Educational-
Fall Risk-
Health Change-
All options: Increased
Pain-
Psychological-
Neurological-
All options: Explanations
Acute discomfort- -Complains of pain
Altered comfort- -Req. IV morphine
Bleed potential- -Evidence of Nose/eye bleed
Knowledge deficit- -Fx necessitates compliance
Infection potential- -Meningitis potential d/t open wound
drainage
1. Wash hands & assess
2. Complete neuro
Scenario #1 3. Check the nose blood
4. Pre-op edu
5. Ask surgeon to discuss
1. Complete neuro
2. Educate on POC
Scenario #2 3. Evaluate understanding
4. Administer IV ABX
5. Sign additl consent
1. Complete neuro
2. Educate
Scenario #3 3. Inform HCP
4. Contact social services
5. Extensive discharge
1. Repeat neuro
2. Reemphasize
Scenario #4 3. Approach resident
4. Contact nursing supervisor
5. Document
1. Assure pt.
Scenario #5 2. Take VS
3. Restart IV
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