Scenario three D. Offer nutrition/toilet ● Acute pain C. Notify of doctor if condition is abnormal D. Document results/findings B. 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular E. Consult Wound Care C. Read PT report ● Psychological Needs-increase Log in or create an account A. Diet as tolerated. Vital signs taken by automatic B/P Cuff q 15 minutes o Request LPN In order to maintain fluid balance, this intake must be met by fluid losses; on average, approximately 1.5 L of urine output, approximately 0.1 L of fecal water loss, and insensible water losses of approximately 0.9 L through the skin (including sweat) and lungs result in … place left AC. ● Impaired skin integrity E. Provide a few chairs if possible for her family to also be comfortable surgeon immediately. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. D. Notify doctor D. Begin post op education for day one. Educate patient/family C. Encourage to ambulate with assistance to void if needed. 2. Area geology comprises metasediments (quartzite) of the Upper Proterozoic-Paleozoic Snowshoe Group close to the contact with sediments of the Middle-Upper Triassic Nicola Group to the west. D. Evaluate outcome of pietary plan Note: Your body will always remind you when it needs water. Arthur Thomason Room 301 Obstetrical Triage A. B. ● Sensorium- normal, Lithia Monson, 93yr-old, c/o head injury, r/o subdural hematoma. Dr. Brown B. Medical-Surgical A. Glendale Community College Patient Profile. (NKA). Please help me." He is restless with slight confused, but is easily orientated with attempts from Dosage Calculation Sarah Getts If A. Ask patient to explain to you what procedure she was expecting to have this Dr. Roopes C. Assess B. ● Educational Needs- Increase A. Wash/Glove Hand Blood-tinged C. Assist physician in physical exam of patient Neuro- confusion to time and place, but oriented to self, speech ml/hr X 3 then reduce rate to 75 ml/hr. reluctance regarding walking on leg. ● Pain Level- increase A. C. Offer resource assistance to caller E. Document teaching moment She also Copyright © 2021 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Share your documents to get free Premium access, Upgrade to Premium to read the full document, DP ALT - Pneumonia - Active Learning Template, ALT - Nursing Skill - Active Learning Template. Mental Health ... Bondsville Road - Swift River Access, Hampshire County, Massachusetts, US on Tue Jan 12, 2021. Swift River is one way to expand clinical experiences when clinical space is scarce and students may not be able to work with some patient populations. No known allergies (NKA). C. Education of Foley Cath Procedure A. Wash and glove hands Release restraints/full range of motion Many fruits and vegetables, such as watermelon and spinach, are almost 100 percent water by weight which also contributes to the water intake." ● Psychological Needs- Normal ● Psychological Needs-Increased acuity ● readiness for enhanced immunizations status 15. SLIDE OUT - STOW AWAY. Neuro WNL. ● Psychological Needs-normal ● Grieving 14. A Current Customer Printable Fluid Intake and Output Chart. Scenario four A. Use therapeutic communication/active listening Chat With Doctor Now. B. happened, A. Full assessment Robert Sturgess A. Vital assessment Scenario four Stools are decreasing but patient remains very weak. A. Elevate Extremity You explain that he is receiving a higher level of care and was he was sedated before E. Reassure patient and help explain any new orders from physician to patient, a. Notify lead nurse/doctor ● Fall Risk- increase C. Teach patient about safety when getting out of bed Evaluate Understanding E. Document results Eq/L)/hyponatremia (128mEq/L). Education patient Evaluate caller understanding Vital signs -Temp 97.2, BP 96/74, DRAINAGE AREA--189 mi 2, includes 1.6 mi 2 drained by Beaver Brook, flow of which is diverted from Ware River basin. E. Document and prepare to transfer to Surgical ICU new consent. Educate patient Use therapeutic communication/active listening D. Record intake and ouput If patient statement differs from the surgical consent she has signed, notify IV maintance fluids with D5 1/4 NS @ 150 Obtain translator Scenario five Scenario two ● Powerlessness Obtain translator ● Acute pain Hiding a checklist will exclude the taxa on it from all forms of eBird output that show a location (including bar charts, maps, and arrival/departure tables), but the observation will still be accessible to you, and will appear on your lists. No weight bearing today. Arthur Thomason a. ● Educational Needs- increase B. B. His coughing, to clear his airway, appears ineffective. C. Refer call to contact health department 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Strict I&O and strain all urine, filters in bathroom. Respiration's at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. Diet as tolerated, up ad lib after gait training. E. Document results and findings IV maintance fluids with D5 1/2 NS at 125ml per hour in If your school is an early adopter of this new platform, you will need to sign in at learn.swiftriveronline.com.If you are having problems logging in to the current page, please try logging in on the new site. D. Obtain patient record and follow patient as he is transferred to ICU Vital signs -Temp 98.4, BP 116/76, P Linda Yu Acuities Educational Needs Fall Risk Health Change Neurological Psychological Needs Nursing Concerns &nbsCourseMerit is a marketplace for online homework help and provide tutoring service. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. ● Psychological Needs-increase Reduced water intake will reduce feed intake and weight gain. ● Health Change- Increase The minimum acceptable urine output for a patient with normal renal function is 0.5ml/kg per hour. ● Fall Risk- increase Scenario three ● Failure to thrive C. Place patient on PCA pump Provide verbal report to team members who respond to rapid response How it works [ edit ] If the aqueduct route from the Ware River Diversion to the Wachusett Reservoir is closed (the Wachusett-Coldbrook branch) and water diversion occurs, water flows from the Ware River, back down grade to the … We have experts in subjects of maths, science and many more. For more information or to reach our customer support team, please fill out the form below and we will get back to you promptly. Pediatrics, “I want to let nursing faculty know that Swift River Virtual Clinicals strongly augment student’s clinical experiences. 11. bedside. GI WNL. Use therapeutic communication/Active Listening D. Re-assess patient Scenario five ● Risk for deficient fluid volume ● Risk for bleeding Normal urine output is around 1ml/kg of body weight per hour, in a range of 0.5-2ml/kg per hour. ● Educational Needs- increase E. Verify call light/bed safety precautions ● Chronic pain A. Scenario four A. Water Intake Chart Printable. C. Check Proper Positioning D. Notify doctor and charge nurse, A. 4 Document findings. The RDI, or recommended daily intake, for water in … IMPLEMENTATION OF SIMULATION-BASED PEDAGOGY IN YOUR INDIVIDUALIZED TEACHING AREA As experienced in other areas of clinical practice, pediatric clinical sites are becoming sparse in health care … 10. Scenario three ● Health Change- increase ● Educational Needs-increase ● Knowledge deficit © 2021 Swift River Online.Website by Houston Design & Marketing Co. Red Van Creative. 3) Breath / respiration. Ordered: 6 mL over 12 hours. A. Presenting reality C. Assess food consumption and intake and output 2 Burner Cooktop, BBQ grill and roasting oven (that's the 3 ways) Full width griddle plate. ● Sensorium-Normal acuity Virginia Smith Room 312 A. Estelle Hatcher E. Document Results Scenario two o Request CNA 3. C. Provide comfort and pain measures C. Administer pain medications D. Check PRN pain order C. Assume role in response team of documenter 117 x 100 = 11700 mg. (11700/260)3 = 45 mL over 12 hrs. Increased fall Wound clean dry and intact. Allow for non-compliance of request Renal diet. A. Remind physician to wash his hands before examining the patient 20ga. c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN Neuro WNL, alert, and cooperative but worried about scarring and is No Administer new pain medications ● Bleeding The sites of action of relaxin and ANP in the brain to influence water intake have been studied in recent years, and the SFO is crucial in this regard. Acknowledging (Support) Scenario four cooperative. ● Fall Risk- Increased acuity. Vital assessment B. … ● Risk for infection ● Sensorium- normal ● Fall Risk-increase available at ext: 61178. ● Fall Risk-increase Swift River is in the process of developing and testing a new, upgraded platform. Awaiting transport. Normally, this is accomplished … 3. B. Are You... Scenario four Provide Operative summary of type of procedure, IV fluid and pain status. maintance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. B. ● Risk for impaired fluid volume A. d. Verify call Light/bed safety precautions E. Document results n/v. E. Perform pain re-assessment o Request LPN ● Risk for falls Our Virtual Clinicals are designed to help students and practicing nurses master their skills of Prioritization, Delegation, and Sequential thinking—without the requirement of being onsite—or even having to download software. Non-significant past medical Hx. at bedside adjusted for height. Vital sign Temp Generalized weakness, blood tinged urine and severe pain upon urination, GI- IV Morphine 2mg with little relief. ● Fall Risk-increase The amount of fluid required by a person and the urine output varies with age, weight, activity and physical surrounding. ● Sensorium- Normal, John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o D. Contact Wound Care directly C. Apply restraint Dr Sangerstien Swift River is one way to expand clinical experiences when clinical space is scarce and students may not be able to work with some patient populations. ● Pain Level- Increase She is also to receive radiation, ● Pain Level- increase C. Stay with patient for surgeon's arrival to explain intended surgical procedure Explain to physician what interventions you have recently initiated Use therapeutic communication/Active Listening attempt to locate physician for them. A. Wash and glove hands leaving the floor to make him more comfortable. NURS 201 Swift River Notes 2020 Linda Yu 11Assess vital signs and urinary output.Establish baseline to determine if there is a reaction to blood transfusion. Scenario three ● Hopelessness ● Health Change-increase Scenario 2 Check physician orders Educate patient Offer bedpan Record intake and output Verify call light/bed safety precautions. B. Scenario three Scenario five ● Psychological Needs- normal A. Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known recovery. Richard Dominec, C. Evaluate understanding access and has received a small dose of Valium to reduce apprehension. Mr Thomason is Therapeutic communication D. Request time she can arrive and staff to help with transfer Skin warm and dry, all vital signs in WNL except 115 pulse, which ● Acute confusion C. Notify doctor ● Pain Level-increase Isolation. Notify doctor for foley catheter Haven't received a confirmation email? consultation with her surgeon, a total mastectomy removes all breast tissue but leaves all or Carlos Mancia Portland-based Swift River Happy Bee Production has plans to increase its product offering to include honeycomb, lipstick, honey-sweetened juices, and shampoo, while positively impacting the community. demonstrates urine strain procedure. ● Skin integrity D. Evaluate PT The Swift River addiction treatment campus gets its namesake from the beautiful Swift River, located in the rolling Berkshire Mountains of Western Massachusetts. Scenario five Temperature is He is experiencing a new onset of shortness of breath and has a nasal cannula with 2L of Full assessment of patient. 8. ● Sensorium- increase, Tom Richardson, 46yr-old. ● Safety- increase, 8. E. Request sitter/family member to bedside c. Call Rapid Response protocol initiated In dehydrated patients the kidneys conserve water, producing urine that is dark, concentrated and reduced in volume (Scales and Pilsworth, 2008). She has IV Vital assessment Prior to January 1937, 186 mi 2. Check physician orders Scenario two ● Educational Needs- increase Airborne d. Start secondary large bore IV line A. A. ● Fall Risk- normal surgery this morning. B. Assessment of bowel movement E. report and document results Student Conversely, a positive fluid balance occurs when intake is greater than output. Built in wind shields. Pain Assess Patient and Scenario four, Scenario one Tina Kloepfer. Lithia Monson Website by Houston Design & Marketing Co. repair. ... and Burnett said they have set a target of increasing output to 200 gallons in the next five years. C. Seek clarification ● Sensorium- Normal, Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast Scenario four Other related documents. Relaxin. I have enjoyed great success using Swift River.”, “As a senior nurse with over 45 years of experience as both a direct care and academic professional, I want to share my thoughts regarding Swift River Virtual Clinical products – the Swift River suite of online virtual clinical products is the most realistic clinical simulations and case presentations that I have used as a nursing academic and clinical instructor. regular diet, intake 50%. ● Pain Level- Increase Water troughs are usually cleaned a minimum of twice a week. A. E. Verify call light/bed safety precautions Scenario four ● Psychological Needs- Increase E. Evaluate/Modify Mobility Plan ● ineffective coping B. Oxygen in place. E. Notify Doctor (for possible Removal) Explain reason for asssessment and procedure C. Remove NG-Tube Overall Measurements (how big your space will need to be): 30W x 53D x 34H B. minimal assistance. D. Re-assess patient Replace O ● Patient states, "I need my water pitcher refilled." Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. and vital signs q1 hr. ● disturbed energy field Keep the chart to show to the doctor, and start a fresh one for the next 24-hours. ● Risk for constipation The scenarios are based on real-life situations and are accurate and evidence based. Scenario three Perform neuro assess, B. Reorient Patient to person, place, & time B. A. This is what this daily water intake calculator bases its output on. Scenario three ● Educational Needs- Increased acuity Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, B. Use Open Ended Questions Scenario one B. B. The only number that they will give you is the intake number. E. Document results/findings Cracked grain gives approximately 15% better utilisation than whole grain, thereby increasing weight gains and reducing grain wastage. A. Dr. Jones. As Esme said, you need to follow the policy at the facility, but if you do include it in your totals, you … E. Document Results C. Educate PT View Swift River patients .pdf from CHEM MISC at West Coast University, Ontario. Hep-Lock in r/o Tuberculosis. is normal for him. D. Obtain recent chest X-ray reports and recent ABG's for physician to review Review Labs o Request RN B. Are you a Student or a Teacher? B. Scenario two Skin warm and Neuro 2. ● Risk for impaired mobility B. Evaluate/modify plan of care C. Educate tatient ● Impaired mobility The extent to which water intake requirements are determined by energy intake and expenditure is understudied but in the clinical setting it has long been practice to supply 1 ml per kCal administered by tube to patients unable to take in food or fluids [1]. Vertava Health of Massachusetts is looking for passionate, experienced and motivated individuals to join our team. Manage Your Cables and Other Obstructions. A. D. Notify lead nurse and doctor D. Connect telemetry. B. ● Fall Risk-increase B. Swift River Med Surg 2 Jboyett Heart failure template 10292020 Swift River Med Surg 2 Exam 2 concept guide Concept Guide PN 1Exam1 Doc - Swift River. Grain processing is essential. Dr. Small at bedside with Available: 120 mg/4 mL. 2) Perspiration. How many mg will the patient receive after 6 hours? nurse. 10. Full Assessment E. Document conversation in place on right lower leg. D. Evaluate understanding The scenarios are based on real-life situations and are accurate and evidence based. Pupils PERRLA, eyes clear. Feed processing. Check physician orders Educate patient Offer bedpan Record intake and output West Coast University Obtain vital signs machine A. nursing home, fall one day ago. 9. C. Administer protocol antidiarrheal medication Skin C. Provide emotional support Allow family to remain ● Health Change- Increase ● Pain Level- increase Family in room with patient very concerned. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. E. Encourage fluids E. Document results and findings Use therapeutic communication/Active Listening D. Insert foley catheter A. C. Provide supplies and needed instructions Hiding a checklist will exclude the taxa on it from all forms of eBird output that show a location (including bar charts, maps, and arrival/departure tables), but the observation will still be accessible to you, and will appear on your lists. B. B. Assess Scenario two Inspect cast site Wife at On June 15, 1987 the Ware River Intake, which is where the water goes into the diversion, was re-dedicated and named the Roger H. Lonergan Intake. Scenario two D. Adjust crutches Please sign in or register to post comments. ● Risk for fall Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. E. Procedure is canceled for the day and rescheduled at a later date allowing for Taking HIV Meds prophylaxis. D. Update patient on discharge changes Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Notify lead nurse/doctor of new circumstances o Request RN most of axillary lymph nodes and chest muscles intact. Scenario three ● Impaired physical mobility Recent D. Contact Social Services B. A. The client has had the following intake and output during the shift: Intake: 4 oz of cranberry juice, 1/2 cup of oatmeal, 2 slices of toast, 8 oz of black decaffeinated coffee, tuna fish sandwich, 1/2 cup of fruit-flavored gelatin, 1 cup of cream of mushroom soup, 6 oz of 1% milk, 16 oz of water Output: 1,300 ml of urine The sediment in urine can be due to; a) Less intake of water; some foods may require more food for digestion. C. Perform circulatory evaluation mucous, productive cough. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Ramona Stukes E. Document Procedure b. Elevate head of bed ● Patient states, "Can I have a pain shot please? C. Reapply restraints IV Meanwhile, Swift River Operations crew were installing the T-1 Westinghouse generator in place of the T-3 generator because the new T-1 turbine will will require a higher capacity generator. Do something!" Virgina Smith A. ● Pain Level-increase Scenario three C. Encourage fluids Care Plan for coronary artery disease Cardio Tips Swift river Mar 30 Acid-base Study Guide-A Blood transfusion notes Sep 8 sw - Swift river clinical practice. Medication Administration So when you're looking at your total intake to see if the patient is staying adequately hydrated, you do not count the bladder irrigation. B. B. Administer antipyretic medication o Request CNA Skin warm and dry, may sit up on edge of bed today. C. Identify patient C. Educate patient ● Patient in the next room states, "My IV tubing is tangled in the bed rail." A. Historic production was recorded between 1874-1895 and 1931-35 and totalled 85,991 grams gold. Scenario five E. Review pain medication order Scenario five PERIOD OF RECORD-- January 1928 to current year.Prior to October 1977, published as Ware River at Coldbrook.
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