Review Readings Videos Explained for Students (Easy Guide)
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What This Question Is About
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How to Approach This Question
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Key Explanation
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Original Question
Review the readings and videos posted in the didactic component of the course under communication and relation building: Charge nursing. Complete the following activity: You are charge in on the day shift and arrive 40 minutes early to your shift: Unit: General Medical Surgical 30 beds total on unit, 23 beds have patients in the room 20 rooms are private. 5 rooms are semi-private with 2 beds in each room. Staff available work 10-hour shifts X 4 days each week with 3 days off each week. This shift schedule is part of a new safety initiative due to increased errors with 12-hour shifts. Today there are 9 individuals scheduled on this unit including yourself You arrive early as the policy is for the charge nurse to make patient assignments for the day. 5 RNs You Marjorie: 14 yrs experience- 2 years on this unit Helen: Certified med surg nurse 3 years of experience on this unit Dean: New graduate just completed 6-week orientation Emelia: Float nurse from pool. 2 years of experience 3 PCAs – All have been on the unit for more than 2 years. 1 is in a vocational nursing program. Sandy Chris Mel 1 unit Secretary Care delivery model is primary care Room/ Bed Patient Description Nurse Assigned PCA Bed 1 58 M Acute exacerbation ulcerative colitis/ dehydration IV, NPO, Scheduled for a J pouch in morning Bed 2 62 F Cholecystitis NPO IV, NG to low suction Lithotripsy this pm Bed 3 43 M Pulmonary hypertension IV, Expected discharge today or tomorrow Hx CHF Bed 4 Empty Bed 5 71 M Diverticulitis Limited English proficiency. Speaks Mandarin. Bed 6 86 F Sepsis/ UTI IV, O2 nasal cannula From ICU yesterday Bed 7 67 M Cirrhosis ETOH withdrawal, IV Bed 8 82 F Hashimoto’s Thyroiditis, IV Hx RA Bed 9 75 M Parkinson’s Post fall. Admitted 3 days ago. On PT, OT, and Speech Therapy. An ticipated Discharge today Bed 10 Empty Bed 11 32 F Community acquired Pneumonia, IDDM Admitted last night IV Bed 12 70 M Post accidental drug OD. Altered LOC. NG, Foley and IV Admitted 2 days ago HX Osteoarthritis Bed 13 31 Lupus exacerbation, pulmonary and neurologic manifestations IV Bed 14 64 F HHNK IV, Foley, Sliding Scale From ICU yesterday Bed 15 56 M Acute liver failure post Acetaminophen overdose IV, O2 by nasal cannula, Foley catheter From ICU yesterday Bed 16 Empty Bed 17 102 F Shingles, Contact Isolation, dressings, Incontinent Vascular Dementia Bed 18 88 M Acute Renal failure Foley/ PICC line. Admitted this morning HX HPTN Bed 19 66 M COPD, Emphysema, Spontaneous Pneumothorax R side chest tube Bed 20 Empty Bed 21A 44 M DVT Right Leg. On apixaban. Expected Discharge today Bed 21B 64 M Pulmonary Embolism x 3 45% O2 by mask From ICU 2 days ago Bed 22A 53 F New onset Pernicious Anemia, IV, Blood transfusion x 2 ordered Bed 22B Empty Bed 22A 55 F Cellulitis, IDDM, IV, Sliding Scale Bed 22B 68 F Acute adrenal failure IV, O2 by nasal cannula 1st task: Make patient assignments for the day. Assign RNs, PCAs, lunch times and coverage. Be sure to consider potential admissions and discharges.
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