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Michael Coleman - Simulated Professional Task Case Study(2) (2).docx

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NURS3039 Professional Experience PlacementProfessional Task- 10 minutesCase Study 2Mr. Michael Coleman was bought in by ambulance to the emergency department withincreasing shortness of breath, lethargy and coughing. On admission patient is tachypneicwith increased work of breathing. Patient speaking in single words, no tracheal deviation,diaphoretic. Patient has had a decrease in oral intake. Patient swabbed and is COVIDnegative.Vital signs: Respiratory rate 32 bpm, SPO2 90% RA, Heart rate 120bpm, Blood pressure120/70mmHg, capillary refill < 3 seconds, GCS 15/15, PEARTL, Temp 37 °, BGL 6.7mmol/L.Social History: Lives with family, smoker 30 daily, ETOH occasionally.Past medical history: Congestive Cardiac Failure, Hypertension.Current Medications: Furosemide 40 mg daily, Perindopril 8mg daily.Provisional Diagnosis: Exacerbation of Congestive cardiac failure.Plan: IVC, FBC, UEC, Coags, Troponin, VBG, 12 lead ECG, cardiac monitoring, IV Furosemidestat, maintain saturations to SPO2 >94%, CXR, consider BIPAP if patient deteriorates.You are to recognise, manage and escalate the deteriorating patient to the receiving nurse orMedical Emergency Team (MET).Professional Experience Placement I Professional task: DETECT the deteriorating patient
Aim of assessmentThe aim of this assessment is to evaluate the clinical skills of nurses in a simulated clinicalsetting, using a patient scenario and incorporating an oral viva. The Between the flags (BTF)system is a‘safety net’ for patients who are cared for in NSW hospitals. The BTF programaddresses the Australian Commission on Safety and Quality in Health Care National Standard8 Recognising and Responding to Acute Deterioration Standard.The aim ofDETECT ( Detecting deterioration, Evaluation, Treatment, Escalation andCommunicating Teams) program is to:Provide health care workers with the skills and confidence to detect signs ofdeterioration in patients on the wardsDevelop a concern, communicate and care approach to these patients to ensure theyget simple intervention to reverse deteriorationEnsure timely intervention and escalation when indicated.

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Term
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Nursing, Health care provider

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