GOING TO THE DOCTORGOING TO THE DOCTOR

Prof. Teresita Rojas GonzálezProf. Teresita Rojas González

Provide the missing information Provide the missing information according to the videoaccording to the video

Physical examination: Physical examination:

Respiratory rate: Respiratory rate: Heart rate:Heart rate:Rest of physical examination:Rest of physical examination:

Symptoms of neonatal infection: Symptoms of neonatal infection: poor vitality tachycardiapoor vitality tachycardia tachypneatachypnea cyanosiscyanosis palenesspaleness jaundicejaundice respiratory distressrespiratory distress

normalnormal136 beats per minute

normal

Close up: Some nurses´ actionsClose up: Some nurses´ actions

Instructions:Instructions:

Lie down to take your pulse and Lie down to take your pulse and blood pressure, pleaseblood pressure, please

Relax, pleaseRelax, please

Would you turn on your left side, Would you turn on your left side, please?please?

Close your eyes, breathe in and out Close your eyes, breathe in and out slowly, pleaseslowly, please

Psychological support:Psychological support:

Don´t worry. You´re much better than Don´t worry. You´re much better than two weeks ago two weeks ago

You´re getting better and betterYou´re getting better and better

You´ll be back to normal in no timeYou´ll be back to normal in no time

In a little while you will be OKIn a little while you will be OK

Be sure to ask for help if you needBe sure to ask for help if you need

Nursing actions:Nursing actions:

Make the bedMake the bed

Give pillsGive pills

Shake the thermometerShake the thermometer

Take the vital signsTake the vital signs

Give injectionsGive injections

Write observations on chartsWrite observations on charts

Administer medicationsAdminister medications

Write whether these statements are Write whether these statements are instructions (I) or actions (A) instructions (I) or actions (A)

__ Help the patient to bathHelp the patient to bath__ Give shots__ Give shots__ Please, open and close your hand__ Please, open and close your hand__ Take your clothes off, please?__ Take your clothes off, please?__ Make the bed__ Make the bed__ Take the vital signs__ Take the vital signs__ Would you hold your breath, please?__ Would you hold your breath, please?

Write whether these statements are Write whether these statements are instructions (I) or actions (A) instructions (I) or actions (A)

__ Help the patient to bathHelp the patient to bath__ Give shots__ Give shots__ Please ,open and close your hand__ Please ,open and close your hand__ Take your clothes off, please?__ Take your clothes off, please?__ Make the bed__ Make the bed__ Take the vital signs__ Take the vital signs__ Would you hold your breath, please?__ Would you hold your breath, please?

AA

AA

AA

AA

II

II

II

Which are the “five rights” a nurse Which are the “five rights” a nurse must check?must check?

___ The right patient___ The right patient ___ The right doctor___ The right doctor ___ The right drug___ The right drug ___ The right bed___ The right bed ___ The right time___ The right time ___ The right family___ The right family ___ The right dose___ The right dose ___ The right route___ The right route

XX

XX

XX

XX

XX

Fill in the blanks with words in the box below

inform – dose – procedure – route – inform – dose – procedure – route – side effects – write downside effects – write down

1.1. A medication´s ________ is based on weight A medication´s ________ is based on weight and sizeand size

2. The ______ is the way to introduce a drug 2. The ______ is the way to introduce a drug into the bodyinto the body

3. The nurse should ________allergies and 3. The nurse should ________allergies and possible__________possible__________

4. A nurse should ___________ a drug´s 4. A nurse should ___________ a drug´s administration after it is performedadministration after it is performed

Fill in the blanks with words in the box below

know – dose – procedure – route – know – dose – procedure – route – side effects – write downside effects – write down

1.1. A medication ________ is based on weight and A medication ________ is based on weight and sizesize

2. The _______ is the way to introduce a drug 2. The _______ is the way to introduce a drug into the bodyinto the body

3. The nurse should _________ about allergies 3. The nurse should _________ about allergies and possible_____________and possible_____________

4. A nurse should ___________ a drug 4. A nurse should ___________ a drug administration after it is performedadministration after it is performed

dosedose

routeroute

knowknowside effectsside effects

write down write down

Utensils in the dressing trolley Utensils in the dressing trolley

TowelTowel

Kidney dishKidney dish

Sterile dressingsSterile dressings

Sterile instruments (eg. scissors and forceps)Sterile instruments (eg. scissors and forceps)

Bandage trayBandage tray

Bottles containing antiseptic solutionsBottles containing antiseptic solutions

A container for used instruments A container for used instruments

A paper container for contaminated dressingsA paper container for contaminated dressings

Select some of the utensils nurses need Select some of the utensils nurses need when working in a gynecological wardwhen working in a gynecological ward

__ towel__ towel__ latex gloves__ latex gloves__ antiseptics__ antiseptics__ cotton wool__ cotton wool__ paper towel__ paper towel__ speculum __ speculum

Select some of the devices or utensils Select some of the devices or utensils nurses need in the trolley when working nurses need in the trolley when working in a gynecological wardin a gynecological ward

__ adhessive plaster__ adhessive plaster__ latex gloves__ latex gloves__ scissors__ scissors__ cotton wool__ cotton wool__ stethoscope__ stethoscope__ speculum __ speculum __ antiseptics__ antiseptics

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√√

A hospital admission formA hospital admission form

Date of admission _______________________ Date of admission _______________________

Name __________________________________Name __________________________________

Date of birth ______ Marital status __________Date of birth ______ Marital status __________

Age _____ Sex ___Occupation _____________Age _____ Sex ___Occupation _____________

Address ________________________________Address ________________________________

Next of kin _______ Relationship __________ Next of kin _______ Relationship __________ Medical diagnosis ________________________Medical diagnosis ________________________

Past medical history ______________________Past medical history ______________________

Family history ___________________________Family history ___________________________

Allergies ________________________________Allergies ________________________________

Be ready to find the following information while you watch the video

PAST MEDICAL HISTORY: PAST MEDICAL HISTORY:

GENERAL STATUS: GENERAL STATUS:

TREATMENT: TREATMENT:

Be ready to find the following information while you watch the video

PAST MEDICAL HISTORY: PAST MEDICAL HISTORY: Type I diabetesType I diabetes

GENERAL STATUS: GENERAL STATUS: Generally stableGenerally stable

TREATMENT: TREATMENT: Medication for the painMedication for the pain

Study the following notes and be ready to Study the following notes and be ready to prepare a handover reportprepare a handover report

Name: Diane Hill Name: Diane Hill

Age: 73 Age: 73

Room: 12 Room: 12 Doctor: BrownDoctor: Brown

History of HBP and arrhythmiasHistory of HBP and arrhythmias

Complains of cold sweats and difficulty to breatheComplains of cold sweats and difficulty to breathe

Takes Enalapril 1 tablet every 12 hoursTakes Enalapril 1 tablet every 12 hours

Tests: UrinalysisTests: Urinalysis

New Orders: ECG, Urinalysis for tomorrowNew Orders: ECG, Urinalysis for tomorrow

Handover reportHandover report

This is a 73 year old patient who suffers This is a 73 year old patient who suffers from arrhythmias and high blood from arrhythmias and high blood pressure. She came to the Emergency pressure. She came to the Emergency Room with cold sweats and difficulty Room with cold sweats and difficulty to breathe. Her BP was 180/110, she to breathe. Her BP was 180/110, she was medicated with diuretics and was medicated with diuretics and Captopril. She experienced relief within Captopril. She experienced relief within half an hour. She is scheduled for half an hour. She is scheduled for urinalisys and ECG.urinalisys and ECG.

Some useful hints to conduct a ward Some useful hints to conduct a ward round or a handover reportround or a handover report

Do not refer to genre when watching a patient Do not refer to genre when watching a patient e.g. The patient is better nowe.g. The patient is better now

Use the –ing form after preposition Use the –ing form after preposition e.g. After checking his BP again a medication e.g. After checking his BP again a medication was prescribed was prescribed

When giving indications:When giving indications: e.g: As you can see, the patient needs to rest. e.g: As you can see, the patient needs to rest.

Use expressions like: On admission, On Use expressions like: On admission, On physical exam, After the clinical assessment physical exam, After the clinical assessment e.g. On admission, the patient was e.g. On admission, the patient was

nauseatednauseated

Use tags for questionsUse tags for questions e.g. The operation was successful, wasn´t it?e.g. The operation was successful, wasn´t it?

For cultural reasons, use abbreviations For cultural reasons, use abbreviations e.g. I want to know about her BPe.g. I want to know about her BP

Be ready to prepare a handover report Be ready to prepare a handover report based on the following notesbased on the following notes

50 years old - school teacher- room 1- CC: chest pain - sweatings , shortness of breath, paleness - history of HBP and obesity - previous irregular treatment - vital signs: T: normal, P: 98/min - scheduled for glysemia, ECG tomorrow