laboratory and clinical booklet - Fort Scott Community College

1. Complete the following for each client:
(Describe a minimum of 4 clients)
FORT SCOTT COMMUNITY COLLEGE
DEPARTMENT OF NURSING EDUCATION
NURSING 2509
EMERGENCY ROOM ROTATION
____ a. Assessment done. Include chief complaint, history of present
illness, vital signs, allergies, assessment findings of affected body
systems, diagnostic tests obtained and the results. Final medical
diagnosis. (40 Points)
____ b. Two nursing diagnoses (10 Points)
____ c. Emergency treatment given and equipment used [i.e., labs &
x-rays ordered, medications administered, breathing treatments]
(10 Points)
____ d. Client‟s response (5 Points)
____
e. Family reaction (5 Points)
____ f.
Legal implications [i.e., HIPAA, EMTALA, Advanced Directives,
documentation of interventions and client teaching, pregnancy status,
reportable abuse/neglect] (5 Points)
____ g. Disposition of client, i.e. admitted, referred or discharged. (5 Points)
If discharged, include:
1) Follow-up plan [i.e., physician appointment]
2) Teaching given to client &/or family
____ 2. Describe triage. State how you would have triaged the clients admitted
during your experience if they had all been admitted at once. Give
rationale for decisions. (10 Points) Refer to Chapter 69 in Med-Surg text
for discussion on triage. Describe facility disaster plan.
____ 3. Identify the nurse’s role in giving emergency care. What additional
training or certifications are required in order to work in this area?
(10 Points)
____ 4. Include this grading sheet with submission of your paper.
ER Rotation = 100 Points
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