Patient Lina Smith is a woman of
Patient Lina Smith is a woman of 60 years old who has a previous diagnosis of coronary artery disease. Recently, she has been experiencing discomfort in his chest on and off during the previous three days. Her vital signs are stable, and her electrocardiogram is within normal limits, according to the findings of the examination. Because of the patient’s chest pain, the attending physician has prescribed an 81-milligram dose of aspirin, and it is advised that this be given to the patient. SBAR Report: Patient: Lina Smith, 60 y/o female Situation: Lina has been experiencing chest pain for the past few days Background: Lina has a history of coronary artery disease Assessment: Vital signs are stable, ECG is normal Recommendation: Administer an aspirin for chest pain Task to be delegated: Administer 81mg aspirin to Lina Smith as prescribed by the physician Monitor Lina’s response to the medication and report any changes in symptomology or vital signs Situation- Patient was transferred to the Emergency Department due to fainting. The patient is presenting shortness of breath, heart palpitations, and chest pain. Patient’s name is John Smith, a 65 year old man who has a history of hypertension. The patient came from Westwood Skilled Nursing Facility (SNF) when they complained of chest pain. The patient is a poor historian; the ED nurse received report from SNF and family members for patient history and prior diagnoses. Background- Patient was a cigarette smoker for 15 years per family’s report. The patient also drank alcohol avidly for 30 years; 6-pack a week per family’s report. Patient suffered a previous injury which disabled the use of the left hand. The patient’s family visits daily and provides the patient with home-made foods as pt refuses to eat SNF provided heart healthy diet. Patient also drinks coffee daily. Patient has urinary incontinence but goes to the bathroom for bowel movements (BM). The patient ambulates with a walker at baseline. Patient has no known allergies. Pt wears dentures. Pt wears glasses. Pt is also hard of hearing and needs hearing aids. Assessment: Pt vitals: HR of 118 ;Temp of 97.5; BP of 175/93; O2 Saturation of 89 on room air; pt stated pain level at 5-6 on a scale of 0-10. ED tech performed an EKG with physician interpretation with AFib which is consistent with Coronary Artery Disease. Pt is a fall risk due to syncope and need of assisted devices for ambulation. Pt also complained of dizziness and nausea. Pt has a stage 2 pressure ulcer on coccyx area According to this scenario what are the roles for CNA , LVN and RN?
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