CASE SCENARIO. RIGHT BUTTOCKS CELLULITIS.

A 50years old man arrived to emergency room with right buttocks cellulitis..+ MRSA,Acinobacter.Bedrest with bathroom privilege. Ambulate to the bathroom with minimal assistant. Alert and oriented Ă— 3.Dressing change Qday.Right buttocks Cellulitis .Weighs 165lbs,Height 5ft 6inches.No risk for fall. No risk for suicide. Cardiac diet. Tolerating diet well.Wet to dry dressing to the right buttocks …

CASE SCENARIO.CVA WITH RIGHT SIDED WEAKNESSES.GOALS DURING HOSPITALIZATION.

A 65years old female comes in to Emergency room with CVA with deficit, alert and oriented x 2.Urinary track infection, cellulitis around the G Tube.Transaminis. Weight 160lbs,Height 5feet 6inches.High risk for fall. Side rail up x2,patient close to nursing station. Contact Isolation.Full code, no suicidal risk .02 at 2liter nasal canula. Skin integrity impaired. Transportation …

CASE SCENARIO. LOWER GI BLEEDING/ ESRD/ HYPERTENSION.

A 48years old man came to emergency room with lower GI bleed,history of end stage renal disease on hemodialysis (Monday , Wednesday and Friday), hypertension. Peg tube in place.Peg tube site cleaned .Ashcath left femoral for hemodialysis.Dressing intact and clean, changed by hemodialysis nurse.Right External jugular clean ,dry and intact. Vital signs Q4hours, Glucerna 1.5 …

CASE SCENARIO. RIGHT HIP DISLOCATION. RIGHT HIP REPLACEMENT DONE 2021.

A 68years old female is brought in by family member s/p right hip replacement in June of 2021.History of hypertension, chf. Full code,standard precautions. High risk for fall,yellow gown,yellow armband,fall yellow sticker at the door,bedside commode , patient placed close to the nursing station.No advance Directive.Copy of advance Directive in front of the chart.02 at …

NORMAL DISCHARGE, THE WAY IT SHOULD BE.

Discharge plans starts upon admission. If you visit somewhere when you’re done with visiting. What do you do?. You go back home to where you came from. Hospital Discharge: The difference is that you are sick and under the care of medical doctor who is monitoring you,making recommendations and consultations,and decides when it is appropriate …

WHAT I LIKE ABOUT MY NURSE.

Appearance: I like your clean Appearance and your quick 5minutes head to toe assessment. Behavior: Your behavior is worth emulating. Caring: You are Caring, compassionate, and communicate effectively and efficiently. Consent : you made me read the Informed Consent before signing it. Devotion: You are highly devoted to your job. Empathy: You’re above and beyond, …

QUESTIONS AND ANSWERS. CASE SCENARIO:ASSAULT /LEFT 3RD PROXIMAL INTERMEDIATE PHALANGES DISLOCATION.

25years old female is brought in to Emergency room by Premieres home đźš‘ambulance due to Assault left 3rd PIP open dislocation/Etoh.Fracture of third middle finger. She is highly intoxicated, uncooperative, multiple bruises and abrasion to her face,arm,hand,legs,and all over her body.Multiple contusion on her head. She was Assaulted by multiple other females.The fight was over …

CASE SCENARIO. ASAULT HIT ON THE HEAD BY ANOTHER DRUNKARD.

A 35years old man is brought in to Emergency room.Diagnosis :Assaulted hit on the head. (Found down)Right Temporal lobe Contusion.Left Frontal Hematoma. Patient gets upset easily and start to yell. Full code.weight 185lbs, Height 5feet 8inches.Alert and oriented x2.Cannot remember much.Allergy: NKDA. Saline lock right forearm 18guage Clean/Patent/Intact. Diet : Regular diet. Social worker/ Case …

552 CASE SCENARIO. ALTERED MENTAL STATUS RIGHT SIDED WEAKNESS.

Please follow up with doctor orders,facility policy and procedures. A 45years old male with AMS,right sided weakness. Diagnosis Auto vs Peds. Possible suicide attempt. Alert and oriented to place, and self.( Alert and oriented x2)No signs of delusion. Talking about imaginery wife with two handsome boys .Eloped from Skilled Nursing Facility. Left Subdural hematoma, left …

ARE YOU NON-JUDGMENTAL?.CAN YOU BE NON-JUDGMENTAL?.

It is difficult to accept others as acceptance is like a taboo for some people because they want to be superior, omnipresent, supreme, the greatest so they look for every flimsy excuse to be judgemental. This is common in every society around the world,and sometimes with deadly consequences. Prejudices are very strong and judging others …