Prior To Working With Mk I Had Made A Judgment After Reading

On the early morning of August 17, 2002, James C., a patient in one of the wards under the supervision of Ellen Hughes Finnerty, RN, went into respiratory depression. Between 3:00 and 4:00 a.m., Ann Mugi, the patient’s primary nurse, sought the assistance of a respiratory therapist, Hiran Obeyesekere, to help her care for the patient. As Obeyesekere suctioned the patient airway, Mugi called the service of the patient’s primary care physician, Dr. Jackson, to report the changes in the patient’s respiratory status, e.g., respiratory rate of 40 breaths per minute and low urine output.

There was additional backup staff present (including a respiratory therapist) that could have been called upon for help, yet they never were. The charge nurse or nurse supervisor could have stepped in at this point to provide additional help. A lack of present nursing staff and support can lead to unfavorable patient outcomes, as is the case with Mr. B. Additionally, the staff on duty could have lacked training regarding protocols or their training could have been out of date.

My colleague and I received an emergency call to reports of a female on the ground. Once on scene an intoxicated male stated that his wife is under investigation for “passing out episodes”. She was lying supine on the kitchen floor and did not respond to A.V.P.U. I measured and inserted a nasopharyngeal airway which was initially accepted by my patient. She then regained consciousness and stated, “Oh it’s happened again has it?” I removed the airway and asked my colleague to complete base line observations and ECG which were all within the normal range. During history taking my patient stated that she did not wish to travel to hospital. However each time my patient stood up she collapsed and we would have to intervene to

The physician was notified of the pain and discomfort related to the chest tube, which pain medication was given. Other notifications were the amount of drainage from both the chest tube and the JP. Both were under normal limits. SOB and fatigue with activities were also notified to the

The patient did have black soot around his nose and mouth. Thats when first responders started manual ventilation's via BVM and 02 at 15 LPM. At this time Medic 1 assumed patient care. Medic 1 assigned first responders to obtaining vitals signs that are stated in the vital section of the report. It was at this time that Medic 1 applied a OPA after first measuring on what size to use. First responders also applied fast patches to the patients right upper chest and left midaxillary line At this time Medic 1 assigned first responders to start chest compressions a 15:2 ratio. Medic 1 at this time started a IO in the patients plateau region of the right leg. The Plateau region is inferior and lateral to the knee cap. At this time Normal Saline bolus was started with a 60 drop per ML set. Medic 1 found the patient to be in a sinus rhythm At this time miscommunication with Medic 1 and first responders happen with chest comparisons started. We then secured the patient on the cot via 4 straps and transported a code red patient to the nearest hospital. While enroute to hospital radio report was given with chief compliant and treatments listed in the appropriate category of the report. Vitals was continued to be taken every 5

Client complains of chest pain and shortness of breath (SOB). Client states that he was working with heavy stones and has a sedentary office jobs and sedentary life styles. Client has a medical history of asthma & GERD. Client also complains of indigestion and has not eaten much today. Beside this information, the nurse would ask the following questions to the client in order to complete the client history which would help to make nursing diagnosis: Where exactly is the pain? Does it radiate/ go anywhere? When did the pain start? Was the onset sudden or gradual? What are you doing when it started? What does your pain feel like- burning /stabbing/ aching/ squeezing/ cramping/ sharp/ itching/ shooting/ crushing etc.? How severe is the pain,

In April 2012, Mr. Hammett’s death was ruled to be human errors that individually would have been unlikely to harm him but proved collectively to be fatal. Mr. Hammett surgery was at at private hospital that did not have any after hours medical cover. During the procedure his oxygen saturation levels were almost perfect, maintaining it at 99%. Somehow during or after being transferred to Post Anaesthetic Care Unit (PACU) his oxygen saturation levels fell to 64%. The anaesthetist assumed that it was caused by an obstructed airway and discharged the patient to the ward; he did not look for anything further to be wrong with the patient. Mr. Hammett complained continously to the RN of high levels of pain; the RN ignored him and referred to him as a “wimp” when switching shifts. Although Mr. Hammett was on a Gemstar pump, which recorded him pressing

In the emergency room, Rudd was connected to the cardiac monitor, labs were drawn and a 20-guage peripheral IV was started in the right arm. An IV infusion of nitroprusside was started and vital signs were recorded periodically. The Pain was assessed using a PQRST pain assessment method and Rudd rates throbbing pain bilaterally in the head with a pain score of 8 that aggravates with moving and does not radiate to elsewhere other than the head. The orthostatic BP shows no changes. The E.D physician decides to admit Rudd in CCU to further monitor his blood pressure and watch for any signs of organ damage. The E.D physician writes an order for pain management and transfer to CCU. The ER nurse

The most challenging aspect of this clinical situation was that the client always wants to run away from us as soon as he believes he is doing fine and does not need to be with the nurses. It was hard to deal with a client who loves to seek attention, as soon as he gets a hold of the nurse and gets what he wants, he just wanted to run away from the nurse. Working with a client with such behaviours, I would wonder if I, as a nurse was taking too long to provide the care that he receives every day from other nurses. I wanted to make sure that the client’s condition is stable, as Canadian Nurses Association (2008) stated one of the nursing values and ethical responsibilities is that “[n]urses work with people to enable them to attain their highest possible level of health and well-being” (p. 10). It was my responsibility to make sure my client’s

Joanna is an experienced nurse taking care of Mrs. Kelly, who was Joanna’s patient many times in the past for her primary problem which is COPD. This time Mrs. Kelly was admitted with complaints of abdominal pain what was different from her primary diagnoses. Her vital signs were with normal limits and no significant changes from privies results, but for the nurse she looks sick, and Joanna know that something is wrong. She calls the resident doctor, but he tell her to watches and calls back with series changes. Joanna multiple attempts to report that something needs to be done to evaluate the cause of Mrs. Kelly pain was ask to calm down. However nobody took patient symptoms series and the next day patient died.

assess Mr. B’s respiratory states while Nurse J. and Dr. T finished the sedation and reduction

I then needed to carry out a respiratory assessment. I observed Mr Brown’s chest for any visible signs of scars or trauma. This appeared normal.

S: TM works in Pain, performing daily inspection of cars, walking, standing, bending, spreading primer, sanding, and using DA sander. TM believes, although, there wasn’t a specific event, her bilateral knee aches are related to her bending and standing caused pressure pain and swelling in her bilateral knees dust and paint particles caused her to have chest pain which she’s been taking antacid for past 10 days for greater. She thinks this may be cause by inhaling pain from pain shop. TM denies SOB, dyspnea, cough, chest congestion, or mucus production. TM’s Knee pain started with her left knee several years back and her right knee started to hurt. TM reported transient stiffness

Case :- A 17-year-old female presents to her local hospital 's E.R. at 7:45 in the morning on a school day. She appears apprehensive and uncomfortable. She winces and splints her chest to the right side when she coughs. She is examined by the attending resident.

He requested a Ginger Ale. At that time, I checked his vital signs. His blood pressure was 165/108. I gave him prescribed Lopressor and stated I would return in one hour to see if it brought pressure down (CF#8). When I returned in the hour, his pressure had dropped to 153/86. Before I left the room, I stated “I don’t feel like I am doing enough for you.” He replied “you are doing great.” I reiterated if there was anything I could do for him please call me. Approximately 30 minutes later,