Swift River Medical-Surgical

Swift River Medical-
Surgical
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Terms in this set (156)


Educational - Increased
Fall Risk - Increased
Health Change - Increased
Ann Rails
Pain - Increased
Psychological Needs - Normal
Sensorium - Normal

Acute pain
Impaired comfort
Impaired mobility
Ann Rails Disturbed sensory perception
Fall, risk for
Peripheral neurovascular
dysfunction

, Scenario #1
Use therapeutic
Educate pt.
Evaluate pt. learning
Place call light
Document


Scenario #2
Wash and glove hands
Assess
Provide comfort measures
Notify doctor
Document


Scenario #3
Listen to pt. concerns
Reassure pt. of options
Ann Rails Notify lead nurse/doctor
Contact Social Services
Document


Scenario #4
Wash and glove hands
Visual assessment
Do not disturb
Verify Call Light
Document


Scenario #5
Assess for bowel sounds
Encourage
fluids/fiber/ambulation
Evaluate pt. understanding
Attain fluids/fiber diet
Document

, Educational - increased
Health change - increased
LOC - increased
Arthur
Pain - increased
Thomason
Psychological needs -
increased
Safety - increased

Impaired confort
Impaired gas exchange
Arthur Ineffective airway clearance
Thomason Shock, risk for
Anxiety/fear
Failure to thrive, risk for

, Scenario #1
Assess
Replace O2
Use therapeutic
Notify Dr. and charge nurse


Scenario #2
Remind physician
Explain to physician
Assist physician
Obtain recent
Reassure pt.


Scenario #3
Tap pt.
Elevate HOB
Arthur Call rapid response
Thomason Start secondary
Remain with pt.


Scenario #4
Provide verbal report
Emergency intubation
Assume role
Obtain pt. record
Provide information


Scenario #5
You explain that his condition
You explain that he is receiving
You have them remain with
you
You escort them with you
You call his doctor