Summary VSIM 3 Josephine Morrow Diagnosis: Venous stasis ulcer Feedback Log ; Score 100%

Josephine Morrow Age: 80 years Diagnosis: Venous stasis ulcer 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 diagnostics. 0:00 You reviewed the clinical observations. 0:00 You reviewed the MAR. 0:00 You reviewed the orders. 0:00 You reviewed the intake and output. 0:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood This study source was downloaded by from CourseH on :13:01 GMT -06:00 pressure: 122/81 mm Hg. Respiration: 20. Conscious state: Appropriate. GRADED A+ 11/1/22, 9:03 AM vSim Standalone SpO2: 94%. Temp: 98 F (36.6 C) 0:14 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 1:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 123/81 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 94%. Temp: 98 F (36.5 C) 1:31 You introduced yourself. This was reasonable. 1:46 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 1:59 You asked if the patient was allergic to anything. She replied: 'Yes, I am allergic to penicillin.' 2:06 You put on gloves. 2:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 122/80 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 94%. Temp: 98 F (36.4 C) 2:26 You checked the temperature at the ear. The temperature was 97 F (36.4 C). 2:58 You measured the blood pressure at 124/82 mm Hg. It is appropriate to monitor the patient by measuring the blood pressure. 3:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 122/80 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 94%. Temp: 97 F (36.3 C) 3:16 You checked the radial pulse. The pulse is strong, 95 per minute, and regular. It is correct to assess the patient's vital signs. 3:46 You attached the pulse oximeter. It is a good idea to monitor the saturation and pulse here. This will allow you to reassess the patient continuously. 3:49 You looked for normal breathing. She is breathing at 20 breaths per minute. The chest is moving equally. 4:04 You disconnected the pulse oximeter. 4:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 122/81 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 94%. Temp: 97 F (36.3 C) 4:19 You examined the patient's skin. There is normal elasticity of This study source was downloaded by from CourseH on :13:01 GMT -06:00 GRADED A+ 11/1/22, 9:03 AM vSim Standalone the skin. Her color is normal, and she is not sweating. There is a dressing covering the skin lesion on the lower leg. 4:39 You elevated the patient's legs. This was indicated by order. 4:53 You assisted the patient into a sitting position. 5:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 119/79 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 94%. Temp: 97 F (36.2 C) 5:28 You assessed the patient's dressing. This is correct. Assessing any dressings the patient has is always important. 5:43 You tried to assess the patient's ulcer. A dressing was covering the skin lesion on the lower leg. 6:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 120/79 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 94%. Temp: 97 F (36.2 C) 7:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 122/81 mm Hg. Respiration: 19. Conscious state: Appropriate. SpO2: 94%. Temp: 97 F (36.1 C) 7:37 You removed the gloves. 7:52 You educated the patient about activities, safety, and fall risk. 8:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 122/80 mm Hg. Respiration: 19. Conscious state: Appropriate. SpO2: 94%. Temp: 97 F (36.1 C) 8:27 You educated the patient about improving venous return. This was reasonable. 9:09 You educated the patient about positioning. 9:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 119/79 mm Hg. Respiration: 19. Conscious state: Appropriate. SpO2: 94%. Temp: 97 F (36.1 C) 9:28 You educated the patient about wound care. This was reasonable. 9:47 You asked the patient if she had any pain. She replied: 'No, I don't have any pain.'