There are many links, notes, and resources to help other brave LPNs with the on line challenges of bridging to become a RN. This is an on-going record of the trials and triumphs of my journey to reach my goal to become a Registered Nurse via Excelsior College's Nursing Program. My journey continues as I further my education and career. I hope my notes and resources help other students on their journey.
Sunday, June 20, 2010
This is one of the scenarios from Chuck. I am going to write out each step as though it were a real PCS. I will submit it to EC for evaluation and will post the feed back in a future post as well as an edit or possibly a comment.
36 year old female s/p cholecystectomy 2 days ago. Right abdominal incision with DSD. JP drain in place, being removed after lunch. Indwelling Foley catheter. Fluctuating pain levels 5-9 on a 0-10 scale and maintains morphine PCA at this time.
VS - TPR, BP Pain level 0-10 scale
Fluids - IV D5LR @ 120ml/hr
Mobility - ambulate in hall x1 assist, OOB to chair ad lib
Respiratory Management - IS x 10 every hour
Wound Management - DSD to abdominal incision
#1 Acute Pain r/t tissue trauma aeb pain rating of 5-9 on scale of 0-10
Patient will report pain level of 3 or less on a 0-10 scale
1- assess IV site and patentcy of PCA
2- report break though pain to RN
Ineffective airway clearance r/t retained secretions aeb weak cough
Patient will perform IS 10x every hour during pcs
1-Assess lungs immediately before and after IS
2 Encourage patient to perform 10 reps of IS every hour