VSIM 8 Sara Lin Diagnosis: Appendectomy Feedback Log; scored 100% Latest 2020/2021

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Date of Completion Apr 20, 2020 10:34 PM Sara Lin Age: 18 years Diagnosis: Appendicitis Score 1 1 0 90% Feedback Log 0:00 You arrived at the patient's side. 0:00 You revie... wed the patient information. 0:00 You reviewed the patient log. This study source was downloade 0 d b : y 0 1 0 00000831 Y 55 o 62 u 46 r fr e om v C ie ouw rse e He d ro.c t o h m e ond 09 i - a 22 g -20 n 21 o 0 s 9: t 2 i 6 c :2 s 9 G . MT -05:00 0:00 You reviewed the clinical observations. 0:00 You reviewed the MAR. 0:00 You reviewed the orders. 0:00 You reviewed the intake and output. 0:08 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 0:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 117/70 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 1:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 118/71 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 1:26 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 1:47 You introduced yourself. Always remember to tell the patient who you are. 1:53 You asked the patient: Do you have any allergies? If so, what kind of reaction did you have? She replied: 'No, I am not allergic to anything.' 2:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 118/70 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 3:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 117/70 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 3:23 You asked the patient if she had any pain. She replied: 'Yes, I have some pain.' 3:37 You asked: How would you rate your pain? She replied: 'Not too bad; it's about a 3. ' 3:49 You asked the patient if she could describe her pain. She replied: 'It's like a sharp, stabbing pain.' 4:00 You asked the patient: Where does it hurt? She replied: 'Just my stomach, to the lower right.' 4:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 119/71 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 4:13 You asked the patient when the pain started. She replied: 'It started yesterday and only got worse.' This study source was downloade4 d b : y2 16 00000831Y55o 62u 46a fros mk Ce oud rseHth eroe .cop ma on t 0 ie 9-2n 2- t 20 i 2 f 1a 09n :26y :2 t 9h Gi Mn Tg -0m5:00ade the pain worse. She replied: 'Yes, it https://www.coursehero.com/file/71519402/Feedb gac ekt L s og-wSco ore r -S sa era-LwinhAp ern20-2 I 0m20-1 o03 v4 e-PM a pd r f o/ und.' 4:36 You asked the patient if anything made the pain better. She replied: 'The pain medications helps, and if I lay perfectly still, it is better.' 4:50 You asked the patient if she needed anything for the pain. She replied: 'Not right now, I think.' 5:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 117/70 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 5:27 You educated the patient about the steps in the assessment. 6:01 You educated the patient about diagnostics. This was reasonable. 6:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 119/71 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 6:24 You educated the patient about the plan of care. 6:39 You asked the patient if she felt nauseated. She replied: 'I had some nausea yesterday evening, but I don't have any now.' 6:48 You asked the patient: Have you had any signs of dehydration such as leg cramps, palpitations, weakness, fatigue, or dizziness? She replied: 'No, I don't think so.' 7:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 119/71 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 7:12 You asked the patient: When did you have your last menstruation? She replied: 'Two weeks ago.' 7:26 You asked the patient: When was your last bowel movement? She replied: 'Yesterday.' 7:34 You asked the patient: When did you last urinate? She replied: 'At the emergency room.' 7:51 You asked the patient if she had trouble breathing. She replied: 'Not really, but it's kind of hard to do deep breathing because I'm afraid it hurts.' 8:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 117/70 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 8:21 You measured the <Bloodpressure>blood pressure<> at 116/70 mm Hg. It is appropriate to monitor the patient by measuring the blood pressure. 8:55 You attached the <Pulseoximeter>pulse oximeter.<> It is a good idea to This study source was downloaded by 100000831 m 556 o 24 n 6 i fr t o o m r Co t u h rs e eHe s ro a .co t m u o r n a 0 t 9 i - o 22 n -202 a 1 n 09 d :26 p :29 u G l M s T e -0 h 5: e 00 re. This will allow you to reassess the patient https://www.coursehero.com/file/71519402/Feedbcacok-nLotgi-nScuoroe-Suarsa-lLyin.-Apr-20-2020-1034-PMpdf/ 9:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 117/70 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 9:11 You measured the capillary refill time on the patient's fingers. It was less than 2 seconds. 9:35 You checked the <Temperature>temperature<> at the ear. The temperature was 100°F (37.8°C). It is reasonable to check the <Temperature>temperature<> here. 10:04 You inspected the patient's mouth. There were no abnormal findings. 10:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 117/70 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 11:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 119/71 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 11:30 You assessed the patient's radial pulses. The rate was 95, and the strength was +2. 12:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 118/70 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 12:37 You looked for normal breathing. She is breathing at 18 breaths per minute. The chest is moving equally. 13:06 You began auscultating the heart. 13:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 118/71 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 14:07 You auscultated the aortic area of the heart. 14:08 You auscultated the pulmonic area of the heart. 14:09 You auscultated the Erb's point of the heart. 14:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 120/71 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 14:11 You auscultated the triscupid area of the heart. 14:12 You auscultated the mitral area of the heart. 14:13 You auscultated the heart. This was reasonable. This study source was downloaded by 100000831556246 from CourseHero.com on 09-22-2021 09:26:29 GMT -05:00 https://www.coursehero.com/file/ 171 551 : 9 040 02/FeedbYac okuLog a-S sco sre i - sSa t r ea-L dint A h pr e-20 p-20 a20 t - i 1 e03 n4- t PM in pd t f o/ a sitting position. 15:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 113/68 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 15:16 You assisted the patient into a lying position. 15:32 You inspected the patient's abdomen. The abdominal contour is slightly distended. 16:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 117/70 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 16:57 You assessed the patient's sensation on the abdomen. This was normal for touch and pain. 17:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 117/70 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 17:18 You began auscultating the abdomen. 17:20 You auscultated the right lower quadrant of the patient's abdomen. 17:26 You auscultated the right upper quadrant of the patient's abdomen. 17:29 You auscultated the left upper quadrant of the patient's abdomen. 17:31 You auscultated the left lower quadrant of the patient's abdomen. 17:33 You auscultated the abdomen. This was reasonable. 17:49 You inspected the patient's skin on the abdomen. There were no dilated veins, striae, scarring, lesions, or discoloration. 18:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 117/70 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 19:04 You began palpating the abdomen. 19:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 116/70 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 20:02 You palpated the right lower quadrant of the patient's abdomen. 20:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 116/69 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 20:15 You palpated the right upper quadrant of the patient's abdomen. https://www.coursehero.com/file/271051 :914092/FeedbYacok-uLogp-Saco l rpe-Saar t ae-Ldin-A t phr-e20- l2e02 f 0 t -10u3p4-PpMepd rf/quadrant of the patient's abdomen. 20:22 You palpated the left lower quadrant of the patient's abdomen. 20:24 You palpated the right lower quadrant of the patient's abdomen. 20:29 You palpated the abdomen. This was reasonable. 20:59 You asked the patient how she felt. She replied: 'I really don't know. The pain is not that bad right now.' 21:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 119/71 mm Hg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 100°F (37.8°C) 21:40 You educated the patient about diet. 22:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 117/70 mm Hg. Respiration: [Show More]

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