Assignment 3 Conflict Management Completed Shadow Health PDF

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10/18/21, 9:20 AM

Assignment 3: Conflict Management | Completed | Shadow Health

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Assignment 3: Conflict Management Results | Completed Healthcare Participant IV - Worcester - Fall 2021, NUR 522 Return to Assignment (/assignments/545718/)

Your Results

Turn In (/assignment_attempts/10893521/choos Lab Pass (/assignment_attempts/10893521/lab_pass.

Overview

Bedside Shift Report Score: 12 out of 20

Bedside Shift Report Debrief

Time: 0600

Team Delegation Interprofessional Communication

Ben: Hey there, Dr. Douglas, I'm heading out now. This is the nurse who'll be taking over for me.

Prioritizing Individual Patient Needs

Anita: Nice to meet you.

Prioritizing Delivery of Care Student Survey

Nice to meet you too, Dr. Douglas. Anita: Shame it couldn't be under better circumstances. But when bodies get old enough, I guess they just have a habit of breaking. Ben: Anybody can break a bone, Dr. Douglas, but it's true that we'd like you to be careful. All right, I know hospital stays aren't any fun, but I'm leaving you in excellent hands, here. Anita: I sure hope so. [AUDIO COMING SOON] You scored I'll be checking in with you about once an hour today. 0.0 out of 1 Ben: Here we go. Dr. Douglas is a 72-year-old woman with a displaced intertrochanteric fracture of the left femur. She had an open reduction and internal fixation two days ago, and now she's receiving physical therapy to help with her mobility. The orthopaedic surgeon on her case is Dr. Mayleen Zhang, and her physical therapist is Dr. Virgil Kline. Her hospitalist is Dr. Mateo Martinez. What else do you need to ask Ben about Anita Douglas's Situation?

The correct answer is: I don't need to ask any quest right now. Dr. Douglas came with a fracture of the left fem was given an ORIF, and has b receiving PT for mobility. Got

Does Dr. Douglas have any medical allergies? Ben: Oh, well, I'm just getting to that. You know what? If you're not used to Shadow General's Bedside Shift Report style yet, you can always check out the SBAR Tool in your Leadership Toolkit while we talk. It's not a bad idea to keep it open during these things. Will Dr. Kline be visiting Dr. Douglas this afternoon? Ben: Oh, uh . . . I don't think it's time to talk about that yet. Let me just get through the Background and Assessment first . . . I don't need to ask any questions right now. Dr. Douglas came in with a fracture of the left femur, was given an ORIF, and has been receiving PT for mobility. Got it.

I don't need to ask any questions right now. Dr. Douglas came in with a fracture of the left femur, was given an ORIF, and is now receiving PT for mobility. Got it. Ben: Great! Let's move on to the Background of Dr. Douglas's case . . . Why is this the best question to ask Ben about Anita Douglas's Situation? For review, here are the selections that were available in the previous problem: I don't need to ask any questions right now. Dr. Douglas came in with a fracture of the left femur, was given an ORIF, and has been receiving PT for mobility. Got it. (correct) It is important to practice listening during a Bedside Shift report. Your response shows your understanding and does not cause any unnecessary interruptions to Ben's report.

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You scored 1.0 out of 1 The correct answer is: It is important to practice listening during a Bedside Sh report. Your response shows your understanding and does cause any unnecessary interruptions to Ben's report

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Assignment 3: Conflict Management | Completed | Shadow Health Ben: So, three days ago, at around 0630 hours, Dr. Douglas slipped and fell while she was alone at home. She felt a sharp pain and knew something was wrong. She couldn't get to her phone, so she held still and waited for her husband to come home. At 0800 hours, Dr. Douglas reported at our Emergency Department with pain in her groin and inability to support weight. She had an open reduction and internal fixation at 1200 hours. At 1700 hours that day, she was moved here to Med-Surg for post-operative care. Ben: The physician has prescribed her 1 hydrocodone/acetaminophen tablet (5 mg hydrocodone and 325 mg acetaminophen) every 4-6 hours for post-operative pain, to be increased as needed up to 2 tabs every 4-6 hours. Physician also prescribed her apixaban for anticoagulation, at 2.5 mg twice a day, and she's been given thromboembolic deterrent hose (known as a TED hose). Dr. Douglas has been receiving regular physical therapy. Ben: Her vital signs are all within normal limits. Her respirations are 15 per minute and her oxygen saturation is 98%. Ben: And now for the provider's orders. Administer the hydrocodone as scheduled. Every four hours, monitor fluid input and output. Perform peripheral neurovascular checks every 8 hours until discharge. Provide ice as needed. Incentive spirometer 10 times per hour while awake. Check SpO2 every 8 hours and as needed to keep oxygen saturation over 92%. Notify the MD if there's a significant increase in O2 needs. Keep dressing dry and notify MD if there's significant drainage. Dr. Douglas will need to perform weight-bearing exercises with physical therapy, and go from bed to chair at least 2 times per day.

You scored 1.0 out of 1 The correct answer is: Does Dr. Douglas take any h medications?

What else do you need to ask Ben about Anita Douglas's Background? Does Dr. Douglas take any home medications?

Ben: Dr. Douglas takes a trandolapril and verapamil combination pill and chlorothiazide for hypertension, along with calcium and vitamin D supplements. She doesn't have any allergies to medicine or food. You scored Why is this the best question to ask Ben about Anita Douglas's Background? 0.0 out of 1 Reminding Ben to discuss Dr. Douglas's home medications can jog his memory and prompt him to add that Dr. Douglas does not have any food or medical allergies. This is significant information that could greatly impact the health of your patient. Home medications are an important part of the Assessment section of a Bedside Shift Report, and can help you to understand Ben's evaluation of Dr. Douglas's condition.

The correct answer is: Learning what home medications a patient takes c help you to gain a full picture your patient's circumstances

Learning what home medications a patient takes can help you to gain a full picture of your patient's circumstances.

Ben: The dressing is clean and Dr. Douglas's skin shows no sign of infection. Dr. Douglas is stable, alert and oriented x4. Color, pulse, warmth, pain, sensation, and movement in extremities are all within normal limits. No disproportionate swelling. Strength of active movement against moderate resistance was last rated as 4 out of 5.

You scored 1.0 out of 1 The correct answer is:

What else do you need to ask Ben about his Assessment of Anita Douglas's condition? What is Dr. Douglas's pain rating, and how well is her pain being controlled by medication?

What is Dr. Douglas's pain ra and how well is her pain bein controlled by medication?

You scored Ben: Good catch! Dr. Douglas's pain is under control with medication. Her pain was last reported as 2 out of 10. Pain at the worst was reported as an 8 out of 10. Why is this the best question to ask Ben about Anita Douglas's Assessment? Assessing a patient's response to medication is an important nursing duty, and you need to understand how well Dr. Douglas's pain medication is working.

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1.0 out of 1 The correct answer is: Assessing a patient's respon to medication is an importan nursing duty, and you need t understand how well Dr. Douglas's pain medication is working.

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Assignment 3: Conflict Management | Completed | Shadow Health Ben: Dr. Douglas is going to need help with her physical therapy exercises. She's at risk for falls, so you'll be helping with ambulation and self-care, too. Depending on her pain, you may also need to help with positioning throughout the day. Dr. Douglas has a PT session this morning at 0630 hours, and the MD will change her dressing at 0800 hours. Her husband, Jeffrey, is scheduled to visit at 1400 hours today. What else do you need to ask Ben about his Recommendation for Anita Douglas's care?

You scored

Got it. I don't have any questions right now.

0.0 out of 1

Anita: Isn't there anything else you want to make sure your replacement does, Ben? It seems to me, whenever you come in here, you're doing all kinds of things.

The correct answer is:

Is Dr. Douglas oriented to time, place, person, and situation?

Do you have any recommendations for patient assessment?

Ben: Um, yes. She is. I'm sorry about that -- I thought I covered that during the Assessment section of the report. Anita: You did. I'm "oriented x4," if I recall correctly. Do you have any recommendations for patient assessment?

Ben: Thanks for reminding me! When you do your hourly check-in, I recommend that you perform musculoskeletal, strength, and skin checks, and monitor respiratory status. Monitor fluid input and output and perform neurovascular checks as ordered. You'll want to perform mental status checks every 4 hours with orientation x4. Since Dr. Douglas is on pain medication, I recommend that you assess her pain before and after her physical therapy.

You scored 0.5 out of 1 The correct answer is:

Why is this the best question to ask Ben about his Recommendation for Anita Douglas's care? Asking this question is a subtle way to find out whether Ben is performing his nursing duties properly. Patient assessment is an important part of the nursing process and therefore something Ben should take into consideration when making his recommendations.

What else would you like to ask Ben about Anita Douglas's case? Does Dr. Douglas have any visitors or procedures scheduled today? Ben: She has the physical therapy at 0630 hours and the dressing change at 0800 hours. Then her husband is visiting this afternoon, at 1400 hours. I thought I just mentioned that . . . Does Dr. Douglas have any cultural or dietary considerations I should be aware of?

Ben: Actually, Dr. Douglas here is a vegetarian. I think we've got a few of those on the floor right now. Anita: I can't bring myself to eat animals; I worked with them too long. Eggs and dairy are all fine, though. Why was this the best question to ask Ben as a follow-up to his Bedside Shift Report for Anita Douglas? Learning about a patient's unique needs will help you to effectively and respectfully provide for their care.

Patient assessment is an important part of the nursing process and therefore somet Ben should take into consideration when making h recommendations.

You scored 0.5 out of 1 The correct answer is: Does Dr. Douglas have any cultural or dietary considerat I should be aware of?

You scored 1.0 out of 1 The correct answer is: Learning about a patient's unique needs will help you to effectively and respectfully provide for their care.

Ben: And that should be it. I am transferring Dr. Douglas into your care. You can call me if you have any questions. It was nice to meet you, Dr. Douglas. Anita: You too, I suppose.

Time: 0605

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Assignment 3: Conflict Management | Completed | Shadow Health Ben: Hi, Mrs. O'Connor. This is the nurse who will be replacing me for the day. Debbie: Hey, there. Hello, Mrs. O'Connor. I'll be checking in with you regularly throughout the day. Debbie: Glad to hear it. Ben: Mrs. O'Connor, I'm going to be transferring your care to your replacement here using a Bedside Shift Report. We do patient handoffs at the patient's bedside so that you can be involved and so that you can hear what's going on when it comes to your care.

You scored

Debbie: Honey, it's not my first rodeo.

0.5 out of 1

Ben: Fair enough. Let's begin.

The correct answer is:

Ben: Here's the Situation. Debbie O'Connor is a woman with COPD exacerbation. Her hospitalist is Dr. Mateo Martinez and her pulmonologist is Dr. Gina Tremblay.

What is Mrs. O'Connor's age

What else do you need to ask Ben about Debbie O'Connor's Situation? What home medications does Mrs. O'Connor take? Ben: I'm just getting to that . . . What is Mrs. O'Connor's age?

Ben: Mrs. O'Connor is 55. Why is this the best question to ask Ben about Debbie O'Connor's Situation? The Situation part of an SBAR includes giving all the existing information about a patient immediately. This lets you know how best to help them as you perform your nursing tasks. Knowing a patient's age can help you to gain a broad understanding of their condition. You may need to consider their age when performing interventions.

Ben: For her severe COPD, Mrs. O'Connor normally takes a budesonide/formoterol combination (160 mcg/4.5 mcg), 2 pumps 2 times daily, every 12 hours. For COPD exacerbation, she takes an ipratropium albuterol combination (20 mcg/100 mcg), 1 pump 4 times daily as needed. She has been taking the maximum daily allotment of ipratropium/albuterol for the last three days. Ben: Here are the provider's orders. Provide O2 at 2L per minute via nasal cannula (NC). Keep SpO2 between 88 and 92%. Keep Mrs. O'Connor on her budesonide/formoterol combination (160 mcg/4.5 mcg), 2 pumps 2 times daily, every 12 hours. Administer the ipratropium/albuterol combination (20 mcg/100 mcg), via nebulizer, 4 times daily. Administer 40 mg of prednisone, PO, 1 time per day for five days. Today is Mrs. O'Connor's second day on the prednisone. Record vitals and monitor mental status every hour.

You scored 0.5 out of 1 The correct answer is: Knowing a patient's age can you to gain a broad understanding of their condit You may need to consider th age when performing interventions.

You scored 1.0 out of 1 The correct answer is: Can you tell me about the on of Mrs. O'Connor's current condition?

What else do you need to ask Ben about Debbie O'Connor's Background? Can you tell me about the onset of Mrs. O'Connor's current condition?

Ben: Oh, right! Of course! Four days ago, Mrs. O'Connor began experiencing shortness of breath and increased coughing. At the time, she thought she was coming down with a cold. Over the next several days, her symptoms continued to worsen. The coughing began to prevent her from sleeping, her cough became wheezing and her sputum changed from tan to green. Yesterday, she experienced frequent shortness of breath and a relentless cough. After a particularly bad coughing fit, Mrs. O'Connor's daughter, Ava, brought her in to our ER at 1600 hours, where she was diagnosed with exacerbation of COPD. Why is this the best question to ask Ben about Debbie O'Connor's Background? The history of the present illness is an important part of the Background section of a Bedside Shift Report, and vital to a full understanding of your patient's case.

Mrs. O'Connor experiences dyspnea on exertion and has a relentless, wheezing cough that produces green sputum. Her respirations are 28 per minute. ABGs from admission are as follows. On room air upon admission, pH was 7.36, PaCo2 was 48 mmHg, HCO3 was 24 mEq/L, and PaO2 was 62 mmHg. What else do you need to ask Ben about his Assessment of Debbie O'Connor's condition? What is Mrs. O'Connor's SpO2 level?

https://app.shadowhealth.com/assignment_attempts/10893521

You scored 1.0 out of 1 The correct answer is: The history of the present illn is an important part of the Background section of a Bed Shift Report, and vital to a fu understanding of your patien case.

You scored 1.0 out of 1 The correct answer is: What is Mrs. O'Connor's SpO level?

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Assignment 3: Conflict Management | Completed | Shadow Health

Ben: Good catch! Mrs. O'Connor's oxygen saturation is 89% on 2L O2. Why is this the best question to ask Ben about Debbie O'Connor's Assessment? Since Mrs. O'Connor's chief complaint is a COPD exacerbation, her respiratory rate is directly relevant to her current condition. Significant readings that drive decision-making, like Mrs. O'Connor's low oxygen saturation, are included in the Assessment section of a Shadow General Bedside Shift Report.

You scored 0.5 out of 1 The correct answer is: Significant readings that driv decision-making, like Mrs. O'Connor's low oxygen saturation, are included in th Assessment section of a Sha General Bedside Shift Report

Ben: I recommend that you closely monitor Mrs. O'Connor's vital signs and oxygen saturation. Notify Dr. Tremblay if the SpO2 drops below 88%. Regularly auscultate chest sounds and check mental status. Ben: Mrs. O'Connor has no procedures scheduled for today. Her daughter, Ava, is currently visiting her, and will probably be in and out of her room frequently throughout her hospital stay. What else do you need to ask Ben about his Recommendation for Debbie O'Connor's care? Is it correct we will eventually have to use a venturi mask when the patient's condition deteriorates?

You scored 0.5 out of 1 The correct answer is: Are there any other intervent you would recommend?

Ben: I think that's something the provider would decide . . . Debbie: Whatever that is, it doesn't sound promising. Are there any other interventions you would recommend?

Ben: Good question. Since her shortness of breath means Mrs. O'Connor will have difficulty with her daily activities, it would be a good idea to offer some education on energy conservation and anxiety management. Why is this the best question to ask Ben about his Recommendation for Debbie O'Connor's care? For review, here are the selections that were available in the previous problem: Are there any other interventions you would recommend? (correct) Can you tell me what to expect with Ava? You give Ben a chance to show empathy to Mrs. O'Connor, thus increasing your patient's trust in your team's ability to provide her with care.

You scored 0.5 out of 1 The correct answer is: You ask Ben an open-ended question that prompts him to consider what additional interventions would be usefu Mrs. O'Connor's care.

You ask Ben an open-ended question that prompts him to consider what additional interventions would be useful for Mrs. O'Connor's care.

What else would you like to ask Ben about Debbie O'Connor's case? How did the COPD exacerbation begin? Ben: It started four days ago, with increased shortness of breath and coughing. Mrs. O'Connor's symptoms continued to worsen over the next four days, until she was admitted yesterday afternoon after a bad coughing fit. I thought I covered this during the Background section of the report. Does Mrs. O'Connor have a history of smoking?

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You scored 0.5 out of 1 The correct answer is: Does Mrs. O'Connor have a history of smoking?

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Assignment 3: Conflict Management | Completed | Shadow Health Ben: Mrs....