Emergency Department Care: ER Clinical Rotation

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This is three (3) paragraph narrative paper.
1. Complete a paper, in APA format, describing the care you provided for one complex patient that you cared for or participated in the care. Be sure to include the patient’s demographic information, assessment data, primary diagnosis, lab values, diagnostics, concurrent conditions not part of this Emergency Department encounter, social needs (prescription or transportation assistance, home health referrals, home O2, etc.) and any other pertinent information. Include how you prioritized your patients care, the anticipate risks, and how you would predict and manage potential complications. Discuss how you created a safe environment.
2. Describe the role of the ER Nurses in caring for this patient and how the family members or significant others were included in the care. What were the priorities of the Emergency Department care, who was organizing the care, how did the department interact as a whole with this patient and other departments during the care, etc.? How does nursing care differ in this department?
3. Write a summary of your teaching to reflect: patient-centered concepts including developmental stage, age, culture, patient preferences, health promotion, and health literacy considerations.
This is the information for the First paragraph:
Demographic information- 73 yrs old, female, single, Caucasian, from Pahrump Nevada.
Assessment data: Patient is alert and oriented x3. I assess patient’s physical condition or cognitive status, whenever a fall happens; History of falls; Mental status changes.
Primary diagnosis: Falls, Head Trauma
Lab values: WBC 11.1 (H), MCHC 31.5 (L), Platelet 492 (H), Lymphocyte 12.9 (L)
Diagnostics: Chest X-ray, CT scan, CBC, Urinalysis
Current condition? She is alert and oriented time 3 and Chest X-ray and CT scan negative.
Social needs? Patient called her health care partner to transport her back home.
How you prioritized your patients care?
The anticipate risks?
How you would predict and manage potential complications?
Discuss how you created a safe environment?
This is the information for the Second paragraph:
Describe the role of the ER Nurses in caring for this patient?
How the family members or significant others were included in the care?
What were the priorities of the Emergency Department care?
Who was organizing the care?
How did the department interact as a whole with this patient and other departments during the care?
How does nursing care differ in this department?
This is the information for the Third paragraph:
Write a summary of your teaching to reflect: patient-centered concepts including developmental stage, age, culture, patient preferences, health promotion, and health literacy considerations.
Developmental stage: Integrity vs despair
Age: 73
Culture?
Patient preference?
Health promotion?
Health literacy consideration?
During my clinical Rotation on February 9, 2018 at ER Department. I have 73 yrs old female, she came to ER with EMS personnel. She was fell on the ground and call the emergency bottom that she is wearing all the time. She has a history of COPD, Hip replacement surgery and hepatitis C. During the assessment at the triage she stated that she was fell because she was weak. I establish IV and draw blood and get urine sample as the doctor order. Lab result revealed she has UTI and low potassium level. So. we figure out that she was weak bec of low potassium and has an infection UTI. I give her rosephin medication IV push and give it for 5 minutes window and 40 MEq of potassium as the doctor order. Then, doctor discharge her together with her medication Bactrim DS 800mg tablet 1 tablet orally 2 times daily by mouth. Then I give her fall prevention and Home Safety teaching such as clear walkway, install night light, use not skid mats, keep floor dry and clean, remove throw rugs and etc.
That’s all covered for the 3-paragraph paper, you can provide answer for the question mark in narrative form. Including the data that I got. Don’t forget to put in the paper that I am in the clinical rotation at the ER Department at Hospital.
See additional attached file. Thanks