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Exam (elaborations)

Doris Bowman VSIM Feedback log 100%

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You arrived at the patient's side. 0:00 You introduced yourself. 0:05 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 0:10 Patient status - ECG: Sinus tachycardia. Heart rate: 107. Pulse: Present. Blood pressure: 151/91 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 93%. Temp: 99 F (37 C) 1:10 Patient status - ECG: Sinus tachycardia. Heart rate: 105. Pulse: Present. Blood pressure: 151/91 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 94%. Temp: 99 F (37 C) 1:18 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 1:27 You asked if the patient was allergic to anything. She replied: 'No, I am not allergic to anything.' 1:38 You asked the patient if she had any pain. She replied: 'Yes! Ahh...' 1:44 You asked the patient if anything made the pain better. She replied: 'No, not really.' 1:48 You asked the patient if anything made the pain worse. She replied: 'No, not really.' 1:52 You asked the patient if she could describe her pain. She replied: 'It hurts around my stomach, please give me something for the pain.' 1:55 You asked the patient where the pain was located. She replied: 'It's in my stomach.' 1:59 You asked the patient if the pain went anywhere. She replied: 'No, not really.' 2:03 You asked: How bad is the pain? She replied: 'It's pretty bad, I'd give it a 6.' 2:10 Patient status - ECG: Sinus tachycardia. Heart rate: 104. Pulse: Present. Blood pressure: 154/91 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 2:10 You asked the patient if she felt nauseated. She replied: 'No. I don't have any nausea.' 2:29 You examined the patient's abdomen and pelvis. There is a 4x4 gauze dressing with no drainage. There is nothing else to find on examination of the abdomen and pelvis. There is normal skin turgor. Her skin is cool, and she is very sweaty. 3:10 Patient status - ECG: Sinus tachycardia. Heart rate: 104. Pulse: Present. Blood pressure: 151/90 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 3:10 You listened to the abdomen of the patient. You could hear hypoactive sounds from the abdomen. This is reasonable. 3:24 You checked the temperature at the mouth. The temperature was 99 F (37 C). 3:47 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.

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Doris Bowman VSIM Feedback log 100%

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