Patient Care Rounds Postoperative Check-in Results: John Larsen

Patient Care Rounds Postoperative Check-in Results: John Larsen

Hi, Mr. Larsen. My name is David. I will be your nurse today.

Greet

Hey there.

You closed the curtain for privacy.

Exam Action

You washed your hands.

Exam Action

May I check your armband? (No matching questions found.)

Question

No matching questions found.

Can I check your armband?

Question

Sure, poke around.

You checked the patient’s armband.

Exam Action

What is your date of birth Mr. Larsen?

Question

My birthday is. . . [Mr. Larsen reports his correct date of birth.]

Thank you.

Educate

Got it. Thanks for the info.

You resolve potential hazards around the room.

Exam Action

How are you feeling today?

Question

Bored. The hospital is uncomfortable and I want to get out of this bed, but I’m in good shape. Pain isn’t awful either.

You will be able to get out of the bed with assistance. But you must first take it easy to prevent any setbacks.

Educate

Oh, wow. Thanks for letting me know.

How do you rate your pain?

Question

4 out of 10.

Did the pain medications help?

Question

Definitely. The pain was way worse before they came in to administer it an hour or so ago.

It is important to ask for pain medication before the pain gets intolerable.

Educate

Environment Safety:

Learner Response	Model Response
Incentive Spirometer safe Rationale it is within skin Score: 1 out of 1	safe Rationale Because Mr. Larsen is recovering from a recent operation, it is important for him to be using the incentive spirometer as ordered. It should be within reach of him and be ready for operation when he needs to use it.

SBAR

Prompt	Learner Response	Model Response
Prompt: Hi. I’m ready to take over care of this patient. Could you tell me what the situation is?	User Response Mr. Larsen is a 46 y.o W/M. AAOX3. Pt is 1 day post op left knee arthroplasty due to osteoarthritis. Reports allergy to Codeine.	Model Note Hi, this is (your name). I am caring for Mr. Larsen in room 302, a 46-year-old male who is post-op day 1 from his TKA.
Prompt: What background information do I need to know?	User Response Hx high blood pressure and high cholestoral. Compliant with prescribed meds Lisinopril 10mg QD and Lipitor 20mg QD. Oxycodon/tylenol 5/325mg 1 tab administered 1 hour prior. No reaction voiced or noted.	Model Note Mr. Larsen was admitted yesterday following his left knee arthroplasty due to osteoarthritis. He has a history of hypertension and hyperlipidemia and takes lisinopril 10 mg daily and atorvastatin 20 mg daily. He is allergic to…

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