Date of Completion
Mar 07, 2020 7:12 PM
Mary Richards
Age: 82 years
Diagnosis: Congestive Heart Failure
Score
0
0 100%
0
Feedback Log
0:00 You arrived at the patient's side.
0:00 You reviewed the patient information.
0:00 You introduced yourself.
0:04 You washed your hands. To maintain patient safety, it is important to wash your
hands as soon as you enter the room.
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, 6/21/2020 Feedback Log & Score — Mary Richards Mar 07, 2020 7:12 PM
0:10 Patient status - ECG: Sinus bradycardia. Heart rate: 58. Pulse: Present. Blood pressure:
94/57 mm Hg. Respiration: 22. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F
(37.1 C)
1:10 Patient status - ECG: Sinus bradycardia. Heart rate: 58. Pulse: Present. Blood pressure:
95/57 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37
C)
1:15 You identified the patient. To maintain patient safety, it is important that you
quickly identify the patient.
1:30 You reviewed the orders.
1:31 You reviewed the patient log.
1:56 You obtained <IV_access>IV access<> in the hand.
2:02 The patient developed severe nausea.
2:06 Patient status - ECG: Sinus rhythm. Heart rate: 60. Pulse: Present. Blood pressure: 95/57
mm Hg. Respiration: 17. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C)
2:14 You assessed the patient's IVs. The sites had no redness, swelling,
infiltration, bleeding, or drainage. The dressings were dry and intact. This is
correct. Assessing any IVs the patient has is always important.
2:14 You reviewed the MAR.
2:33 You asked the patient if she had any pain. She replied: 'No, I don't
have any pain.'
2:38 You asked the patient if she had any difficulty in breathing. She replied:
'No, my breathing's fine.'
2:42 You asked the patient if she had experienced any visual changes. She replied:
'Yes, the light hurts my eyes and I see color distortions.'
3:00 You attached the <Pulseoximeter>pulse oximeter.<> This was indicated
by order.
3:04 You looked for normal breathing. She is breathing at 13 breaths per minute. The
chest is moving equally.
3:06 Patient status - ECG: Sinus rhythm. Heart rate: 62. Pulse: Present. Blood pressure: 99/59
mm Hg. Respiration: 13. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C)
3:24 You measured the <Temperature>temperature<> in the ear. The
temperature was 99 F (37 C).
3:40 You checked the radial pulse. The pulse is strong, 65 per minute, and regular. It is
correct to assess the patient's vital signs.
4:03 You attached the automatic noninvasive blood pressure (NIBP) measurement
cuff. This will allow you to reassess the patient continuously.
4:06 Patient status - ECG: Sinus rhythm. Heart rate: 63. Pulse: Present. Blood pressure: 100/60
mm Hg. Respiration: 10. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C)
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