Sunday, July 14, 2013

Detecting Deterioration, Evaluation, Treatment, Escalation and Communication in Teams


demonstrate an understanding of the DETECT (Detecting Deterioration, Evaluation, Treatment, Escalation and Communication in Teams) model of patient assessment.

Details: Mrs Cheryl Brown is a 44 year old female who presents to the emergency department with a 2 day history of Right Iliac Fossa (RIF) pain and vomiting. She was referred by her local GP with a provisional diagnosis of Appendicitis.

She is 160 cm tall and weighs 65 kilograms and is allergic to Penicillin. After a surgical review she was admitted to Hospital and transferred to theatre for a laparoscopic appendectomy.

You are the Registered Nurse (RN) caring for Mrs Brown on her return to the ward.
You take a brief history from the transferring Nurse who informs you that the patient has had 10 mg of Morphine IMI for pain. An ABCDE assessment is undertaken, Mrs Brown states she has pain (1) on a scale of 1-10 and is complaining of nausea.CLICK HERE TO ORDER THIS ESSAY!!!!
Her initial observations are: Temperature: 36.5 degrees Heart rate (HR): 80 beats per minute (BPM) Respiratory rate: 12 respirations per minute (RPM) SaO2: 96 % on room air Blood Pressure (BP): 105/60 mmHg The doctor has requested that she be administered Metoclopramide hydrochloride (Maxalon) 10 mg IM injection as charted and will review her in 1 hour.
PART A In 400 words undertake an ABCDE post operative assessment on your patient. It is expected that you will use current nursing and related literature in your explanation.
PART B In 850 words using the information from Part A identify two nursing interventions and one pharmacological intervention relevant to Mrs Brown’s post operative needs.
It is expected that you will use current nursing and related literature to provide rationales for your nursing interventions .The evidence for the discussion needs to demonstrate an understanding of safe and competent practice.

No comments:

Post a Comment