VSIM CHRISTOPHER PARISH DIAGNOSIS

Feedback Log 0:00 You arrived at the patient's side. 0:00 You reviewed the patient information. 0:00 You reviewed the patient log. 0:00 You reviewed the diagnostics. 0:00 You reviewed the clinical observations. AM 0:00 You reviewed the MAR. 0:00 You reviewed the orders. 0:00 You reviewed the intake and output. 0:05 You washed your hands. To maintain patient safety, it is important to wash yourhands as soon as you enter the room. 0:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 120. Pulse: Present. Blood pressure: 98/70 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 97%. Temp: 101 F (38.5 C) 1:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 120. Pulse: Present. Blood pressure: 97/71 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 97%. Temp: 101 F (38.5 C) 1:30 You introduced yourself. This was reasonable. 1:45 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 1:55 You asked if the patient was <Allergy>allergic<> to anything. He replied: 'No, I am not allergic to anything.' 2:05 You asked the patient how he felt. He replied: 'I am so sick. I feel reallyweak and dizzy.' 2:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 120. Pulse: Present. Blood pressure: 98/71 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 96%. Temp: 101 F (38.4 C) 2:11 You asked what happened. He replied: 'I have had diarrhea for 2 to 3 days;it has been very severe, liquidy, and brown.' 2:25 You asked the patient what other symptoms he had. He replied: 'Tired and weak.' 2:29 You asked the patient if he had had anything to eat or drink today. He replied: 'I am so thirsty, but I haven't been able to keep down water or food. Ihad some ice chips earlier.' 2:41 You asked the patient if he felt nauseated. He replied: 'I was very nauseated but I feel better now.' 3:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 121. Pulse: Present. Blood pressure: 98/71 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 96%. Temp: 101 F (38.4 C) 3:19 You educated the patient about activities, safety, and fall risk. 3:40 You checked the <Temperature>temperature<> at the ear. The temperature was 101 F (38.4 C). 4:03 You attached the <Pulseoximeter>pulse oximeter.<> It is a good idea to monitor the saturation and pulse here. This will allow you to reassess the patient AM continuously. 4:05 You looked for normal breathing. He is breathing at 29 breaths per minute. Thechest is moving equally. 4:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 121. Pulse: Present. Blood pressure: 100/72 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 96%. Temp: 101 F (38.4 C) 4:28 You checked the radial pulse. The pulse is strong, 120 per minute, and irregular. It is correct to assess the patient's vital signs. 4:55 You measured the <Bloodpressure>blood pressure<> at 98/70 mm Hg. It is appropriate to monitor the patient by measuring the blood pressure. 5:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 121. Pulse: Present. Blood pressure: 99/71 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 96%. Temp: 101 F (38.4 C) 5:25 You examined the patient's skin. There is tenting sign of the skin. His skinis warm and dry. 5:41 You checked the pedal pulse. The pulse is strong, 120 per minute, and irregular. 5:58 You asked the patient if he had any pain. He replied: 'Yes, I have some pain.' 6:05 You asked the patient if he could describe his pain. He replied: 'Yes, I havehad a headache and stomach cramps.' 6:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 121. Pulse: Present. Blood pressure: 100/72 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 95%. Temp: 101 F (38.4 C) 6:11 You asked the patient if anything made the pain better. He replied: 'No, not really.' 6:15 You asked the patient if anything made the pain worse. He replied: 'No, not really.' 6:19 You asked: How would you rate your pain? He replied: 'Not too bad; it's about a 4. ' 6:26 You asked the patient if he needed anything for the pain. He replied: 'No.' 6:46 You assessed the patient's neurological status. 7:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 121. Pulse: Present. Blood pressure: 101/72 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 95%. Temp: 101 F (38.4 C) 7:57 You put on gloves. 8:10 Patient status - ECG: Sinus tachycardia. There are supraventricular ectopic beats. Heart rate: 122. Pulse: Present. Blood pressure: 99/71 mm Hg. Respiration: 29. Conscious state: Appropriate. SpO2: 95%. Temp: 101 F (38.4 C)