Experience Overview
Assignment 1: Prioritization and Introduction to Leadership
Digital Clinical Experience Score
Total Time
32 minutes
32 minutes
... [Show More] interacting with patients
0 minutes spent in post-exam activities
100.0%
The DCE score represents a weighted score based on all learning activities in this assignment.
Some learning activities have been assigned greater value than others. This score may not be your
final grade if your instructor chooses to include additional components, such as rationales or time
spent.
Activity Scores 100.0/100 points
Bedside Shift Report 25.0/25 points
Interprofessional Communication 35.0/35 points
Prioritizing Individual Patient Needs 20.0/20 points
Prioritizing Delivery of Care 20.0/20 points
Bedside Shift Report Score: 25.0 out of
25
Time: 0600
Ben: Hi, Mr. Haddad, it's Ben again. This is my replacement for the day. They'll be taking good
care of you.
Omar: Hi, Ben. OK.
Hello, Mr. Haddad, I'm (your name). I'm going to be your nurse today. I'll be checking in with
you every hour or so.
Omar: Hi, good to meet you.
Ben: All right, Mr. Haddad. What's going to happen now is that I'll be giving a report on your
condition to your next nurse, here. We do this at the patient's bedside, just in case you have
any questions or anything to add. We like to keep the patient involved. It's all about you, right?
Omar: Sure, sounds good.
Ben: Here's the situation. Omar Haddad is a 38-year-old man who presented to the Shadow
General emergency department yesterday at 2200 hours last night with right flank and back
pain, radiating to the right lower quadrant with a pain rating of 10/10. Omar let us know that he
began experiencing subtle pain about three days ago, but became unbearable at 2000 last
night. Urinalysis and a CT scan confirmed the presence of a renal calculi measuring 11 mm.
His provider is Dr. Yaeji Lee.
Sorry to hear he's in pain. Ready to continue when you are.
Ben: Great, will do.
Follow Up: Did Nurse Ben follow proper Shadow General SBAR procedure when reporting the
current situation to you?
Yes, he followed procedure.
Ben: The background is that we've started Mr. Haddad on IV fluids for hydration and
hydromorphone 1.5 mg, IVP every three hours as needed. I took Mr. Haddad's vitals about
half an hour ago: his temperature is at 98.6, heart rate is 102 BPM, blood pressure at 88/55,
and O2 sat is 99%. Mr. Haddad has had trouble getting around since the pain started. He
says he has never experienced pain like this before. Mr. Haddad is a generally healthy man
for his age and has no significant past medical history. He takes no prescription medications
and has no allergies at all.
OK, I've got all that. Let's continue.
Follow Up: According to Shadow General procedure, did Ben leave anything out of his
Background report?
No, all the components were covered.
Ben: Here's my assessment of Mr. Haddad. Mr. Haddad last reported his pain was much
better this morning and rated it as a 4/10. Mr. Haddad is to remain NPO until his scheduled
shock wave lithotripsy later on today.
OK, no questions so far.
Follow Up: Was there any issue with how nurse Ben conducted his assessment report?
No, he communicated concisely.
Ben: I recommend that you monitor Mr. Haddad's fluid input and output and communicate with
his provider to adjust his pain medication as needed. As far as what he's got on his plate
today, the urologist would like to talk with him around 1100 and you also should know that Mr.
Haddad says his wife and daughter may be visiting this afternoon. It should be at about 1200
hours. Aside from that, you should be all set!
Excellent, thank you.
Follow Up: Did Nurse Ben follow proper Shadow General SBAR procedure when providing his
recommendation to you?
Yes, he followed procedure.
Ben: OK, that should about do it. Don't worry, Mr. Haddad, this one is going to take good care
of you.
Ben: I am transferring Mr. Haddad into your care.
It was nice to meet you, Mr. Haddad.
Omar: Bye. [Show Less]