Scenario
Hilary Jones is a 72-year-old obese white female admitted three days ago with a chief complaint of hip pain after falling at home. An open reduction and internal fixation (ORIF) of the right hip was performed to repair a fracture on admission. Mrs. Jones developed a pulmonary embolism (PE) on post-op day 2.
PMHx: HTN, DM, GERD, and anemia
PSH: Cholecystectomy
Current Medications: Metoprolol, Glucophage, Prevacid, and Dilaudid
PRN Allergies: NKDA
72, Caucasian, Female, Obese
I forgot to mention, her husband keeps getting in the way, and she is constantly on the call light. When I assessed her: she is alert and oriented x3 in no apparent distress. Vitals are stable: T 99, P 80, R 20, BP 150/90, and Oxygen on at 4 L via NC. Heparin is infusing at 8 mL/hr. Foley is patent and draining clear yellow urine. C/O pain at 4 AM, rated pain a 10 on a scale of 0-10, medicated X 1 with Dilaudid. She can receive 2mg IVP Q6 PRN. Mrs. Jones keeps complaining of pain. The monitor showed normal sinus rhythm, abdomen soft, non-tender with BS present in all quads. Her abductor pillow has been in place throughout the night.
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.
After actively listening to the night shift nurse’s report, what important data was omitted from the night shift nurse? What other information should have been provided by the night nurse to give quality and safe client care?
What was inappropriate about the night RN’s report?
What can you do to change behaviors like this in your nursing unit? How could factors such as effective listening, assertiveness, and teamwork play a role in changing behaviors of unit staff?
