482 CASE SCENARIO. HIP DISLOCATION.

KINGDOM OF GOD HOSPITAL ,LOS ANGELES,CA 900000. INTERDISCIPLINARY KARDEX. Age/Sex 70years Female. Account #Q002275657. MR# :Q0004994938. Admitted date: 04/21/21@ 05am. Status: Inpatient admission. Location: Trauma Unit. Room :32110. Attending doctor : Tumtum,Worry. Patient name: Monkse Scott. Resuscitation status: Full Code. Allergy: NKDA. Weight:128lbs. Height: 4feet 11inches. Primary diagnosis: Left hip dislocation. Secondary diagnosis dm,htn,hypothyroidism, Chronic …

471 CASE SCENARIO. ETOH WITHDRAWAL /ABDOMINAL PAIN.

KINGDOM OF GOD HOSPITAL LOS ANGELES,CALIFORNIA 900000. INTERDISCIPLINARY KARDEX. Age/Sex 65years.Male. Account number :Q00369693. MR#: Q000991123. Admission Status :Inpatient admission. Admitted: 06/03/21. Location:Medical/Surgical . Room :36112. Resuscitation status: Full code. Primary Diagnosis: Etoh withdrawal; Abdominal pain. Laboratory tests: WBC: 4.9. H/H14.3/43.8%. K=3.6. NA=135. CIWA Protocol level :5. Ativan 2mg IV Q8hrs. NS @ 75ml/hr. Voiding …

470 CASE SCENARIO. SMALL BOWEL OBSTRUCTION.(SBO)

KINGDOM OF GOD HOSPITAL, LOS ANGELES,CA 900000. INTERDISCIPLINARY KARDEX. Age/Sex 59years Female. Account number Q00069696. MR# Q00444546678. Admitted: 01/10/21. Status: Inpatient admission. Location :MedTelemetry. Room 43117. Attending doctor: Tumtum,Worry. Patient: Gonben,Frankincense. Resuscitation status: Full code. Allergy: NKDA. Primary diagnosis: SBO. Secondary diagnosis: Anxiety/ Lupus/ DM,HTN,HYPOTHYROIDISM/ Irritable bowel syndrome. Isolation Status :Standard Precautions. Is patient at …

TOOLS FOR WOUND ASSESSMENT AND MEASUREMENT.( The way I understand it as an RN)

To measure your wounds you need measuring Tapes,Gloves, Cotton Swab,digital camera,and clock. Have all your supplies ready because you do not want to be going back and forth for supplies. Provide privacy. Wash your hands and wear your glove. Get the measuring tools ready.(Write patient initial ,date,time and your name and title). Patient initial and …

464 CASE SCENARIO. PANCREATIC CYSTS.

KINGDOM OF GOD HOSPITAL, LOS ANGELES,CA 900000. INTERDISCIPLINARY KARDEX. Age/Sex: 54years old female. Account # :Q0045632995. MR#: Q4559919996. Location : MedTelemetry. Room: 456016. Patient name: Sweetcandy,Lilian. Attending doctor: Tumtum,Worry. Code status:full code. Primary diagnosis:Pancreatic cysts. Secondary diagnosis dm,htn,hypothyroidism, distended abdomen,anxiety disorder. Isolation status: Standard precautions. Is patient at risk for falls :No. Do patient have …

455 CASE SCENARIO. SEPSIS/UTI/MRSA WOUND.

KINGDOM OF GOD HOSPITAL,LOS ANGELES,CA 900000. INTERDISCIPLINARY KADEX. Age/Sex 66years.Female. Account number : Q0096654444. MR# Q000099933771. Location 4th Floor. (MedTelemetry) Room 400129. Patient name: Miliky Worda. Attending doctor : Tumtum,Worry. Code Status: DNR. Primary diagnosis:Sepsis/UTI/MRSA Wound. Secondary diagnosis: diabetes mellitus, hypertension, stroke, glaucoma, Seizures. Is patient at risk for falls?:Yes. Do you have an advanced …

451 CASE SCENARIO. OVERNIGHT OBSERVATION.LEFT LOWER EXTREMITY SWELLING/PAIN,2+ EDEMA.

KINGDOM OF GOD HOSPITAL, LOS ANGELES,CALIFORNIA 900000. INTERDISCIPLINARY KADEX. Age/ Sex 49years old female. MR# Q200000330. Account # Q455500428. Status: Observation. Date: 03/28/21. Weight :150lbs. Height: 5ft 3inches. Allergy: Aspirin, Motrin, amoxicillin rash,Quinine headache. Name of Patient: Lovegod,Unknown. Attending doctor: Tumtum,Worry. Diet: Carb control diet. No belongings Checklist list.Will place one on the chart.Daughter took …

THINGS DONE IN 12HOURS AS A CHARGE NURSE.TYPICAL CHARGE NURSE DAY.(Just decided to document one 12hour shift as charge nurse)

0645 TO 0715 :As in coming charge nurse did rounds with outgoing night shift charge nurse. 0730 to 0830check crash carts.Secured unlocked crash cart after rapid response has just ended.Call pharmacy for replacement medications and crash cart key.Rushed down to Pharmacy pick up medications and keys.Relief nursing assistant to check vital signs. 0830 to 0855: …

444 CASE SCENARIO RIGHT FEMUR FRACTURE,FELL ON NEIGHBOR’S DRIVEWAY.

Age/Sex 77years.Female . Admitted 06/28/21. 0020am. Status :Inpatient admission. Trauma unit: Room : 550031. Weight : 106lbs .Height : 5ft tall. Attending doctor: Tumtum,Worry. Kingdom of God hospital Los Angeles,California 900000. Primary diagnosis: Right femur fracture.Patient was having a conversation with her neighbor when she slipped and fell in their driveway. Secondary diagnosis :Hypertension. Code …

440 CASE SCENARIO. ACUTE APPENDICITIS, MR BEATME,GOODNESS.

Age/Sex: 39years old man. MR#Q45000022. ACCOUNT # Q000000023. Inpatient Admission . Date of admission:.03/01/2002. Location: Medical-Surgical floor. Kingdom of God Hospital Los Angeles, CA 90000. Primary Diagnosis: Acute Appendicitis. S/P:Laparoscopic appendectomy( Doctor Nice,Pain.). 4 lap sites with Demaband. Secondary Diagnosis:Hypertension, ESRD.Hemodialysis, MWF. 02 @ 2liters NC. Code status: Full code. Isolation Status: Standard precautions . …