Intermediate Patient Case Results
Tina Jones ShadowHealth
Patient Assessment
Finding:
Asked about breathing
(Found)
Pro Tip: The patient has been ordered medication to treat asthma as needed. Assess the
patient's current breathing status to determine whether the medication should be
administered.
Example Question:
How is your breathing?
Finding:
Asked about medication allergies
(Found)
Pro Tip: Patients may have allergies that are not included in their documentation, so asking
for verbal confirmation can prevent serious adverse events.
Example Question:
Do you have any allergies to medications?
Finding:
Asked for patient identification
(Found)
Pro Tip: Proper identification is critical for the protection of your patient. It is recommended to
check two identifiers before interacting with the patient.
Example Question:
Can you confirm your name?
Finding:
Asked about pain
(Found)
Pro Tip: This patient has been ordered pain medication. Assessing for pain is vital to
determining the efficacy of prior treatment and the need for further analgesic intervention.
, Example Question:
Are you having pain right now?
Finding:
Asked pain rating
(Found)
Pro Tip: Determining the severity of the patient's acute pain should determine the need for
analgesic intervention.
Example Question:
How would you rate your pain on a scale of zero to ten?
Finding:
Asked about nausea
(Found)
Pro Tip: The patient has been ordered medication to treat nausea as needed. Assess the
patient's current nausea level to determine whether the medication should be administered.
Example Question:
Do you have any nausea?
Finding:
Ask about allergic reaction to penicillin
(Available)
Pro Tip: Assessing the reaction type and severity of a stated allergy may help inform your
care plan and determine which medications are appropriate to administer
Example Question:
What type of reaction do you have to penicillin?
Finding:
Checked vitals before giving medication
(Found)
Pro Tip: Assessing the patient's vitals may impact your care plan and the safe administration
of ordered medications.
Example Question:
Finding:
Checked intake and output before giving medication
(Found)
Tina Jones ShadowHealth
Patient Assessment
Finding:
Asked about breathing
(Found)
Pro Tip: The patient has been ordered medication to treat asthma as needed. Assess the
patient's current breathing status to determine whether the medication should be
administered.
Example Question:
How is your breathing?
Finding:
Asked about medication allergies
(Found)
Pro Tip: Patients may have allergies that are not included in their documentation, so asking
for verbal confirmation can prevent serious adverse events.
Example Question:
Do you have any allergies to medications?
Finding:
Asked for patient identification
(Found)
Pro Tip: Proper identification is critical for the protection of your patient. It is recommended to
check two identifiers before interacting with the patient.
Example Question:
Can you confirm your name?
Finding:
Asked about pain
(Found)
Pro Tip: This patient has been ordered pain medication. Assessing for pain is vital to
determining the efficacy of prior treatment and the need for further analgesic intervention.
, Example Question:
Are you having pain right now?
Finding:
Asked pain rating
(Found)
Pro Tip: Determining the severity of the patient's acute pain should determine the need for
analgesic intervention.
Example Question:
How would you rate your pain on a scale of zero to ten?
Finding:
Asked about nausea
(Found)
Pro Tip: The patient has been ordered medication to treat nausea as needed. Assess the
patient's current nausea level to determine whether the medication should be administered.
Example Question:
Do you have any nausea?
Finding:
Ask about allergic reaction to penicillin
(Available)
Pro Tip: Assessing the reaction type and severity of a stated allergy may help inform your
care plan and determine which medications are appropriate to administer
Example Question:
What type of reaction do you have to penicillin?
Finding:
Checked vitals before giving medication
(Found)
Pro Tip: Assessing the patient's vitals may impact your care plan and the safe administration
of ordered medications.
Example Question:
Finding:
Checked intake and output before giving medication
(Found)
