WEEK 2. PATIENT CARE DELIVERY SYSTEM You

WEEK 2. PATIENT CARE DELIVERY SYSTEM You are working at a large government teaching hospital in Quezon City. Your institution caters to all patients from the NCR and other nearby provinces. Upon arrival at work this morning, you looked at the census board and discovered that the surgical unit that you are assigned in was filled, with some patients on queue for transfer from the ER Department. The following are the patients assigned to his team. Classify the following patients according to their patient acuity or level of care needed. 1. Patient A – 36/F, scheduled for left modified radical mastectomy at 10 AM today 2. Patient B – 28/M, post-op Day 4 Cholecystectomy, ambulatory and without IV line. 3. Patient C – 50/F, post- incision and drainage of left arm abscess and still with IV line Patient D – 42/M, who is ready for discharge and needs discharge instruction 4. Patient E – 39/F, scheduled for Emergency Exploratory Laparotomy, to consider bowel obstruction 5. Patient F – 20/M, for transfer to ICU, for insertion of intra-jugular vein catheter and for emergency dialysis. 6. Patient G – 55/F, on total bedrest, with NGT and chest tube 7. Patient H – 61/M, post-op Day 5 Partial Hip Replacement and for referral to Rehab Department. WEEK 3. EVIDENCE – BASED PRACTICE Read the scenario and answer the questions indicated below. Submit your answer in canvas on time. Lani, a 28 year old woman went to see her attending physician who is an obstetrician because of a foul smelling vaginal discharge which happened a few days after a normal spontaneous delivery (NSD). She gave birth to a baby boy ten (10) days earlier. Episiotomy was done during the delivery. The attending physician prescribed antibiotics for five (7) days since she suspected a urine infection. She was able to complete the antibiotic therapy since vaginal examination revealed tenderness and swelling on the episiotomy site. She also complained of pain and itchiness on the site. The attending physician also noted other laboratory examinations to be done since the patient still had the foul vaginal discharge even after completing the course of antibiotics. In spite of the medications given, foul vaginal odor still persisted. Therefore, Lani sought a second opinion from another obstetrician. An evaluation was done and she was asked to have another admission for possible dilatation and curettage (D&C). The obstetrician then informed the first physician of the findings that a sponge was left during the delivery. She also suggested that the case should be further investigated. 1. Based on the scenario, what are the nursing actions that might have prevented the problem? 2. What standard of nursing practice was not observed? 3. Why is it important to adhere to patient safety standards?

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