• A 62-year-old diabetic female presents for check-up and dressing change of on left foot. An examination reveals the wound is healing. The nurse applied new dressing and patient will return for a check-up in one week. This patient has a history of wounds on her left foot. The nurse applied new dressing in the wound and medical decision was established.
A young mother is in intensive care after having a rare but serious reaction to a friend's prescription antibiotics that caused her to "burn" from the inside out. Yassmeen Castanada, 19, wasn't feeling well on Thanksgiving, so she took a pill that her friend had left over from a previous illness. Soon, Castanada's eyes, nose and throat began to burn, and she was rushed to the emergency room, her mother, Laura Corona, told ABC News. Her body erupted in blisters over the next few days, Corona said. She had to be sedated and placed on a ventilator.
A -- A carotid bruit #2 Due to Nancy's deteriorating condition she is referred to a neurologist. The emergency room nurse realizes that she has probably suffered from a left-sided brain attack. What clinical manifestation further supports this assessment? D -- Global Aphasia #3 What nursing intervention should the nurse implement when preparing Nancy for a noncontrast CT scan? B -- Explain that the client will not be able to move her head thoughout the CT scan #4 The neurologist also prescribes a magnetic resonance imaging (MRI) of the head STAT, why?
We will need to determine the cause of the bleeding. 7. What are you going to tell the triage nurse? * Possible DIC, 38 year old female had a ruptured appendix 10 days ago with subsequent peritonitis. She was discharged 9 days postoperative with a left PICC for IV antibiotics.
MEMO From: Joshua A. Burger (Gibbs), Phlebotomist, Genesys Regional Medical Center To: Office of Susan K. Kolka, Hospital Administrator, Genesys Regional Medical Center Subject: Excessive needlestick complaints and proposed corrective action 11/11/2009 Introduction Statement of Problem Inpatients of Genesys Regional Medical Center are complaining of excessive needlesticks during their stay at our facility. After receiving dozens of complaints, policy changes were made to allow the patients to receive a heparin lock as standard procedure, but the complaints continued. To promote patient comfort, safety, and well being, the hospital needs to take immediate action to reduce the number of needlesticks that our patients must endure
10 months later, in the spring of 1994 distressing symptoms brought Mrs. Alexander to a different doctor. After another x-ray and a biopsy Mrs. Alexander was diagnosed with incurable non-small cell lung cancer stage IIIa. With treatments including unsuccessful surgery for the metastasis, lymph node removal, extensive chemotherapy and radiation, her cancers, while not cured, were put into remission in or about October 1994. Because the cancer was in remission at the time the complaint was filed, the trial court granted summary judgment to defendants. In the courts opinion, Mrs. Alexander had no current compensable injury and the appellate court agreed.
The beginning of a treatment plan for Jean can read as the following: Problem/Symptom: Jean has neglected to see a medical doctor | Long Term Goal: Jean to get a physical examination. | Short Term Goals/Objectives: 1. Jean to obtain medical coverage if she doesn’t have it 2. Jean to make an appointment to see the medical doctor 3. Jean to attend all medical appointments outlined by the physician | Date Established 10/4/1110/4/1110/4/11 | Projected Completion Date 1-2-12 1-2-12 1-2-12 | | Intervention/Action Counselor to make necessary referrals and follow-up during individual counseling sessions on a weekly basis.
When a resident is observed to have a condition change, the nurse performs an assessment and makes a decision whether or not to notify the physician and the resident’s family or guardian. The most common symptoms that resulted in the transport of residents to a hospital emergency room were respiratory distress, altered mental status, gastrointestinal symptoms, and falls (Ackermann, Kemle, Vogel & Griffin, 1998). The changes in mental status could
Nursing indicators such as education on unnecessary use of restraints and not repositioning the patient every two hours, are failures to deliver quality care. The staff increased the chances of Mr. J to develop pressure ulcers. Also the use of restraints increased the chances of Mr. J to develop a deep vein thrombosis or pneumonia from lack of mobility. All members of the healthcare team are responsible to provide the best care possible and be an advocate for the people they care for. (American Nurses Association, 2015).
While studying the surgical patient tracer worksheet, one of the most serious deficiencies identified was the patient history and physical not being done within twenty-four hours of admission. In fact, the patient medical records were completed after more than seventy-two hours of patient admission. Documenting medical records in an appropriate time frame is an important standard in the joint commission accreditation process. The Joint Commission requires an accredited hospital to have written policies regarding timely documentation into medical records. Eighty percent of a patient’s diagnosis is done by the identification of their current and past medical histories.