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NUR 4307 – Leadership Seminar Part B2 Template – Prioritization of Care & Discharge Planning Part B.2 – Each student Group will be assigned a patient from the group of patients provided in the weekly patient scenario transcript. Each group will collaborate to establish appropriate patient outcomes and develop a discharge plan. Only one (1) document is to be submitted by the group with all member collaboration. Expected Outcomes Identify probable discharge day (hospital day #) or indicate length of stay and place. Include at least two references List 2 priority measurable outcomes with timeframe. Barriers to meeting Expected Outcomes Identify at least 3 criteria related to primary diagnosis and interventions that could delay discharge. Include evidence based strategies utilized to prevent these complications (with references) Identify at least 3 factors (co-morbid conditions, support systems, environmental factors, etc.) that could delay discharge. Include evidence based strategies utilized to prevent these complications (with references) Multidisciplinary Plan of Care (post discharge). List priority order referrals (minimum of three) for this patient including rationale for referrals for anticipated discharge needs. i.e., Home PT, VNA. PEDIATRICS- GI, GU, FLUID & ELECTROLYTE ALTERATIONS You are an RN working the 7a-7p shift on a Renal/GI Pediatric Unit in a community hospital. The Renal/GI Pediatric Unit has 22 beds. The day staff consists of a Nurse Manager, 6 RNs, 4 PCTs (Patient Care Technicians), a Child Life Specialist, and a Unit Clerk. Patient rounds with the pediatricians, nurse practitioners, physician specialists, and charge nurse occur daily at 0800. After rounds, the charge nurse and nurse practitioner meet with the Nutritionist, PT and OT, Child Life, Certified Teacher, Nurse Case Manager and Social Work to discuss each patient’s daily plan of care. A satellite Pharmacist is assigned to the pediatric unit. Yolanda Martinez Age: 15 yo Wt: 110 lbs Admitting Dx: Hemolytic Uremic Syndrome (HUS) No past medical history Identifies as transgender PHI: Seen by PMD (primary medical doctor) 5 days ago and diagnosed with viral gastroenteritis. Symptoms did not improve and parents brought child to ED after 12 hrs of no urine output + Ecoli from stool culture lethargic, voided x1 last night 20ml dark urine Hgb 8.7 Hct 28.2 Plt 67,000 BUN 104 Creatinine 3 Received 1 unit PRBC yesterday after dialysis Labs drawn this AM @ 0600 IV saline lock Diet: as tolerated protein restricted diet (restrict protein intake to 20% of caloric intake) No family at bedside, father a single parent and is at work

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