Orientation normal for Close eyes place and Stone sink in water time(month,year) Point to ceiling Receptive speech normal Expressive speech to close eyes answer yes Identify 3 items and purpose to does a stone sink in water and point to ceiling Motor function with Right hand. Face, proximal arm, distal arm, proximal leg, distal leg Expressive speech normal - can name 3 Motor response to resistance items and identify their arms, legs use Motor function - Left CNS score should be 5.5 facial droop. Left side unable to move except if Student should identify deficits asked to squeeze then and may ask documenter how very weak in left and can CNS score relates to previous wiggle left toes CNS score If asked how body feels respond My entire left side – face, arm and leg feel kind of numb and heavy Second Phase T-37.2 P-86 R-22 BP Recognize BP elevated and Role member Medication 185/100 check orders or knows no prn providing cue: Sats 93% administration treatment required according to Pt and BPG/orders Actor/SimMan Cue: Why have Blood Glucose Check blood glucose with they been Blood glucose 11.0 checking my glucometer sugar, nurse? I’m Respond to patient question not diabetic. regarding blood glucose testing as reaction to stress and body’s pt is not diagnosed as diabetic Check orders or ask resource nurse what treatment parameters and if med needed Administer Insulin as ordered
Orientation normal for place and time(month,year) Receptive speech normal to close eyes answer yes to does a stone sink in water and point to ceiling with Right hand. Expressive speech normal - can name 3 items and identify their use Motor function - Left facial droop. Left side unable to move except if asked to squeeze then very weak in left and can wiggle left toes If asked how body feels respond My entire left side – face, arm and leg feel kind of numb and heavy Close eyes Stone sink in water Point to ceiling Expressive speech Identify 3 items and purpose Motor function Face, proximal arm, distal arm, proximal leg, distal leg Motor response to resistance arms, legs CNS score should be 5.5 Student should identify deficits and may ask documenter how CNS score relates to previous CNS score Second Phase Medication administration and Blood Glucose T-37.2 P-86 R-22 BP 185/100 Sats 93% Blood glucose 11.0 Recognize BP elevated and check orders or knows no prn treatment required according to BPG/orders Check blood glucose with glucometer Respond to patient question regarding blood glucose testing as body’s reaction to stress and pt is not diagnosed as diabetic Check orders or ask resource nurse what treatment parameters and if med needed Administer Insulin as ordered Role member providing cue: Pt Actor/SimMan Cue: Why have they been checking my sugar, nurse? I’m not diabetic.
Acute%20Stroke%20template%20Rev%20Mar%2014%20.docx