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John Hildebrand is an emergency room nurse. During his night shift, four victims come in front of a major automobile accident . Two were critically injured and two had minor injuries. Then a 55-year-old female came to the ER complaining of severe epigastric pain and some abdominal pain. John gives the patient a GI cocktail (antiacid , lidocaine, Phenobarbital) Her pain level decreased from 6 out of 10 to 3 out of 10. John did an ECG. to rule out any cardiac causes . The patient does not have any nausea or vomiting or fever of any kind . The doctor ordered blood work. The patient was sent home because she was feeling stable and better. Thirty minutes later John appears with the test results. Her Amylase and Lipase level was high call the patient and told her to go immediately to ER . In the end, she had Pancreatitis.
1.-When an additional patient came into ER, what choice did John have with regard to assigning a nurse the new patient?
2.-What are the shift staffing issues in a busy ER?
3.-Who should be involved in the patient care decision?
4.-What will be the consequences of not drawing blood work on the female patient?
5.-What decision-making strategies should be used when deciding who should take care of which patient in the ER?
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