Assignment 1_ Prioritization and Introduction to Leadership Results

Experience Overview Assignment 1: Prioritization and Introduction to Leadership Digital Clinical Experience Score Total Time 32 minutes 32 minutes interacting with patients 0 minutes spent in post-exam activities ...

Experience Overview Assignment 1: Prioritization and Introduction to Leadership Digital Clinical Experience Score Total Time 32 minutes 32 minutes interacting with patients 0 minutes spent in post-exam activities 100.0% 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 100.0/100 points Bedside Shift Report 25.0/25 points Interprofessional Communication 35.0/35 points Prioritizing Individual Patient Needs 20.0/20 points Prioritizing Delivery of Care 20.0/20 points Bedside Shift Report Score: 25.0 out of 25 Time: 0600 Ben: Hi, Mr. Haddad, it's Ben again. This is my replacement for the day. They'll be taking good care of you. Omar: Hi, Ben. OK. Hello, Mr. Haddad, I'm (your name). I'm going to be your nurse today. I'll be checking in with you every hour or so. Omar: Hi, good to meet you. Ben: All right, Mr. Haddad. What's going to happen now is that I'll be giving a report on your condition to your next nurse, here. We do this at the patient's bedside, just in case you have any questions or anything to add. We like to keep the patient involved. It's all about you, right? Omar: Sure, sounds good. Ben: Here's the situation. Omar Haddad is a 38-year-old man who presented to the Shadow General emergency department yesterday at 2200 hours last night with right flank and back pain, radiating to the right lower quadrant with a pain rating of 10/10. Omar let us know that he began experiencing subtle pain about three days ago, but became unbearable at 2000 last night. Urinalysis and a CT scan confirmed the presence of a renal calculi measuring 11 mm. His provider is Dr. Yaeji Lee. Sorry to hear he's in pain. Ready to continue when you are. Ben: Great, will do. Follow Up: Did Nurse Ben follow proper Shadow General SBAR procedure when reporting the current situation to you? Yes, he followed procedure. Ben: The background is that we've started Mr. Haddad on IV fluids for hydration and hydromorphone 1.5 mg, IVP every three hours as needed. I took Mr. Haddad's vitals about half an hour ago: his temperature is at 98.6, heart rate is 102 BPM, blood pressure at 88/55, and O2 sat is 99%. Mr. Haddad has had trouble getting around since the pain started. He says he has never experienced pain like this before. Mr. Haddad is a generally healthy man for his age and has no significant past medical history. He takes no prescription medications and has no allergies at all. OK, I've got all that. Let's continue. Follow Up: According to Shadow General procedure, did Ben leave anything out of his Background report? No, all the components were covered. Ben: Here's my assessment of Mr. Haddad. Mr. Haddad last reported his pain was much better this morning and rated it as a 4/10. Mr. Haddad is to remain NPO until his scheduled shock wave lithotripsy later on today. OK, no questions so far. Follow Up: Was there any issue with how nurse Ben conducted his assessment report? No, he communicated concisely. Ben: I recommend that you monitor Mr. Haddad's fluid input and output and communicate with his provider to adjust his pain medication as needed. As far as what he's got on his plate today, the urologist would like to talk with him around 1100 and you also should know that Mr. Haddad says his wife and daughter may be visiting this afternoon. It should be at about 1200 hours. Aside from that, you should be all set! Excellent, thank you. Follow Up: Did Nurse Ben follow proper Shadow General SBAR procedure when providing his recommendation to you? Yes, he followed procedure. Ben: OK, that should about do it. Don't worry, Mr. Haddad, this one is going to take good care of you. Ben: I am transferring Mr. Haddad into your care. It was nice to meet you, Mr. Haddad. Omar: Bye. Time: 0605 Ben: Hi, Mr. Patel, it's Ben again. This is my replacement for the day. They'll be taking good care of you. Arun: Uh . . . hi. Hello, Mr. Patel, I'm (your name). I'm going to be your nurse today. I'll be checking in with you every hour or so. Arun: Nice to meet you. Ben: All right, Mr. Patel. What's going to happen now is that I'll be giving a report on your condition to your next nurse, here. We do this at the patient's bedside, just in case you have any questions or anything to add. We like to keep the patient involved. Arun: Um . . . yeah. Ben: Here's the situation. Mr. Patel is a 38-year-old man who presented to the emergency department at 0300 hours this morning with complaints of nausea, vomiting, and diarrhea. He's pretty dehydrated, so we're focusing on that. Is there anything that Ben left out of the Situation section of his SBAR report? Who is Mr. Patel's provider? You scored 1.0 out of 1 The correct answer is: Who is Mr. Patel's provider? Ben: That would be Dr. Martinez. Why is this the most appropriate question to ask Ben during the Situation section of his report? Identifying information for patients and healthcare provider is included in the Situation section of a Shadow General SBAR. You scored 1.0 out of 1 The correct answer is: Identifying information for patients and healthcare provider is included in the Situation section of a Shadow General SBAR. Ben: Mr. Patel has been unable to keep food and drink down for two days, ever since his symptoms started. He says he has never experienced gastrointestinal symptoms like this before. I took Mr. Patel's vitals about half an hour ago. He has a temperature of 99.1 degrees Fahrenheit, a heart rate of 102 BPM, and his blood pressure is 88/55 mm Hg. His oxygen saturation is 98%. For his dehydration, we've started Mr. Patel on 0.9 normal saline IV at a rate of 100 ml/hr. For his nausea, we've started him on 25 mg of intramuscular promethazine every four hours. Mr. Patel has type II diabetes mellitus and hypertension. No allergies to food or medication. Is there anything that Ben left out of the Background section of his SBAR report? Does Mr. Patel take any home medications for his medical conditions? You scored 1.0 out of 1 The correct answer is: Does Mr. Patel take any home medications for his medical conditions? Ben: His only home medications are a glipizide and metformin combination pill, a lisinopril and