I worked in - 3 thing for learing plan, this question - 3 thing for learing plan.Section...

Question

I worked in - 3 thing for learing plan, this question - 3 thing for learing plan.
Section 4:

Objectives:

· To undertake assessments in an organised and cohesive manner;

· To undertake assessments and critically think and relate knowledge to practice about these results relevant to the current patient status;

· To perform assessments irrespective of considerations of patient sleeping and to therefore recognise the significance of assessments (Poornima had omitted performing a requested

BGL because the patient was asleep and she did not want to disturb the patient who had a history of T2DM. Subsequent BGL indicated that the patient was hypoglycaemic).

Plan:

· Poornima will consider all baseline assessments as relevant when admitting a patient to the unit, and report any abnormal results immediately to her CM;

· Poornima will complete 3 episodes of assessment and document these on provided chart. The episodes should reflect an abnormal result and how these were escalated and managed based on Poornima’s assessment skills, critical thing and knowledge to practice.

· Poornima will then prepare a plan of care for the duration of the patient’s stay in the unit. This plan is to reflect an integration of knowledge to practice and further instructions from other HCWs. Assessments and cares will reflect this integration and critical thinking. Poornima is to prepare this plan and discuss it with her CM. It should reflect her knowledge as a 3rd year student.

· Poornima will integrate other information to support patient cares such as pathology results, ECG results etc.

Anju Lata · Accepted Answer

PLAN OF ACTION
	Date and Time
	Assessment performed
	Critical thinking and knowledge to practice outcome
	Action taken
	Rationale
	25/4/19
	Pt pain assessment performed. 
Pt verbally stated pain 10/10 and the pain is in pelvic area and it is radiating to the lower back. It is a continuous burning pain.
	The patient’s pain notified to RN and doctors. Asked to chart some pain relief.  
Patient repositioned.
 
	· Pt repositioned 
· IV fentanylen 50mg administered as pre charted, awaiting effect.
· After 30min pt verbalize the pain 8/10 and given another 50 mg of fentanylen as pre-charted. 
· After 30min pain pt verbalize the pain 6/10 and asked more pain relief. given another 50 mg of fentanylen as pre-charted. 
Pt verbalized pain 2/10 and comfortable.
	Offered repositioned 
to reduce pain and Monitor the pain consistently
 to keep pain under control
	
25/4/19
	
Pt Hypotension (BP 88/55)
Pt diagnosed with sepsis.
	It is necessary to maintain mean arterial pressure in such patients greater than 66 mmHg.
Asked RN to chart antibiotics, Intravenous fluids and vasopressors.
Ensured that resuscitation is done under the guidance of RN and doctors.
	Pt. provided fluids through oral and  IV route.
Pt. was administered certain medications like Fludrocortisone and midodrine with IV to elevate the BP.

I worked in - 3 thing for learing plan, this question - 3 thing for learing plan. Section 4: Objectives: · To undertake assessments in an organised and cohesive manner; · To undertake assessments and...

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