Patient Introduction Location: Medical Unit 0730 Report from night shift nurse: Situation: Rashid Ahmed is a 50-year-old Middle Eastern male who was...

Question Answered step-by-step Patient IntroductionReport from night shift nurse:Location: Medical Unit 0730Situation: Mr. Rashid Ahmed is a 50-year-old Middle Eastern male who was admitted to our unit at 0600 this morning after being admitted to the ED at 0400 with a diagnosis of dehydration and hypokalemia. We are monitoring his fluid and electrolyte status closely. I have just received admission orders.Background: Three days ago, he developed abdominal cramping, nausea, vomiting, and severe diarrhea 12 hours after eating lunch at a local restaurant. The symptoms have continued for the past 2 days, and food and fluid intake has been minimal to none since the symptoms began. Last night he nearly passed out while going to the bathroom around 0300. Mr. Ahmed was brought to the ED by his wife, and reported dizziness, weakness, and continued nausea. He received 4 mg ondansetron IV for nausea in the ED. Lab work was drawn and is available in the patient chart, and urine and stool samples have been sent to the lab.Assessment: Mr. Ahmed is drowsy but oriented x 3, appears ill, and is irritable. He reports having a headache, which he rates a 4 on a scale of 0-10, but he hasn’t wanted anything for it. Admission weight was 73 kg (162 lb), which the patient reports to be about 4.5 kg (10 lb) less than usual. Vital signs were obtained on admission, including orthostatic blood pressure readings. Heart rate is tachycardic and irregular. He has only taken a few ice chips since admission due to his nausea. The patient had one small liquid stool in the ER. He has not voided or experienced emesis since admission. An IV bolus has been completed and now normal saline is running at 150 mL/hr.Recommendation: Mr. Ahmed has new IV orders that need to be initiated. You will need to start him on oral antibiotics and potassium when nausea resolves. Provide patient education on safety, his prescribed medications, and intake and output measurement.SBAR Instructions: Imagine you took care of Rashid on clinical day one and you are at the end of your shift. You are required to provide verbal report to the next nurse who is assuming responsibility of Rashid Ahmed. Based on your VSIM experience specific to Rashid Ahmed’s case, how would you formulate a change of shift report in a SBAR format. SBAR PresentationSituation:Background:Assessment:Recommendation:Time Plan Instructions: Imagine that you had Rashid Ahmed on clinical day one. Based on your knowledge of Rashid Ahmed’s current condition from VSIM, if you were to be assigned to this same client (Rashid Ahmed) the next clinical day (clinical day two), how would you organize your day from 0730-1230. Imagine your clinical day begins at 0730 where you are required to be on the unit at 0730. Your Time plan Must reflect your organization for the individualized care plan and include:· Assessments· Daily treatments· Medication times· Nursing orders/interventions from nursing care plan and other pertinent nursing interventions· Documentation· Reporting to staff TIMEPLAN/INTERVENTIONS Time- Interventions- Health Science Science Nursing PNUR 125 Share QuestionEmailCopy link Comments (0)