Case Studies In Health Information Management
Case Studies In Health Information Management
3rd Edition
ISBN: 9781337676908
Author: SCHNERING
Publisher: Cengage
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Who completes the health history and current reason for visit? A Receptionist B Nurse C Provider D Patient or patient representative
A/An ___ assess the patient at the time of discharge to determine the amount of progress the patient made made prior to stopping their therapy.
For this assignment, you are the RN who has cared for Olivia Jones on the overnight shift. You will be using the SBAR format to provide shift report to the oncoming day nurse. The day nurse will be taking Ms. Jones to the OR for an emergency C-section. Use the information from the vSim and the information below to compose the SBAR report. Including “Situation-Background-Assessment – Recommendations according to the rubric. You will formulate the report using information from the vSim and you may supplement with this data: Olivia Jones is a 23-year-old, single, African-American female, G1 P0000 at 36 0/7 weeks of gestation. She has been diagnosed with severe preeclampsia and is admitted to the labor and delivery unit for assessment and surveillance. The patients blood type is O+.  The patient is negative for HIV and Hepatitis B. Pregnancy has been unremarkable until routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild…
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