CARE PARTNER

advertisement
CARE PARTNER
CLINICAL APPLICATION TRAINING
StarPanel LEARNING OBJECTIVES
• Define the Purpose of StarPanel
• The Inpatient Whiteboard
• Frames and How to Resize
• The Actions Menu
• Identify Commonly Used Links
• View and Print Documents
V:training/NEO/CP/lcd.ppt
HED LEARNING OBJECTIVES
 Overview of Care Organizer
 Tip sheet for create and end an assignment
 Complete labs
 Define the Purpose of HED
 Chart Vital Signs and I&O’s
 Chart Interventions
 Change Information
 Communicate with RN
V:training/NEO/CP/lcd.ppt`
CASE STUDY
• You are assisting with the admission of a 54 year old patient with
complaints of a deep and productive cough for 1 week with progressively
worsening phlem. He has run a fever for 2 days with a t-max of 102.0 F.
He has managed at home with Tylenol and Robitussin. He is otherwise a
healthy middle aged man without complaints of pain to speak of. He does
have a contracture of his hand that is a result of a childhood injury. He
comes with a double lumen PICC which was placed prior to his transfer to
the floor. His admission order was entered and he was immediately
transferred to one of your many empty beds. He has nasal cannula
running at 2L.
V:training/NEO/CP/lcd.ppt
ENTER V/S AND I&O DATA
LEARNERS DO WITHOUT ASSIST
o Temp 100.9 oral
o Pulse 104 dinamap
o Respirations 24 visual
o Pulse ox 98% on 2L by nasal cannula
o BP = 122/68 left arm
o Weight 85.45 kg
o Intake 400
o Output 300
o Stool X 1
V:training/NEO/CP/lcd.ppt
ENTER INTERVENTIONS
LEARNERS DO WITHOUT ASSIST
 Ambulated: 150 feet with assist of 1
 Hygiene : Assisted with Bath –mod. assist
 Positioning Care: click Done
 Full liquid diet: lunch…ate 75%
 Intake: 240 ml
 Foley Output: 300 ml from foley bag
 Stool x1
V:training/NEO/CP/lcd.ppt
CASE STUDY PRACTICE CONTINUED
Chart at 10am
o
o
o
o
o
o
o
o
o
o
o
Foley catheter placed to BSB
Patient showered with family assistance
Refused a linen change
Ambulated in the hall 150 feet with your
assistance
Ate 40% of his snack
Temp 100.6 oral
HR 118 monitor
Resp 24 visual
B/P in right arm 151/87
O2 sat 95% on 4L BNC
Coughing episode resulted in vomiting
his snack (moderate amount)
Chart at 12 noon
Output 425 cc
Temp 101.2
HR 124
Resp 28
B/P in right arm 162/91
O2 sat 92% on 4L BNC
Pt reports increased SOB and refuses
Incentive spirometry
o Pt refuses to eat lunch
o Pt reports overall feeling worse
throughout the day
o
o
o
o
o
o
o
COMMUNICATION
You are partnered with an RN who recently
graduated from Nursing school. Your patient, Mr.
Jones, had a lengthy ICU stay, isn’t eating much and
still has IV’s infusing. Your RN partner tells you she
is concerned about Mr. Jones’s nutritional status and
overall condition.
V:training/NEO/CP/lcd.ppt
COMMUNICATE WITH YOUR PATIENT’S RN
TO GIVE BETTER PATIENT CARE
• What information is important to tell the Nurse?
• V/S and I&O
• decreased output
• Food eaten
• Skin
o What information should the Nurse share with you?
• Strict I & O
• If meds given like Lasix or IV bolus to increase output
• General discussion at beginning of shift
V:training/NEO/CP/lcd.ppt
Download