Jermaine Jones

Date of Completion = Score 0 0 0 100% 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. 0:00 You reviewed the MAR. 0:00 You reviewed the 12-lead ECG. 0:00 You reviewed the orders. 0:00 You introduced yourself. 0:04 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 0:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 123/74 mm Hg. Respiration: 12. Conscious state: Somnolent. SpO2: 95%. Temp: 99 F (37 C) 1:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 123/74 mm Hg. Respiration: 12. Conscious state: Somnolent. SpO2: 95%. Temp: 99 F (37 C) 1:16 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 1:26 You asked if the patient was Allergyallergic to anything. He replied: 'No, I am not allergic to anything.' 1:50 You looked for normal breathing. He is breathing at 12 breaths per minute. The chest is moving equally. 2:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 122/73 mm Hg. Respiration: 12. Conscious state: Somnolent. SpO2: 95%. Temp: 99 F (37 C) 2:15 You attached the Pulseoximeterpulse oximeter. It is a good idea to monitor the saturation and pulse here. This will allow you to reassess the patient continuously. 2:26 You checked the radial pulse. The pulse is strong, 95 per minute, and regular. It is correct to assess the patient's vital signs. 2:48 You measured the Temperaturetemperature in the ear. The temperature was 99 F (37 C). 3:07 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. This will allow you to reassess the patient continuously. 3:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 125/75 mm Hg. Respiration: 12. Conscious state: Somnolent. SpO2: 95%. Temp: 99 F (37 C) 3:18 You assessed the patient's sedation level using the Pasero Sedation Scale. This was reasonable. The patient was drowsy but arousable. Tended to drift off to sleep. On the Pasero Opioid-Induced Sedation Scale, the patient was graded to 3. 3:36 You assessed the patient's IV. The site had no redness, swelling, infiltration, bleeding, or drainage. The dressing was dry and intact. This is correct. Assessing any IVs the patient has is always important. 3:51 You asked the patient if he had any pain. He replied: 'No, I don't have any pain.' down, so I took some pills and drank some alcohol. I didn't think it would matter. I probably drank too much as well. At first, I couldn't move, but that is better now.' 4:07 You asked the patient how he felt. He replied: 'I am feeling a little down.' 4:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 121/72 mm Hg. Respiration: 12. Conscious state: Somnolent. SpO2: 95%. Temp: 99 F (37 C) 4:13 You asked the patient when the symptoms started. He replied: 'A few days ago.' 4:21 You asked the patient what other symptoms he had. He replied: 'I'm a bit dizzy.' 4:31 You asked the patient if he had had anything to eat or drink today. He replied: 'I'm not sure about that.' 4:34 You asked the patient if he had any alcohol to drink today. He replied: 'I drank 3 beers. Normally I do not drink much alcohol.' 4:45 You asked if the patient was Allergyallergic to anything. He replied: 'No, I am not allergic to anything.' 4:48 You asked the patient if he had any medical problems. He replied: 'I have been suffering from depression for a few years now.' 4:52 You asked the patient: Do you take any prescription medication? He replied: 'I took one of my wife's Xanax tablets this afternoon. My wife told me they were 0.5 mg tablets. And I took my prescribed depression medication this morning.' 4:59 You asked the patient: Do you take any over-the-counter or herbal medication? He replied: 'No, I don't.' 5:00 You performed medication reconciliation. This was reasonable. 5:04 You asked the patient if he had taken his medication, if any. He replied: 'I took my medicine this morning. But I also took one of my wife's Xanax.' 5:07 You asked the patient: When did you last take your medication? He replied: 'I took the Xanax this afternoon.' 5:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 126/75 mm Hg. Respiration: 12. Conscious state: Somnolent. SpO2: 95%. Temp: 99 F (37 C) 5:10 You asked the patient: How much medication did you take? He replied: 'They were 0.5-mg tablets. I just took one.' 5:14 You asked the patient: Why did you take the medication? He replied: 'I took it to calm down. I thought I it would be a no big deal.' 5:20 You asked the patient: Do you use any recreational drugs? He replied: 'No.' 5:23 You asked the patient if he was a smoker. He replied: 'I don't smoke.' 5:27 You asked the patient: Do you have any thoughts of harming yourself? He replied: 'No, not at all.' 5:32 You asked the patient: Have you lost interest in your daily activities? He replied: 'No. I don't think so.' 5:34 You asked the patient: Do you have trouble sleeping? He replied: 'No.' 5:36 You asked the patient: Have you lost your appetite lately? He replied: 'Yes. I do not eat as much as I used to. I also think I lost a few pounds.' 5:41 You asked the patient: Are you feeling sad? He replied: 'I'm sad because of my father's death 1 year ago.' 5:44 You asked the patient what year it is. He replied: 'The year is 2020.' 5:48 You asked the patient if he knew where he was. He replied: 'This looks like a hospital.' 5:51 You asked the patient what date it was. He replied: 'Hmm. I'm not sure.' 5:55 You asked the patient: Can you tell me why you are here? He replied: 'I am here because I took some medication and drank some alcohol.' 6:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 121/73 mm Hg. Respiration: 12. Conscious state: Somnolent. SpO2: 95%. Temp: 99 F (37 C) 6:35 You educated the patient about drugs interactions. 7:05 You phoned the provider in order to discuss the patient. 7:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 127/75 mm Hg. Respiration: 12. Conscious state: Somnolent. SpO2: 95%. Temp: 99 F (37 C) 8:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 127/75 mm Hg. Respiration: 12. Conscious state: Somnolent. SpO2: 95%. Temp: 99 F (37 C) 8:16 A patient handoff was performed. This scenario presents a 34-year-old African American male with a history of major depression who is being treated with a selective serotonin reuptake inhibitor (SSRI). He was brought to the emergency department by his wife after he had been drinking a few beers and had taken alprazolam, prescribed for his wife. Depression is a common affective disorder characterized by feelings of sadness. Depression symptoms can include low energy levels, sleep disturbances, lack of appetite, limited libido, and inability to perform activities of daily living. [newline]Mixing alcohol with a benzodiazepine can intensify the combination of two similar drugs. Sertraline (SSRI) and alcohol in combination can also lead to an intensified effect of alcohol. Therefore, patient education should center on avoiding alcohol while taking benzodiazepines and/or sertraline.[newline] [newline]Symptoms of benzodiazepine overdose may include the following: [newline][newline]- Dizziness[newline]- Confusion[newline]- Drowsiness[newline]- Blurred vision[newline]- Unresponsiveness[newline]- Anxiety[newline]- Agitation[newline][newline]Overdose with benzodiazepine is very rarely fatal if recognized early. [newline]The students will be expected to perform a focused physical assessment for a patient who has taken antidepressants, alcohol, and anxiolytics and to perform a psychosocial assessment for his depression. The students will be expected to identify adverse effects of SSRI, benzodiazepine, and alcohol use. You got 100