0:00 You arrived at the patient's side.
0:00 You reviewed the patient information.
0:00 You reviewed the diagnostics.
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0:00 You reviewed the MAR.
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0:00 You reviewed the orders.
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0:00 You introduced yourself.
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0:04
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You washed your hands. To maintain patient safety, it is important to wash your
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hands as soon as you enter the room.
0:10 Patient status - ECG: Sinus rhythm. Heart rate: 89. Pulse: Present. Blood pressure: 129/82
mm Hg. Respiration: 16. Conscious state: Appropriate. SpO2: 97%. Temp: 102 F (38.9 C)
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0:24 You identified the patient. To maintain patient safety, it is important that you quickly
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identify the patient.
0:33 You asked if the patient was <Allergy>allergic<> to anything. He replied:
'No, I am not allergic to anything.'
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0:42 You looked for normal breathing. He is breathing at 15 breaths per minute. The chest
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is moving equally.
1:06 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
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continuously.
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1:10 Patient status - ECG: Sinus rhythm. Heart rate: 89. Pulse: Present. Blood pressure: 128/82
mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 102 F (38.8 C)
1:17 You checked the radial pulse. The pulse is strong, 90 per minute, and regular. It is
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correct to assess the patient's vital signs.
1:39 You measured the <Temperature>temperature<> in the ear. The
temperature was 102 F (38.7 C).
1:56 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff.
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, This will allow you to reassess the patient continuously.
2:07 You assessed the patient's wound. There is a cat bite on the lower right leg
with surrounding redness.
2:10 Patient status - ECG: Sinus rhythm. Heart rate: 89. Pulse: Present. Blood pressure: 129/82
mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 102 F (38.7 C)
2:23 You examined the patient's legs. There is a cat bite on the lower right leg with
surrounding redness. There is normal elasticity of the skin. He is sweating, and his
skin is warm. There is nothing else to find on examination of the legs.
2:47 You consulted the pharmacist. This was reasonable.
3:10 Patient status - ECG: Sinus rhythm. Heart rate: 89. Pulse: Present. Blood pressure: 129/82
mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 101 F (38.6 C)
4:10 Patient status - ECG: Sinus rhythm. Heart rate: 89. Pulse: Present. Blood pressure: 130/82
m
mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 101 F (38.5 C)
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4:16 You assessed the patient's IV. The site had no redness, swelling, infiltration,
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bleeding, or drainage. The dressing was dry and intact. This is correct. Assessing
any IVs the patient has is always important.
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4:44 rs e
You compared the medication label with MAR. This was reasonable.
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5:07 You started infusing vancomycin (1700 mg in 250 mL bag) at 125 mL/hr. It is
important to use the basic rights of medication administration to ensure proper drug
therapy. This was indicated by order.
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5:10 Patient status - ECG: Sinus rhythm. Heart rate: 89. Pulse: Present. Blood pressure: 127/81
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mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 101 F (38.4 C)
5:17 You asked the patient if he had any pain. He replied: 'Yes, I have some
pain.'
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5:22 You asked the patient if he could describe his pain. He replied: 'My lower right
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leg is throbbing!'
5:30 You asked: How would you rate your pain? He replied: 'Not too bad; it's
about a 2. '
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5:48 You educated the patient about the drug vancomycin.
6:10 Patient status - ECG: Sinus rhythm. Heart rate: 89. Pulse: Present. Blood pressure: 130/83
mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 101 F (38.3 C)
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6:14 You educated the patient about frequent vital sign assessments.
6:33 You educated the patient about adverse effects of antibiotic therapy.
6:59 You educated the patient about need for antibiotic therapy.
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