Event report | Nursing homework help

2. The questions to be answered (Part B)

Both parts must be completed and submitted together.

SCENARIOS (CHOOSE ONE)

EVENT SCENARIO - 1

John Williams, a 44 year-old patient who arrives in the ED with complaints of a terrible headache. He has a blindfold on to shield all light in an attempt to reduce his pain currently reported to be 9/10. After a quick assessment, the physician orders the patient to receive pain medication in the form of a pill. The order reads Norco 7.5 mg -- 325 mg two tablets every 4 hours prn moderate pain (6-8/10). Nurse Judy removes the medicine and takes it to the bedside where she has difficulty scanning the medication but the patient is moaning and grabbing his head so she overrides the scanner. Later, the supervisor asks Nurse Judy why the count is wrong for Norco 10mg -325mg. It is determined that Mr. Williams received a larger dose than was ordered. When Nurse Judy left for the day she met her carpool driver in the elevator who asked her how her day went. The elevator was crowded and Judy was daydreaming but blurted out, "my supervisor got all bent out of shape because I gave Mr. Williams the wrong dose for his pain pill. I'm sure he didn't mind since he went to sleep and no more moaning with a headache. Can you imagine coming to the ED for a headache?"

EVENT SCENARIO - 2

Lynette Donovan, a 15-year-old female African American was a passenger in a motor vehicle collision and is now admitted to the hospital with a fractured right femur. The emergency department health care provider applied a cast to the affected leg with insufficient padding. · Lynnette told the nurses that her right leg felt numb, was swollen and looked discolored. · The nurses recognized that these symptoms indicate impaired circulation in the extremity with the cast. · The nurse was unable to reach Lynette's health care provider despite several calls. · The nurse has not notified the nursing supervisor of the patient's situation. · David Ortiz is a 23-year-old nursing student newly assigned to the nursing division and to Miss Donovan. His initial assessment notes that the patient's right leg is swollen, slightly blue, and slightly malodorous. Lynette seems very anxious and upset. · David remembers that Lynette Donovan is legally a minor. She is hurt and afraid and in an unfamiliar setting. · She may not be comfortable speaking with the health care providers who are present, and her expressions of pain may be modified by the circumstances she is in. · Lynette Donovan developed gangrene in the right leg. She requires a right below-the-knee amputation. · David Ortiz is returning from escorting Miss Donovan to the operating room for her procedure. He gets on the elevator, where several visitors and two nursing supervisors are talking about the health care provider who "made Donovan lose her leg."

• week 1
• AR201
• For "work solutions"
• PTA Home Assessment
• Research Methods
• ONLY ESSAYS GURU: Revise Essay
• What is the Microsoft Excel FORMULA that I need to use to calculate percentage of sales?
• Reformat papers with assignmetn feedback Cyber Security
• Assignment
• Compare and contrast your personal philosophical base and / or working knowledge in the curriculum process with a research-based philosophy. Take a position on whether your philosophical base experience is supported by the research-based philosophy. Suppo