Swift River Medical-Surgical
Ann Rails - Answer Educational - Increased
Fall Risk - Increased
Health Change - Increased
Pain - Increased
Psychological Needs - Normal
Sensorium - Normal
Ann Rails - Answer Acute pain
Impaired comfort
Impaired mobility
Disturbed sensory perception
Fall, risk for
Peripheral neurovascular dysfunction
Ann Rails - Answer Scenario #1
Use therapeutic
Educate pt.
Evaluate pt. learning
Place call light
Document
Scenario #2
Wash and glove hands
Assess
Provide comfort measures
Notify doctor
Document
Scenario #3
Listen to pt. concerns
Reassure pt. of options
Notify lead nurse/doctor
Contact Social Services
Document
Scenario #4
Wash and glove hands
Visual assessment
Do not disturb
Verify Call Light
Document
Scenario #5
,Assess for bowel sounds
Encourage fluids/fiber/ambulation
Evaluate pt. understanding
Attain fluids/fiber diet
Document
Arthur Thomason - Answer Educational - increased
Health change - increased
LOC - increased
Pain - increased
Psychological needs - increased
Safety - increased
Arthur Thomason - Answer Impaired confort
Impaired gas exchange
Ineffective airway clearance
Shock, risk for
Anxiety/fear
Failure to thrive, risk for
Arthur Thomason - Answer Scenario #1
Assess
Replace O2
Use therapeutic
Notify Dr. and charge nurse
Scenario #2
Remind physician
Explain to physician
Assist physician
Obtain recent
Reassure pt.
Scenario #3
Tap pt.
Elevate HOB
Call rapid response
Start secondary
Remain with pt.
Scenario #4
Provide verbal report
Emergency intubation
Assume role
Obtain pt. record
Provide information
,Scenario #5
You explain that his condition
You explain that he is receiving
You have them remain with you
You escort them with you
You call his doctor
Calvin Umbyuma - Answer Educational - increased
Fall Risk - normal
Health Change - increased
Pain - increased
Psychological needs - normal
Neurological - normal
Calvin Umbyuma - Answer Acute pain
Deficient knowledge
Calvin Umbyuma - Answer Scenario #1
Place on respiratory isolation
Ask Mr. U
Obtain blood cultures
Start IV
Collect sputum culture
Scenario#2
Wash hand, don PPE
Explain to the visitor
Respiratory assessment
Explain to Mr. U
Place signage on door
Scenario #3
Ask pt. what he knows
Ask pt. what his mother's
Educate pt.
Evaluate effectiveness
Report findings
Scenario #4
Pt. teaching
Contact respiratory therapy
Chest x-ray
Western blot
Bronchoscopy
, Scenario #5
Elevate HOB
Initiate O2 at 4L
Reassess VS
Reevaluate amount of blood lost
Contact HCP
Cameron Daniels - Answer Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - normal
Neurological - normal
Cameron Daniels - Answer Acute pain
Impaired mobility
Deficient knowledge
Fall, risk for
Infection, risk for
Cameron Daniels - Answer Scenario #1
Give tylenol
Start another IV
Initiate bolus
Request additional pain med
Reasses temp in 1 hour
Scenario #2
Sit at an eye level
Teach Cameron
Evaluate understanding
Contact charge nurse
Document pt's statements
Scenario #3
Provide emotional support
Assure pt.
Explain to pt.
Stress importance
Inform pt.
Scenario #4
Make sure accurate wt.
Explain reason for medication
Tell the mother that you understand
Tell the mother that visitors are welcome
Ann Rails - Answer Educational - Increased
Fall Risk - Increased
Health Change - Increased
Pain - Increased
Psychological Needs - Normal
Sensorium - Normal
Ann Rails - Answer Acute pain
Impaired comfort
Impaired mobility
Disturbed sensory perception
Fall, risk for
Peripheral neurovascular dysfunction
Ann Rails - Answer Scenario #1
Use therapeutic
Educate pt.
Evaluate pt. learning
Place call light
Document
Scenario #2
Wash and glove hands
Assess
Provide comfort measures
Notify doctor
Document
Scenario #3
Listen to pt. concerns
Reassure pt. of options
Notify lead nurse/doctor
Contact Social Services
Document
Scenario #4
Wash and glove hands
Visual assessment
Do not disturb
Verify Call Light
Document
Scenario #5
,Assess for bowel sounds
Encourage fluids/fiber/ambulation
Evaluate pt. understanding
Attain fluids/fiber diet
Document
Arthur Thomason - Answer Educational - increased
Health change - increased
LOC - increased
Pain - increased
Psychological needs - increased
Safety - increased
Arthur Thomason - Answer Impaired confort
Impaired gas exchange
Ineffective airway clearance
Shock, risk for
Anxiety/fear
Failure to thrive, risk for
Arthur Thomason - Answer Scenario #1
Assess
Replace O2
Use therapeutic
Notify Dr. and charge nurse
Scenario #2
Remind physician
Explain to physician
Assist physician
Obtain recent
Reassure pt.
Scenario #3
Tap pt.
Elevate HOB
Call rapid response
Start secondary
Remain with pt.
Scenario #4
Provide verbal report
Emergency intubation
Assume role
Obtain pt. record
Provide information
,Scenario #5
You explain that his condition
You explain that he is receiving
You have them remain with you
You escort them with you
You call his doctor
Calvin Umbyuma - Answer Educational - increased
Fall Risk - normal
Health Change - increased
Pain - increased
Psychological needs - normal
Neurological - normal
Calvin Umbyuma - Answer Acute pain
Deficient knowledge
Calvin Umbyuma - Answer Scenario #1
Place on respiratory isolation
Ask Mr. U
Obtain blood cultures
Start IV
Collect sputum culture
Scenario#2
Wash hand, don PPE
Explain to the visitor
Respiratory assessment
Explain to Mr. U
Place signage on door
Scenario #3
Ask pt. what he knows
Ask pt. what his mother's
Educate pt.
Evaluate effectiveness
Report findings
Scenario #4
Pt. teaching
Contact respiratory therapy
Chest x-ray
Western blot
Bronchoscopy
, Scenario #5
Elevate HOB
Initiate O2 at 4L
Reassess VS
Reevaluate amount of blood lost
Contact HCP
Cameron Daniels - Answer Educational - increased
Fall Risk - increased
Health Change - increased
Pain - increased
Psychological Needs - normal
Neurological - normal
Cameron Daniels - Answer Acute pain
Impaired mobility
Deficient knowledge
Fall, risk for
Infection, risk for
Cameron Daniels - Answer Scenario #1
Give tylenol
Start another IV
Initiate bolus
Request additional pain med
Reasses temp in 1 hour
Scenario #2
Sit at an eye level
Teach Cameron
Evaluate understanding
Contact charge nurse
Document pt's statements
Scenario #3
Provide emotional support
Assure pt.
Explain to pt.
Stress importance
Inform pt.
Scenario #4
Make sure accurate wt.
Explain reason for medication
Tell the mother that you understand
Tell the mother that visitors are welcome
