SHADOW HEALTH DELEGATION | FULLY SOLVED (PROFESSOR VERIFIED) | ALREADY GRADED A+

Bedside Shift Report Holly: Mr. Liu, this is your new nurse. They'll be taking over for me. Samuel: Hello. Nice to meet you. I'll be checking in with you every hour or so. Holly: All right, Mr. Liu, I'm going to hand you off to your new nurse using a Bedside Shift Report. At Shadow General, we perform our handoffs at the patient's bedside to make sure that you can stay involved in your care. Samuel: Sounds good. Holly: OK, I'm going to start with Mr. Liu's Situation . . . Holly: Mr. Liu is a 28-year-old man with pneumothorax secondary to blunt chest trauma. He has three broken ribs, and is being treated with a chest tube and water-seal drainage unit. What else do you need to ask Holly about Samuel Liu's Situation? Who is Mr. Liu's provider? The provider name belongs in the Situation section of a Shadow General SBAR, and it's a good idea to get a verbal confirmation of information even when it already appears in your patient's EHR. Bedside Shift Report Holly: Mr. Liu reported at our ED a week ago with 3 broken ribs (left 7th-9th) after falling off his neighbor's roof. A chest X-ray revealed that he was negative for pneumothorax. He was observed for 8 hours and discharged with instructions to return if his symptoms worsened. Yesterday, he was reaching for something on a high shelf when he experienced sharp chest pain on his left side followed by difficulty breathing. Holly: He reported to the ED within the hour, where he was diagnosed with pneumothorax secondary to blunt chest trauma, confirmed via chest X-ray. Physical examination revealed tracheal deviation to the left, air in the left side of the chest, and absent breath sounds on the left side of the chest. Holly: At 1600 hours yesterday, Mr. Liu received a 28 F chest tube, inserted at the left 4th intercostal space, anterior axillary line. Holly: Mr. Liu has a hydromorphone patient-controlled analgesia pump at a concentration of 2 mg/mL. He was given a loading dose of 0.4 mg, and set up with with an on-demand bolus of 0.1 mg. The PCA pump has a lockout interval of 10 minutes and an hourly dose limit of 0.6 mg. All the best from Dr. A Dr. Assessments Page 2 of 7 Holly: Mr. Liu's vital signs are all within normal limits. His respirations are 18 per minute and his oxygen saturation is 94