Exam (elaborations) NURS 267 Med-Surg Marvin Hayes Feedback Log & Scor

Exam (elaborations) NURS 267 Med-Surg Marvin Hayes Feedback Log & Scor You arrived at the patient's side. 0:00 You reviewed the patient information. 0:00 You reviewed the diagnostics. 0:00 You reviewed the MAR. 0:00 You reviewed the orders. This study source was downloaded by from CourseH on :50:25 GMT -05:00 This study resource was shared via CourseH 7/22/2020 Feedback Log & Score — Marvin Hayes Jun 27, 2020 09:32 AM 0:00 You reviewed the intake and output. 0:00 You reviewed the clinical observations. 0:05 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 0:10 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 128/84 mm Hg. Respiration: 19. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 1:10 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 131/84 mm Hg. Respiration: 19. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 1:17 You introduced yourself. This was reasonable. 1:33 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 1:42 You asked if the patient was <Allergy>allergic<> to anything. He replied: 'No, I am not allergic to anything.' 1:49 You asked the patient how he felt. He replied: 'I am embarrassed about the smell.' 2:10 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 134/86 mm Hg. Respiration: 19. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 2:12 You educated the patient about ostomy care. 2:50 You educated the patient about diet. This was reasonable. 3:10 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 130/85 mm Hg. Respiration: 19. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 3:33 You educated the patient about wound care. This was reasonable. 3:58 You educated the patient about use of incentive spirometer. This was indicated by order. 4:10 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 131/85 mm Hg. Respiration: 19. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 4:39 The patient used an incentive spirometer. This was indicated by order. 5:10 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 133/86 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 6:07 You listened to the lungs of the patient. The breath sounds are clear and equal bilaterally. 6:10 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 132/85 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 6:29 You listened to the heart of the patient. This is reasonable. There were regular heart sounds without murmurs. 6:56 You listened to the abdomen of the patient. Normal bowel sounds were heard.            This study source was downloaded by from CourseH on :50:25 GMT -05:00 This study resource was shared via CourseH 7/22/2020 Feedback Log & Score — Marvin Hayes Jun 27, 2020 09:32 AM 7:10 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 132/86 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 7:16 You attached the <Pulseoximeter>pulse oximeter.<> It is a good idea to monitor the saturation and pulse here. This will allow you to reassess the patient continuously. 7:26 You checked the <Temperature>temperature<> at the ear. The temperature was 99 F (37 C). 7:36 You looked for normal breathing. He is breathing at 18 breaths per minute. The chest is moving equally. 7:59 You checked the radial pulse. The pulse is strong, 95 per minute, and regular. It is correct to assess the patient's vital signs. 8:10 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 129/84 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 8:26 You measured the <Bloodpressure>blood pressure<> at 132/84 mm Hg. It is appropriate to monitor the patient by measuring the blood pressure. 8:44 You disconnected the <Pulseoximeter>pulse oximeter.<> 8:48 You put on gloves. 9:02 You assessed the patient's IV. The site had no redness, swelling, infiltration, bleeding, or drainage. The dressing was dry and intact. This is correct. Assessing any IVs the patient has is always important. 9:10 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 130/85 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 9:15 You removed the gloves. 9:21 You washed your hands. 10:10 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 133/86 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 10:22 You put on gloves. 10:36 You assessed the patient's perineal incision. This was reasonable. 11:10 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 134/86 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 11:44 You removed the gloves. 11:50 You washed your hands. 12:10 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 132/86 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 12:51 You put on gloves. 13:04 You assessed the patient's abdominal incision. This was reasonable.        This study source was downloaded by from CourseH on :50:25 GMT -05:00 This study resource was shared via CourseH 7/22/2020 Feedback Log & Score — Marvin Hayes Jun 27, 2020 09:32 AM 13:10 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 131/85 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 13:15 You removed the gloves. 13:21 You washed your hands. 14:10 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 132/85 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 14:22 You put on gloves. 14:36 You assessed the patient's ostomy. This was reasonable. 14:58 You changed the ostomy pouch. This was reasonable. 15:10 Patient status - ECG: Sinus rhythm. Heart rate: 94. Pulse: Present. Blood pressure: 132/86 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 15:24 You removed the gloves. 15:30 You reviewed