Experience Overview
Assignment 2: Delegation
Digital Clinical Experience Score
Total Time
67 minutes
67 minutes interacting with patients
0 minutes
... [Show More] spent in post-exam activities
86.7%
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 86.66/100 points
Bedside Shift Report 8.5/10 points
Team Delegation 26.67/30 points
Interprofessional Communication 16.5/20 points
Prioritizing Individual Patient Needs 20.0/20 points
Prioritizing Delivery of Care 15.0/20 points
Bedside Shift Report Score: 8.5 out of 10
Time: 1330
Holly: Mr. Liu, this is your new nurse. They'll be taking over
for me.
Samuel: Hello.
Nice to meet you. I'll be checking in with you every hour or
so.
Holly: All right, Mr. Liu, I'm going to hand you off to your
new nurse using a Bedside Shift Report. At Shadow
General, we perform our handoffs at the patient's bedside
to make sure that you can stay involved in your care.
Samuel: Sounds good.
Holly: OK, I'm going to start with Mr. Liu's Situation . . .
Holly: Mr. Liu is a 28-year-old man with pneumothorax
secondary to blunt chest trauma. He has three broken ribs,
and is being treated with a chest tube and water-seal
drainage unit.
What else do you need to ask Holly about Samuel Liu's
Situation?
When was Mr. Liu first injured?
Holly: I'm getting to that in just a second . . .
What are the patient's vitals?
Holly: It's not quite time for us to talk about that yet. You
might want to pull up the SBAR Tool on your Nursing
Tablet.
Who is Mr. Liu's provider?
You scored
0.0 out of 1
The correct answer
is:
Who is Mr. Liu's
provider?
Holly: Oh, thanks for reminding me! Mr. Liu's provider is
Dr. Gina Tremblay.
Why is this the best question to ask Holly about Samuel
Liu's Situation?
The provider name belongs in the Situation section of a
Shadow General SBAR, and it's a good idea to get a verbal
confirmation of information even when it already appears
in your patient's EHR.
You scored
1.0 out of 1
The correct answer
is:
The provider name
belongs in the
Situation section of a
Shadow General
SBAR, and it's a good
idea to get a verbal
confirmation of
information even
when it already
appears in your
patient's EHR.
Holly: Mr. Liu reported at our ED a week ago with 3 broken
ribs (left 7th-9th) after falling off his neighbor's roof. A
chest X-ray revealed that he was negative for
pneumothorax. He was observed for 8 hours and
discharged with instructions to return if his symptoms
worsened. Yesterday, he was reaching for something on a
high shelf when he experienced sharp chest pain on his left
side followed by difficulty breathing.
Holly: He reported to the ED within the hour, where he was
diagnosed with pneumothorax secondary to blunt chest
trauma, confirmed via chest X-ray. Physical examination
revealed tracheal deviation to the left, air in the left side of
the chest, and absent breath sounds on the left side of the
chest.
Holly: At 1600 hours yesterday, Mr. Liu received a 28 F
chest tube, inserted at the left 4th intercostal space,
anterior axillary line.
Holly: Mr. Liu has a hydromorphone patient-controlled
analgesia pump at a concentration of 2 mg/mL. He was
given a loading dose of 0.4 mg, and set up with with an
on-demand bolus of 0.1 mg. The PCA pump has a lockout
interval of 10 minutes and an hourly dose limit of 0.6 mg.
Holly: Mr. Liu's vital signs are all within normal limits. His
respirations are 18 per minute and his oxygen saturation is
94%.
Holly: Current provider's orders are to monitor the chest
tube and drainage unit every hour, to record patient vitals
every hour, and to monitor Mr. Liu's pain level and level of
consciousness every hour, in addition to checking the
dressing at the site of the chest tube insertion once every 2
hours.
What else do you need to ask Holly about Samuel Liu's
Background?
You scored
1.0 out of 1
The correct answer
is:
Does Mr. Liu take any
home medications or
have any allergies?
Does Mr. Liu take any home medications or have any
allergies?
Holly: No allergies to food, latex, or medication. No regular
home medications. When he first broke his ribs, he took
OTC (over-the-counter) ibuprofen as needed to manage the
pain.
Samuel: I just took what it said to on the bottle. The pain
wasn't all that bad until yesterday. Oh, and I used an ice
pack, too.
Why is this the best question to ask Holly about Samuel
Liu's Background?
You request new information, suitable to the Background
section of the SBAR report, which will support your ability
to administer treatment to your patient safely and
confidently.
You scored
1.0 out of 1
The correct answer
is:
You request new
information, suitable
to the Background
section of the SBAR
report, which will
support your ability
to administer
treatment to your
patient safely and
confidently.
Holly: The chest tube and water-seal drainage unit are
working as expected. Chest tube to water seal, no air leak
noted. No drainage. The dressing at the site of the chest
tube insertion is clean with no sign of infection. No
problems. Mr. Liu is currently stable, alert and oriented x4.
What else do you need to ask Holly about her Assessment
of Samuel Liu's condition?
How effective is the pain medication?
You scored
1.0 out of 1
The correct answer
is:
How effective is the
pain medication? [Show Less]