0:00 You reviewed the MAR. 0:00 You reviewed the orders.
0:00 You reviewed the intake and output.
0:10 Patient status - ECG: Sinus rhythm. Heart rate:
... [Show More] 86. Pulse: Present. Blood pressure: 134/80 mm Hg. Respiration: 16. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C)
0:13 You introduced yourself. This was reasonable.
0:19 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room.
1:10 Patient status - ECG: Sinus rhythm. Heart rate: 86. Pulse: Present. Blood pressure: 137/81 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C)
1:32 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient.
1:41 You asked if the patient was <Allergy>allergic<> to anything. She replied: 'No, I am not allergic to anything.'
1:49 You put on gloves.
2:04 You called the secondary nurse to ask her to assist with repositioning. This was reasonable.
2:10 Patient status - ECG: Sinus rhythm. Heart rate: 86. Pulse: Present. Blood pressure: 135/81 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C)
2:14 You asked the patient if she had any pain. She replied: 'My leg hurts a bit.'
2:21 You asked the patient if anything made the pain better. She replied: 'No, nothing really makes me better.'
2:28 You asked the patient if anything made the pain worse. She replied: 'Any movement really.'
2:33 You asked the patient: Where does it hurt? She replied: 'In my left leg.'
2:38 You asked the patient if she could describe her pain. She replied: 'It hurts in my left hip, and it hurts to move.'
2:45 You asked the patient when the pain started. She replied: 'After I fell, last evening.'
2:49 You asked: How would you rate your pain? She replied: 'Not too bad; it's about a 2. '
2:58 You asked what happened. She replied: 'I feel dizzy from time to time, and last evening I fell.'
3:06 You asked: What were you doing when the symptoms started? She replied:
3:10 Patient status - ECG: Sinus rhythm. Heart rate: 87. Pulse: Present. Blood pressure: 135/81 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C)
3:20 You asked the patient: Can I get you some water? She replied: 'No, thank you.'
3:30 You asked the patient what medication she was taking, if any. She replied: 'Yes, I am taking raloxifene at home.'
3:37 You asked the patient if she had taken her medication, if any. She replied: 'Yes.'
3:40 You asked the patient if she had any medical problems. She replied: 'I have osteoporosis.'
3:46 You asked the patient if she was a smoker. She replied: 'No, I don't smoke.'
4:10 Patient status - ECG: Sinus rhythm. Heart rate: 87. Pulse: Present. Blood pressure: 137/81 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C)
4:22 You listened to the lungs of the patient. The breath sounds are clear and equal bilaterally.
4:46 You listened to the heart of the patient. This is reasonable. There were regular heart sounds without murmurs.
5:10 Patient status - ECG: Sinus rhythm. Heart rate: 87. Pulse: Present. Blood pressure: 137/82 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C)
5:14 You listened to the abdomen of the patient. Normal bowel sounds were heard.
6:04 You checked the <Temperature>temperature<> at the ear. The temperature was 99 F (37 C). Consider assessing the patient's temperature as part of the first assessments you do.
6:10 Patient status - ECG: Sinus rhythm. Heart rate: 87. Pulse: Present. Blood pressure: 135/80 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C)
6:27 You attached the <Pulseoximeter>pulse oximeter.<> Consider assessing the patient's pulse oximetry as part of the first assessments you do.
6:29 You looked for normal breathing. She is breathing at 15 breaths per minute. The chest is moving equally. Consider assessing the patient's breathing and respiratory rate as part of the first assessments you do.
6:53 You checked the pedal pulse. The pulse is strong, 85 per minute, and regular. It is correct to assess the patient's vital signs.
7:10 Patient status - ECG: Sinus rhythm. Heart rate: 87. Pulse: Present. Blood pressure: 137/82 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C)
7:17 You checked the radial pulse. The pulse is strong, 85 per minute, and regular. Consider assessing the patient's pulse as part of the first assessments you do.
7:48 You checked the capillary refill time. The capillary refill time was less than 2 seconds.
8:05 You assessed the patient's IV. The site had no redness, swelling, infiltration, bleeding, or drainage. The dressing was dry and intact. This is correct. Assessing any IVs the patient has is always important.
8:10 Patient status - ECG: Sinus rhythm. Heart rate: 87. Pulse: Present. Blood pressure: 136/81 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C)
8:29 You measured the <Bloodpressure>blood pressure<> at 134/80 mm Hg. Consider assessing the patient's blood pressure as part of the first assessments you do.
8:56 You assessed the patient's neurological status.
9:10 Patient status - ECG: Sinus rhythm. Heart rate: 87. Pulse: Present. Blood pressure: 136/82 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C)
10:10 Patient status - ECG: Sinus rhythm. Heart rate: 87. Pulse: Present. Blood pressure: 134/81 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C)
10:17 You examined the patient's legs. There is tenderness in the left hip area. The left leg is a bit shorter than the right. There is normal elasticity of the skin. Her color is normal, and she is not sweating.
10:51 You educated the patient about positioning.
11:10 Patient status - ECG: Sinus rhythm. Heart rate: 87. Pulse: Present. Blood pressure: 140/83 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C)
11:28 You educated the patient about activities, safety, and fall risk.
11:59 You educated the patient about medication.
12:10 Patient status - ECG: Sinus rhythm. Heart rate: 87. Pulse: Present. Blood pressure: 138/82 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C)
12:18 You educated the patient about personal protective equipment. 12:37 You disconnected the <Pulseoximeter>pulse oximeter.<>
13:10 Patient status - ECG: Sinus rhythm. Heart rate: 87. Pulse: Present. Blood pressure: 138/82
mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C)
13:41 You assisted the patient into a right-sided position. This was reasonable.
13:51 You asked the patient if she felt better. She replied: 'Yes, I'm feeling better now.'
14:09 A patient handoff was performed.
This patient fell and broke her left hip yesterday evening. She is scheduled to have surgery tomorrow morning. The students are expected to perform a focused assessment of the musculoskeletal system, and assess her pain. The students should cooperate in turning the patient to her side, paying special attention to body alignment, range of motion, and proper positioning. Fall-related injuries are often serious and can be fatal. Falls are caused by, and associated with, multiple [Show Less]