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Transcript

Scope of Practice Poster

Mr. Williams is a 70 y/o male with a diagnosis of pneumonia and dehydration. He has complaints of fever, fatigue, productive cough, and shortness of breath. He wasadmitted within the last hour with the following admitting orders: repeat CXR in am, CBC in am, VS Q 3HR, O2 2L/NC to maintain O2sat >95% RA, regular diet, BRPw/assist, Peripheral IV with NS at 100 ml/hr, Ceftriaxone 1g IV Q24 HR, Tylenol 650 mg po Q3HR prn mild pain 3-5/10, and Ambien 5 mg po/hs prn insomnia.

Delegation Scenario

CNA Scope of Practice

S.M.A.R.T. Goal/ Problem Statement

RN Scope of Practice

LVN Scope of Practice

Summary

  • Collect/Record vital signs
  • Measure/Record intake and output
  • Place client in Semi-Fowler's position
  • Offer/Encourage client to drink plenty of fluids

S.M.A.R.T. GOAL: Mr. William's will maintain oxygen level of >95% every 3 hours to achieve normal CBC values within 48 hours.Problem Statement: Ineffective breathing pattern R/T inadequate ventilation (pneumonia) AEB dehydration, fever, fatigue, productive cough, and shortness of breath.

  • Initial/ongoing assessment
  • Clinical judgment
  • Medication management
  • Patient education

  • PO Meds
  • IV Normal Saline
  • Oxygen Safety
  • Assist With Activities of Daily Living

Mr. Williams must be closely monitored to ensure progress and that vitals remain stable. Patient will be administered ceftriaxone to kill the bacteria that caused the infection, Tylenol to reduce fever and discomfort, and Ambien as needed. Patient is also educated on the cause of the infection and how to prevent the risk in the future. This includes proper hygiene, avoiding smoking, a healthy diet, and exercise.

References: Althoff, A., Cawley, M. E., Davis, S., Falk, S. M., Gearhart, M., Grace, L., Henry, N. J., Holman, H. C., Johnson, J., Lemon, T., Phillips, B., & Roland, P. (2023). Fundamentals for Nursing: Review Module (11th ed.). ATI Nursing is a division of Assessment Technologies Institute.ATI testing: Nursing education: NCLEX exam review: Teas testing. (n.d.). ATI Testing. https://www.atitesting.com/

Group Name: Bandaid Bandits (G2)Student Names: Caitlin Bernaldo, Catherine Carrera, Daniel Covarrubias, Jense Dela Cruz

Delegation/Scenario

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