GOING TO THE DOCTOR Prof. Teresita Rojas González.
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Transcript of GOING TO THE DOCTOR Prof. Teresita Rojas González.
Provide the missing information Provide the missing information according to the videoaccording to the video
Physical examination: Physical examination:
Respiratory rate: Respiratory rate: Heart rate:Heart rate:Rest of physical examination:Rest of physical examination:
Symptoms of neonatal infection: Symptoms of neonatal infection: poor vitality tachycardiapoor vitality tachycardia tachypneatachypnea cyanosiscyanosis palenesspaleness jaundicejaundice respiratory distressrespiratory distress
normalnormal136 beats per minute
normal
Close up: Some nurses´ actionsClose up: Some nurses´ actions
Instructions:Instructions:
Lie down to take your pulse and Lie down to take your pulse and blood pressure, pleaseblood pressure, please
Relax, pleaseRelax, please
Would you turn on your left side, Would you turn on your left side, please?please?
Close your eyes, breathe in and out Close your eyes, breathe in and out slowly, pleaseslowly, please
Psychological support:Psychological support:
Don´t worry. You´re much better than Don´t worry. You´re much better than two weeks ago two weeks ago
You´re getting better and betterYou´re getting better and better
You´ll be back to normal in no timeYou´ll be back to normal in no time
In a little while you will be OKIn a little while you will be OK
Be sure to ask for help if you needBe sure to ask for help if you need
Nursing actions:Nursing actions:
Make the bedMake the bed
Give pillsGive pills
Shake the thermometerShake the thermometer
Take the vital signsTake the vital signs
Give injectionsGive injections
Write observations on chartsWrite observations on charts
Administer medicationsAdminister medications
Write whether these statements are Write whether these statements are instructions (I) or actions (A) instructions (I) or actions (A)
__ Help the patient to bathHelp the patient to bath__ Give shots__ Give shots__ Please, open and close your hand__ Please, open and close your hand__ Take your clothes off, please?__ Take your clothes off, please?__ Make the bed__ Make the bed__ Take the vital signs__ Take the vital signs__ Would you hold your breath, please?__ Would you hold your breath, please?
Write whether these statements are Write whether these statements are instructions (I) or actions (A) instructions (I) or actions (A)
__ Help the patient to bathHelp the patient to bath__ Give shots__ Give shots__ Please ,open and close your hand__ Please ,open and close your hand__ Take your clothes off, please?__ Take your clothes off, please?__ Make the bed__ Make the bed__ Take the vital signs__ Take the vital signs__ Would you hold your breath, please?__ Would you hold your breath, please?
AA
AA
AA
AA
II
II
II
Which are the “five rights” a nurse Which are the “five rights” a nurse must check?must check?
___ The right patient___ The right patient ___ The right doctor___ The right doctor ___ The right drug___ The right drug ___ The right bed___ The right bed ___ The right time___ The right time ___ The right family___ The right family ___ The right dose___ The right dose ___ The right route___ The right route
XX
XX
XX
XX
XX
Fill in the blanks with words in the box below
inform – dose – procedure – route – inform – dose – procedure – route – side effects – write downside effects – write down
1.1. A medication´s ________ is based on weight A medication´s ________ is based on weight and sizeand size
2. The ______ is the way to introduce a drug 2. The ______ is the way to introduce a drug into the bodyinto the body
3. The nurse should ________allergies and 3. The nurse should ________allergies and possible__________possible__________
4. A nurse should ___________ a drug´s 4. A nurse should ___________ a drug´s administration after it is performedadministration after it is performed
Fill in the blanks with words in the box below
know – dose – procedure – route – know – dose – procedure – route – side effects – write downside effects – write down
1.1. A medication ________ is based on weight and A medication ________ is based on weight and sizesize
2. The _______ is the way to introduce a drug 2. The _______ is the way to introduce a drug into the bodyinto the body
3. The nurse should _________ about allergies 3. The nurse should _________ about allergies and possible_____________and possible_____________
4. A nurse should ___________ a drug 4. A nurse should ___________ a drug administration after it is performedadministration after it is performed
dosedose
routeroute
knowknowside effectsside effects
write down write down
Utensils in the dressing trolley Utensils in the dressing trolley
TowelTowel
Kidney dishKidney dish
Sterile dressingsSterile dressings
Sterile instruments (eg. scissors and forceps)Sterile instruments (eg. scissors and forceps)
Bandage trayBandage tray
Bottles containing antiseptic solutionsBottles containing antiseptic solutions
A container for used instruments A container for used instruments
A paper container for contaminated dressingsA paper container for contaminated dressings
Select some of the utensils nurses need Select some of the utensils nurses need when working in a gynecological wardwhen working in a gynecological ward
__ towel__ towel__ latex gloves__ latex gloves__ antiseptics__ antiseptics__ cotton wool__ cotton wool__ paper towel__ paper towel__ speculum __ speculum
Select some of the devices or utensils Select some of the devices or utensils nurses need in the trolley when working nurses need in the trolley when working in a gynecological wardin a gynecological ward
__ adhessive plaster__ adhessive plaster__ latex gloves__ latex gloves__ scissors__ scissors__ cotton wool__ cotton wool__ stethoscope__ stethoscope__ speculum __ speculum __ antiseptics__ antiseptics
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A hospital admission formA hospital admission form
Date of admission _______________________ Date of admission _______________________
Name __________________________________Name __________________________________
Date of birth ______ Marital status __________Date of birth ______ Marital status __________
Age _____ Sex ___Occupation _____________Age _____ Sex ___Occupation _____________
Address ________________________________Address ________________________________
Next of kin _______ Relationship __________ Next of kin _______ Relationship __________ Medical diagnosis ________________________Medical diagnosis ________________________
Past medical history ______________________Past medical history ______________________
Family history ___________________________Family history ___________________________
Allergies ________________________________Allergies ________________________________
Be ready to find the following information while you watch the video
PAST MEDICAL HISTORY: PAST MEDICAL HISTORY:
GENERAL STATUS: GENERAL STATUS:
TREATMENT: TREATMENT:
Be ready to find the following information while you watch the video
PAST MEDICAL HISTORY: PAST MEDICAL HISTORY: Type I diabetesType I diabetes
GENERAL STATUS: GENERAL STATUS: Generally stableGenerally stable
TREATMENT: TREATMENT: Medication for the painMedication for the pain
Study the following notes and be ready to Study the following notes and be ready to prepare a handover reportprepare a handover report
Name: Diane Hill Name: Diane Hill
Age: 73 Age: 73
Room: 12 Room: 12 Doctor: BrownDoctor: Brown
History of HBP and arrhythmiasHistory of HBP and arrhythmias
Complains of cold sweats and difficulty to breatheComplains of cold sweats and difficulty to breathe
Takes Enalapril 1 tablet every 12 hoursTakes Enalapril 1 tablet every 12 hours
Tests: UrinalysisTests: Urinalysis
New Orders: ECG, Urinalysis for tomorrowNew Orders: ECG, Urinalysis for tomorrow
Handover reportHandover report
This is a 73 year old patient who suffers This is a 73 year old patient who suffers from arrhythmias and high blood from arrhythmias and high blood pressure. She came to the Emergency pressure. She came to the Emergency Room with cold sweats and difficulty Room with cold sweats and difficulty to breathe. Her BP was 180/110, she to breathe. Her BP was 180/110, she was medicated with diuretics and was medicated with diuretics and Captopril. She experienced relief within Captopril. She experienced relief within half an hour. She is scheduled for half an hour. She is scheduled for urinalisys and ECG.urinalisys and ECG.
Some useful hints to conduct a ward Some useful hints to conduct a ward round or a handover reportround or a handover report
Do not refer to genre when watching a patient Do not refer to genre when watching a patient e.g. The patient is better nowe.g. The patient is better now
Use the –ing form after preposition Use the –ing form after preposition e.g. After checking his BP again a medication e.g. After checking his BP again a medication was prescribed was prescribed
When giving indications:When giving indications: e.g: As you can see, the patient needs to rest. e.g: As you can see, the patient needs to rest.
Use expressions like: On admission, On Use expressions like: On admission, On physical exam, After the clinical assessment physical exam, After the clinical assessment e.g. On admission, the patient was e.g. On admission, the patient was
nauseatednauseated
Use tags for questionsUse tags for questions e.g. The operation was successful, wasn´t it?e.g. The operation was successful, wasn´t it?
For cultural reasons, use abbreviations For cultural reasons, use abbreviations e.g. I want to know about her BPe.g. I want to know about her BP
Be ready to prepare a handover report Be ready to prepare a handover report based on the following notesbased on the following notes
50 years old - school teacher- room 1- CC: chest pain - sweatings , shortness of breath, paleness - history of HBP and obesity - previous irregular treatment - vital signs: T: normal, P: 98/min - scheduled for glysemia, ECG tomorrow