NUR 172 Stan Checketts Vsim Stan Checketts Age: 52 years Diagnosis: Rule Out Preoperative Bowel Obstruction

Feedback Log 0:00 You arrived at the patient's side. 0:00 You introduced yourself. 0:10 Patient status - ECG: Sinus tachycardia. Heart rate: 129. Pulse: Present. Blood pressure: 109/78 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 90%. This study source was downloaded by T 9e 88m016p fr : om9 C9 ouF rse ( H3 er7 o.cCom) on :04:37 GMT -05:00 0 73 : 4 1 14 1 522/Feedb Y ac o ku Log w -Sc a or s eh St e an d -Ch y ec o ket u tsr M h ay a -10 n -2 d 02 s 0- . 03 T 42 o -A m Mpd a f/ intain patient safety, it is important to wash your stomach.' hands as soon as you enter the room. 0:50 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 0:58 You asked if the patient was allergic to anything. He replied: 'Yes. I'm allergic to demerol. I got a skin rash the last time.' 1:10 Patient status - ECG: Sinus tachycardia. Heart rate: 129. Pulse: Present. Blood pressure: 108/78 mm Hg. Respiration: 28. Conscious state: Appropriate. SpO2: 90%. Temp: 99 F (37 C) 1:19 You obtained informed consent. This is reasonable. 2:10 Patient status - ECG: Sinus tachycardia. Heart rate: 129. Pulse: Present. Blood pressure: 109/78 mm Hg. Respiration: 28. Conscious state: Appropriate. SpO2: 90%. Temp: 99 F (37 C) 2:54 You looked for normal breathing. He is breathing at 28 breaths per minute. The chest is moving normally on both sides. 3:10 Patient status - ECG: Sinus tachycardia. Heart rate: 129. Pulse: Present. Blood pressure: 109/78 mm Hg. Respiration: 28. Conscious state: Appropriate. SpO2: 90%. Temp: 99 F (37 C) 3:24 You attached the pulse oximeter. It is a good idea to monitor the saturation and pulse here. This will allow you to reassess the patient continuously. 3:37 You checked the temperature at the mouth. The temperature was 99 F (37 C). 3:58 You measured the blood pressure at 108/78 mm Hg. It is appropriate to monitor the patient by measuring the blood pressure. 4:10 Patient status - ECG: Sinus tachycardia. Heart rate: 129. Pulse: Present. Blood pressure: 110/78 mm Hg. Respiration: 28. Conscious state: Appropriate. SpO2: 90%. Temp: 99 F (37 C) 4:43 You provided patient education. This is correct. It is important to use every opportunity to provide patient education. 4:55 You asked the patient if anything made the pain better. He replied: 'Vomiting makes me feel less bloated for a short time.' 5:02 You asked the patient if anything made the pain worse. He replied: 'Any movement really' 5:07 You asked: How bad is the pain? He replied: 'Not too bad, it's about a 4.' 5:10 Patient status - ECG: Sinus tachycardia. Heart rate: 129. Pulse: Present. Blood pressure: 108/77 mm Hg. Respiration: 28. Conscious state: Appropriate. SpO2: 90%. Temp: 99 F (37 C) 5:13 You asked the patient where the pain was located. He replied: 'It's in my This study source was downloaded by from CourseH on :04:37 GMT -05:00 5:18 You asked the patient if the pain went anywhere. He replied: 'No, not really.' 5:21 You asked the patient if he could describe his pain. He replied: 'It's a cramping kind of pain in my stomach.' 5:27 You asked the patient if he needed anything for the pain. He replied: 'Yes. That would be great.' 5:32 You asked the patient if he was awake. He replied: 'I'm awake.' 5:35 You asked the patient what year it is. He replied: 'The year is 2020.' 5:37 You asked the patient if he knew where he was. He replied: 'I'm at the hospital.' 5:41 You asked the patient what date it was. He replied: 'The 10th' 6:10 Patient status - ECG: Sinus tachycardia. Heart rate: 129. Pulse: Present. Blood pressure: 109/78 mm Hg. Respiration: 28. Conscious state: Appropriate. SpO2: 90%. Temp: 99 F (37 C) 6:24 You attached a 3-lead ECG. It is correct to attach the monitor to the patient. 6:42 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. This will allow you to reassess the patient continuously. 7:10 Patient status - ECG: Sinus tachycardia. Heart rate: 129. Pulse: Present. Blood pressure: 110/78 mm Hg. Respiration: 28. Conscious state: Appropriate. SpO2: 90%. Temp: 99 F (37 C) 7:18 You placed an oxygen mask on the patient. This was part of your orders. 7:28 You turned the oxygen on. 8:05 You tried to assess any IVs, but the patient didn't have any. 8:10 Patient status - ECG: Sinus tachycardia. Heart rate: 128. Pulse: Present. Blood pressure: 109/78 mm Hg. Respiration: 28. Conscious state: Appropriate. SpO2: 92%. Temp: 99 F (37 C) 8:41 You sat the patient up. 8:50 You listened to the lungs of the patient. The breath sounds are normal. 9:10 Patient status - ECG: Sinus tachycardia. Heart rate: 126. Pulse: Present. Blood pressure: 109/78 mm Hg. Respiration: 28. Conscious state: Appropriate. SpO2: 93%. Temp: 99 F (37 C) 9:14 You listened to the heart of the patient. There were only normal heart sounds. 9:19 You laid the patient down. This study source was downloaded by from CourseH on :04:37 GMT -05:00 9:40 You listened to the abdomen of the patient. You could hear hyperactive sounds f a r co k-mLogt Sh coe re-Sa tab n-Cd heo ckmettse -Mn ay . --AMpdf/ 10:10 Patient status - ECG: Sinus tachycardia. Heart rate: 125. Pulse: Present. Blood pressure: 106/76 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 94%. Temp: 99 F (37 C) 10:53 You obtained IV access in the arm. It's correct to obtain IV/IO access here. 11:10 Patient status - ECG: Sinus tachycardia. Heart rate: 124. Pulse: Present. Blood pressure: 109/78 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) After inserting an IV, you must flush the cannula. 12:00 A 0.3 mg dose of buprenorphine was injected IV. Inject buprenorphine slowly to reduce the risk of impaired ventilation. It was reasonable to give an opioid here. It is important to use the basic rights of medication administration to ensure proper drug therapy.. 12:10 Patient status - ECG: Sinus tachycardia. Heart rate: 124. Pulse: Present. Blood pressure: 105/76 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 12:22 You asked the patient if he felt nauseated. He replied: 'Yes, I am.' 12:26 You asked the patient if he needed anything for the nausea. He replied: 'Yes. Can I get something, please?' Remember to flush the cannula after drug administration. 13:10 Patient status - ECG: Sinus tachycardia. Heart rate: 123. Pulse: Present. Blood pressure: 108/77 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 13:14 You flushed the cannula. It is reasonable to flush the cannula here