0 11:57 AM
Date of Completion
Jan 19, 2020 11:57 AM
Josephine Morrow
Age: 80 years
Diagnosis:Venous stasis ulcer
Score
1
0
94%
0
Feedback Log
0:00You arrived at the patient's side. 0:00You reviewed the patient information. 0:00You reviewed the diagnostics.
0:00You reviewed the MAR.
0:00You reviewed the orders.
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, 1/19/202 Feedback Log & Score — Josephine Morrow Jan 19, 2020
0 11:57 AM
0:00 You reviewed the intake and output.
0:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure:
123/81 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 94%. Temp: 98 F
(36.6 C)
0:12 You introduced yourself. This was reasonable.
0:18 You washed your hands. To maintain patient safety, it is important to
wash your hands as soon as you enter the room.
1:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure:
121/80 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 94%. Temp: 98 F
(36.5 C)
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: 'Yes, I am allergic to penicillin.'
1:58 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.
2:01 You looked for normal breathing. She is breathing at 20 breaths per
minute. The chest is moving equally.
2:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure:
121/81 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 94%. Temp: 98 F
(36.4 C)
2:23 You checked the radial pulse. The pulse is strong, 95 per minute, and
regular. It is correct to assess the patient's vital signs.
2:45 You checked the <Temperature>temperature<> at
the ear. The temperature was 97 F (36.3 C).
3:06 You measured the <Bloodpressure>blood pressure<> at 122/80 mm
Hg.
It is appropriate to monitor the patient by measuring the blood pressure.
3:10 Patient status - ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure:
122/81 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 94%. Temp: 97 F
(36.3 C)
3:24 You put on gloves.
3:36 You assessed the patient's dressing. This is correct.
Assessing any dressings the patient has is always important.
3:46 You asked the patient if she had any pain. She replied: 'No, I
don't have any pain.'
3:58 You examined the patient's legs. There is moderate edema and
hyperpigmentation of the skin from the knees and down on both sides.
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