0:00 You reviewed the MAR. 0:00 You reviewed the orders.
0:00 You reviewed the intake and output.
0:05 You washed your hands. To maintain
... [Show More] patient safety, it is important to wash your hands as soon as you enter the room.
0:10 Patient status - ECG: Sinus rhythm. Heart rate: 90. Pulse: Present. Blood pressure: 123/82 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 96%. Temp: 98 F (36.8 C)
1:10 Patient status - ECG: Sinus rhythm. Heart rate: 90. Pulse: Present. Blood pressure: 123/82 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 96%. Temp: 98 F (36.8 C)
1:16 You introduced yourself. This was reasonable.
1:31 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient.
1:40 You asked if the patient was <Allergy>allergic<> to anything. She replied: 'No, I am not allergic to anything.'
1:59 You educated the patient about activities, safety, and fall risk.
2:10 Patient status - ECG: Sinus rhythm. Heart rate: 90. Pulse: Present. Blood pressure: 126/83 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 96%. Temp: 98 F (36.8 C)
2:30 You educated the patient about the bladder management program. This was reasonable.
3:10 Patient status - ECG: Sinus rhythm. Heart rate: 90. Pulse: Present. Blood pressure: 126/83 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 96%. Temp: 98 F (36.8 C)
3:12 You educated the patient about improving venous return. This was reasonable. 3:32 You educated the patient about intake and output.
4:06 You educated the patient about positioning.
4:10 Patient status - ECG: Sinus rhythm. Heart rate: 90. Pulse: Present. Blood pressure: 127/83 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 96%. Temp: 98 F (36.8 C)
4:36 You listened to the lungs of the patient. The breath sounds are clear and equal bilaterally.
4:58 You attached the <Pulseoximeter>pulse oximeter.<> It is a good idea to monitor the saturation and pulse here. This will allow you to reassess the patient continuously.
5:08 You checked the <Temperature>temperature<> at the ear. The temperature was 98 F (36.8 C).
5:10 Patient status - ECG: Sinus rhythm. Heart rate: 90. Pulse: Present. Blood pressure: 123/81 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 96%. Temp: 98 F (36.8 C)
5:17 You looked for normal breathing. She is breathing at 20 breaths per minute. The chest is moving equally.
5:39 You checked the radial pulse. The pulse is strong, 90 per minute, and regular. It is correct to assess the patient's vital signs.
6:06 You examined the patient's skin. There is normal elasticity of the skin. Her color is normal, and she is not sweating.
6:10 Patient status - ECG: Sinus rhythm. Heart rate: 90. Pulse: Present. Blood pressure: 124/82 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 96%. Temp: 98 F (36.8 C)
6:28 You measured the <Bloodpressure>blood pressure<> at 124/82 mm Hg.
It is appropriate to monitor the patient by measuring the blood pressure.
6:46 You disconnected the <Pulseoximeter>pulse oximeter.<>
7:00 You checked the pedal pulse. The pulse is strong, 90 per minute, and regular.
7:10 Patient status - ECG: Sinus rhythm. Heart rate: 90. Pulse: Present. Blood pressure: 124/82 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 96%. Temp: 98 F (36.8 C)
7:24 You checked the eye movements. Extraocular movements within normal limits. 7:42 You checked the patient's pupils, and they were 4 mm and reactive.
8:10 Patient status - ECG: Sinus rhythm. Heart rate: 90. Pulse: Present. Blood pressure: 122/81
mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 96%. Temp: 98 F (36.8 C)
You prepared for urinary catheterization but may have contaminated some of the equipment.
9:10 Patient status - ECG: Sinus rhythm. Heart rate: 90. Pulse: Present. Blood pressure: 124/82 mm Hg. Respiration: 19. Conscious state: Appropriate. SpO2: 96%. Temp: 98 F (36.8 C)
9:23 You discarded the urinary catheter. This was reasonable.
9:32 You prepared for urinary catheterization. This was reasonable.
10:10 Patient status - ECG: Sinus rhythm. Heart rate: 90. Pulse: Present. Blood pressure: 124/82 mm Hg. Respiration: 19. Conscious state: Appropriate. SpO2: 96%. Temp: 98 F (36.8 C)
10:49 You performed urinary catheterization. This was indicated by order.
11:10 Patient status - ECG: Sinus rhythm. Heart rate: 90. Pulse: Present. Blood pressure: 123/81 mm Hg. Respiration: 19. Conscious state: Appropriate. SpO2: 96%. Temp: 98 F (36.8 C)
11:55 You discarded the urinary catheter. This was reasonable.
12:06 A patient handoff was performed.
This case presents a 26-year-old female with paraplegia who was transferred to a rehabilitation facility yesterday after a gunshot wound 8 days ago that caused a complete spinal cord injury at T8 level. This case focuses on a bladder management program where the students are expected to perform an intermittent [Show Less]