*NURSING > vSim For Nursing > Summary Fatime Sanogo vsim steps. Fatime Sanogo Age: 23 years Diagnosis: Induction of labor secondar (All)

Summary Fatime Sanogo vsim steps. Fatime Sanogo Age: 23 years Diagnosis: Induction of labor secondary to postdates, Score 96%

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Date of Completion Jul 07, 2020 10:11 AM Fatime Sanogo Age: 23 years Diagnosis: Induction of labor secondary to postdates Score 0 0 1 96% Feedback Log 0:00 You arri... ved at the patient. 0:00 You introduced yourself. 0:10 Patient status - Heart rate: 101. Pulse: Present. Blood pressure: 100/51 mmHg. Respiration: 18. Conscious state: Appropriate. SpO2: 97%. Temp: 37 C. EFM: --. Fetal heart rate: --. 0:14 You washed your hands. To maintain patient safety it is important to wash your hands as soon as you enter the room. 0:45 You identified the patient. To maintain patient safety it is important that you quickly identify the patient. 0:57 You asked if the patient was <Allergy>allergic<> to anything. (In pain) She replied: 'No, I am not allergic to anything.' 1:10 Patient status - Heart rate: 103. Pulse: Present. Blood pressure: 98/50 mmHg. Respiration: 19. Conscious state: Appropriate. SpO2: 97%. Temp: 37 C. EFM: --. Fetal heart rate: --. 1:16 You calmed and supported the patient and the family. This is reasonable. 1:18 You provided patient education. This is correct. It is important to provide patient educate to improve understanding of the patient's medical condition and methodes and means to manage her condition. Effective communication and patient education increases patient motivation to comply. 1:30 You looked for normal breathing. She is breathing at 19 breaths per minute. The chest is moving equally. This study1so:5ur9ce waYs doouwnalottaadecdhbeyd10t0h00e08&31l9t8;8P0u16lsfreoomxCiomuresetHeerr&o.cgomt;ponu1ls1-e05o-2x0i2m1 0e7t:0e2r:.5&7 GltM;&T -g05t;:0T0 his was indicated by order. 2:10 Patient status - Heart rate: 104. Pulse: Present. Blood pressure: 99/51 mmHg. Respiration: 20. Conscious state: Appropriate. SpO2: 97%. Temp: 37 C. EFM: --. Fetal heart rate: --. 2:25 You checked the radial pulse. The pulse is strong, 105 per minute and regular. It is correct to assess the patient's vital signs. 3:01 You measured the <Bloodpressure>blood pressure<> at 98/50 mmHg. It is appropriate to monitor the patient by measuring the blood pressure. 3:10 Patient status - Heart rate: 106. Pulse: Present. Blood pressure: 98/50 mmHg. Respiration: 20. Conscious state: Appropriate. SpO2: 96%. Temp: 37 C. EFM: --. Fetal heart rate: --. 3:36 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. This will allow you to reassess the patient continuously. 4:05 You checked the <Temperature>temperature<> at the mouth. The temperature was 37 C. 4:10 Patient status - Heart rate: 107. Pulse: Present. Blood pressure: 96/49 mmHg. Respiration: 20. Conscious state: Appropriate. SpO2: 96%. Temp: 37 C. EFM: --. Fetal heart rate: --. 4:41 You checked for blood, lochia, and fluid on the bed. 4:50 You asked the patient if she had any pain. (In pain) She replied: 'Yes! Ahh...' 5:00 You asked: How bad is the pain? (In pain) She replied: 'It's pretty bad; I'd give it a 5.' 5:10 Patient status - Heart rate: 109. Pulse: Present. Blood pressure: 95/49 mmHg. Respiration: 20. Conscious state: Appropriate. SpO2: 96%. Temp: 37 C. EFM: --. Fetal heart rate: --. 5:12 You asked the patient: Where does it hurt? (In pain) She replied: 'In my belly.' 5:39 You assisted the patient into Trendelenburg position. 6:07 You assessed the patient's perineum. This was reasonable. There was minimal redness, minimal edema, no echimosis, and no discharge from the repair, and it is well approximated. A lot of blood and lochia was seen in the vaginal. She was bleeding at a moderate rate. 6:10 Patient status - Heart rate: 110. Pulse: Present. Blood pressure: 98/51 mmHg. Respiration: 20. Conscious state: Appropriate. SpO2: 95%. Temp: 37 C. EFM: --. Fetal heart rate: --. 6:50 You changed and weighed the bed pads. The increase in weight of the bed pads suggests that approximately 1230 mL of lochia was on the pads. The time since the last change of the pads suggests a bleeding rate of approximately 1980 mL/hr. 7:10 Patient status - Heart rate: 112. Pulse: Present. Blood pressure: 97/51 mmHg. Respiration: 21. Conscious state: Appropriate. SpO2: 95%. Temp: 37 C. EFM: --. Fetal heart rate: --. This study7so:2ur8ce waYs doouwnploaaldpedabtey d10t0h00e08f3u1n98d8u01s6 ofrfomuCteoruursesH. eTroh.ciosmwona1s1-r0e5a-2s0o21n0a7b:0l2e:5.7TGhMeTu-0t5e:0r0us was soft and boggy. 7:57 You assessed the bladder status. The bladder contained 300 mL of urine. 8:10 Patient status - Heart rate: 113. Pulse: Present. Blood pressure: 96/51 mmHg. Respiration: 21. Conscious state: Appropriate. SpO2: 95%. Temp: 37 C. EFM: --. Fetal heart rate: --. 8:26 You performed a straight catheterization. This was reasonable. The bladder was emptied. There was about 300 ml of urine in the bladder. 8:40 You performed fundal massage. This was indicated and the correct response to the patient's condition. The uterus did not firm up properly. 9:10 Patient status - Heart rate: 115. Pulse: Present. Blood pressure: 93/49 mmHg. Respiration: 21. Conscious state: Appropriate. SpO2: 95%. Temp: 37 C. EFM: --. Fetal heart rate: --. 9:30 You assessed the patient's IV. The site had no redness, swelling, infiltration, bleeding, or drainage. The dressing was dry and intact. This is correct. Assessing any IVs the patient has is always important. 10:10 Patient status - Heart rate: 116. Pulse: Present. Blood pressure: 94/50 mmHg. Respiration: 21. Conscious state: Appropriate. SpO2: 95%. Temp: 37 C. EFM: --. Fetal heart rate: --. 10:45 You flushed the cannula. 10:57 You administered 2 mg of butorphanol tartrate IV. It is important to use the basic rights of medication administration to ensure proper drug therapy. This was indicated by order. 11:08 You flushed the cannula. 11:10 Patient status - Heart rate: 117. Pulse: Present. Blood pressure: 93/49 mmHg. Respiration: 21. Conscious state: Appropriate. SpO2: 94%. Temp: 37 C. EFM: --. Fetal heart rate: --. 11:29 You phoned the provider in order to discuss the patient. 12:10 Patient status - Heart rate: 118. Pulse: Present. Blood pressure: 93/50 mmHg. Respiration: 21. Conscious state: Appropriate. SpO2: 94%. Temp: 37 C. EFM: --. Fetal heart rate: --. 13:09 You gave the patient 100% oxygen from a nonrebreathing mask. 13:10 Patient status - Heart rate: 120. Pulse: Present. Blood pressure: 91/49 mmHg. Respiration: 22. Conscious state: Appropriate. SpO2: 94%. Temp: 37 C. EFM: --. Fetal heart rate: --. 13:14 You turned the oxygen on. 14:09 You verified the dose with another nurse. This was reasonable. The dose was correct. 14:10 Patient status - Heart rate: 117. Pulse: Present. Blood pressure: 91/48 mmHg. Respiration: 22. Conscious state: Appropriate. SpO2: 96%. Temp: 37 C. EFM: --. Fetal heart rate: --. 15:10 Patient status - Heart rate: 117. Pulse: Present. Blood pressure: 87/47 mmHg. Respiration: 22. This study source waCs doonwsncloiaodeudsbyst1a0t0e00:0A83p19p8r8o01p6rfiraomteC. oSurpseOH2er:o.9co8m%on. 1T1-e0m5-2p0:213077:0C2:.57EGFMMT :-0-5-:0.0Fetal heart rate: --. 16:10 Patient status - Heart rate: 118. Pulse: Present. Blood pressure: 88/47 mmHg. Respiration: 22. Conscious state: Appropriate. SpO2: 99%. Temp: 37 C. EFM: --. Fetal heart rate: --. 16:12 You started a bolus of 500 mL of lactated Ringer's solution IV, given over 30 minutes. It is important to give IV fluids to bleeding patients. 16:41 You verified the dose with another nurse. This was reasonable. The dose was correct. 17:10 Patient status - Heart rate: 119. Pulse: Present. Blood pressure: 87/47 mmHg. Respiration: 22. Conscious state: Appropriate. SpO2: 99%. Temp: 37 C. EFM: --. Fetal heart rate: --. 17:42 You started infusing oxytocin postpartum (mL/hr) at 500 mL/hr. This was indicated by order. 17:58 You looked for normal breathing. She is breathing at 22 breaths per minute. The chest is moving equally. 18:10 Patient status - Heart rate: 119. Pulse: Present. Blood pressure: 88/48 mmHg. Respiration: 22. Conscious state: Appropriate. SpO2: 99%. Temp: 37 C. EFM: --. Fetal heart rate: --. 18:41 You assessed the patient's IV. The site had no redness, swelling, infiltration, bleeding, or drainage. The dressing was dry and intact. If you are in doubt, it is always a good idea to re- assess any IVs the patient has. 18:59 Patient status - Heart rate: 120. Pulse: Weak. Blood pressure: 85/46 mmHg. Respiration: 22. Conscious state: Somnolent. SpO2: 99%. Temp: 37 C. EFM: --. Fetal heart rate: --. [Show More]

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