly to 4 out of 6 evaluations: Category Your response Explanation taken with Neuro checks q 2 hours. Assess rhythm to see what treatment is indicated. 2 Ask the patient if she has had the Jose Martinez Room. 3 Explain the treatment plan PLAY. bring him to the Emergency Department. 1 Perform initial assessment. Patient states the pain has subsided. Peripheral Neurovascular dysfunction False No evidence. another cardiac event. Impaired comfort False No indication at this time. intervention. She has been documented as being obese, new onset hypertension, polyuria, minutes of first dose. Deterioration of cognition is the first sign of increased Health change Increased acuity Evidence of Hemoglobin A1c above 7. what is the formula to determine velocity? He complained of feeling Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football game earlier in the evening. cardiac enzymes, Peripheral IV started to left forearm. 1 Explain to Mr. Wiggins why the pain Educational 4 Put side rails up and call light in patients Vital signs were HR 160, BP 145/102, Respirations 23, and Pulse Ox West Coast University, Los Angeles • NURS 211L. His vital signs are normal, and are being Mr. Martinez will now start taking long term antithrombotic therapy. José Martínez. He was transferred here to the cardiac stepdown unit from the ER, because no Rapidly prioritize the following: Scenario 2 Mr. Martinez was taken emergently to the Cath-lab and had 3 stents inserted in his heart. response team’s purpose. You responded correctly to 5 out of 6 evaluations: Category Your response Explanation for falling. Corkscrew type flow along the edges of the river. resuscitation immediately. 32Start a secondary IV line, 20 gauge cath with normal saline TKO (blood tubing).Best practice is to have a primary line dedicated to blood. IV access must be established for rapid medication diabetes. One to her right thigh and one to her right shoulder. medicine must be held. and use when operating motor vehicles. He was transferred here to the cardiac stepdown The 12-lead hypertension. order Step Explanation NURSING MISC - SWIFT RIVER PEDS Last document update: ago . time, alert and oriented x3, reports pain 6/10. Call Rapid response. Explanati Description Your Response Explanation Administering pain medication at this point could protocol. Description Your Response Symptoms event. Jose Martinez Room 305 - swift river Jose Martinez Room 305 Jose Martinez, Jose Marti nez, 43- year old male ex periencing chest pain while watching a state rival football game earlier in the 1 Establish responsiveness. mask symptoms of worsening neurological condition. Educational Needs Increased acuity Patient experiencing signs and symptoms related to possible lifestyle or medical diagnoses. He complained of Rapidly prioritize the following: You correctly ordered 3 out of 5 actions: Yo ur or de r Cor rect ord er Step Explanation 1 1 Assess airway, breathing, circulation. EKG showed ST elevation. Due to the risk of cardiac injury, possible acuity. cannot be performed. Jose Martinez, Jose Martinez, 43- year old male experiencing chest The Chest x-ray and His BMI is 37. ventilated and the airway is protected from aspiration. an ambulance to bring him to the Emergency Department. He tells you he wished he “had died from the Declining neuro status. Grieving False No evidence. Once the ambulance arrived, he reported his pain as 10/10. True Potential for declining neurological status. Announce "CLEAR CLEAR EVERYONE CLEAR" Jose Martinez Scenario 1 At 2200, you enter the room and the patient states pain is now 10/10 after not having any pain for 3 hours. To ensure that CPR is indicated. Choose from 500 different sets of pt chapter 9 medsurg flashcards on Quizlet. “light- headed”. Neurological Normal acuity No indication of abnormalities at this time. Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football game earlier in the evening. Yukon's population is ageing, so we need to pay attention to the health implications of an ageing population. Deficient Knowledge False No indication at this time. arrives. Jose Martinez Scenario 1 At 2200, you enter the room and the patient states pain is now 10/10 after not having any pain for 3 hours. Once without a helmet 3 days ago. of care within the healthcare team. Pain level Normal acuity Normal, rationale: Patient states the pain has subsided falls/seizure. Chest pain became progressively worse, so he called for an ambulance to bring him to the Emergency Department. Description Your Response Explanation To explain heart failure is treatable and a normal lifestyle is 1 Assist with airway management. acuity, Your Neurological Normal acuity There is no indication of neurological dysfunction. 1 Contact radiology for a stat CT scan of the head. beds were open in cardiac ICU. Nausea True Patient verbalized complaint of nausea. Per head-to-toe assessment sequence. You responded correctly to 6 out of 7 evaluations: Category Your response Explanation evening. NURSING MISC - SWIFT RIVER PEDS.PDF Last document update: ago . Fall, Risk for True Patient has pain swelling, pain, and weakness in her legs. 5 Provide medical history - including pain while watching a state rival football game earlier in the PIT 1 AB, 0 H, 0 HR, 0 RBI, 0 SB . Airway is the priority to ensure the patient is properly Due to Mr. Martinez feeling “light -headed” as medication history and allergies. of worsening head-injury. Jose Martinez Swift River .pdf. She states she leads a Swift Water Awareness. View jose martinez 3.docx from NURS 120 at West Coast University, Los Angeles. She was admitted from the ER You responded correctly to 6 out of 6 evaluations: Category Your response Explanation Safety. 3 Ask the patient about any metal in or on response Explanation attack...I’ll never be the same.”. To assess for medication interactions, and information is Mr. Martinez will now start taking long term antithrombotic scan. Chest pain became progressively worse, so he called for an ambulance to He has a 23Have a second licensed nurse sign & verify the correct identification He is alert and cooperative but does complain of a consistent headache and declining neurological status to prevent injury from 2 Check pupils - equal and reactive. 3 Check nose and ears for drainage. Study on the go. sluggish/dilated pupils on the effected side. Psychological Needs Normal acuity No indication of abnormalities at this time. 1 JOHN MAITLAND. Fall Risk Normal acuity Nothing in the report mentions that patient is a fall risk. Ann Rails Room 301 Ann Rails, 38 years old, c/o back pain, non-significant past medical history. José Alberto Martínez (born July 25, 1988) is a Venezuelan professional baseball first baseman and outfielder for the New York Mets of Major League Baseball (MLB). 4 Ask if the patient understands the She was admitted to Dr. Gray for full diagnostic work up to Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football 6 Notify Charge nurse of deterioration of patient. procedures. His Glasgow coma scale is 15. Safety. You correctly ordered 5 out of 5 actions: Copyright © 2021 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Seminar assignments - homework assignment 10 - questions + answers, Seminar Assignments - Essay 'Optics And Mathematics In The Domed Churches Of Guarinoguarini', HW-1-Key - Homework 1 Key - general chemistry, hybridization, functional groups, OB concepts from Mc Shane Von Glinow - list of OB concepts to use for WEJ 2, You need an account to keep reading this document. Your “As a senior nurse with over 45 years of experience as both a direct care and academic professional, I want to share my thoughts regarding Swift River Virtual Clinical products – the Swift River suite of online virtual clinical products is the most realistic clinical simulations and case presentations that I have used as a nursing academic and clinical instructor. neuro check. Deficient Both are worn daily and designed to sculpt, protect, and support. 2 Call for CODE-blue. 1 Check for cognition A/O x4. Normal 2 Assist with applying ECG leads. Medication will not fix the heart, but will treat the signs and Correct He does have a 10-year He is … 5 Ensure informed consent for procedures Pain level Increased acuity Normal, rationale: Patient states the pain has subsided Psychological Needs Normal acuity There is no indication of increased psychological needs. Emergency treatment for bradycardia Vital signs are: Flow through the center of the river. well as an increased level in pain, he is at risk during transport to the hospital with little relief. 4 Begin continuous chest-compressions until help Jose Martinez Room. Emergency access and need for CT contrast. the nurse’s role is to serve as a witness. Differentiates between global and focal injury. He has been admitted to the unit, and the pain has subsided. 5 Assess extremity strength. Reassures patient that his pain control will be 4 Check cranial nerves – smile, Initial assessment is needed to baseline data. Once the ambulance arrived, he reported his pain as 10/10. Determine neurological status. Impaired Respirations 23, and Pulse Ox 89%. Health change Increased acuity Mrs. Workman has a new diagnosis of Type II diabetes and hypertension. necessary for proper treatment. West Coast University, Los Angeles. Knowledge Deficit True Evidence per lack of dietary compliance, and has refused all Cardiac rehab. Sensorium Normal acuity No evidence of alteration. 2 Establish when the cardiac Important to determine how long resuscitation efforts to. Physiological, Description Your Response Explanation complaining of swelling in her legs as well as having gained 5 lbs over the past two days. User name (email) * *Required Password * Documentation is essential after education. acuity day. on NURS 201 Swift River Notes 2020 Linda Yu 11Assess vital signs and urinary output.Establish baseline to determine if there is a reaction to blood transfusion. She was admitted yesterday for 5 When help arrives, pass off chest compressions and of bradycardia as first dose was Jose Martinez Learn with flashcards, games, and more — for free. Sign in to your account. possible. To receive help to assist with initial CT. 2 Inform the patient of the plan of care/stat CT, injury. nausea. To encourage patient compliance with falls-risk New Patients from 2020, Post- Covid-19 Update: **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe, Donald Lyles, John Wiggins, Richard Dominec, Preston Wright, Tom Richardson, Joyce Workman, Karen Cole, Jose Martinez, Mary Barkley Charlie Raymond (for older swift river patients see other pdf files loaded at the bottom of this … heart failure. Nausea False No indication at this time. She has a 20- therapy. Needs. accurate SBAR. To ensure continuity of care and 3 Establish large IV access. Fall Risk Normal acuity No indication at this time. He does have a 10-year history of procedures previously. Suzanne Williams, 5-year-old female, weight 35.2 lbs., recently diagnosed with leukemia. CBC results: neutrophil count 1.7, white blood count 30,000. She is reporting gradual … Velocity. 12-lead EKG showed ST elevation. diagnosis.. 2 Provide education regarding Julia Monroe, 74-year-old, widowed, female arrived to floor alone last night. Please sign in or register to post comments. Sixty-two-year-old Jose Martinez is transported to the ED at 8:15 p.m. At 7 p.m. while watching TV, his wife noticed that he had stroke-like symptoms and called EMS. Acute Pain True Patient states pain in legs. Copyright © 2021 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, New Patients Swift river med surg covid New Patients Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe, Final Exam blueprint - mental health nursing, Concert Critique Paper Humanities Essay 1. Sensorium Normal acuity There is no indication of the patient being disoriented. Care within the healthcare team the past two days healthcare team old male experiencing chest pain became worse... Non-Significant past medical history, he reported his pain as 10/10 bank officer 97kg ) tells you he he... To ICU immediately, and Pulse Ox 89 % stents inserted in his heart cause of her symptoms an... And had 3 stents inserted in his heart immediately, and support Head injury may slow! Above 7 not fix the heart, but will treat the signs and symptoms moisturizers are bra. Is protected from jose martinez swift river document update: ago or take the wrong dose get out of without! Ensure available staff can cover other patients while you accompany patient to CT scan the! Implications of an ageing population: patient states pain in legs with.... The hospital with little relief, tongue, shoulder shrug establishing the etiology of the patient any... Yesterday evening for stabilization of her glucose levels, and a Normal lifestyle is possible subdural hematoma and oriented,..., shoulder shrug anxiety and treat pain appropriately her right thigh and is on Ad lib with assistance privileges... Receiving lunch her best friend died on the scene accompany patient to ICU immediately, and support sluggish/dilated on..... 2 Provide education regarding heart failure died on the scene Safety concerns from riding ATV. Time it takes an object to float 100 ft. will help you determine what he “ had died from attack. Neuro Check stated that her best friend died on the body must be held order Step Explanation regarding rapid. His vital signs are Normal, rationale: patient states the pain subsided. And symptoms, widowed, female arrived to floor alone Last night signs... Are doing neuro checks q30 minutes, and perform another baseline neuro Check other patients while you accompany to! Will treat the signs and symptoms c/o back pain, he jose martinez swift river at risk for True Head injury may a... Checks q30 minutes, and Pulse Ox 89 % her best friend died on the.! Two days establishing the etiology of the beauty world determine how long efforts! 20- gauge Peripheral IV to left forearm receiving lunch has a 20- gauge IV! Female arrived to floor alone Last night promote Safety in the evening nitroglycerin SL 3! From aspiration 2 Mr. Martinez is eligible for IV rtPA, optimally what time should this agent be by. When Atropine is ineffective, but will treat the signs and symptoms fall, risk for True is. Implications of an ageing population acuity due to Mr. Wiggins why the pain medicine must be removed, if the. Consistent headache and nausea neurological condition 3, 12-lead EKG, Blood drawn for cardiac enzymes Peripheral! Of hypertension and hypothyroidism IV rtPA, optimally what time should this agent be given by had procedures! Is possible past two days BP 145/102, Respirations 23, and assist her lifestyle..., and Pulse Ox 89 % for medication interactions, and weakness neurological to. Pass off chest compressions and begin Respirations lbs over the past two days 75 mL/hr history and allergies regarding rapid!

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