Shadow Health Assignment 1: Prioritization and Leadership Exam With Complete Solutions!!
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Shadow Health 1: Prioritization and Lea
Institution
Shadow Health 1: Prioritization And Lea
Bedside Report: Omar Haddad - ANSWER-Ben: Here's the situation. Omar Haddad is a 38-year-old man who presented to the Shadow General emergency department yesterday at 2200 hours last night with right flank and back pain, radiating to the right lower quadrant with a pain rating of 10/10. Omar let us...
Shadow Health Assignment 1:
Prioritization and Leadership Exam With
Complete Solutions!!
Bedside Report: Omar Haddad - ANSWER-Ben: Here's the situation. Omar Haddad is a
38-year-old man who presented to the Shadow General emergency department
yesterday at 2200 hours last night with right flank and back pain, radiating to the right
lower quadrant with a pain rating of 10/10. Omar let us know that he began
experiencing subtle pain about three days ago, but became unbearable at 2000 last
night. Urinalysis and a CT scan confirmed the presence of a renal calculi measuring 11
mm. His provider is Dr. Yaeji Lee.
RESPONSE: Sorry to hear he's in pain. Ready to continue when you are.
Yes he followed procedure.
Bedside Report: OH Part 2 - ANSWER-Ben: The background is that we've started Mr.
Haddad on IV fluids for hydration and hydromorphone 1.5 mg, IVP every three hours as
needed. I took Mr. Haddad's vitals about half an hour ago: his temperature is at 98.6,
heart rate is 102 BPM, blood pressure at 88/55, and O2 sat is 99%. Mr. Haddad has
had trouble getting around since the pain started. He says he has never experienced
pain like this before. Mr. Haddad is a generally healthy man for his age and has no
significant past medical history. He takes no prescription medications and has no
allergies at all.
RESPONSE:
OK, I've got all that. Let's continue.
No, all the components were covered.
Bedside Report: OH Part 3 - ANSWER-Ben: Here's my assessment of Mr. Haddad. Mr.
Haddad last reported his pain was much better this morning and rated it as a 4/10. Mr.
Haddad is to remain NPO until his scheduled shock wave lithotripsy later on today.
RESPONSE:
OK, no questions so far.
, No, he communicated concisely.
Bedside Report: OH Part 4 - ANSWER-Ben: I recommend that you monitor Mr.
Haddad's fluid input and output and communicate with his provider to adjust his pain
medication as needed. As far as what he's got on his plate today, the urologist would
like to talk with him around 1100 and you also should know that Mr. Haddad says his
wife and daughter may be visiting this afternoon. It should be at about 1200 hours.
Aside from that, you should be all set!
REPONSE:
Excellent, thank you.
Yes, he followed procedure.
Bedside Report: Arun Patel - ANSWER-Ben: All right, Mr. Patel. What's going to
happen now is that I'll be giving a report on your condition to your next nurse, here. We
do this at the patient's bedside, just in case you have any questions or anything to add.
We like to keep the patient involved.
Arun: Um . . . yeah.
Ben: Here's the situation. Mr. Patel is a 38-year-old man who presented to the
emergency department at 0300 hours this morning with complaints of nausea, vomiting,
and diarrhea. He's pretty dehydrated, so we're focusing on that.
Is there anything that Ben left out of the Situation section of his SBAR report?
RESPONSE:
Who is Mr. Patel's provider?
Identifying information for patients and healthcare provider is included in the Situation
section of a Shadow General SBAR.
Bedside Report: AP Part 2 - ANSWER-Ben: Mr. Patel has been unable to keep food
and drink down for two days, ever since his symptoms started. He says he has never
experienced gastrointestinal symptoms like this before. I took Mr. Patel's vitals about
half an hour ago. He has a temperature of 99.1 degrees Fahrenheit, a heart rate of 102
BPM, and his blood pressure is 88/55 mm Hg. His oxygen saturation is 98%. For his
dehydration, we've started Mr. Patel on 0.9 normal saline IV at a rate of 100 ml/hr. For
his nausea, we've started him on 25 mg of intramuscular promethazine every four
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