Scott Becker shadow health Transcript
Transcript
Hello. I am xxx, I will interview and examine you.
Greet
09/18/23 1:54 PM EDT
Hello.
What brings you here today?
Question
09/18/23 1:55 PM EDT
I’ve been having some pretty serious stomach pain. I’ve been strangely tired. And when I threw up and there was blood in it . . . I figured things were serious enough that I should finally get checked out.
ORDER SHADOWHEALTH OR EXAM HERE
I am sorry to hear that you are….
…
Values are consistent with baseline measurements. Continue transfusion and observation.
Scott Becker shadow health Transcript Question
09/30/23 6:13 PM EDT
You have been in the room with the patient for fifteen minutes. Check the patient’s vitals and make note of any changes from your baseline observation.
Exam Action
09/30/23 6:13 PM EDT
The patient’s baseline vitals were: Temp 37.0° C; BP 110/98; HR 110; RR 20; O2 Sat 97%.
Exam Action
09/30/23 6:13 PM EDT
The patient’s current vitals are: Temp 37.1° C; BP 111/97; HR 108; RR 20; O2 Sat 97%
Exam Action
09/30/23 6:13 PM EDT
Scott Becker shadow health Transcript How are you feeling, Mr. Becker?
Question
09/30/23 6:13 PM EDT
Scott: Still hanging around. I still don’t feel any different, which I guess is good.
You have observed the patient for fifteen minutes. The patient has had no adverse reactions and you have increased the transfusion rate to 200 mL/hr.
Exam Action
09/30/23 6:13 PM EDT
Select the following option that explains why you increase the transfusion rate after the first fifteen minutes.
Exam Action
09/30/23 6:13 PM EDT
The transfusion rate is increased because it allows for the greatest balance between patient safety and completing the transfusion within the four hour window for transfusions.
Question
09/30/23 6:15 PM EDT
Proceed
Question
09/30/23 6:16 PM EDT
After adjusting the transfusion rate, you check in with the patient following the guidelines for patient observation during transfusions set by the hospital. Keep in mind that these policies may vary from location to location, so it is best practice to familiarize yourself with these standards whenever working in a new facility.
Exam Action
09/30/23 6:16 PM EDT
How are you feeling, Mr. Becker?
Question
09/30/23 6:16 PM EDT
Scott: I’m still here, and I’m definitely feeling better than before Scott Becker shadow health Transcript .
After you have had the patient report their condition, auscultate the patient’s lungs.
Exam Action
09/30/23 6:16 PM EDT
Auscultated all areas; all areas clear and no adventitious sounds.
Exam Action
09/30/23 6:16 PM EDT
The patient reports no signs of a transfusion reaction. The patient’s lung sounds are clear and there are no adventitious sounds.
Question
09/30/23 6:16 PM EDT
Why is it important to auscultate the patient’s lungs during a blood transfusion?
Exam Action
09/30/23 6:16 PM EDT
Choose the option that best answers the question
Exam Action
09/30/23 6:16 PM EDT
Excess fluid in the bloodstream can exit the bloodstream in the lungs, which can present audibly when the lungs are auscultated.
Question
09/30/23 6:19 PM EDT
Preceptor Diana: Before we transfer the patient to surgery for his endoscopy, please answer the following questions:
Preceptor Diana: Had the patient’s temperature increased by less than a degree Celsius, what would your next step be?
Select one of the following options:
Exam Action
09/30/23 6:19 PM EDT
Continue to monitor vital signs and do not leave patient.
Question
09/30/23 6:22 PM EDT
Preceptor Diana: If the patient’s temperature had increased by five degrees during the first fifteen minutes of observation, what actions should you immediately take?
Stop the transfusion immediately and change all IV tubing.
Question
09/30/23 6:26 PM EDT
Preceptor Diana: After you have stopped the transfusion and changed all the IV tubing for a patient experiencing a possible transfusion reaction, what are the next steps you should take? Scott Becker shadow health Transcript
Notify the blood bank and the provider of the reaction. Continue to monitor the patient. Save blood bag and tubing and send it to blood bank. Obtain urinalysis and send to the lab to check for hemoglobin.
Question
09/30/23 6:30 PM EDT
Proceed
Question
09/30/23 6:31 PM EDT
Preceptor Diana: Please answer these last three questions in your own words. When answering, remember your scope of practice and the materials covered in this activity.
How do you know the transfusion works (cite evidence from labs/tests and from patient interaction)?
Exam Action
09/30/23 6:31 PM EDT
The transfussion worked because the patient reported to feeling better than before afteer the procedure
Question
09/30/23 6:31 PM EDT
Proceed
Question
09/30/23 6:32 PM EDT
What do you do if there is no transfusion reaction but there is also no improvement in the patient’s condition?
Exam Action
09/30/23 6:32 PM EDT
Patient should be monitored closely and an anti-body screening test should be conducted
Question
09/30/23 6:39 PM EDT
Proceed
Question
09/30/23 6:39 PM EDT
Under what conditions would you call for more blood?
Exam Action
09/30/23 6:39 PM EDT
When a patient has severe anemia or injury that has made them loose alot of blood Scott Becker shadow health Transcript
Question
09/30/23 6:41 PM EDT
Proceed
Question
09/30/23 6:41 PM EDT
Congratulations! You have completed the Blood Transfusion Activity for Scott Becker. Scott Becker shadow health Transcript