CLINICAL WORKSHEET
This activity creates an opportunity for you to prepare for a virtual clinical experience.
This activity provides you with the opportunity to manage patient care, prioritize
interventions, and identify aspects of care that could be delegated.
STUDENT LEARNING OUTCOMES
At the end of this activity, student will be able to:
1. Describe pathological events associated with the patient’s disease process or
condition.
2. Create a plan of care that is prioritized and is based on the patient’s care needs.
3. Identifies path to healing or health and path to death or injury.
4. Describes aspects of care that can be delegated and appropriate personnel to
complete delegated tasks.
ASSIGNMENT
1. Log into thePoint and launch the assigned vSim, following all instructions
posted on Canvas.
2. Review the information contained in the patient information.
3. Review the suggested reading on the first page of the vSim.
4. Complete all areas of the attached clinical worksheet.
5. Submit both pages of the completed worksheet in Canvas.
, Clinical Worksheet
Date: _12/02/2023_ Student Name: Sofia Cortes Assigned vSim: Sharon Cole
Critical Labs: Hgb elevated
at 16.4; WBC elevated at
Diagnosis: HCP: Orthopedic 10.6; Cl low at 98. Critical
Initials: SC Bipolar Disorder Surgeon Isolation: IV Type: to monitor Lithium levels. Other Services:
Location: PCA and IV,
No. left hand
Age: 31
Fall Risk: Yes
Consults Needed: Psychiatry
Fluid/Rate: Continuous for further evaluation on
infusion: Normal Saline, treatment plan with regards
Consults: 30mL/hr. and Fentanyl to current crisis and history
M/F: Female Length of Stay: 2 days Psychiatrist PCA IV, 10mcg/hr. of bipolar disorder diagnosis.
Transfer: No assistive
Code Status: device needed
Allergies: N.K.D.A
Why is your patient in the hospital (Answer in your own words and include the History of present Illness): Mrs. Cole, a 31-year-old female, was admitted to the
hospital due to a fracture of her right ankle, which required surgical intervention. The patient suffered a fall, which resulted in a fracture of her ankle, as she had
an altercation with a band member on a local bar stage. The patient has a history of bipolar disorder, which was diagnosed six years ago. The patient’s husband
reports that he and the patient's sister had been out looking for the patient as she had disappeared. The husband states that the patient typically adheres to the
medication regime of Lithium 600mg twice a day; however, he recalls that the patient had not been sleeping or eating well in the last couple of weeks. The
patient’s husband states that there is a history of the patient stopping medications, which last occurred two years ago and resulted in a manic episode.
Health History/Comorbities (that relate to this hospitalization): Right ankle fracture with surgical repair, bipolar disorder.
Shift Goals/ Patient Education Needs:
1. Patient will adhere to medication as prescribed and maintain a therapeutic level of lithium within 24 hours.
2. The patient will regain control of emotions within 24 hours.
This activity creates an opportunity for you to prepare for a virtual clinical experience.
This activity provides you with the opportunity to manage patient care, prioritize
interventions, and identify aspects of care that could be delegated.
STUDENT LEARNING OUTCOMES
At the end of this activity, student will be able to:
1. Describe pathological events associated with the patient’s disease process or
condition.
2. Create a plan of care that is prioritized and is based on the patient’s care needs.
3. Identifies path to healing or health and path to death or injury.
4. Describes aspects of care that can be delegated and appropriate personnel to
complete delegated tasks.
ASSIGNMENT
1. Log into thePoint and launch the assigned vSim, following all instructions
posted on Canvas.
2. Review the information contained in the patient information.
3. Review the suggested reading on the first page of the vSim.
4. Complete all areas of the attached clinical worksheet.
5. Submit both pages of the completed worksheet in Canvas.
, Clinical Worksheet
Date: _12/02/2023_ Student Name: Sofia Cortes Assigned vSim: Sharon Cole
Critical Labs: Hgb elevated
at 16.4; WBC elevated at
Diagnosis: HCP: Orthopedic 10.6; Cl low at 98. Critical
Initials: SC Bipolar Disorder Surgeon Isolation: IV Type: to monitor Lithium levels. Other Services:
Location: PCA and IV,
No. left hand
Age: 31
Fall Risk: Yes
Consults Needed: Psychiatry
Fluid/Rate: Continuous for further evaluation on
infusion: Normal Saline, treatment plan with regards
Consults: 30mL/hr. and Fentanyl to current crisis and history
M/F: Female Length of Stay: 2 days Psychiatrist PCA IV, 10mcg/hr. of bipolar disorder diagnosis.
Transfer: No assistive
Code Status: device needed
Allergies: N.K.D.A
Why is your patient in the hospital (Answer in your own words and include the History of present Illness): Mrs. Cole, a 31-year-old female, was admitted to the
hospital due to a fracture of her right ankle, which required surgical intervention. The patient suffered a fall, which resulted in a fracture of her ankle, as she had
an altercation with a band member on a local bar stage. The patient has a history of bipolar disorder, which was diagnosed six years ago. The patient’s husband
reports that he and the patient's sister had been out looking for the patient as she had disappeared. The husband states that the patient typically adheres to the
medication regime of Lithium 600mg twice a day; however, he recalls that the patient had not been sleeping or eating well in the last couple of weeks. The
patient’s husband states that there is a history of the patient stopping medications, which last occurred two years ago and resulted in a manic episode.
Health History/Comorbities (that relate to this hospitalization): Right ankle fracture with surgical repair, bipolar disorder.
Shift Goals/ Patient Education Needs:
1. Patient will adhere to medication as prescribed and maintain a therapeutic level of lithium within 24 hours.
2. The patient will regain control of emotions within 24 hours.
