Shadow Health Assignment 1: Prioritization and Leadership A+ RATED

Shadow Health Assignment 1: Prioritization and Leadership A+ RATED Bedside Report: Omar Haddad - ANS 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. RESPONSE: Sorry to hear he's in pain. Ready to continue when you are. Yes he followed procedure. Bedside Report: OH Part 2 - ANS 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. RESPONSE: OK, I've got all that. Let's continue. No, all the components were covered. Bedside Report: OH Part 3 - ANS 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. RESPONSE: OK, no questions so far. No, he communicated concisely. Bedside Report: OH Part 4 - ANS 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! REPONSE: Excellent, thank you. Yes, he followed procedure. Bedside Report: Arun Patel - ANS Ben: All right, Mr. Patel. 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. Arun: Um . . . yeah. Ben: Here's the situation. Mr. Patel is a 38-year-old man who presented to the emergency department at 0300 hours this morning with complaints of nausea, vomiting, and diarrhea. He's pretty dehydrated, so we're focusing on that. Is there anything that Ben left out of the Situation section of his SBAR report? RESPONSE: Who is Mr. Patel's provider? Identifying information for patients and healthcare provider is included in the Situation section of a Shadow General SBAR. Bedside Report: AP Part 2 - ANS Ben: Mr. Patel has been unable to keep food and drink down for two days, ever since his symptoms started. He says he has never experienced gastrointestinal symptoms like this before. I took Mr. Patel's vitals about half an hour ago. He has a temperature of 99.1 degrees Fahrenheit, a heart rate of 102 BPM, and his blood pressure is 88/55 mm Hg. His oxygen saturation is 98%. For his dehydration, we've started Mr. Patel on 0.9 normal saline IV at a rate of 100 ml/hr. For his nausea, we've started him on 25 mg of intramuscular promethazine every four hours. Mr. Patel has type II diabetes mellitus and hypertension. No allergies to food or medication. Is there anything that Ben left out of the Background section of his SBAR report? RESPONSE: Does Mr. Patel take any home medications for his medical conditions? Current orders, medications, and treatments belong in the Background of a Shadow General SBAR report, and can help you understand what led up to a patient's current condition. Bedside Report: AP Part 3 - ANS Ben: Here's my assessment of what's going on with Mr. Patel. His gastroenteritis has continued throughout the morning and he's been slightly groggy. He doesn't report pain but has been unable to get comfortable. We're still trying to figure out exactly whats going on with his blood glucose, but we're going to continue keeping a close eye on him. [AUDIO COMING SOON] Is there anything that Ben left out of the Assessment section of his SBAR report?