You are a graduate registered nurse (RN) working at The Sonivale Hospital. Your current rotation is a 28-bed acute rehabilitation ward. The ward uses a team nursing approach, two teams – Bullwinkel Wing and Abbot Wing. After almost 11 months of full-time work, you feel comfortable with the routines and culture of the facility. Today you are working the afternoon shift(1330-2200 hours). Pritika is the ANUM (Associate Nurse Unit Manager) in charge of this shift. Pritika does not take a patient load. You are allocated to Abbot Wing (14 patients). The team includes: It is 1800 hours, and the evening meal has concluded. Zhihan has stated she is heading off to her tea break. You must plan and delegate the following: Mr Barry Hinkley, 82-year- old. Barry underwent a laparoscopic abdominoperineal (AP) resection 3 weeks ago. He was transferred to the ward for further rehabilitation following postoperative atelectasis. Barry has type 2 diabetes, obesity, diabetic retinopathy and benign prostate hypertrophy. Barry is a high fall risk and walks with a 2-wheel frame. Barry’s colostomy bag is full and needs to be changed. He is very anxious about the care of
You are a graduate registered nurse (RN) working at The Sonivale Hospital. Your current rotation is a 28-bed acute rehabilitation ward. The ward uses a team nursing approach, two teams – Bullwinkel Wing and Abbot Wing.
After almost 11 months of full-time work, you feel comfortable with the routines and culture of the facility.
Today you are working the afternoon shift(1330-2200 hours). Pritika is the ANUM (Associate Nurse Unit Manager) in charge of this shift. Pritika does not take a patient load.
You are allocated to Abbot Wing (14 patients). The team includes:
It is 1800 hours, and the evening meal has concluded. Zhihan has stated she is heading off to her tea break.
You must plan and delegate the following:
|
Mr Barry Hinkley, 82-year- old. |
Barry underwent a laparoscopic abdominoperineal (AP) resection 3 weeks ago. |
Barry’s colostomy bag is full and needs to be changed. He is very anxious about the care of the stoma and requires assistance as the stoma is retracted. |
|
Ms June Westbrook 69-year- old. |
June is day 22 post-STEMI, transferred from the cardiac ward 9/7 ago post stenting and is pending discharge this week as meeting all rehabilitation goals. June has a history of angina, high cholesterol and sleep apnoea. |
June gets your attention on entering the 4 bed- room on the way to check Barry’s call bell and states she has ‘chest pain’. |
|
Mr Jeremy Hamilton 22-year- old. |
MVA 2/12 ago: spinal injury, fractured pelvis, R) Colles fracture and 3 broken ribs (right side). |
Jeremy asks Emily to get him some pain relief for 7/10 pain when she answered the call bell. |
Step by step
Solved in 3 steps
