Swift River Medical-Surgical
Chanthavy Chhet
Acute pain Impaired mobility, risk for Nausea Cultural competence Deficient knowledge Impaired verbal communication
Glenn Massey
Acute pain Impaired mobility, risk for Nausea, risk for Deficient knowledge
Richard Dominec
Acute pain Knowledge deficit Nutrition Risk for infection Skin integrity at risk Fera/anxiety
Trey Johnson
Acute pain Nausea Deficient knowledge
Marcella Como
Acute pain Readiness for enhanced immunization status Ineffective coping Rape-trauma syndrome Fear Grieving Infection, risk for Disturbed energy field Anxiety Compromised family coping Social isolation
Ramona Stukes
Bleeding, risk for Deficient fluid volume, risk for Impaired mobility Fall, risk for Infection, risk for
Lithia Monson
Bleeding, risk for Imbalanced nutrition Self-care deficit Acute confusion Fall, risk for Failure to thrive
Mark Robinson
Bleeding, risk for Impaired comfort Deficient knowledge ETOH withdrawal, risk for
Dotty Hamilton
Bleeding, risk for Impaired comfort, risk for Deficient knowledge Infection, risk for
Roger Clinton
Bleeding, risk for Impaired comfort, risk for Impaired mobility, risk for Nausea, risk for Deficient knowledge Infection, risk for
Hannah Knox
Chronic pain Impaired comfort Deficient knowledge Fear of death Gas exchange, risk for Infection, fisk for
Tom Richardson
Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - normal Sensorium - normal
Kathy Gestalt
Educational - increased Fall Risk - increased Health Change - increased Pain - normal Psychological Needs - increased Sensorium - normal
Hildegard Lowe
Educational - increased Fall Risk - increased Health Change - increased Pain - normal Psychological Needs - normal Neurological - normal
Richard Dominec
Educational - increased Fall Risk - normal Health Change - increased LOC - normal Pain - increased Safety - increased Psychological Needs - normal Sensorium - normal
Mary Barkley
Educational - increased Fall Risk - normal Health Change - increased Neurological - normal Pain - increased Psychological Needs - increased
Donald Lyles
Educational - increased Fall Risk - normal Health Change - increased Neurological - normal Pain - normal Psychological Needs - normal
Joyce Workman
Educational - increased Fall Risk - normal Health Change - increased Neurological - normal Pain - normal Psychological Needs - normal Sensorium - normal
Marcella Como
Educational - increased Fall Risk - normal Health Change - increased Pain - increased Psychological Needs - increased Sensorium - normal
Trey Johnson
Educational - increased Fall Risk - normal Health Change - increased Pain - increased Psychological Needs - increased Sensorium - normal
Calvin Umbyuma
Educational - increased Fall Risk - normal Health Change - increased Pain - increased Psychological needs - normal Neurological - normal
John Davis
Educational - increased Fall Risk - normal Health Change - increased Pain - normal Psychological Needs - normal Neurological - normal
Paul Greer
Educational - increased Fall Risk - normal Health Change - increased Pain - normal Psychological Needs - normal Neurological - normal
Roger Clinton
Educational - increased Fall Risk - normal Health Change - increased Pain - normal Psychological Needs - normal Neurological - normal
Karen Cole
Educational - increased Fall Risk - normal Health Change - increased Pain - normal Psychological Needs - normal Sensorium - normal
Dotty Hamilton
Educational - increased Fall Risk - normal Health Change - normal Pain - normal Psychological Needs - increased Neurological - normal
Arthur Thomason
Educational - increased Health change - increased LOC - increased Pain - increased Psychological needs - increased Safety - increased
Virginia Smith
Educational Needs - increased Health Change - increased - LOC - normal - Pain - increased - Psychological Needs - normal - Safety - increased
Linda Yu
Acute pain Impaired mobility Fall risk Risk for infection
Mary Barkley
Acute pain Deficient knowledge Grieving impaired comfort Infection
Ruth Cummings
Acute pain Deficient knowledge Impaired mobility, risk for Nausea
John Wiggins
Acute pain Deficient knowledge Impaired mobility, risk for Nausea Bleeding, risk for
Clement Hall
Acute pain Impaired mobility, risk for Fluid & electrolyte imbalance, risk for Infection
Tom Richardson
Acute pain Impaired mobility, risk for Impaired urinary elimination Fall, risk for
Sarah Kathryn Horton
- Acute pain - Anxiety - Disturbed personal identity - Impaired physical mobility - Impaired skin integrity - Risk for post trauma syndrome
Jose Martinez
- Acute pain - Anxiety - Impaired tissue perfusion - Ineffective health maintenance - Powerlessness - Drug therapy
Viola Cumble
- Acute pain - Bleeding, risk for - Impaired mobility - Fall, risk for - Ineffective health maintenance - Infection, risk for
Estelle Hatcher
- Acute pain - Electrolyte imbalance, risk for - Impaired comfort - Deficient knowledge - Fall ,risk for - Infection, risk for
Julia Monroe
- Acute pain - Impaired comfort - Impaired mobility - Fall, risk for
Robert Sturgess
- Chronic pain - Constipation, risk for - Imbalanced nutrition - Anxiety - Fear - Grieving - Hopelessness - Powerlessness
Charlie Raymond
- Death anxiety - Impaired gas exchange - Ineffective breathing pattern
Linda Pittmon
- Disturbed body image - Ineffective health maintenance - Risk for malnutrition - Impaired tissue integrity - Risk for physical injury - Self-care deficit
Julia Monroe
- Education Needs - increased - Fall Risk - increased - Health Change - increased - Neurological - normal - Pain - increased - Psychological - normal
Robert Sturgess
- Educational - increased - Fall Risk - increased - Health Change - increased - Pain - increased - Psychological Needs - increased - Sensorium - normal
Sarah Getts
- Educational - increased Fall Risk - increased Health Change - increased Pain - normal Psychological Needs - increased Sensorium - increased
Jose Martinez
- Educational Needs - increased - Fall Risk - increased - Health Change - increased - Neurological - increased - Pain - normal - Psychological Needs - increased
Linda Pittmon
- Educational Needs - increased - Fall Risk - increased - Health Change - increased - Neurological - increased - Pain - normal - Psychological Needs - normal
Viola Cumble
- Educational Needs - increased - Fall Risk - increased - Health Change - increased - Pain - increased - Psychological Needs - normal - Sensorium - normal
Carlos Mancia
- Educational Needs - increased - Fall Risk - increased - Health Change - increased - Pain - normal - Psychological Needs - increased - Sensorium - normal
Estelle Hatcher
- Educational Needs - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - increased Sensorium - normal
Sarah Getts
- Electrolyte imbalance - Imbalanced fluid volume, risk for - Ineffective renal perfusion, risk for - Acute confusion - Fall, risk for - Failure to thrive
Carlos Mancia
- Fatigue - Impaired gas exchange - Ineffective airway clearance - Noncompliance - Anxiety - Deficient knowledge - Fear - Readiness for self-care enhancement - Social isolation, risk for
Donald Lyles
- Knowledge deficit - Risk for infection
Virginia Smith
- Pain, acute - Physical mobility, impaired - Skin integrity, impaired - Knowledge deficit - Disturbed body image
Ann Rails
Acute pain Impaired comfort Impaired mobility Disturbed sensory perception Fall, risk for Peripheral neurovascular dysfunction
Cameron Daniels
Acute pain Impaired mobility Deficient knowledge Fall, risk for Infection, risk for
Kathy Gestalt
Acute Pain Impaired mobility Impaired skin integrity, risk for Anxiety Deficient knowledge Fall, risk for Decisional comfort Disturbed body
Preston Wright
Acute pain Altered body image Impaired physical mobility Impaired tissue integrity Risk for imbalanced nutrition Risk for infection Risk for injury related to falls
Don Johnson
Acute pain Altered body image, risk for Audiology changes, risk for Fluid & electrolyte imbalance, risk for PTSD, risk for Infection, risk for
Ronald Burgandy
Acute pain Bleeding Impaired comfort Deficient knowledge Fall, risk for
Janene Whitmore
Acute pain Bleeding Impaired comfort Deficient knowledge Infection, risk for
Wight Goodman
Acute pain Bleeding, risk for Impaired comfort Deficient knowledge Infection, risk for
Keaton Henderson
Acute pain Bleeding, risk for Impaired comfort Fall risk
Kate Bradley
Acute pain Bleeding, risk for Impaired comfort Impaired mobility Deficient knowledge Fall, risk for Infection, risk for
Jody Rush
Acute pain Bleeding, risk for Impaired mobility, risk for Nausea Deficient knowledge
Calvin Umbyuma
Acute pain Deficient knowledge
Kenny Barrett
Acute pain Deficient knowledge Fall risk
Nathaniel Gonzalez
Acute pain Deficient knowledge Fall, risk for
Tim Jones
Defensive coping Ineffective health maintenance Risk for post traumatic stress syndrome Risk for injury at home
John Duncan
Deficient fluid volume Electrolyte imbalance, risk for Fatigue Fall, risk for Noncompliance
John Davis
Deficient knowledge
Dana Fitzgerald
Deficient knowledge Grieving, risk for
Tim Jones
Educational - Increased Fall Risk - Increased Health Change - Increased Neurological - Increased Pain Level - Increased Psychological Needs - Increased
Ann Rails
Educational - Increased Fall Risk - Increased Health Change - Increased Pain - Increased Psychological Needs - Normal Sensorium - Normal
Charlie Raymond
Educational - increased Fall - increased Health Change - increased Neurological - normal Pain - normal Psychological Needs - normal
Sarah Kathryn Horton
Educational - increased Fall - increased Health Change - increased Pain - increased Psychological Needs - increased Sensorium - normal
Linda Yu
Educational - increased Fall Risk - increased Health Change - increased Neurological - increased Pain - increased Psychological Needs - increased
John Wiggins
Educational - increased Fall Risk - increased Health Change - increased Neurological - normal Pain - increased Psychological Needs - normal
Mark Robinson
Educational - increased Fall Risk - increased Health Change - increased Neurological - normal Pain - increased Psychological Needs - normal
Preston Wright
Educational - increased Fall Risk - increased Health Change - increased Neurological - normal Pain - increased Psychological Needs - normal
Clement Hall
Educational - increased Fall Risk - increased Health Change - increased Neurological - normal Pain - increased Psychological needs - normal
Keaton Henderson
Educational - increased Fall Risk - increased Health Change - increased Neurological - normal Pain - normal Psychological Needs - normal
Kate Bradley
Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - increased Neurological - increased
Chanthavy Chhet
Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - increased Neurological - normal
Don Johnson
Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - increased Neurological - normal
Janene Whitmore
Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - increased Neurological - normal
Nathaniel Gonzalez
Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - increased Neurological - normal
Ruth Cummings
Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - increased Neurological - normal
Lithia Monson
Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - increased Sensorium - increased
Ronald Burgandy
Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - increased Sensorium - normal
Cameron Daniels
Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - normal Neurological - normal
Dana Fitzgerald
Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - normal Neurological - normal
Glenn Massey
Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - normal Neurological - normal
Jody Rush
Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - normal Neurological - normal
Wight Goodman
Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - normal Neurological - normal
Kenny Barrett
Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - normal Sensorium - increased
John Duncan
Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - normal Sensorium - normal
Ramona Stukes
Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - normal Sensorium - normal
Hannah Knox
Educational- increased Fall Risk - increased Health Change - increased Pain - increased PsychologicL Needs - increased Neurological - normal
Joyce Workman
Enhanced readiness for learning Ineffective health maintenance Imbalanced nutrition Risk for injury
Paul Greer
Impaired comfort Deficient knowledge Sexuality
Arthur Thomason
Impaired confort Impaired gas exchange Ineffective airway clearance Shock, risk for Anxiety/fear Failure to thrive, risk for
Karen Cole
Impaired coping Risk for impaired comfort Infection risk Risk for injury
Hildegard Lowe
Impaired mobility, risk for Deficient knowledge Impaired gas exchange, risk for Peripheral neurovascular dysfunction, risk for Risk for infection Ineffective breathing pattern
Karen Cole
Scenario #1 Apply O2 Connect pt. Complete full assessment Obtain IV access Orient pt. & husband Scenario #2 Give IV morphine Reassess VS Notify Cath lab Obtain informed consent Transport pt. Scenario #3 Take VS Post-op assessment Ensure pressure dressing Instruct pt. Assess pain Scenario #4 Explain the necessary Perform hand hygiene Remove infiltrated IV Don new gloves Insert new IV Scenario #5 Asses pt. & family Provide pt. post MI Pt. & family should Schedule cardiac Document
Joyce Workman
Scenario #1 Ask Mrs. Workman Explain in laymen terms Discuss lifestyle choices Discuss lifestyle changes Document teaching Scenario #2 Asses Mrs. Workman's knowledge Ask Mrs. Workman for 24-hour diet Educate Mrs. Workman Provide Mrs. Workman Ask Mrs. Workman to demonstrate Scenario #3 Assess pt's preferred Ensure the pt. Provide an exercise routine Review with Mrs. Workman Use teach back Scenario #4 Assess pt's blood glucose Provide 20 gram carb Provide another Reassess blood glucose Proved additional teaching Scenario #5 Assess Mrs. Workman's understanding Explain to Mrs. Workman Explore new ways Provide information Document education
Virginia Smith
Scenario #1 Ask pt. to explain If pt. statement Stay with pt. Contact head RN Procedure is scheduled Scenario #2 Therapeutic communication Validate NPO Encourage to ambulate Connect telemetry Provide a few chairs Scenario #3 Vital signs taken Complete assessment Talk with her Allow husband Document Scenario #4 Provide operative summary Present health assessment Report current Request time Explain to her family Scenario #5 Full assessment of pt Provide for physical Therapeutic communication Begin post-op Notify family
Arthur Thomason
Scenario #1 Assess Replace O2 Use therapeutic Notify Dr. and charge nurse Scenario #2 Remind physician Explain to physician Assist physician Obtain recent Reassure pt. Scenario #3 Tap pt. Elevate HOB Call rapid response Start secondary Remain with pt. Scenario #4 Provide verbal report Emergency intubation Assume role Obtain pt. record Provide information Scenario #5 You explain that his condition You explain that he is receiving You have them remain with you You escort them with you You call his doctor
John Duncan
Scenario #1 Assess I&O Construct dietary consult Acquire daily weight Evaluate outcome Scenario #2 Full assessment Check I&O Teach pt. about safety Document Scenario #3 Wash/glove hands Provide emesis basin VS assessment Administer antiemetic Evaluate medication Scenario #4 VS assessment Assessment of bowel Administer protocol Document results Include pt. condition Scenario #5 Inform & educate spouse Evaluate/modify Assess food Document
Jose Martinez
Scenario #1 Assess airway Ensure continuous Administer oxygen Provide morphine Reassess pt's VS Scenario #2 Assess for the abrupt Initiate IV heparin Give ASA Observe for bleeding Monitor aPTT Scenario #3 Provide emotional Assess MR. Martinez's willingness Provide introductory Report Mr. Martinez's Document Scenario #4 Troponin CPK CK-MB Serum Potassium Serum Sodium Scenario #5 Clarify Promote open Explain to Mr. and Mrs. Discuss physical Provide information
Preston Wright
Scenario #1 Assess current pain Assess documented pain Review medication Prepare and administer Reassess pain Scenario #2 Asses Mr. Wright's willingness Eliminate as many Explain rationales Assess understanding Document Scenario #3 Remove old dressing Assess the injury Assess and document Measure wound size Re-apply new sterile dressing Scenario #4 Don clean gloves Remove clean gloves Clean wound Place sterile moistened Secure dressing Scenario #5 Explain S/Sx Encourage Mr. Wright Assess understanding Alert Mr. Wright's case manager Call Report
Linda Yu
Scenario #1 Assess current pain Obtain VS Complete initial assessment Educate pt. Place personal aspirin Scenario #2 Assess for injury Obtain assistance Take VS Complete skin assessment Notify healthcare provider Scenario #3 Administer medication Address pt's skin tear Obtain bedside Prepare pt. Assign a UAP Scenario #4 Assess leg Treat pt. Educate pt. Contact power of attorney Collect pre-op labs Scenario #5 Assess VS & UO Start secondary IV Have a 2nd licensed nurse Take VS Assess pt. & VS
Viola Cumble
Scenario #1 Assess for bowel Administer PRN Encourage fluids Evaluate understanding Review pain Scenario #2 Check physician Educate pt. Offer bedpan Record I/O Verify call light Scenario #3 Obtain VS Wash and glove ID pt. Assess vital Document Scenario #4 Wash and glove Administer antipyretic Encourage fluids Notify doctor Document Scenario #5 Notify PT PT to educate Read PT Reassess pt. Evaluate/modify
John Wiggins
Scenario #1 Check for cognition Check pupils Check nose and ears Check cranial nerves Assess extremity Scenario #2 Explain to Mr. Wiggins Inform pt. Ask pt. to remain Put side rails up Notify physician Scenario #3 Contact radiology Inform the pt. of the plan Start a saline lock Inform pt. why you are doing Inform the pt. why he will Notify charge RN Scenario #4 Remain with pt. Call for help Note time when Ensure IV access Reassess VS Scenario #5 Assist anesthesia Administer Valium Initiate a second 18g IV Contact family Continue frequent VS
Kathy Gestalt
Scenario #1 Check pedal cap refill Educate pt. Evaluate understanding Adjust crutches Assist pt. OOB Scenario #2 Wash & glove VS assessment Administer anit-pyretics Verify call light Document results Scenario #3 Inspect cast site Assess toe movement Notify Dr. Document results Scenario #4 Assess pain Elevate extremity Educate pt. Notify lead nurse/Dr Retrieve cast removal tool Scenario #5 Use therapeutic Notify lead nurse/Dr Consult social services Evaluation pt. Document consults
Don Johnson
Scenario #1 Complete full assessment Insert foley Initiate IV Apply Silvadene Contact HCP Scenario #2 Reassess lung sounds Empty foley bag Administer pain meds Notify HCP Document Scenario #3 Elevate HOB Assess pt's sputum Reassure the pt. Assure the pt. Contact respiratory therapy Scenario #4 Obtain doppler pulse Adjust rate of IV Ask for available tech Change dressing Determine if the pt. Scenario #5 Obtain bear hugger Explain to the pt. Notify nursing supervisor Contact nutritionist Allow visitors to enter
Kate Bradley
Scenario #1 Complete full assessment Secure help Medicate Contact nursing supervisor Complete bed bath Scenario #2 Reassess VS Report discrepancy Notify HCP Contact IV team Document all findings Scenario #3 Explain to surgeon Check on labs Contact charge nurse Meet with daughter Assess pt. Scenario #4 Provide therapeutic Assess last medication Assist the IV team Explain to daughter Contact social services Scenario #5 Witness daughter Call report 88 y/o female Former nursing home Pt. has a foley Have daughter stay
Paul Greer
Scenario #1 Complete initial Check patency Medicate for pain Explain to pt. Inform pt. Scenario #2 Tell the wife Explain to Mr. Greer Teach the pt. Evaluate pt's understanding Continue to observe Scenario #3 Using therapeutic Contact HCP Provide the pt. Provide a diversional When the HCP Scenario #4 Complete head-to-toe Ensure pt. privacy Complete secondary Reinforce to the pt. Notify HCP Scenario #5 Ask the pt. if it is okay Explain that Docetaxel Explain that Radium-223 Ask the pt. to verbalize Assess pt's understanding
Clement Hal
Scenario #1 Contact isolation Administer pain meds Initiate IV Ask pt. Document physical findings Scenario #2 Explain the need Elevate HOB Measure nose to ear Have pt. swallow Check placement Scenario #3 Remind pt. Reassess pt. Obtain an order Teach pt. to avoid Teach pt. to apply Scenario #4 Assess pain Asminister morphine NG tube to LIS Call for triple lumen Address concerns Scenario #5 Therapeutic communication Pt. teaching Evaluate learning Make referral Dietary consult
Dotty Hamilton
Scenario #1 Contact surgeon Complete pre-op Ensure surgical consents Check to see Pt. teaching Scenario #2 Wash hands Complete full assessment Check wound sites Use therapeutic Encourage first IS Scenario #3 Reassure & communicate Check blood glucose Administer ABX Encourage aggressive IS Start PCA pump Scenario #4 Reassure pt. Complete full pt. assessment Assess whether or not Obtain labs Notify HCP Scenario #5 Complete full assessment Place pt. on telemetry Check foley Assist anesthesia Explain to pt. Scenario #6 Have family step out Bring the family in Offer to the family Contact funeral home Ask nursing manager
Carlos Mancia
Scenario #1 Don PPE Allow for non-compliance Do not probe Verify call light Document Scenario #2 Obtain translator Offer masks Educate pt Evaluate understanding Obtain Spanish Scenario #3 Obtain translator Wash hands Put on gown Don gloves Administer Scenario #4 Educate caller Evaluate caller Refer caller Notify doctor Document Scenario #5 Obtain translator Use therapeutic Educate pt. Evaluate learning Document
Charlie Raymond
Scenario #1 Don appropriate PPE Change to simple Perform focused Notify respiratory therapy Notify family Scenario #2 Reorient pt. Obtain a sitter Restart IV Begin strict Obtain an order Scenario #3 Use therapeutic Position the pt. Create sterile Instruct Lucy Insert foley Scenario #4 Make sure O2 mask Ensure pt. Check the foley Notify RRT Provide initial Scenario #5 Mr. Raymond, COVID-19 Pt. has a HX Intubated by Recommend pt. Accompany pt.
Mark Robinson
Scenario #1 Educate pt. Draw labs Initiate large bore IV Advise pt. Initiate I&O Scenario #2 Stop the pt. Explain to the wife Reassess pt. Call GI provider Explain to pt. & wife Scenario #3 Identify the client Check the client Document necessary Check VS Recheck VS q 5 min Scenario #4 Repeat H&H Administer ordered meds Explain to the pt. Verify with blood bank Verify soft, low sodium Scenario #5 Stop the platelets Reassess VS & obtain UA Notify HCP Call charge nurse Initiate incident report
Glenn Massey
Scenario #1 Ensure room was cleaned Disinfect call light Clean and obtain IV pole Obtain burn sheets Notify infection control nurse Scenario #2 Obtain VS Initial assessment Administer pain meds Educate pt. Check pt's chart Scenario #3 Hand hygiene Set up supplies Apply clean gloves Gently peel off Clean wound site Apply new dressing Scenario #4 Notify HCP Inform pt. Initiate cardiac telemetry Give 1L NS Empty foley Scenario #5 Explore why pt. Educate pt. Evaluate pt's understanding Contact social services Involve family
Donald Lyles
Scenario #1 Establish responsiveness Call for code Check for breathing Begin continuous When help arrives Scenario #2 Assist with airway Assist with applying Establish large IV Provide pt. hx Provide medical hx Scenario #3 Check time Establish when the cardiac Begin list of medications Document rhythm Remind CODE Scenario #4 Ensure cardio pads Charge the monitor Announce to CODE Announce, "CLEAR Ensure no one Scenario #5 Give 1mg atropine Reassess its VS Repeat 1mg atropine Prepare for external Document and accompany
Janene Whitmore
Scenario #1 Explain to pt. Medicate pt. Initiate IV Put an arm band Ask pt. Scenario #2 Explain to Mrs. Whitmore Inform pt. Explain to pt. Reassure pt. Ask Mrs. Whitmore Scenario #3 Contact charge nurse Contact hospital liaison Inform pt. Inform admitting physician Document Scenario #4 Ask pt. Administer Epoetin Pt. teaching Administer diluted iron Reassess pt. Scenario #5 Remind surgeon & staff Notify HIPAA Notify charge nurse Suggest Introduce hospital liaison
Ronald Burgandy
Scenario #1 Explain to the pt. Ensure there is a full Start and IV Medicate Advise pt. Scenario #2 Explain to Mr. Burgandy Inform Mr. Burgandy Ask Mr. Burgandy Reassure pt. Reassess pt's physical Scenario #3 Assess pt's ABCs Take initial VS Pale pt. on O2 Start IV Set-up Scenario #4 Explain procedure Place pt. on 100% O2 Ensure there is suction Obtain chest tube tray Reassess pt's VS Scenario #5 Instruct Mr. Burgandy Notify charge nurse Call security Transport Mr. Burgandy Complete incident report
Hannah Knox
Scenario #1 Full assessment Contact IV team Contact HCP Set up PCA Contact social services Scenario #2 Administer ABX & start morphine Contact hospice/social work Place pt. on continuous pulse ox Reassess effectiveness Document Scenario #3 Reassess VS & elevate HOB Continue to provide Seek clarification Call respiratory therapy Provide emotional support Scenario #4 Full assessment Place pt. on 100% non-rebreather Review PCA pump history DNR armband Discuss with HCP Scenario #5 Contact HCP Contact chaplain Take pt's family Prepare Mrs. Knox's body Notify social services
Cameron Daniels
Scenario #1 Give tylenol Start another IV Initiate bolus Request additional pain med Reasses temp in 1 hour Scenario #2 Sit at an eye level Teach Cameron Evaluate understanding Contact charge nurse Document pt's statements Scenario #3 Provide emotional support Assure pt. Explain to pt. Stress importance Inform pt. Scenario #4 Make sure accurate wt. Explain reason for medication Tell the mother that you understand Tell the mother that visitors are welcome Be honest with Cameron Scenario #5 Assess pt. Perform rapid assessment Ask pt. Inform charge nurse Call local law enforcement
Mary Barkley
Scenario #1 Have pt. Wash hands Use therapeutic Guide her back Set her up Scenario #2 InitiateO2 Scenario #3 Contact RT Obtaintelemetry Ask PCT Don PPE Assist RT Scenario #4 Call rapid response Continue to assist Give SBAR Call for crash cart Ensure documentation Scenario #5 Encourage the HCP Offer to contact Contact assisted living Notify HCP Assist w/ intubation
Keaton Henderson
Scenario #1 Introduce Take vitals Auscultate lungs Inspect pleurovac Mark drainage level Scenario #2 Assess VS Assess insertion site Check pleurovac Administer pain meds Encourage use of IS Scenario #3 Asses for mediastinal shift Administer 100% O2 Auscultate lungs Assess pleurovac Cal rapid response Scenario #4 Explain to pt. Obtain 16 gauge angiocath Set up sterile Obtain & fill Assist with insertion Scenario #5 Assess VS Auscultate lungs Complete chest x-ray Inspect insertion site Ensure chest tube
Estelle Hatcher
Scenario #1 Introduce yourself Full assessment Educate pt. Evaluate understanding Provide comfort Scenario #2 Wash/glove Inspect pain Check proper Verify call light Notify doctor Scenario #3 Educate pt. Evaluate understanding Remove NG Order a new clear Document Scenario #4 Wash/glove Full assessment Encourage Verify call light Document Scenario #5 Use therapeutic Educate pt. Evaluate understanding Verify call light Document
Chanthavy Chhet
Scenario #1 Obtain translator Initiate IV Begin fluid and electrolyte Administer IV ABX Consult with MD Scenario #2 What is going on? We need to stop the bleeding Tell me where you are Who were you talking to? What were the voices telling you? Scenario #3 Attempt to establish rapport Notify HCP of findings Attempt to restart IV Contact dietary Obtain a sitter Remove potential harmful objects Scenario #4 Delay insertion of IV Contact HCP Contact CC's uncle Request the uncle come Request the uncle participates Scenario #5 Provide one-to-one Initiate anti-psychotic meds Ensure family member Reassess environment Initiate continuous observation
John Davis
Scenario #1 Offer pt. a urinal Perform post-op Assist pt. Tell pt. Ensure side rails Scenario #2 Assess large dressing site Administer pain meds Assess dressing supply Assess pt's need Document Scenario #3 Restart new IV Administer nausea med Assess for contraindications Weight the pt. Take VS & provide pt. teaching Scenario #4 Complete full assessment Apply clean dressing Encourage pt. Continue to encourage Document & inform Scenario #5 Assess pt's concerns Teach pt. Make referral Consult social services Have pt. verbalize
Ruth Cummings
Scenario #1 Orient pt. Educate pt. Administer rectal Assess IV Insert NG Scenario #2 Describe to pt. Explain how surgery Practice using IS Reinforce need Evaluate pt. understanding Scenario #3 Ensure signed surgical Take VS Ask pt. to verify Check IV Disconnect NG tube Scenario #4 Receive handoff Assess/inspect Take VS Elevate HOB Give pt. call light Scenario #5 Assis pt. Ensure side rails Notify charge nurse Notify HCP Complete incidence report
Richard Dominec
Scenario #1 Perform full assessment Provide comfort Check surgical consent Inform his partner Scenario #2 Educate about recovery Discuss his understanding Offer assistance Determine from medical Scenario #3 You discuss this cough Notify Dr. of change Explain to Mr. Dominec Explain that he will Notify charge nurse Scenario #4 Inform pt. about Obtain and provide Encourage Mr. Dominec Document and provide Scenario #5 This information Remind staff Leave the break room Report this activity
Kenny Barrett
Scenario #1 Perform hand hygiene Reassess BP & P Evaluate pt's understanding Administer Document Scenario #2 Retake VS Instruct pt. Perform comfort Request CNA Notify the HCP Scenario #3 Pt. Kenny Barrett Pt. was admitted Current VS Request possible change Scenario #4 Take VS not Maintain strice 500 mL NS Hold next dose Contact HCP Scenario #5 Assess stress level Communicate Discuss willingness Educate pt. Contact HCP
Julia Monroe
Scenario #1 Perform initial Ask the pt. if she Ask the pt about Ask if the pt. understands Ensure informed consent Scenario #2 Comfort the pt Provide education Explain the TX Evaluate pt. Document Scenario #3 Assist the pt. Perform Draw digoxin Request order Place call light Scenario #4 Assess the pt. Establish an IV Administer digoxin Monitor for adverse Request repeat Scenario #5 Check leads Perform Start O2 Call RRT Educate pt
Lithia Monson
Scenario #1 Perform neuro Reorient pt. Assess for fall Offer nutrition Scenario #2 Explain reason VS assessments Apply restraint Perform circulatory Request sitter Scenario #3 Employ therapeutic Release restraints Reapply restraints Perform circulatory Document Scenario #4 Use therapeutic Attempt to orient Perform circulatory Offer nutrition Document Scenario #5 Check monitor Apply NC O2 VS reassessment Notify lead RN Remain w/ pt.
Calvin Umbyuma
Scenario #1 Place on respiratory isolation Ask Mr. U Obtain blood cultures Start IV Collect sputum culture Scenario#2 Wash hand, don PPE Explain to the visitor Respiratory assessment Explain to Mr. U Place signage on door Scenario #3 Ask pt. what he knows Ask pt. what his mother's Educate pt. Evaluate effectiveness Report findings Scenario #4 Pt. teaching Contact respiratory therapy Chest x-ray Western blot Bronchoscopy Scenario #5 Elevate HOB Initiate O2 at 4L Reassess VS Reevaluate amount of blood lost Contact HCP
Hildegard Lowe
Scenario #1 Reposition HOB to semi-fowler's Increase supplemental O2 Orient pt. Initiate IS treatment Retake VS Scenario #2 WBC Magnesium RBC Hemoglobin BUN Scenario #3 Stop infusion Don gloves Inspect site Collect supplies Remove IV & document Scenario #4 Have secretary Review current Discuss the policy Ask Hildegard Document teaching Talk to daughter Scenario #5 Don gloves & assist pt. Assess stool Assist pt. to bed Anticipate need Call the physician Place pt. on enteric
Dana Fitzgerald
Scenario #1 Sit with the pt. Reinforce provider teaching Assess family support system Reassure the pt. Ask the pt. Scenario #2 Head-to-toe assessment Inspect catheter Teach pt. Instruct pt. Ask the charge nurse Scenario #3 Teach the pt. Explain to the pt. Administer pain meds Tell the pt. Have the pt. ambulate Scenario #4 Inspect pt's abdomen Auscultate Percuss & palpate Contact provider Tell husband & pt. Scenario #5 Inform the pt. Provide pt. privacy Lubricate tip of enema Squeeze the contents Have the pt. lay on their side
Nathaniel Gonzalez
Scenario #1 Tell the pt. that Perform admission Tell the pt. to Explain to the pt. Ensure the bed Scenario #2 Explain to the pt. Reinforce the risk Administer the medication Assess if the contents Remove the lunch tray Scenario #3 Assess pt's LOC Elevate HOB Reapply NC Remove the dinner tray Reassess pt. q 5 min Scenario #4 Restart IV Give NS liter bolus Recheck Tilts Remind pt. Draw a repeat CBC Scenario #5 Assess pt's pain If gastric reflux If cardiac Assess pt's anxiety Verify if discharge
Marcella Como
Scenario #1 Use therapeutic Full assessment Provide emotional Document Scenario #2 Use therapeutic Educate pt. Provide supplies Offer to assist Scenario #3 Use therapeutic Ask open-ended Seek clarification Summarize Scenario #4 Restsate or paraphrase Acknowledge Review plan Notify social services Document Scenario #5 Review labs Educate pt. Provide emotional Discuss support
Ann Rails
Scenario #1 Use therapeutic Educate pt. Evaluate pt. learning Place call light Document Scenario #2 Wash and glove hands Assess Provide comfort measures Notify doctor Document Scenario #3 Listen to pt. concerns Reassure pt. of options Notify lead nurse/doctor Contact Social Services Document Scenario #4 Wash and glove hands Visual assessment Do not disturb Verify Call Light Document Scenario #5 Assess for bowel sounds Encourage fluids/fiber/ambulation Evaluate pt. understanding Attain fluids/fiber diet Document
Trey Johnson
Scenario #1 VS & head-to-toe Collect stool Initiate IV Initiate I&O Teach pt. Scenario #2 Place pt. Relocate pt. Contact HCP Proved PRN Continue strict I&O Scenario #3 Notify Infection Control Pt. education Initiate medication Continue medicating Discuss coping Scenario #4 Allow pt. Educate pt. Evaluate pt. understanding Notify HCP Document Scenario #5 Educate pt. of protocols Educate pt. of transmission Evaluate potential barriers Educate pt. of need Evaluate pt. understanding
Ramona Stukes
Scenario #1 Wash & glove Full assessment Allow expression Educate pt. Evaluate understanding Scenario #2 Wash & glove Full assessment Check NG tube Administer IV antiemetic Scenario #3 Full assessment Educate pt. Evaluate understanding Notify lead RN Consult wound care Scenario #4 Discuss w/ pt. Notify lead RN Contact social services Update pt. Scenario #5 Follow HIPAA Explain HIPAA Offer resource Contact wound care Document
Tom Richardson
Scenario #1 Wash & glove Vital assessment Administer Reassess pt. Document Scenario #2 Vital assessment Notify Dr. Administer new Reassess pt. Scenario #3 Use therapeutic Obtain urinary Assist pt. Remain w/ pt. Document Scenario #4 Use therapeutic Educate pt. Evaluate understanding Contact dietary Document Scenario #5 D/C instruction Evaluate understanding Escort pt. Document Notify housekeeping
Sarah Getts
Scenario #1 Wash and glove Full assessment Monitor and evaluate Educate pt. Document Scenario #2 Wash and glove Full assessment Apply fall risk Document Scenario #3 Offer assistance Remain with pt. Therapeutic communication Notify lead nurse Document Scenario #4 Visual asess Call rapid response Apply oxygen Establish second Remain with pt. Scenario #5 Give verbal Escort pt. Notify family Document
Robert Sturgess
Scenario #1 Wash and glove Full assessment Seek clarification Check PRN Verify call light Scenario #2 Full assessment Educate pt. Place pt. Observe closely Perform pain Scenario #3 Use therapeutic Educate pt. Notify doctor Contact social services Report Scenario #4 Use therapeutic Notify MD Education Insert Document Scenario #5 Allow family Full assessment Provide comfort Pain reassessment Document
Linda Pittmon
Scenario #1 Wash handa Obtain blood (culture #1) Obtain blood (culture #2) Initiate IV Administer levofloxacin Scenario #2 Ask the pt. Assess VS Place the syringe Notify the charge Call HCP Scenario #3 Assess VS Therapeutic communication Call HCP Prescribed medication Assess for therapeutic Scenario #4 Ask Mrs. Pittman Perform pre-op Ensure signed consent Ensure type and cross Have IV ABX Scenario #5 Pre-medicate Don clean gloves Monitor neurovascular Don 2nd set Elevate stump
Sarah Kathryn Horton
Scenario #1 Wash hands Assess respiratory Do not disturb Reduce stimuli Document Scenario #2 Wash hands Assess Ms. Horton's Medicate Attempt deescalation Document Scenario #3 Gather supplies Wash hands Explain procedure Provide morphine Perform dressing Scenario #4 Educate Ms. Horton Reinforce past Educate family regarding active Educate family regarding intervention Document Scenario #5 Assess Ms. Horton's Use therapeutic Assist Ms. Horton Escort pt. Provide report
Jody Rush
Scenario #1 Wash hands Complete full assessment Medicate Encourage positioning Orient friend Scenario #2 Complete neuro Educate Jody's parents Offer full AM bath Log roll pt. Ensure foley is draining Scenario #3 Inform pt. & family Draw stat D-Dimer Obtain additional support Ask parents Accompany pt. Scenario #4 Start O2 100% Provide SBAR Page surgeon STAT Prepare for heparin Assist RRT Scenario #5 Assist & support Alert ICU Following pt. arrival Provide emotional support Ask charge nurse
Tim Jones
Scenario #1 Wash hands Reassure pt. Interviewing pt. Complete physical Notify charge nurse Scenario #2 Use therapeutic Seek clarification Reassure Mr. Jones Administer prescribed Offer UAP Scenario #3 Assess Mr. Jones Assist Mr. Jones Provide personal Remind Mr. Jones Obtain a sitter Scenario #4 Notify HCP Administer nebulizer Reassess respiratory Encourage Mr. Jones Document Scenario #5 Talk with Mr. Jones Call Mr. Jones's children Ask Mr. Jones Discuss options Notify the social worker
Wight Goodman
Scenario #1 Wash hands & assess Complete neuro Check the blood Pre-op education Ask surgeon Scenario #2 Complete neuro Educate pt. Evaluate pt's understanding Administer IV ABX Sign additional Scenario #3 Complete neuro Educate pt. & family Inform healthcare provider Contact social services Extensive discharge Scenario #4 Repeat neuro Reemphasize to pt. Approach resident Contact nursing supervisor Document Scenario #5 Take VS Restart pt's IV Obtain surgical Assure pt. Remain with pt.
Roger Clinton
Scenario#1 Wash hands Explain to Roger Obtain & verify Initiate IV Orient pt. Scenario #2 Orient Roger Take VS Observe & mark Assess pain Fluid status Scenario #3 Head-to-toe Reinforce dressing Notify surgeon Notify charge nurse Instruct pt. Scenario #4 Take VS Keep Mr. Clinton Reinforce dressing Initiate secondary Witness signing Scenario #5 Initiate head-to-toe Check operative Assess for pain Review new orders Encourage Mr. Clinton