Brenda Patton VSIM.pdf - Date of Completion 9:10 PM Brenda...

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Date of CompletionNov 04, 2019 9:10 PMBrenda PattonAge:18 yearsDiagnosis:Rupture of membranes. Labor assessmentScore000100%!! !! !!! ! !Feedback Log0:00You arrived at the patient.0:00You introduced yourself.0:10Patient status - Heart rate: 90. Pulse: Present. Blood pressure: 121/72 mmHg.Respiration: 20. Conscious state: Appropriate. SpO2: 97%. Temp: 37 C. EFM:Occasional acceleration. Fetal heart rate: 141.
0:13You washed your hands. To maintain patient safety it is important to wash yourhands as soon as you enter the room.0:47You identified the patient. To maintain patient safety it is important that youquickly identify the patient.0:57You asked if the patient was <Allergy>allergic<> to anything. Shereplied: 'No, I am not allergic to anything.'1:04Patient status - Heart rate: 90. Pulse: Present. Blood pressure: 120/71 mmHg.Respiration: 20. Conscious state: Appropriate. SpO2: 97%. Temp: 37 C. EFM: Baseline.Fetal heart rate: 149.1:08You asked the patient if she had any pain. She replied: 'Yes, I have somepain.'1:19You asked: How bad is the pain? (In pain) She replied: 'Not too bad;it's about a 2 between contractions.'1:40You looked for normal breathing. She is breathing at 20 breaths per minute. Thechest is moving equally.2:04Patient status - Heart rate: 90. Pulse: Present. Blood pressure: 120/71 mmHg.Respiration: 19. Conscious state: Appropriate. SpO2: 98%. Temp: 37 C. EFM: Baseline.Fetal heart rate: 141.2:08You attached the <Pulseoximeter>pulse oximeter.<> This was indicatedby order.2:21You checked the radial pulse. The pulse is strong, 90 per minute and regular. It iscorrect to assess the patient's vital signs.

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