Assignment 2_ Delegation Results _ Completed

Experience Overview Assignment 2: Delegation Digital Clinical Experience Score Total Time 67 minutes 67 minutes interacting with patients 0 minutes spent in post-exam activities 86.7% The DCE score represents a w ...

Experience Overview Assignment 2: Delegation Digital Clinical Experience Score Total Time 67 minutes 67 minutes interacting with patients 0 minutes spent in post-exam activities 86.7% The DCE score represents a weighted score based on all learning activities in this assignment. Some learning activities have been assigned greater value than others. This score may not be your final grade if your instructor chooses to include additional components, such as rationales or time spent. Activity Scores 86.66/100 points Bedside Shift Report 8.5/10 points Team Delegation 26.67/30 points Interprofessional Communication 16.5/20 points Prioritizing Individual Patient Needs 20.0/20 points Prioritizing Delivery of Care 15.0/20 points Bedside Shift Report Score: 8.5 out of 10 Time: 1330 Holly: Mr. Liu, this is your new nurse. They'll be taking over for me. Samuel: Hello. Nice to meet you. I'll be checking in with you every hour or so. Holly: All right, Mr. Liu, I'm going to hand you off to your new nurse using a Bedside Shift Report. At Shadow General, we perform our handoffs at the patient's bedside to make sure that you can stay involved in your care. Samuel: Sounds good. Holly: OK, I'm going to start with Mr. Liu's Situation . . . Holly: Mr. Liu is a 28-year-old man with pneumothorax secondary to blunt chest trauma. He has three broken ribs, and is being treated with a chest tube and water-seal drainage unit. What else do you need to ask Holly about Samuel Liu's Situation? When was Mr. Liu first injured? Holly: I'm getting to that in just a second . . . What are the patient's vitals? Holly: It's not quite time for us to talk about that yet. You might want to pull up the SBAR Tool on your Nursing Tablet. Who is Mr. Liu's provider? You scored 0.0 out of 1 The correct answer is: Who is Mr. Liu's provider? Holly: Oh, thanks for reminding me! Mr. Liu's provider is Dr. Gina Tremblay. Why is this the best question to ask Holly about Samuel Liu's Situation? The provider name belongs in the Situation section of a Shadow General SBAR, and it's a good idea to get a verbal confirmation of information even when it already appears in your patient's EHR. You scored 1.0 out of 1 The correct answer is: The provider name belongs in the Situation section of a Shadow General SBAR, and it's a good idea to get a verbal confirmation of information even when it already appears in your patient's EHR. Holly: Mr. Liu reported at our ED a week ago with 3 broken ribs (left 7th-9th) after falling off his neighbor's roof. A chest X-ray revealed that he was negative for pneumothorax. He was observed for 8 hours and discharged with instructions to return if his symptoms worsened. Yesterday, he was reaching for something on a high shelf when he experienced sharp chest pain on his left side followed by difficulty breathing. Holly: He reported to the ED within the hour, where he was diagnosed with pneumothorax secondary to blunt chest trauma, confirmed via chest X-ray. Physical examination revealed tracheal deviation to the left, air in the left side of the chest, and absent breath sounds on the left side of the chest. Holly: At 1600 hours yesterday, Mr. Liu received a 28 F chest tube, inserted at the left 4th intercostal space, anterior axillary line. Holly: Mr. Liu has a hydromorphone patient-controlled analgesia pump at a concentration of 2 mg/mL. He was given a loading dose of 0.4 mg, and set up with with an on-demand bolus of 0.1 mg. The PCA pump has a lockout interval of 10 minutes and an hourly dose limit of 0.6 mg. Holly: Mr. Liu's vital signs are all within normal limits. His respirations are 18 per minute and his oxygen saturation is 94%. Holly: Current provider's orders are to monitor the chest tube and drainage unit every hour, to record patient vitals every hour, and to monitor Mr. Liu's pain level and level of consciousness every hour, in addition to checking the dressing at the site of the chest tube insertion once every 2 hours. What else do you need to ask Holly about Samuel Liu's Background? You scored 1.0 out of 1 The correct answer is: Does Mr. Liu take any home medications or have any allergies? Does Mr. Liu take any home medications or have any allergies? Holly: No allergies to food, latex, or medication. No regular home medications. When he first broke his ribs, he took OTC (over-the-counter) ibuprofen as needed to manage the pain. Samuel: I just took what it said to on the bottle. The pain wasn't all that bad until yesterday. Oh, and I used an ice pack, too. Why is this the best question to ask Holly about Samuel Liu's Background? You request new information, suitable to the Background section of the SBAR report, which will support your ability to administer treatment to your patient safely and confidently. You scored 1.0 out of 1 The correct answer is: You request new information, suitable to the Background section of the SBAR report, which will support your ability to administer treatment to your patient safely and confidently. Holly: The chest tube and water-seal drainage unit are working as expected. Chest tube to water seal, no air leak noted. No drainage. The dressing at the site of the chest tube insertion is clean with no sign of infection. No problems. Mr. Liu is currently stable, alert and oriented x4. What else do you need to ask Holly about her Assessment of Samuel Liu's condition? How effective is the pain medication? You scored 1.0 out of 1 The correct answer is: How effective is the pain medication?