Concept explainers
To discuss:
What communication skills does the nursing student need to improve to ensure that the nursing student communicate appropriately in situations like this?
Case summary:
During the clinical rotation, the nurse met person FB who was an elderly man with a wound infection. He requires an intravenous antibiotic therapy. He was due for a certain antibiotic which has to be hung at 1000. When the nurse checked his drawer at 0800 and 0900, the antibiotic was not there. Another nurse told not to call pharmacy since the pharmacy staffs will replace the medication carts before the time. At 1000, the nurse found the medication bag in the drawer. It was found to be the right drug and the right dose, but it was the wrong patient. The label on the bag had another patient’s name on it. This patient was also in the same unit who is receiving the same drug and same dose but at a different time.
To discuss:
What communication skills does the nursing student need to improve to ensure that the nursing student could address this issue as a member of the patient-care team?
Case summary:
During the clinical rotation, the nurse met person FB who was an elderly man with a wound infection. He requires an intravenous antibiotic therapy. He was due for a certain antibiotic which has to be hung at 1000. When the nurse checked his drawer at 0800 and 0900, the antibiotic was not there. Another nurse told not to call pharmacy since the pharmacy staffs will replace the medication carts before the time. At 1000, the nurse found the medication bag in the drawer. It was found to be the right drug and the right dose, but it was the wrong patient. The label on the bag had another patient’s name on it. This patient was also in the same unit who is receiving the same drug and same dose but at a different time.
To discuss:
How can you ensure that this event is used to prevent similar issues in the future to improve the patient’s quality of care?
Case summary:
During the clinical rotation, the nurse met person FB who was an elderly man with a wound infection. He requires an intravenous antibiotic therapy. He was due for a certain antibiotic which has to be hung at 1000. When the nurse checked his drawer at 0800 and 0900, the antibiotic was not there. Another nurse told not to call pharmacy since the pharmacy staffs will replace the medication carts before the time. At 1000, the nurse found the medication bag in the drawer. It was found to be the right drug and the right dose, but it was the wrong patient. The label on the bag had another patient’s name on it. This patient was also in the same unit who is receiving the same drug and same dose but at a different time.

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- CATH LAB FUNDAMENTALS I WORKSHEET #1 Patient #1 AO 151/89 M CaO2 mV/L LV 151/25 CvO2 mV/L RA M 17 C.O. L/Min RV 61/17 S.V. ml/beat PA 61/25 M C.I. L/Min/M2 PAW M 25 S.I. ml/beat/M2 Hgb S.V.R Dynes/sec/cm³ Hct 45% T.P.R Dynes/sec/cm³ PA Sat 68% P.V.R Dynes/sec/cm³ AO Sat 92% BSA M² HR 89 BPM 02 Cons. 245 ml/min Ht _5_ft_7_in Wt. _235 lbs Patient #2 AO 121/61 M CaO2 ml/L LV 151/19 CvO2 ml/L RA M 15 C.O. L/Min RV 51/15 S.V. ml/beat PA 51/20 M C.I. L/Min/M2 PAW M 19 S.I. ml/beat/M2 Hgb 15.2 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 76% P.V.R Dynes/sec/cm³ AO Sat 99% BSA M² HR 79 BPM Ht 02 Cons. 213 ml/min _5_ft_10 in Wt. _ 185 lbs 1arrow_forwardCATH LAB FUNDAMENTALS I WORKSHEET #1 Patient #1 AO 151/89 M CaO2 mV/L LV 151/25 CvO2 mV/L RA M 17 C.O. L/Min RV 61/17 S.V. ml/beat PA 61/25 M C.I. L/Min/M2 PAW M 25 S.I. ml/beat/M2 Hgb S.V.R Dynes/sec/cm³ Hct 45% T.P.R Dynes/sec/cm³ PA Sat 68% P.V.R Dynes/sec/cm³ AO Sat 92% BSA M² HR 89 BPM 02 Cons. 245 ml/min Ht _5_ft_7_in Wt. _235 lbs Patient #2 AO 121/61 M CaO2 ml/L LV 151/19 CvO2 ml/L RA M 15 C.O. L/Min RV 51/15 S.V. ml/beat PA 51/20 M C.I. L/Min/M2 PAW M 19 S.I. ml/beat/M2 Hgb 15.2 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 76% P.V.R Dynes/sec/cm³ AO Sat 99% BSA M² HR 79 BPM Ht 02 Cons. 213 ml/min _5_ft_10 in Wt. _ 185 lbs 1arrow_forwardCATH LAB FUNDAMENTALS I WORKSHEET #6 Patient #1 AO 199/110 M CaO2 ml/L LV 199/24 CvO2 ml/L RA M 16 C.O. L/Min RV 41/16 S.V. ml/beat PA 41/25 M C.I. L/Min/M2 PAW M 24 S.I. ml/beat/M2 Hgb 15.1 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 71% P.V.R Dynes/sec/cm³ AO Sat 96% BSA M² HR 61 BPM 02 Cons. Ht 216 ml/min 4_ft_11_in Wt. _171_lbs Patient #2 AO 101/62 M CaO2 ml/L LV 101/12 CvO2 ml/L RA M 5 C.O. L/Min RV 20/5 S.V. ml/beat PA 20/10 M C.I. L/Min/M2 PAW M 12 S.I. ml/beat/M2 Hgb S.V.R Dynes/sec/cm³ Hct 43% T.P.R Dynes/sec/cm³ PA Sat 75% P.V.R Dynes/sec/cm³ AO Sat 97% BSA M² HR 68 BPM O2 Cons. 235 ml/min Ht _5_ft_5 in Wt. 145 lbsarrow_forward
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