Instructions

Read Improve Communication Quality and Safety in Client Care: Activity 3, then answer the Clinical Application Questions.

Scenario

It is 10:00 a.m. You administered Mrs. Jones the new Dilaudid dose of 4mg at 8:00 a.m. Her pain has been reduced to a 6/10. You got her a crossword puzzle from the volunteer’s cart and told her that you spoke to her physician, and he has increased her pain medications from 2 mg to 4 mg. You offer her a back rub and a fresh pillowcase. She tears up and says, “thank you so much for caring. I was so afraid that I was going to die from this pain that I just couldn’t sleep last night.”

It is noon, and Mrs. Jones wants her pain medication. She is still a 6/10. She is resting 30 minutes after receiving the medication. She opens her eyes for one moment and whispers to you, “I’m finally at a 3/10, and I am going to take a long nap. God bless you.”

At 1:00 p.m., you receive the following lab values.

LABVALUESNORMAL VALUES

PTT

35 sec

(25-35)

PT

12 sec

(12-15)

BUN

15

(5-25)

Creat

1.0

(0.5-1.5)

Sodium

138

(135-145)

Potassium

3.7

(3.5-5)

Glucose

120

(70-100)

Ca

9.0

(8.5-10)

Hgb

9.0

(13.5-17)

Hct

28

(40-54)

Clinical Application Questions

After reading the scenario, answer the following questions in a Microsoft Word document. Refer to the learning material presented in this module for guidance.

1. Which lab value(s) do you believe to be abnormal?
2. What information would you communicate to the health care provider?
3. Provide an example script of how you would report your concerns to the health care provider. For example: “Hi Dr. Smith, this is Nancy and I am the RN caring for Mrs. Jones in room 346. Her labs came back and her…”.

Submission and Assessment Guidelines

•  
  • Submit your Microsoft Word document with the questions clearly listed and answered. All of the questions MUST be answered in your document.
  • Each response should be 3–5 sentences in length, clear and concise, original (using your own words), and free of grammatical errors.
  • Turnitin is enabled for this assignment.
  • Review the Improve Communication Quality and Safety in Client Care Rubric for grading criteria.
  • This activity is worth 75 points.

Rubric

NUR 218 – Improve Communication Quality and Safety in Client Care Rubric

NUR 218 – Improve Communication Quality and Safety in Client Care Rubric

CriteriaRatingsPts

This criterion is linked to a Learning OutcomeConnections

60 ptsOutstandingEvidence of critical thinking and provides rationale, as well as examples and specific details.

45 ptsGoodEvidence of critical thinking and details, mostly specific.

30 ptsProficientEvidence of critical thinking and details but usually of a generalized nature.

15 ptsNeeds ImprovementIdea presence is limited or not supported.

0 ptsUnacceptableIdea presence is limited and not supported.

60 pts

This criterion is linked to a Learning OutcomeContent

15 ptsOutstandingExceptionally well-presented; ideas are detailed and well developed.

12 ptsGoodWell-presented; ideas are detailed and mostly well-developed.

8 ptsProficientContent is sound and solid; ideas are present but not particularly developed or supported.

4 ptsNeeds ImprovementContent is slightly reasonable.

0 ptsUnacceptableContent is not sound.

15 pts

Total Points: 75

 

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