Scenario: Mrs/ Edith-Mary Johnston
Edith Mary Johnston has been sitting in the chair now for 2 hours and it is now time for Edith-Mary to have her wound dressing attended to. When you approach Edith-Mary you can see that she is slumped in her chair. She is breathing, opening her eyes to pain, is confused, and localizing to pain.
You note that Edith-Mary's observations are as follows:
GCS 11
Blood pressure 88/50
Pulse 55 bpm
Respirations 20
Temperature 37,9 C
SOPO2 96%
BGL 4,8 mmol
In this station, you will discuss with your RN (educator)
What you should do as the Enrolled nurse looking after Edith-Mary.
Discuss each step-in order of priority with your assessor?
Write an ISBAR handover using the table below and give a bedside handover to your Assessor depicting the deterioration and medical emergency and ongoing care for Edith-Mary. Need Assignment Help?
Debrief with the RN (educator) following the event and discuss the importance of debriefing