Section 1 Clinical question.
Your patient who was admitted withmelaenaand is currently only taking fluids has returned from the bathroom feeling dizzy and short of breath. What will your actions be?
Explain your answer in detail including your assessment, hypotheses and rationales for actions.500 words
Section 2 Prioritization
After morning handover of your 4 patients you have reviewed the charts and have entered the room to greet your patients. It is 0730 and breakfast is usually delivered at 0740. Before you can introduce yourself, the following demands on your time occur concurrently:
Patient 1 Mr South has his wife coming at 0800 to take him home. They have a long drive back to their home in the country. He needs his discharge paper work, medications and IVC removed.
Patient 2Mr Bolt is receiving a heparin infusion forthe diagnosis of a PE. He is due for an APTT blood test at 0800 hours. There are no phlebotomist’s available to take this blood
Patient 3Mrs Jones has an oxycodone PCAinsitu. Overnight her SpO2 dropped so the night staff applied 2L O2/min and left the SpO2 probeinsitu. The SpO2 machine is alarming.
Patient 4MrsRubenfeldisscheduled for a chestxrayat 8am and requires nurse escortas she has IVTinsitu
The ANUM ison the phone to pharmacy regarding Mr South’sdischarge medication for you.
In what order would you address these requests? Describe your rationale for each decision.
Section 3 Professional
You are collecting a patient from the theatre. Your patient tells you she has pain 6 out of 10. She has been given Morphine 2.5mg IV 20 minutes previously. The recovery RN asks you to sort out the pain relief on the ward as they are too busy and need the space. The drug chart has Panadol andPanadeinefor pain relief. You suggest that the patient should not leave recovery with uncontrolled pain and the recovery RN says “I’ve already handed over to you I can’t do anything about that now”. How will you manage this situation?
Describe in detail your response to thisscenario drawing upon your knowledge and research of professional regulations and requirements, professional behaviour, conflict resolution techniques, education and provision of feedback.