NURSING MISC - Assignment 1_ Prioritization and Introduction to Leadership.

NURSING MISC - Assignment 1_ Prioritization and Introduction to Leadership. Experience Overview 32 minutes 100.0% Activity Scores 100.0/100 points Bedside Shift Report 25.0/25 points Interprofessional Communication 35.0/35 points Prioritizing Individual Patient Needs 20.0/20 points Prioritizing Delivery of Care 20.0/20 points Bedside Shift Report Score: 25.0 out of 25 Time: 0600 Ben: Hi, Mr. Haddad, it's Ben again. This is my replacement for the day. They'll be taking good care of you. Omar: Hi, Ben. OK. Hello, Mr. Haddad, I'm (your name). I'm going to be your nurse today. I'll be checking in with you every hour or so. Omar: Hi, good to meet you. Ben: All right, Mr. Haddad. What's going to happen now is that I'll be giving a report on your condition to your next nurse, here. We do this at the patient's bedside, just in case you have any questions or anything to add. We like to keep the patient involved. It's all about you, right? Omar: Sure, sounds good. Ben: Here's the situation. Omar Haddad is a 38-year-old man who presented to the Shadow General emergency department yesterday at 2200 hours last night with right flank and back pain, radiating to the right lower quadrant with a pain rating of 10/10. Omar let us know that he began experiencing subtle pain about three days ago, but became unbearable at 2000 last night. Urinalysis and a CT scan confirmed the presence of a renal calculi measuring 11 mm. His provider is Dr. Yaeji Lee. Sorry to hear he's in pain. Ready to continue when you are. Ben: Great, will do. Follow Up: Did Nurse Ben follow proper Shadow General SBAR procedure when reporting the current situation to you? Yes, he followed procedure. Ben: The background is that we've started Mr. Haddad on IV fluids for hydration and hydromorphone 1.5 mg, IVP every three hours as needed. I took Mr. Haddad's vitals about half an hour ago: his temperature is at 98.6, heart rate is 102 BPM, blood pressure at 88/55, and O2 sat is 99%. Mr. Haddad has had trouble getting around since the pain started. He says he has never experienced pain like this before. Mr. Haddad is a generally healthy man for his age and has no significant past medical history. He takes no prescription medications and has no allergies at all. OK, I've got all that. Let's continue. Follow Up: According to Shadow General procedure, did Ben leave anything out of his Background report? No, all the components were covered. Ben: Here's my assessment of Mr. Haddad. Mr. Haddad last reported his pain was much better this morning and rated it as a 4/10. Mr. Haddad is to remain NPO until his scheduled shock wave lithotripsy later on today. OK, no questions so far. Follow Up: Was there any issue with how nurse Ben conducted his assessment report? No, he communicated concisely. Ben: I recommend that you monitor Mr. Haddad's fluid input and output and communicate with his provider to adjust his pain medication as needed. As far as what he's got on his plate today, the urologist would like to talk with him around 1100 and you also should know that Mr. Haddad says his wife and daughter may be visiting this afternoon. It should be at about 1200 hours. Aside from that, you should be all set! Excellent, thank you. Follow Up: Did Nurse Ben follow proper Shadow General SBAR procedure when providing his recommendation to you? Yes, he followed procedure. Ben: OK, that should about do it. Don't worry, Mr. Haddad, this one is going to take good care of you. Ben: I am transferring Mr. Haddad into your care. It was nice to meet you, Mr. Haddad. Omar: Bye.