1.Charge nurse takes over for nurse on break, which client checked first

-40ml dark colored urine

2. UAP stuck in palm by needle with Hep B

-wash hands with soap and water

3. Assess first

-coronary syndrome with increasing SOB

4. New clinical documentation

-Need to discuss new clinical documentation that helps save lifes and require one more document

5. PCA to PO. BP increases 120/72 to 150/90. Additional questions/comments to HCP

-can PCA be reinitiated

6. Most immed, intervention by nurse

-pneumothorax with 80 o2

7. Intervention best to delegate to LPN

- Fentanyl (Duragesic) – narcotic med

8. Morning lab, follow-up first

-BNP- Brain narcotic peptide test, MI with SOB 1000

9. UAP to assemble nephrostomy tube

-change bag to leg bag

10. Women health fair, PN helping RN

-assist with bone density prep

11. Warrantsimmediate attention