Health Assessment - Remediation/Refresher - January 2024, CCE 705 and 701
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Overview
Transcript
Transcript
Started: Mar 04, 2024 | Total Time: 29 min
Subjective Data Collection
All Lines (83) Interview Questions (45) Statements (4) Exam Actions (34)
Objective Data Collection
Documentation Question
Hello!
03/04/24 1:13 AM EST
Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just
as a preceptor would in real life. Pay close attention to this information as it will help guide
your exam. At the end of this prebrief, you will answer a short question about the
upcoming assignment. During the simulation, you may return to these instructions at any
time by scrolling to the top of your transcript.
Question
What are my objectives in this assessment?
03/04/24 1:15 AM EST
In your interview with Ms. Jones, you will ask about her inputs and outputs (I's and O's)
and the overall health of her abdominal system so that you can identify any issues and
document findings accurately. If you discover any disease states, ask about symptoms and
the patient's experiences of them. Your questioning should cover a broad array of the
symptoms' characteristics. You will also inquire into the health history of Ms. Jones' family
with regards to the abdominal system so you can determine her genetic predisposition to
any diseases. Regardless of whether you have assessed Tina previously, ask all questions
that are medically relevant to her abdominal system. In addition to collecting subjective
data, you will perform a physical exam on Ms. Jones' abdominal system to gather
objective data about the system's health and physiology. While you should communicate
with patients using accessible, everyday language, it is standard practice to use
professional medical terminology everywhere else, such as in documenting physical
findings and nursing notes. You may complete the exam activities in any order and move
between them as needed.
Question
What is the situation? 03/04/24 1:15 AM EST
It's 8 p.m. on Tina Jones' first day as a patient here at Shadow General Hospital. Your role in
this simulation is that of a healthcare provider who will perform a full abdominal exam on
Ms. Jones. She's spent the whole day in bed, so you will want to determine whether she
has full abdominal function and if bed rest has impacted her gastrointestinal health.
Question
What else will this exam involve?
03/04/24 1:15 AM EST
Support
/
, You will complete nursing tasks to protect the patients safety, privacy, and health. You
can document your findings, including vital signs, in the Electronic Health Record. This
record provides necessary information for healthcare professionals who will continue patient
care. Activities other than Subjective and Objective Data Collection, such as Documentation
and Education and Empathy, provide valuable practice for their real-world counterparts.
However, they are not automatically graded by the simulation.
Question
How will I be evaluated?
03/04/24 1:15 AM EST
In this assignment, you will be evaluated on your Subjective and Objective Data
Collection. The evaluation of your interview is dependent on how you word your questions
therapeutically and precisely and explore all relevant topics with comprehensive breadth
and depth. The evaluation of your physical exam is based on how successfully you report on
your physical findings by selecting among clinical terms in the Electronic Health Record.
This assignment takes on average between 35 and 50 minutes. You can pause and resume
the assignment at any time; your work is always saved automatically.
Question
How does this assignment prepare me for the real world?
03/04/24 1:17 AM EST
In this assessment, you will become familiarized with the structure and content of abdominal
exams so that with real-life patients, you can: º ask effective and comprehensive questions
º use therapeutic language º evaluate the patient's risk of disease, infection, injury, and
complications º and obtain and assess objective data.
In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What
effects can bed rest have on the abdominal system?
Being on bedrest can cause constipation, gastric reflux. Inactivity and immobility can Statement
gradually slow down the metabolic rate. 03/04/24 1:19 AM EST
Time to begin.
Greet
Hello Tina, My name is Emily and i'll be your nurse today. 03/04/24 1:20 AM EST
Hey.
Question
Can you tell me your name and date of birth?
03/04/24 1:20 AM EST
My name's Tina Jones, and my birthday's February 17th.
Question
Thank you. What brings you in today?
03/04/24 1:20 AM EST
I feel like I've said this a bunch, but I scraped my foot last week and it got, like, infected. The
pain was really killing me when I came here last night.
Empathize
Oh no, i'm sorry to hear about your pain.
03/04/24 1:21 AM EST
Thanks.
Question
Are you currently having any issues with your stomach and bowels?
03/04/24 1:21 AM EST
They're fine.
/