Role Skit Scenarios group 6 PDF

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Role Skit #6  Charge RN (XX)  RN (CC)  LPN (YY)  CNA (BB) Nursing Activities o Discharge instructions for patient for an international patient going home on 4 new medications (RN) o Obtaining vital signs on 8 stable patients (CNA) o Prepare patient for transfer to hospice status (Charge RN) o Perform post-mortem care (LPN )

Skit Charge RN (XX): Good morning, everyone. We all are going to have a good shift today! Christian, today Mr. Gonzalez in room 406 will be discharged, please give our international patient discharge instructions, we will be sending him home with the 4 medications Dr. Burke provided. BB, you're going to obtain vital signs on patients in rooms 404-411. YY, you will be preparing the post-mortem care for Mr. James Clark in room 421, and I will be preparing Mr. William Smith in room 413 for transfer to hospice status. Let's go team!!! Obtaining vital signs of 8 stable patients: RN (CC): Okay, BB, I need you to measure the vital signs every 4 hours and calculate the intake and output of the patients from rooms 404-411 and report the vital signs shortly back to me as soon as you can. Once you complete it, I will perform the Head to Toe Assessment. CNA (BB): Hey CC, I have obtained the vital signs for all 8 patients and calculated the intake and output for them as well. Mr. Connor, in room 405, has an elevated BP of 139/90; the patients in room 404, 406, 407, 408, and 410's vital signs were all consistent and within the normal ranges. Room 409, Mr. Smith's intake is 675 mL, and his output is 550 mL. Patient in room 411, Mrs. Fischman has a temperature of 101.5 and was given ice packs to cool her down, so the temperature needs to be monitored closely in the next hours. Mrs. Brown, in room 411, has type I diabetes and is asking for her prescribed insulin, her BP was slightly elevated at 124/82. Perform Post- Mortem Care: Charge RN (XX): YY, following the expiration of patient James Clark, in room 421, can you please make sure to perform post-mortem care. Assure appropriate cultural concessions are met and remove all devices from the body. LPN (YY): Hey XX, I just finished grooming Mr. Clark. I removed all the IVs and sensors from the body and positioned him on the bed with the head slightly elevated, legs straight and arms on the sides. I turned over the room, removed the soiled linens, and removed all the extra equipment. The family has received

privacy; they rejected the priest's visit. And environmental services will come to empty the trash and mop the floor when family members leave. Charge RN: Okay good, Thank you Discharge Instructions: RN (CC): Hi Mr. Gonzalez, my name is CC. I'm your nurse for today. All your labs are coming back in range, so today, I'll be giving you your discharge instructions. We also have an interpreter on hand, if necessary. I have a few things I want to go over with you to make sure you're ready to go home. Your colostomy looks good and is functioning as it should, that's good news. Mary, the surgical NP, has taught you the basics of how and when to drain your colostomy bag, how to clean and protect your skin, and how to manage flatus and odor. Do you feel comfortable doing it at home by yourself? The dietician went over the foods to eat correctly; can you tell me about that? Patient: Oh yes, no fiber for the first few weeks and then I can continue with my regular diet and drink plenty of water (CC): Dr. Burke has ordered 30 days' worth of supplies and has written all the prescriptions you need. Your medicines are Maalox, which is an aluminum hydroxide and magnesium hydroxide suspension to help you with heartburn, you must take 20 mL orally, 4 times a day. Docusate Sodium, a stool softener, which will be 2 tablets daily with a full glass of water. Lomotil, an anti-diarrheal agent and you will take 2 tablets four times a day. Lastly, the doctor prescribed Lasix, a diuretic, to treat hypertension, you will have to take 1 pill every day, in the morning. (CC): You have all the numbers you need in case you need more supplies or something doesn't work. Be sure to call if your stoma changes color or has an increase in pain or bleeding or any other unexpected signs and symptoms. Do not forget that you have your first follow up appointment with Dr. Burke in 2 weeks, on May 14 at 11:45 am and have the information for them as well. When you are all ready, and your form of transportation has arrived to take you home, I will call for an escort to take you to the pharmacy to pick up your prescriptions and then to the car. (CC): Do you have any other questions or concerns? Do you have all your printed educational materials?

Patient: No, I am okay. Thank you for everything. You all were very accommodating and caring! (CC): Great, thank you very much! Please sign these forms, and here is your copy, it was a pleasure taking care of you, and I hope you get better soon, Mr. Gonzalez! Prepare patient for transfer to hospice status: *Charge RN calls Social Worker* Charge RN (XX): Hello Sandy (social worker), this is XX calling to inform you that Dr. Chadman placed an order for patient William Smith in room 407 to be under hospice status. Could you please refer the patient to our hospice department so that Mr. Smith could be evaluated? Social Worker: Yes, will do that right now...