Harry Hadley Age: 78 years Diagnosis: Cellulitis Score 0 0 0 100% 6/3/2020 2/6 6/3/2020 3/6 Feedback Log 0:00 You arrived at the patient's side. 0:00 You reviewed the patient information. 0:00 You reviewed the orders. 0:00 You introduced yourself. 0:08 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 0:10 Patient status - ECG: Sinus rhythm. Heart rate: 88. Pulse: Present. Blood pressure: 126/81 mm Hg. Respiration: 16. Conscious state: Appropriate. SpO2: 97%. Temp: 102 F (38.9 C) 0:24 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 0:34 You asked if the patient was allergic<> to anything. He replied: 'No, I am not allergic to anything.' 0:52 You looked for normal breathing. He is breathing at 15 breaths per minute. The chest is moving equally. 1:10 Patient status - ECG: Sinus rhythm. Heart rate: 88. Pulse: Present. Blood pressure: 128/81 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 102 F (38.8 C) 1:13 You checked the radial pulse. The pulse is strong, 90 per minute, and regular. It is correct to assess the patient's vital signs. 1:35 You measured the temperature<> in the ear. The temperature was 102 F (38.7 C). 1:54 You attached the pulse oximeter.<> It is a good idea to monitor the saturation and pulse here. This will allow you to reassess the patient continuously. 2:09 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. This will allow you to reassess the patient continuously. 6/3/2020 Feedback Log & Score — Harry Hadley Sept 26, 2019 12:38 PM 2:10 Patient status - ECG: Sinus rhythm. Heart rate: 3. Pulse: Present. Blood pressure: 129/82 ht Ttphsis:/s/stuimdyss eoruvr ecre.wwkahspdeo.wconmlo/addeebdrbieyfi1n0g0/d00 e0b8ri 4e0f4.a7s1p8x8?8dfsrosm=hCttopusr%se3HAe%ro. 2cFo%m2oFns0s6o-. 1w8k-2h0p2e2.c0o3m:1%9:528FDGeMbTrie-0fi5n:g0L0og/Single/5c2f19f3-d06e-46f8-9b4e-ea88e0362044 3/6 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 102 F (38.7 C) 2:21 You assessed the patient's wound. There is a cat bite on the lower right leg with surrounding redness. 2:50 You examined the patient's legs. There is a cat bite on the lower right legwith surrounding redness. There is normal elasticity of the skin. He is sweating,and his skin is warm. There is nothing else to find on examination of the legs. 3:10 Patient status - ECG: Sinus rhythm. Heart rate: 88. Pulse: Present. Blood pressure: 127/82 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 101 F (38.6 C) 3:13 You consulted the pharmacist. This was reasonable. 4:10 Patient status - ECG: Sinus rhythm. Heart rate: 88. Pulse: Present. Blood pressure: 131/83 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 101 F (38.5 C) 5:10 Patient status - ECG: Sinus rhythm. Heart rate: 88. Pulse: Present. Blood pressure: 127/81 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 101 F (38.4 C) 6:06 You compared the medication label with MAR. This was reasonable. 6:10 Patient status - ECG: Sinus rhythm. Heart rate: 88. Pulse: Present. Blood pressure: 127/82 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 101 F (38.3 C) 6:20 You started infusing vancomycin (1700 mg in 250 mL bag) at 125 mL/hr. It is important to use the basic rights of medication administration to ensure proper drug therapy. This was indicated by order. 6:32 You asked the patient if he had any pain. He replied: 'Yes, I have some pain.' 6:40 You asked: How would you rate your pain? He replied: 'Not too bad; it's about a 2. ' 7:10 Patient status - ECG: Sinus rhythm. Heart rate: 88. Pulse: Present. Blood pressure: 129/82 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 101 F (38.2 C) 7:25 You educated the patient about adverse effects of antibiotic therapy. 7:51 You educated the patient about the drug vancomycin. 6/3/2020 Feedback Log & Score — Harry Hadley Sept 26, 2019 12:38 PM 8:10 Patient status - ECG: Sinus rhythm. Heart rate: 4. Pulse: Present. Blood pressure: 129/82 ht Ttphsis:/s/stuimdyss eoruvr ecre.wwkahspdeo.wconmlo/addeebdrbieyfi1n0g0/d00 e0b8ri 4e0f4.a7s1p8x8?8dfsrosm=hCttopusr%se3HAe%ro. 2cFo%m2oFns0s6o-. 1w8k-2h0p2e2.c0o3m:1%9:528FDGeMbTrie-0fi5n:g0L0og/Single/5c2f19f3-d06e-46f8-9b4e-ea88e0362044 4/6 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 101 F (38.1 C) 8:21 You educated the patient about need for antibiotic therapy. 8:40 You reviewed the MAR. 8:41 You educated the patient about frequent vital sign assessments. 9:10 Patient status - ECG: Sinus rhythm. Heart rate: 89. Pulse: Present. Blood pressure: 125/80 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 100 F (38 C) 9:14 You reviewed the diagnostics. 10:10 Patient status - ECG: Sinus rhythm. Heart rate: 89. Pulse: Present. Blood pressure: 130/83 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 100 F (37.9 C) 11:10 Patient status - ECG: Sinus rhythm. Heart rate: 89. Pulse: Present. Blood pressure: 128/81 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 100 F (37.8 C) 12:10 Patient status - ECG: Sinus rhythm. Heart rate: 89. Pulse: Present. Blood pressure: 127/82 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 100 F (37.7 C) 12:33 You reviewed the clinical observations. 12:33 You reviewed the 12-lead ECG. 13:03 You looked for normal breathing. He is breathing at 15 breaths per minute. The chest is moving equally. 13:10 Patient status - ECG: Sinus rhythm. Heart rate: 89. Pulse: Present. Blood pressure: 127/81 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 100 F (37.6 C) 13:23 You checked the radial pulse. The pulse is strong, 90 per minute, and regular. 13:47 You measured the temperature<> in the ear. The temperature was 100 F (37.5 C). 13:53 You reviewed the patient log. 14:10 Patient status - ECG: Sinus rhythm. Heart rate: 89. Pulse: Present. Blood pressure: 130/82 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37.5 C