Section 2 Clinical question

Choose one of the following:

2.1 You are caring for a male patient who has been admitted with seizures for investigation. You go into the bathroom and find him on the floor. What would your immediate actions be?

2.2 A patient admitted through the emergency department this morning requires assistance to reposition in bed. You note that she has a pressure injury (grade 2) on her sacrum that was not mentioned when handover was given. What actions should you take?

2.3 Your patient who was admitted with melaena and is currently only taking fluids has returned from the bathroom feeling dizzy and short of breath. What will your actions be?  Explain your answer in detail including your assessment, hypotheses and rationales for actions.

Follow the criteria for marking CASE STUDY 2-CHOOSE FIRST CASE

Clinical Assessment- Detailed description in the logical order of the assessment factors considered in the immediate management of the chosen scenario

Hypothesis – Comprehensive consideration of the range of likely hypotheses related to the chosen scenario and assessment processes

Actions and Rationales Complete description of optimal interventions and rationales for the same associated with the assessment, hypotheses and immediate management of the chosen scenario

Section 3 Prioritization

After morning handover of your 4 patients, you have reviewed the charts and have entered the room to greet your patients. It is 0730 and breakfast is usually delivered at 0740. Before you can introduce yourself, the following demands on your time occur concurrently:

Patient 1 Mrs Peterson is asking for help to the ensuite to use her bowels. You know Mrs Peterson had a stroke 2 weeks ago and has moderate left hemiplegia and needs assistance to move. She is classified as a high falls risk.

Patient 2 Mrs Walters is going to the theatre at 0800 and is not yet ready

Patient 3 Mr Young is nil by mouth and has IV therapy running at 167mls per hour. The infusion pump alarm is sounding, and the IV flask appears to be close to empty, Mr Young is also complaining of pain. P

Patient 4 Mr Stavropoulos has been admitted for acute asthma. He is due for Ventolin and prednisolone at 0800. His BGL at 0700 was 4.6mmol/l. The ANUM is searching for Mrs Walter’s pre-operative checklist and wants to know if you have seen it. In what order would you address these requests? Describe your rationale for each decision.

Criteria to follow

Prioritization – Detailed account of the correct priority order in which each of the nominated tasks would be addressed related to the rationales

Rationale Comprehensive rationale for the priority order chosen for each of the nominated tasks drawing on evidence for best practice appropriately cited and referenced