Fatima Khan Endocrine System Hourly Rounds Shadow health Objective data

Fatima Khan Endocrine System Hourly Rounds Shadow health Objective data

Objective Data Collection: 10 of 10 (100.0%)

Assessed General Appearance:
1 of 1 points
– Patient Appearance (1.00/1.00 point)
– Patient appears comfortable and is not displaying any signs of acute distress or illness.
– Patient appears uncomfortable or is displaying signs of acute distress or illness.

Assessed Vitals:
1 of 1 points

– Blood Pressure (1.00/1.00 point)
– Normotensive
– Hypertensive
– Hypotensive

– Heart Rate (0.20/0.20 point)
– No abnormal findings
– Bradycardic
– Tachycardic

– O2 Saturation (0.20/0.20 point)
– No abnormal findings
– Hypoxemia

– Respiratory Rate (0.20/0.20 point)
– No abnormal findings
– Bradypnea
– Tachypnea

– Temperature (0.20/0.20 point)
– Normothermic
– Hyperthermic
– Hypothermic

Assessed IV:
1 of 1 points

– Insertion Site (0.33/0.33 point)
– No visible abnormal signs
– Erythema
– Infiltration

– Dressing (0.33/0.33 point)
– Dressing is dry and intact
– Dressing is moist and/or not intact

– IV Fluid (0.33/0.33 point)
– Patent upon flushing
– Not patent upon flushing

Understanding Triage Nursing and Its Importance

Assessed Peripheral Pulses:
1 of 1 points

– Radial Artery Amplitude (0.50/0.50 point)
– 0: Absent
– 1+: Diminished or barely palpable
– 2+: Expected
– 3+: Increased
– 4+: Bounding pulse

– Dorsalis Pedis Artery Amplitude (0.50/0.50 point)
– 0: Absent
– 1+: Diminished or barely palpable
– 2+: Expected
– 3+: Increased
– 4+: Bounding pulse

Checked Capillary Blood Glucose:
1 of 1 points

– Timing (0.33/0.33 point)
– Preprandial
– Postprandial

– Level (0.33/0.33 point)
– < 80 mg/dL
– 80-130 mg/dL
– 130-180 mg/dL
– > 180 mg/dL

– Assessment (0.33/0.33 point)
– Normoglycemic
– Hypoglycemic
– Hyperglycemic

Check Insulin Pump:
1 of 1 points

– Last Bolus (1.00/1.00 point)
– No recent bolus administered
– Manual bolus administered between 11 AM and 12 PM
– Manual bolus administered between 10 AM and 11 AM

Auscultated Breath Sounds:
1 of 1 points

– Breath Sounds (0.50/0.50 point)
– Clear in all areas
– Diminished in some areas
– Absent in some areas

– Adventitious Sounds (0.50/0.50 point)
– No adventitious sounds
– Wheezing
– Fine crackles
– Stridor
– Rhonchi
– Rales

Auscultated Heart Sounds:
1 of 1 points

– Heart Sounds (1.00/1.00 point)
– S1 and S2 audible
– S1, S2, and S3 audible
– S1, S2, and S4 audible
– S1, S2, S3, and S4 audible

– Extra Heart Sounds (0.50/0.50 point)
– No extra sounds
– Gallops
– Murmur
– Friction rub
– Valve clicks

Inspected IV Pump:
1 of 1 points

– Fluid (0.50/0.50 point)
– Correct fluid
– Incorrect fluid

– Flow Rate (0.50/0.50 point)
– Correct rate
– Incorrect rate

Palpated Skin:
1 of 1 points

– Skin Palpation (1.00/1.00 point)
– Warm and dry
– Cool and diaphoretic