The following scenarios will help you start developing the thought process of critical thinking. When he is working, he does not eat anything until he returns home in the evening. You begin your shift on Wednesday morning after being off for two days. What is her IV rate and solution? Your overall goal today is to meet the psychological and physiological needs of your patients while preventing any complications. 2 0 obj <> Part 2 Professional Responsibilities of RNs, Part 3 Assessment and Registration Processes. Agree to maintain regular physician visits for long term monitoring. endobj After carrying out the medical and the nursing interventions, how will you continue to monitor the patient’s condition? 3 0 obj NICE clinical case scenarios . She has been involved in educating Rob, a new member of staff, and helping him make the transition back into the workplace. ntake and Output: For example - What has the patient’s urine output been for the last four hours? You are a registered nurse (RN) who works in a community health clinic. stream He and his wife attend your group instruction sessions for diabetics when his work schedule permits. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.2 841.6] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Mr. Gould’s wife came with him to the first appointment. Your client is Mr. Gould, a 51 year old man who was referred to your care by his family physician for diabetes education. Your interviewer will want to know how you’d care for patients under different circumstances, including worst-case scenarios. frequent assessment of level of consciousness, pain, respiratory status, and edema, notifying physician of further changes in patient’s condition as necessary, working with the respiratory therapist as necessary, the abilities and experience of each nursing care team member, helping the PCP with Mrs. Landry’s care as necessary, ensuring that the PCP understands under what conditions to involve you in the care, provide expert clinical advice and act as a resource for other members of the nursing care team and other health professionals, provide supervision and direction to members of the nursing care team in the provision of basic and complex nursing care, provide support and consultation to family members, update the resident care plans as necessary, the relationship of the disease to diet, exercise and stress. ,�T��-P�2ns���!����UU. Mr. Gould’s work involves sitting at a desk from 0700 - 1900 for 4 days and then he is off for 3 days. <> x��[[o�6~7���Gk�Y�"% On their first visit, you provided  information on the following: On his second visit to the clinic, you reviewed the short term goals with Mr and Mrs Gould. As the registered nurse in this situation, you will be responsible for transcribing and carrying out the physician’s orders. Your immediate goal is for the client and his wife is to help them learn about Type 2 Diabetes and to begin to take appropriate action to manage the disease. Describe self-care measures that may prevent or decrease progression of chronic complications. He is walking on the treadmill at least 30 minutes daily. He feels quite faint by 1700. All have complex medical problems and are at high risk for complications. Chest X-ray: To rule out heart failure and to assess the involvement in the lungs. They have met with the dietician twice to help them determine his ideal weight and to reinforce meal planning. %PDF-1.7 You arrange for the LPN to notify you when she is changing this dressing so you can see if there is any improvement. Scenarios include links to areas of the relevant curriculum and provide clear instructions for faculty and ‘in-scenario personnel’ to follow. Your first responsibility is to review the night report sheet and to listen to the night shift RN’s verbal report. Clinical case scenarios are an educational resource that can be used for individual or group learning. What has it been for the last 24 hours? You notice that her respiratory rate has increased to 30 breaths/minute and her breaths are shallow. The normal anatomy and physiology of the bowel. Mrs. Landry is an 80 year old resident who had a severe stroke yesterday. 1 0 obj PCP educational programs vary in length from 6 weeks to 8 months and PCPs have various titles and responsibilities across Canada. Does the patient have any peripheral edema, and if so, is it pitting? (Clinical teaching of a procedure at the bedside) Karen is the Clinical Nurse Educator of a high dependency unit. Explain the importance of foot care and regular assessments. �n�~��1�*�f {B�m�V-}�����r�ţt�QT�&�q(�šLP���qK*��+����Jei � �h�n�ݱ�#��E`+v���(���Y`F]5^��(� ����X'U.Z&�G�Dt/B�~��e�вv�bE� One of your assigned patients is Mrs. Richard, an 80 year old woman who is three days post-operative from a low anterior bowel resection and ventral hernia repair.

nursing clinical scenarios examples

Institution Of Higher Education, Fender American Original '60s Stratocaster, Heritage Ministries Pharmacy, Can You Bake With Wax Paper, Ace Bandage Ankle, Black Sicklebill Facts, Do Cheetahs Eat Hyenas, Bolthouse Farms Recall 2019,