Premium Essay

Resuscitation Room Injury

Submitted By
Words 203
Pages 1
Physicians should be aware that even on the operating table or in the resuscitation room, attention should be paid to documenting the injury, once stability of health status has been achieved; this early documentation of injury is more likely to be useful in later legal proceedings. In particular, the size, shape, and form of stab or other cutting injuries are useful if documented before exploration and suture or repair. Additionally, the apparent depth of penetration of an injury is also an issue that frequently arises in assault cases and can be assisted by good medical documentation. A photograph of a healed wound several weeks after the assault combined with medical notes that simply report ‘‘stab to abdomen’’ and an operation note that

Similar Documents

Free Essay

Obesity

...Status: Pulse, respiration, and blood pressure are within expected range for age. ■ Place the child on a cardiorespiratory monitor with a 20-second alarm. Have resuscitation equipment, including oxygen, resuscitation bag with mask, and suction apparatus at bedside. Stimulate child if apneic; if no response, begin manual ventilations and call for emergency resuscitation. The alarm on the monitor alerts staff that the child is having bradycardia or an apneic spell. Equipment should be at bedside in case of respiratory arrest. Bag-valve mask ventilation is recommended as the child’s respiratory secretions contain bacteria. Stimulation may encourage spontaneous respirations; if not, ventilation is necessary. Calling for emergency resuscitation ensures help in managing the child in a timely manner. The apneic child may have bradycardia resulting from cardiac hypoxia. The child’s respiratory failure is easily managed with prompt assessment and treatment. ■ ■ ■ ■ ■ Monitor heart rate and perform compressions if necessary. ■ 2. Risk for Injury related to infection of cerebrospinal fluid and potential sequelae NIC Priority Intervention: Complication Monitoring: Evaluation of fever, shock, and consciousness responses to bacterial infection of the meninges. The child will suffer minimal CNS injury secondary to infection. ■ NOC Suggested Outcome: Risk Control: Actions to eliminate or reduce actual...

Words: 1162 - Pages: 5

Premium Essay

Nt1310 Unit 5 Exercise 1

...face and neck, singed nasal hair, hoarse, dry cough, bloody/sooty sputum, labored respirations. Additionally, edema, blisters, and ulcerations along the mucosal lining of the oorpharyngeal and laryngeal sites. The edema may continue to increase for 24-48 hours post injury, so close pulmonary assessment is pertinent. Asses initially for need of intubation with mechanical ventilation, continuous O2 saturation monitoring, pulmonary toilet, and CXR. Careful assessment in the order of respiratory distress and airway obstruction is essential. Assess for deep facial and neck burns, stridor, accessory muscle use, hypoxia, blistering/edema to the oropharyngeal airway, continuous ABG assessment in the order of intubation and mechanical ventilation need. 3. H&G 20 and 51 increase during the first 24-48 hours post inhalation injury secondary to hemoconcentration related to intravascular fluid volume loss. This is proportional to the level of fluid volume. As fluid returns to the intravascular space, H&H levels return to normal. H&H should decrease with adequate hydration. Serum potassium of 4.9 initially is expected to increase secondary to cellular lysis and fluid shifts to extracellular...

Words: 1038 - Pages: 5

Premium Essay

Emergency Nursing

...Emergency Room For our first trip to the hospital I will be going to the emergency room otherwise known as the E.R. The emergency room is a hospital or primary care department that provides initial treatment to patients with a broad span of illnesses and injuries. In the ER there is a vast array of people caring for a patient including physicians, nurses, physician assistants, and surgeons. An abundant amount of tools are used in the emergency room. A stethoscope is a diagnostic tool that allows a nurse or physician to listen to heart and respiratory sounds. A cardiac monitor gives the visual display of the rhythm of a patient’s heart. The suture tray contains the sterile equipment to place stitches in a patient with a laceration. This tray consists of a needle holder, forceps, sterile towels, scissors, and small bowls. Some organizations that are associated with the ER are the Emergency Nursing Association (ENA), the International Association of Emergency Managers, and the Caribbean Disaster Emergency Response Agency (CDERA). I intend to see the variety of conditions that a physician sees. Some of the conditions that bring people to the emergency room are car accidents, sports injuries, broken bones and cuts from accidents or falls, food poisoning, and loss of hearing or sight. I hope to see someone getting surgery since millions of Americans visit an emergency room each year. The emergency department has several different areas including the triage, resuscitation, and pediatric...

Words: 325 - Pages: 2

Premium Essay

Family Values

...states that nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations. It is this thinking that nursing continues to strive to assist patients not only achieve their optimal physical health, but also their family culture is equally important when it comes to healing. As nurses continue to understand the dynamics of a patient’s family system, it is clear that the word “family” draws upon much more than just blood relatives. In the health care setting a family can be viewed as the people who come together to support a patient during a health crisis. That support may be seen directly at the bedside, through conversations via phone, or helping to assist in the discharge process. As a nursing workforce it is our responsibility to understand how the roles of a family affect our individual patients, and work to incorporated those roles into their therapeutic environment. An issue in today’s emergency departments that continues to draw attention from aspects of the medical profession is the use of family presence during cardiopulmonary resuscitation. “While it appears that the evidence clearly indicates positive outcomes from family witnessed resuscitation (FWR), a majority of emergency departments fail to implement or even institute policies “(MacLean, et al 2003) . Lack...

Words: 1157 - Pages: 5

Premium Essay

First Aid

...person and wrap your arms around the waist. Make a fist, grasp fist with other hand. Place fist against the stomach just above the navel but well below the lower tip of the breastbone. Pull fist upward into the stomach with a quick upward thrust. Repeat up to four times. If choking continues, seek medical help. If the victim becomes unconscious, lay him or her down, roll to side, pull the tongue and jaw forward and with your index finger, dislodge any visible matter. Perform mouthto-mouth resuscitation and/or CPR. object, pull the upper lid down and over the lower lid and let it slide back up. This may dislodge the particle. If pain and tearing persist, seek medical help. FAINTING Lay patient on his or her back and raise both legs above the heart. Check airway to be certain it is clear. Loosen tight clothing and apply cold cloths to the face. If fainting lasts more than a minute or two, keep patient covered and seek medical help. BLACK EYE As soon as possible following the injury, dip a cloth in ice water and hold next to the area for at least 10 minutes. A “black eye” is essentially a bruise around the eye that will cause pain and swelling and gradually fade in time. If the bruise does not fade or if there is a change in vision, consult a physician. FALLS Stop any bleeding and cover...

Words: 1913 - Pages: 8

Premium Essay

Case Outline

...no relevant past medical history. Peter smokes approximately 20–30 cigarettes per day and takes alcohol at weekends only. Peter is anxious and is concerned that his wife and children are informed. He also states his father died suddenly following a heart attack a number of years ago. Peter is immediately triaged and taken to the resuscitation room. You are the receiving nurse. Observations on admission include: Respiratory rate: 18 breaths per minute Oxygen saturations: 95% Blood pressure: 150/90 mmHg Pulse: 94 beats per minute Temperature: 37ºC. On admission to hospital an electrocardiograph (ECG) has been undertaken. Peter has been diagnosed with an anterior ST segment elevation myocardial infarction (anterior STEMI). Blood samples have also been drawn for urea and electrolytes (U&E), full blood picture (FBP) and highly sensitive troponin T. 1 Discuss Peter’s immediate problems and explain these using your knowledge of pathophysiology. A On admission to Accident and Emergency (A&E), Peter will be assessed using the Manchester Triage system (Cooke and Jinks 1999) incorporating the ABCDE approach as per the Resuscitation Council (UK) (2011). The ABCDE assessment and management tool can be applied to all deteriorating or critically ill patients. It is recognized that approximately 30 per cent of people developing a myocardial infarction die before reaching hospital...

Words: 3270 - Pages: 14

Free Essay

Nurses Impact Lives Beyond

...head-on at a high rate of speed. Of his two passengers, one of them is a brother, all require 20 minutes of extrication time from the severely damaged vehicle. After freeing our patient, the team works together to assess and stabilize him. His initial vital signs are worrisome, with a BP of 140/80, pulse of 160 and spontaneous respiratory rate of 8. The nurse assumes his care and quickly supports his respiratory rate by bagging and suctioning blood from his airway then inserting an ET tube to ventilate through. A team of 2 EMT’s assist to immobilize him on a spine board, stiff-neck collar, and CID blocks. The patient responds only by flexing to pain, no eye opening or verbalization. His noted obvious injuries are large head laceration approx. 6 inches in length, a head injury with his decreased level of consciousness, left...

Words: 2268 - Pages: 10

Premium Essay

Concept of Critical Care

...therapeutic relationship with patients and their relatives and to empower the individuals’ physical, psychological, sociological, cultural and spiritual capabilities by preventive, curative and rehabilitative interventions. Illnesses and injuries commonly seen in patients on critical care units (CCUs) Gunshot wounds Traumatic injuries Cardiovascular disorders Surgeries Respiratory disorders Shock THE EVOLUTION OF CRITICAL CARE * Forty years of development in critical care and critical care nursing has given rise to a recognized specialty in nursing practice . * Critical care units have evolved over the last four decades in response to medical advances . HISTORICAL PRESPECTIVES * Florence nightingale recognized the need to consider the severity of illness in bed allocation of patients and placed the seriously ill patients near the nurses’ station. * Modern medicines boomed to its higher ladder after world war 2 * Dr. Walter E. Dandy 1886-1946 First pioneer of intensive care in USA Johns Hopkins Medical Center Developed a special care unit for neurosurgical patients * As surgical techniques advanced it became necessary that post operative patient required careful monitoring and this came about the recovery room. * In 1950, the epidemic of poliomyelitis necessitated thousands of patients...

Words: 1275 - Pages: 6

Premium Essay

Concept Analysis

...Concept Analysis Carrie G. Alexander Chamberlain Concept Analysis The concept of comfort is one that nurses provide every shift; however, it is not always easy to define. Katherine Kolcaba’s Comfort Theory will be used. Walker and Avant’s method for concept analysis will be used. The first step is to select a concept, which is comfort. The next step is determining the purpose of the analysis. The purpose is to define what comfort means and what comfort measures are and how they are used in nursing. The third step is to identify the uses of the concept of comfort. This includes definitions of term comfort and a literature search. The fourth step is to determine the defining attributes of comfort. This allows for insight into the concept and includes the characteristics of comfort. Comfort can mean many things to many people. Comfort can be caring words, caring touch, warm blankets, pain relief or encouragement. The fifth step is a model case or a real life example of the concept that includes the attributes of the concept and a borderline and related case. The sixth step is to identify consequences and antecedents and consequences. The final step is to define empirical referents or measurable ways to show the occurrence of comfort. Purpose The concept of comfort is used frequently in nursing practice; however, it is not always clearly defined. It is a basic value of nursing care and interventions and is frequently described as comfort measures. A basic understanding...

Words: 2609 - Pages: 11

Premium Essay

Near Drowning Research Paper

...Drowning is a process resulting in primary respiratory impairment from submersion in a liquid medium. It occurs usually silently and rapidly. Nearly 80% of all people who die from drowning are male. (Emedicine.medscape.com) Drowning is more serious in the younger generation and it shows that up to ten people die every day from unintentional drowning. (Nlm.nih.gov) Drowning ranks fifth among the leading causes of unintentional injury death in the United States. (Nlm.nih.gov) Children primarily age grouped one through four have the highest drowning rates out of any other age group. Some of the main factors that affect near drowning victims are lacking the ability to swim, not having supervision when swimming, lack of barriers, failure to wear life jackets, location, alcohol use, and seizure disorders. Research has found that taking swimming lessons has reduced the chances of drowning in kids and anyone else lacking the ability to swim. Near drowning is not something to take lightly and can happen to anyone including...

Words: 772 - Pages: 4

Premium Essay

Essay On Athletic Trainers

...their high school. They also need to take first aid and cardiopulmonary resuscitation (CPR) courses offered by the local Red Cross, fire department, or rescue squad. Candidates must be certified in first aid and CPR before they can be certified as athletic trainers by NATA. To become certified, interested individuals must complete an approved college program in athletic training and have two years of experience working under the supervision of NATA-approved trainers. NATA will also certify people who have a college degree in any subject plus 1,800 hours of on-the-job training under a NATA member. Certified athletic trainers can apply for jobs in high schools, colleges, and universities that have sports programs. Health...

Words: 433 - Pages: 2

Free Essay

Intensive Care Unit

...Intensive Care Unit Assignment By, Barkha Bijlani MBA-HHM (2012-14) 12040141007 Intensive Care Unit Introduction: Timely and efficient management by doctors combined with concerted nursing efforts have revolutionized the management of critically ill patients. With the persistent demographic trend towards an aging population nearing the age of 65 and above, the number of patients requiring critical care will rise but many patients who might have had no chance of survival can now be treated successfully. And during last two decades critical care medicine has undergone rapid changes and emerged as a discipline by itself. Intensive care units (ICU), also called critical care or intensive therapy departments, is highly specified and sophisticated area of a hospital which is specifically designed, staffed, located, furnished and equipped, dedicated to management of critically ill patients whose conditions are life-threatening and need constant, close monitoring and support from equipment and medication to keep normal body functions going. It is a department with dedicated medical, nursing and allied staff. It operates with defined policies; protocols and procedures, having its own quality control, education, training and research programmes. It is emerging as a separate specialty and can no longer be regarded purely as part of anaesthesia, Medicine, surgery or any other speciality. It has to have its own separate team in terms of doctors, nursing personnel and other...

Words: 2857 - Pages: 12

Premium Essay

First Degree Burns Research Paper

...Assessment of the patient’s airway is first priority. This can be a life threatening emergency and the patient must be brought to an emergency room right away via ambulance so that treatment can begin before the patient reaches the hospital. After stabilization, the patient should be transferred to a facility that has a burn center with staff that is clinically competent to treat and heal the burns. There are many risks for patients experiencing a third degree burn after the initial stabilization and respiratory assessment has been completed. Hypovolemia from blood loss and fluid volume loss, hypothermia, shock, and infections are the more serious of complications that can occur and ultimately can result in death. Fluid resuscitation is critical to prevent complications such as hypovolemia. Wound care as ordered and intravenous antibiotics will prevent infection that may lead to life-threatening sepsis and multi-organ failure. If the patient does feel pain, the nurse will administer pain medication as ordered by the physician. Patients often require surgery to perform grafting. Treatment for a burn victim goes beyond just physical care. Care must also focus on the psychosocial...

Words: 1610 - Pages: 7

Free Essay

Critical Care Nursing

...Over I have several goals regarding my future nursing career; however, my long term nursing goal is to work in critical care. My exposure to this area of nursing occurred when my mother was in the intensive care unit following exploratory surgery due to severe abdominal pain which revealed necrosis of a large portion of her large intestine. Following this, she spent many weeks in the intensive care unit with a diagnosis of septic shock. During her time in the ICU, she was mechanically ventilated for several weeks. In addition, she had evidence of kidney injury and subsequent hyperkalemia that resulted in cardiac irregularities. Her experience as a patient and my experience as the family point person in communicating with the healthcare team and observing the nursing staff played an important role that led to my decision to focus my future nursing career on critical care nursing. I was inspired by the overall knowledge, commitment, and diligence of the night shift nurse who cared for my mother consistently. He was very compassionate with us, extremely knowledgeable in responding to all of our questions about the pathophysiology of her condition, and explaining the rationale of the treatment approach made a positive difference in her outcome. “Critical care nursing is that specialty within nursing that deals specifically with human responses to life-threatening problems. A critical care nurse is a licensed professional nurse who is responsible for ensuring that acutely...

Words: 1886 - Pages: 8

Premium Essay

Essay Unit 732

...In one instance guards selected fifty women to eat cabbage leaves that had secretly been poisoned. When some women did and began to get sick, the others were forced to do the same. If they resisted, they would face the consequences along with members of their family. North Korean scientists would have a family be checked during an examination, and if they overall seemed healthy the entire family would be performed on at once. The family would be placed in a room while poison would seep in, as scientists watched in a room adjacent to theirs. A man who goes by Kwon Hyok admits to have watched a family, including a daughter and son die from this poison as their parents did mouth-to-mouth resuscitation as long as they physically could...

Words: 959 - Pages: 4