Yoa LI WSs.docx - Clinical Worksheet Date Student Name_America Assigned vSim_Yoa li Initials YL Diagnosis Appendectomy HCP Isolation na IV Type Location

Yoa LI WSs.docx - Clinical Worksheet Date Student...

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Clinical Worksheet Date: ________________________ Student Name: ___America __________________________ Assigned vSim: _____Yoa li______________________ Initials: YL Age: 26 M/F: M Code Status: NA Diagnosis: Appendectomy Length of Stay: na Allergies: na HCP: Consults: Isolation: na Fall Risk: Transfer: na IV Type: Location: Fluid/Rate: Critical Labs: Other Services: Consults Needed: Why is your patient in the hospital (Answer in your own words and include the History of present Illness): Yoa Li had an appendectomy and was transferred to us with a PCA and is complaining of nausea and pain 7/10. Health History/Comorbities (that relate to this hospitalization): Appendectomy Shift Goals/ Patient Education Needs: 1. Monitor vital signs 2. Patient will be relieve from pain, and nausea 3. Educate patient on PCA 4. Educate patient on medications Path to Discharge: Patient will be stable with vital signs WNR. Patient will understand the use of the PCA and medications.
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Alerts: What are you on alert for with this patient? (Signs & Symptoms) 1. Nausea 2. Pain
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  • Fall '18
  • Appendectomy

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