Chidima returns back to Maryland,USA. She calls her job to make sure that she is on the schedule. She is on the schedule to resume on Sunday at 7pm to 7:30am which is great because she has few days to rest before work. She calls her parents to tell them that she arrived safely. She calls Mike to let him know that she got back to Maryland safely. Mike is excited to speak with Chidima. Mike started calling Chidima often and encouraging her to move to Lagos.He told Chidima that she can go on vacation in USA but not to reside there. Chidima let me ask you, apart from your good roads what is good about America?.Chidima try to explain but Mike told her that he rather live in Nigeria than USA .

Chidima came to the conclusion that Mike is contented in Nigeria and doing well. But Chidima does not see herself living in Nigeria, not now atleast. Chidima told Jacob everything about her trip including meeting with Mike and everyone else that she saw while in Nigeria.

She continues her life in USA.She like it here.

On Sunday Chidima woke up as usual at 05am.She did her morning exercise, took her shower,eat her breakfast at about 07am. She went to the grocery store for shopping to stock up before she resume work. She is working tonight, so she went to bed again,and will be up to get ready for work by 1730pm.

Chidima resume work at 1900,not everyone is happy to see her but her friends- Michelle Bibleson,Katelin Orlando were very excited to see her.She is assigned four patients like every other nurse on MedTelemetry unit.

One of her patients is as follows.

Name: Sunshine Lolipop.

Age/ Sex : 35years years old female.

Account number : Q00563432002.

MR # : Q000588670433.

Admission date : 06/17/2020.

Status: Inpatient Admission.

Attending doctor :Tommy Godmade.

Location: MedTelemetry.

Room # : 40024.

Resuscitation Status: Full code.

Primary diagnosis: Sepsis/ PID.( Pelvic InflammatoryDisease)Severe Abdominal pain. Secondary diagnosis: Fever ×3days.

Is patient at risk for fall: No.

Do patient have advance Directive: No.

Copy of advance Directive on the chart.

Diet Regular diet.

Allergy : NKDA

Suicidal risk: No

Transportation method:Bed.

Bed in low position and locked, two bedside rails up,table within reach,phone and personal belongings within reach,pain under control.

02 saturation on RA 97%.

Skin intergrity impaired: No.

Generalized weakness.

PT/OT evaluation and treatment.

Laboratory results:

WBC: 18.8.

H/ H: 13.0/41.0.

K= 3.8.

Na= 140.

Doctor orders:

Monitor patient for signs and Symptoms of fever,seizures.Call the doctor if temperature is >101.4.

Flagy 500mg IV Q8hours.

0.9NS @ 125ml/hour left forearm 20guage clean/Patent/ Intact.

Cefoxitin 1gm IV Q12hours.

Vibramycin 100mg po Q8hours.

Norco 10/325mg po Q4hours prn pain.

Tylenol 650mg po Q4hours temperature prn.

Morphine sulfate 2mg IV Q3hours prn severe pain. Motrin 400mg po Q6hours prn fever/pain.

Colace 200mg po Bid.

Zofran 4mg IV Q4hours prn nausea/Vomiting.

Laboratory tests CBC with differential, Comprehensive Metabolic panel, LFT, and Coag in am.

Chidima went to see four of her patients and introduced herself to them before getting report from the out going nurse.

She wrote her name on the board.

Chidima Johnson, RN,today’s date,Charge nurse name.Resource nurse name. Treatment plans for the 12hours.And she talks about ADIET and the importance of hourly rounds.

Discharge plan: Discharge patient home when medically stable and no fever for 24hours.

Published by edochie99

A Registered Nurse with over twenty years of hospital experience, an author with Masters Degree in Nursing,also Bachelor Degree in Nursing,graduated in 1996 from USC,University of Southern California.MSN in 2009 University of Phoenix.

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