Urine Colour: Yellow is 70 years old. Sidney is allergic to ASA Appearance: Clear and penicillin. We have put him/her on Specific Gravity:1.025 normal 1.003-1.030 telemetry and put a lock in and started N/S – negative @ 75 cc/hr. CNS score in ER was 5.5 Glucose: Ketones: negative Blood: negative A. Last time I checked him/her vitals were pH: 5.5 (normal 5.0-8.0) OK, BP still elevated and sats low normal. Protein: negative We have been busy, so just time enough to Nitrites: negative start the IV since he/she got back from CT scan. Other LKCS: 9.6- normal 4.0-11.0 R. Sidney is on the standard stroke orders, ERCS: 3.75(L)- normal and I think you have those already. Physician Orders: Acute Ischemic Stroke Orders filled out and on chart Scenario Progression Outline Timing Patient Actions Expected Interventions May use the (approximate) following Cues: Time of Day for Patient Hand Hygiene simulation is: Introduce self, explains what initial condition: she/he is about to do Family member Noon Vitals on monitor has script see First Phase T- 37.2 Assess vital signs Appendix B and P- 86 TPR, BP, O2 sat Assessment will interact in R- 22 simulation as BP- 185/90 Assess pupil size and reaction to per script and O2 sat- 94%- light pre-brief Pupils are equal instructions bilaterally and react to Assess Level of Consciousness light CNS assessment LOC is alert to a bit Orientation drowsy Location, month, year CNS responses Receptive speech
Urine Colour: Yellow Appearance: Clear Specific Gravity:1.025 – normal 1.003-1.030 Glucose: negative Ketones: negative Blood: negative pH: 5.5 (normal 5.0-8.0) Protein: negative Nitrites: negative Other LKCS: 9.6- normal 4.0-11.0 ERCS: 3.75(L)- normal Physician Orders: Acute Ischemic Stroke Orders filled out and on chart is 70 years old. Sidney is allergic to ASA and penicillin. We have put him/her on telemetry and put a lock in and started N/S @ 75 cc/hr. CNS score in ER was 5.5 A. Last time I checked him/her vitals were OK, BP still elevated and sats low normal. We have been busy, so just time enough to start the IV since he/she got back from CT scan. R. Sidney is on the standard stroke orders, and I think you have those already. Scenario Progression Outline Timing (approximate) Patient Actions Expected Interventions May use the following Cues: Time of Day for simulation is: Noon First Phase Assessment Patient initial condition: Vitals on monitor T- 37.2 P- 86 R- 22 BP- 185/90 O2 sat- 94%- Pupils are equal bilaterally and react to light LOC is alert to a bit drowsy CNS responses Hand Hygiene Introduce self, explains what she/he is about to do Assess vital signs TPR, BP, O2 sat Assess pupil size and reaction to light Assess Level of Consciousness CNS assessment Orientation Location, month, year Receptive speech Family member has script see Appendix B and will interact in simulation as per script and pre-brief instructions
Acute%20Stroke%20template%20Rev%20Mar%2014%20.docx