Name | Julia Chan | Date of Birth | 24 May 1995 | Age | 16 year old | Gender | Female | Height | 160 cm | Weight | 50 kg | Past medical history | Nil | Past surgical history | Nil | Allergies | Nil known | Medications | Pre admission: multi vitamin one daily. Paracetamol prn, morphine 5mg IMI every 3 hours prn, maxolon 10 mg orally TDS prn. On call pre medication- temazepam 10mg orally. | Current Admission | Julia was out partying and drinking for a friend’s 16th birthday when she fell down some stairs and (?)hit her head. Her friends’ when questioned, were unable to determine exactly how long she had LOC for. Her friends found her and they called an ambulance which took her to hospital. On arrival to hospital she was slightly confused and complained of a headache and a very tender left wrist. Julia has been reviewed by the emergency team and had a head CT that showed no obvious abnormality. X-ray revealed a closed fracture of her left wrist (the scaphoid bone). The wrist was swollen and therefore the doctors have decided to put a backslab on her left wrist. Julia is admitted for observation and an ORIF of her fractured left scaphoid bone. Julia has a IVC in her right wrist and has normal saline running 8th hourly. She is ordered 4/24 neuro obs for 24hrs. Julia’s parents have just arrived. | Social history | Lives with her mother. Parents from a low social economic background. Julia works as a shop assistant at the local Coles, casually one day a week after school. She is an only child. Her parents are divorced. Julia is socially active and goes partying every weekend. She admits to binge drinking at parties; states approx 6 glasses of spirits in pm. She says she has taken illicit drugs such as Ecstasy in the past. States she has a boyfriend who 17 years old. Julia admits she is sexually active. | Discharge planning considerations | Does not drive. Relies on mother or friends to drive her. Reluctant to see GP. |
You are a registered nurse working on an orthopaedic ward. You have just accepted a client admission from the emergency department. The client is Julia Chan.
In this admission process you will need to complete a systematic assessment (combination of head to toe assessment and body systems) approach in your admission of Julia. Please follow this as a guide:
1. CNS e.g. GCS, alert & orientated, neurological assessment, drug & alcohol use, drug /alcohol testing 2. Respiratory: e.g. risk of complications, respiratory assessment,? need for oxygen 3. CVS: e.g. cardiovascular assessment, neurovascular assessment, risk and complications, haemostasis 4. Renal: e.g. metabolism of drugs, continence, interpret blood/urine results, history 5. GIT/liver: e.g. nutritional/fluid status, NBM? Pre surgery, abdominal assessment 6. Integument: e.g. appearance, including skin breaks, mobility, wounds 7. Musculoskeletal: e.g. Range of motion, musculoskeletal assessment, mobility, trauma, injury 8. Endocrine: e.g. glycaemic status, ?use of oral contraceptive pill 9. Immune: e.g. risk of infection, allergy status 10. Reproductive: e.g. (female: menstrual disorders, cancer, endometriosis), STIs, (male: prostatitis, cancer, testicular torsion, phimosis). 11. Medication use: e.g. medical history, drug interactions, medications she has received pre op (e.g analgesia) 12. Psychosocial: e.g. cultural issues, language, and family status
Activity 1: Neurological assessment
In pairs, practice taking your partner’s neurological observations and document your findings on a neuro chart.
Why are we doing a neurological assessment for Julia?
Activity 2: Cranial nerve assessment and discussion with facilitator
You note in the admission entry from the doctor that they assessed Julia’s cranial nerves.
List the cranial nerves.
Give a brief description of how you would assess the olfactory and facial cranial nerves?
including the need for a host. In this lab, we will further investigate what you learned in the lesson with some virtual demonstrations.
You will need your computer, internet access, the virtual lab lesson from the Gizmo application Virus Lytic Cycle, and your lab notebook.
1. Open the virtual lab Gizmo for the virtual lab of the virus lytic cycle.
2. Download and read the Explore learning guide.
3. Begin the lab by reviewing the virus lytic cycle…
In this lab, you will learn how to use various tools and techniques to determine and document IP network
design. You will use the Windows Command Prompt to generate network traffic; Wireshark to capture and
analyze the generated traffic; PuTTY to remotely access the Cisco Switch; and finally, you will issue IOS
commands on the Cisco Switch to understand its various interfaces and inner workings.
Upon completing this lab…
Student Guide and Lab Report Combined
Laboratory: Gas Laws
How do quantities of gases change with changing amounts, pressures, temperatures, and volumes? Balloons are containers of gas that you will use to explore such questions. Specifically, you will look at how the volume of a gas changes with temperature.
The Student Guide is the Lab Procedure to follow
Lab Report is found on this document – after the Student Guide. Fill out the Lab Report and submit the whole document to the dropbox to submit…
patients. I found note writing was basically handled when the time was permissible. In most cases, my CI and other PTAs handled this task while their patients commenced isometric therapeutic exercises or on busy days they would conclude the day with note writing.…
Schedule and Attendance
There are 6 experiments scheduled over the semester. Each experiment will be performed over
approximately 2 week cycle. You will attend your enrolled lab section on a bi-weekly basis (Group 1 or
Group 2). Attendance is mandatory. Attendance will be taken at each lab. Please review and follow
the schedule posted on Moodle and according to what section you are enrolled.
Moodle (http://moodle.umass.edu/) is the online Learning Management System (LMS)…
with their patients. Note writing was basically handled when time was permissible. In most cases, I found my CI and other PTAs handled this task while their patients commenced isometric therapeutic exercises or on busy days they would conclude the day by note writing.…
“Chemical Reactions and Equations” lab was to observe physical and chemical properties associated with chemical reactions, to make note of/document the evidence of the chemical reaction, to practice balancing equations, to predict the products that form from a reaction, and to have an understanding; did the elements bond, break apart, or did they switch partners in the reaction (determine what happened to the reactant/s as they formed new product/s).
The lab demonstrated the law of conservation…
reporting your results.
Formal Lab Reports:
You should keep ALL COMPLETE copies of lab reports in your 3-ring binder in a back section/tab labeled “AP Lab Reports”. Ultimately, all formal labs and lab worksheets should go into this binder for later use during review. Formal lab reports will be done on the computer and NEED TO BE TYPED and submitted to www.turnitin.com! They should be stored on a hard-drive or on disc/cd/flashdrive for back-up. Formal lab write-ups should contain the following:…
Any hand-written notes
that are taken from lessons and submissions can be used on both your midterm and final exams.
Note-taking: The lessons explain all of the information that you need to know for the submissions that
follow, but it is very important that students take hand-written notes on all of the key information from
the lessons. Important vocabulary is shown in blue bold type, and the definitions to these key words
should be written down in a notebook. Taking notes will help students…