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Clinical Skills

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One cold day in December, nurse Betty came to work ready for her day. She got report on her patients and began her day. Noticing that one of her patients had a med due at 7:30; she decided to get started on that. She retrieved the med, checked the MAR again, and proceeded to the patient’s room. Upon entering she states, “Good morning, I am here to give you your morning dose of protonix for your stomach before you have breakfast”. Nurse Betty asks the patient “Can I see your arm band?” and “Can you tell me your full name and date of birth?” After she finishes with her patient, nurse Alice asks her to come with her to verify a blood transfusion for her patient. Nurse Betty and Alice both check the MAR, 2 patient identifiers and the correct blood type. Once they confirmed the correct blood type and patient, Nurse Alice begins her patient’s transfusion. Nurse Betty returns to the nurses station and begins looking at the lab results from this morning. One of her patients has a low potassium level. She sends a message to the physician stat to get an order for potassium. The doctor responds to the message and sends the order. Nurse Betty proceeds to check the MAR for the rest of her patients. She then goes to the medication room to gather her supplies. One of her patients is due to get 2g of morphine IVP. She retrieves the morphine from the pixus, has another nurse verify the amount ordered, amount in the syringe and the amount wasted. Nurse betty then places a label on the syringe with the proper medication and amount. She then proceeds to her patient’s room to administer meds. Her next patient is due to get a Lovenox injection. She looks up the lab results to check the patients PT, aPTT and platelet counts. Prior to administering the injection she asks the patient if they have had any signs of bleeding including nosebleeds, blood in stool, etc.

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