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Med Surg 2 Feedback Log & Score — Rachael Heidebrink Oct 02, 2022 11_04 AM.pdf

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10/3/22, 10:33 AMFeedback Log & Score — Rachael Heidebrink Oct 02, 2022 11:04 AM1/8Date of CompletionOct 02, 2022 11:04 AMRachael HeidebrinkAge:22 yearsDiagnosis:Right Greater Trochanter FractureScore000100%    Feedback Log0:00You arrived at the patient's side.0:00You reviewed the patient information.0:00You reviewed the diagnostics.0:00You reviewed the MAR.0:00You reviewed the orders.
10/3/22, 10:33 AMFeedback Log & Score — Rachael Heidebrink Oct 02, 2022 11:04 AM2/80:00You reviewed the 12-lead ECG.0:00You introduced yourself.0:10You washed your hands. To maintain patient safety, it is important to wash yourhands as soon as you enter the room.0:10Patient status - ECG: Sinus rhythm with signs of pulmonary hypertension. Heart rate: 90.Pulse: Present. Blood pressure: 119/71 mm Hg. Respiration: 17. Conscious state:Appropriate. SpO2: 93%. Temp: 99 F (37 C)1:10Patient status - ECG: Sinus rhythm with signs of pulmonary hypertension. Heart rate: 89.Pulse: Present. Blood pressure: 117/70 mm Hg. Respiration: 15. Conscious state:Appropriate. SpO2: 93%. Temp: 99 F (37 C)1:22You identified the patient. To maintain patient safety, it is important that youquickly identify the patient.1:35You asked if the patient was allergic to anything. She replied: 'No, I am notallergic to anything.'1:49You asked the patient if she had any pain. She replied: 'Yes, I have somepain.'1:56You asked: How would you rate your pain? She replied: 'Not too bad;it's about a 2. '2:02You asked the patient if anything made the pain better. She replied: 'Thepain pills are managing my pain ok.'2:10Patient status - ECG: Sinus rhythm with signs of pulmonary hypertension. Heart rate: 90.Pulse: Present. Blood pressure: 120/72 mm Hg. Respiration: 15. Conscious state:Appropriate. SpO2: 93%. Temp: 99 F (37 C)2:12You asked the patient if anything made the pain worse. She replied: 'Ithurts when I try to move my leg.'2:18You asked the patient if she needed anything for the pain. She replied:'I'm fine, thanks. The pain pills are managing my pain.'2:26You asked the patient how she felt. She replied: 'I feel okay, thanks.'2:30You asked the patient when the symptoms started. She replied: 'Theshortness of breath started 2 days ago.'2:34You asked: What were you doing when the symptoms started? She replied:'The shortness of breath came all of a sudden. I didn't really doanything.'2:39You asked the patient if she had any difficulty in breathing. She replied:'No, my breathing's fine.'2:41You asked the patient if she had any difficulty in breathing. She replied:'No, my breathing's fine.'2:49You asked the patient what other symptoms she had. She replied: 'I

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Term
Fall
Professor
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Tags
Cardiology, pulse

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