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Impaired tissue perfusion related to haematoma formation

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Introducing Mr Bright

Pre-admission clinic

Mr Bright at home

Handover

Medical records

Welcome to the Clinical

Simulation

Click on the tabs

to learn more

about the story

of Mr Bright

Welcome to the

Clinical

Simulation

This simulation is designed to help you, as a second year student, begin to integrate concepts and principles that are needed for practice as a beginning-level nurse in various clinical settings.

This scenario is located in a ward within a tertiary hospital facility, however it could apply to nursing practice in other settings as well, e.g. rural/remote health care facility, an emergency department or an aged care facility. We hope you enjoy this learning experience and use it to build on your knowledge and skill base for practice.

Scenario Learning Objectives

1. Identify and demonstrate principles of patient assessment – post operative.

2. Demonstrate process to assist in recognition and management of patient with chest pain

3. Identify and demonstrate principles related to effective communication in changing patient situation.

Welcome to the Clinical

Simulation

Introducing Mr Bright

Pre-admission clinic

Mr Bright at home

Handover

Medical records

Welcome to the Clinical

Simulation

Click on the tabs

to learn more

about the story

of Mr Bright

Introducing Mr

Bright

Mr Harry Bright is a 67 year old male with a history of hypertension and DMII – usually reasonably well controlled with medications and diet. He is also a smoker of 20 cigarettes per day.

He had an angioplasty to his right coronary artery where a drug eluting stent was placed and there was 10% residual stenosis at the site. It was quite a difficult procedure and cardiac monitoring during the stent placement did indicate some myocardial ischaemia.

His sheath was removed in recovery and there has been minimal wound ooze since then and no bruising. In recovery he developed some chest pain. Nitroglycerin spray sublingually x 1 was give which resolved the pain. As it was handed over from the Cath Lab staff that the doctor had some difficulty doing the procedure and also that monitoring during the procedure suggested some ischaemia, and the MO was contacted immediately when the patient complained of chest pain. He did not order further treatment once pain was resolved.

Introducing Mr Bright

Introducing Mr Bright

Pre-admission clinic

Mr Bright at home

Handover

Medical records

Welcome to the Clinical

Simulation

Click on the tabs

to learn more

about the story

of Mr Bright

Pre-admission

clinic

The following video allows you to observe the pre- admission clinic visit of Mr Harry Bright and his wife Lucy.

Pre-admission clinichttps://youtu.be/PcXj4923CMw

Introducing Mr Bright

Pre-admission clinic

Mr Bright at home

Handover

Medical records

Welcome to the Clinical

Simulation

Click on the tabs

to learn more

about the story

of Mr Bright

Mr Bright at home

The following video allows you to observe Harry chatting to his wife Lucy at home the afternoon before his hospital admission.

Mr Bright at homehttps://youtu.be/eDj1g9jKDiM

Introducing Mr Bright

Pre-admission clinic

Mr Bright at home

Handover

Medical records

Welcome to the Clinical

Simulation

Click on the tabs

to learn more

about the story

of Mr Bright

Handover

The following video allows you to observe the clinical handover.

Handoverhttps://youtu.be/7quDj3YyhQw

Introducing Mr Bright

Pre-admission clinic

Mr Bright at home

Handover

Medical records

Welcome to the Clinical

Simulation

Click on the tabs

to learn more

about the story

of Mr Bright

Medical records

Progress Notes

Angioplasty Admission

Blood Glucose Record

Vascular/Circulation Observations Sheet

Fluid Balance Chart

Observation Chart

Post-Angioplasty Care PlanMedication Chart

IV Fluid Order

Medical records

This is a collection of Mr Harry Bright’s medical records. You need to review these documents prior to attending the simulation.

ECG

Back to Medical RecordsView page 2 of Progress Notes

View page 3 of Progress Notes Back to page 1 of Progress Notes

Back to page 2 of Progress Notes

Back to Medical RecordsView back of Angioplasty Admission Form

View front of Angioplasty Admission Form

Back to Medical RecordsView back of Observation Chart

View front of Observation Chart

Back to Medical RecordsView back of Blood Glucose Record

View front of Blood Glucose Record

Back to Medical Records

Back to Medical Records

View back of Medication Chart

Back to Medical Records

View front of Medication Chart

Back to Medical Records

Back to Medical Records

Back to Medical Records

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