Transcript
n
All Lines (180) Interview Questions (76) Statements (8) Exam Actions (96)
Hello, My name is Sara an FNP student and I will be interviewing you today
Hi.
What brought you into the clinic today?
Greet
06/04/18 2:50 PM
CDT
Question...
transcript n all lines 180 interview questions 76 statements 8 exam actions 96 hello
my name is sara an fnp student and i will be interviewing you today hi what brought y
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Focused Exam: Cough Results
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Transcript
Overview
Transcript
n
Subjective Data Collection
All Lines Interview Questions Statements Exam Actions
(180) (76) (8) (96)
Objective Data Collection
Education & Empathy Greet
Hello, My name is Sara an FNP student and I will be interviewing
06/04/18 2:50 PM
you today
Documentation CDT
Self-Reflection
Hi.
Question
What brought you into the clinic today? 06/04/18 2:51 PM
CDT
My Abuela brought me here because I've been feeling sick. I
have been coughing a lot. . . and I feel kinda tired.
Question
What is your name? 06/04/18 2:52 PM
CDT
My name is Daniel Rivera, but I just go by Danny.
Question
And how old are 06/04/18 2:52 PM
you? CDT
I'm eight.
Question
What is your date of birth? 06/04/18 2:52 PM
CDT
I was born March 4th in, um . . . [Danny reports correct birth year.]
[AUDIO COMING SOON]
1/21
,6/ Focused Exam: Cough |
I'm sorry you feel so bad
Empathize
06/04/18 2:54 PM
CDT
Thank you.
Question
When did your cough start?
06/04/18 2:55 PM
CDT
I think the cough started four. . . No, it started five days ago.
Question
Can you describe your place to me?
06/04/18 2:55 PM
CDT
My cough seems kind of gurgly and watery.
Question
Do you have any sputum?
06/04/18 2:56 PM
CDT
Is that the gross, slimy stuff? Yeah, I've been coughing some of that up. It's not any strange color, tho
Question
How often are you coughing?
06/04/18 2:59 PM
CDT
I just keep feeling like I have to cough every couple minutes or so. I think it gets worse at night.
Question
How long does a cough last?
06/04/18 2:59 PM
CDT
I think the cough started four. . . No, it started five days ago.
What is the duration of your cough? (Clarified to How would you describe your cough?.)
Question
06/04/18 3:00 PM
CDT
My cough seems kind of gurgly and watery.
Question
What makes your cough worse?
06/04/18 3:00 PM
CDT
2/21
, 6/ Focused Exam: Cough |
My cough mostly stays the same no matter what I do. It seems to get worse at night though.
Question
Do you smoke?
06/04/18 3:01 PM
CDT
No way! I know smoking is really bad--even for grown-ups. Papi smokes cigars sometimes. I don't like
Do you know what triggers your cough? (No matching questions found.) Question
06/04/18 3:01 PM
CDT
Question
What makes your cough worse?
06/04/18 3:01 PM
CDT
My cough mostly stays the same no matter what I do. It seems to get worse at night though.
Question
Are you exposed to anyone smoking?
06/04/18 3:02 PM
CDT
Well . . . sometimes Papi smokes cigars in the house and my mom has to tell him to go outside. I bre
Question
Does your father smoke?
06/04/18 3:02 PM
CDT
Well . . . sometimes Papi smokes cigars in the house and my mom has to tell him to go outside. I bre
Question
What makes your cough better?
06/04/18 3:03 PM
CDT
I had some cough medicine this morning. [AUDIO COMING SOON]
Being exposed to secondhand smoke is almost just as bad as smoking, make sure you're around no on
Educate
06/04/18 3:03 PM
CDT
Oh, OK.
3/21
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