What cues or data required the nurses immediate attention

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Reference no: EM133663344

Assignment

Margaret O'Leary is a 70-year-old female who presented to the emergency department with her daughter this morning with complaints of chest pain, fatigue and shortness of breath. Her past medical history includes MI, heart failure, osteoporosis and a recent UTI. She was treated with 2 sublingual Nitroglycerin, 2 mg IV Morphine, aspirin and oxygen ai 4L via NC with relief of her pain. The CXR revealed mild pulmonary edema, so she also received 20mg of IV Lasix. Her 1st troponin was negative, and the 2nd is pending. The physician wants to be called with those results. Ms. O'Leary is being admitted to your telemetry unit to rule out MI. Vital signs: T'98.6, HR 90, RR 20, BP 122/84, 02 sat 96% 4L Time in the scenario is 10am.

I. Noticing

1. Did you have any predictions about what was going to happen?

2. What did you first notice about the patient?

3. Were there any instances where the nurses missed important details, and if so, what might have contributed to this oversight?

II. Interpreting

1. What cues or data required the nurses' immediate attention?

2. How did your prior knowledge and experience influence your interpretation of the situation?

3. How did the nurses use data to guide the intervention?

III. Responding

1. How did the nurses respond to various events in the scenario, and were the responses appropriate?

2. Were there instances where the nurses hesitated in taking action, and what factors contributed to that hesitation?

3. Describe the nurses communication with the patient, family, and healthcare team.

4. How did the nurses' skill(s) compare to best practices?

IV. Reflection

1. How do you feel about the nurses' performance during the scenario?

2. Describe any changes in your values or feelings as a result of this experience.

3. What knowledge and clinical skills would you like to strengthen moving forward? How will you develop a plan for ongoing improvement?

Reference no: EM133663344

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