INTRODUCTORY INFORMATION FOR PRIORITY-SETTING CASE STUDY A Day in the Life of a Camp Nurse Community Health Reasoning and Priority Setting Tony, 14 years old/Camper

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A Day in the Life of a Camp Nurse Community Health Reasoning and Priority Setting INTRODUCTORY INFORMATION FOR PRIORITY-SETTING CASE STUDY Purpose of Case Study: This is an exercise in setting prio... rities and delegation in the context of community health. Nurses can influence the health care of a community by serving in many roles that include: • Home health • School nurse • Camp nurse • Occupational health A Registered Nurse must be able to think like a nurse in different contexts and understand the scope of practice in these unique settings. Setting: You are the nurse responsible for the care of 300 teenage campers and staff at a summer camp located on an island in a rural location. Most of the campers are healthy, but some have chronic health conditions such as asthma and diabetes and require daily assessment and medications. You are in the health center preparing to administer medications during lunch in the dining hall, which is not air-conditioned. It is a great day to be in the lake because it is currently hot, humid and 95 degrees F (35 C). Resources in Community: • Urgent care center (30-minute drive time) • Small community hospital emergency department is located 50 minutes away • Doctor’s office in small town is a ten-minute walk from the ferry dock. Since the island is privately owned, the nurse is responsible for getting patients to the mainland where an ambulance will meet the patient and nurse in case of a medical emergency. A ten-minute ferry ride transports campers from the island every hour. The camp has a van that can transport campers from the mainland to healthcare facilities as needed. Camp Healthcare Staffing: • John, an 18-year-old high school graduate who just completed a basic first aid class • Wendy, a 24-year old who is an EMT and first responder who oversees camper activities in case injuries occur • You, the RN who just passed the NCLEX and thought it would be fun to volunteer over the summer before applying for a full-time nursing position. Remember that according to state law, the RN is responsible for assessments and delegating appropriately to the crew on duty. Geography: The camp health center is a five-minute walk from the dining hall where medications will be administered during lunch. The meds are transported in boxes using a golf cart to the dining hall and can transport a driver and a single passenger. There are “island minivans” to transport campers on the mile-long island as needed down “Cardiac Hill” (a large hill appropriately named by the campers) to the ferry.
Copyright © 2019 Keith Rischer, d/b/a KeithRN.com. All Rights reserved. Timing related to patient care issues: This case study represents one afternoon during summer camp when the nurse faces multiple campers with healthcare needs and must prioritize care appropriately. Use what you have learned to this point as a nursing student to make the best decisions possible given the limited data available. You are responsible for administering daily medications at 12 noon in the dining hall to 30 campers. Five campers come to the camp health center unexpectedly seeking health care services as you begin preparing your medications between 11:45 a.m. and 1:30 p.m. when you experience trouble in paradise! 11:45 am…Tony, 14 years old/Camper #1 [Show More]

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