Case senario I: Jason is 17 year

Case senario I: Jason is 17 year old male Situation: Presented to the accident and emergency department after a motor vehicle accident (MVA). An X-ray confirmed a fractured right (R) tibia and broken ribs. He also has concussion from a head injury sustained in the MVA. Background: Jason has no significant medical or surgical history. He has an allergy to Morphine. Social History (SHx): Lives at home with mother, step-father and siblings. Recently completed high school, waiting to hear if he has a place in university Recently obtained his driver’s licence Has a girlfriend Lucy Spends a lot of time playing computer games, is not very physically active. Assessment: Jason is 88kg and 172cm in height. Current vital signs Resp 28, O2 Sats 97% on room air (RA), BP 130/85, HR 110, Temp 37, and pain 6/10. Recommendations: Jason is scheduled to have surgery to repair his fractured tibia, an open reduction and internal fixation (ORIF). He needs to be prepared for surgery planned this afternoon. A: A percutaneous indwelling central catheter (PICC) has been inserted into Jason for long term IV antibiotics and for fluid maintenance. What is the role of the enrolled nurse to prevent infection of the site and in the management of IV fluids? (Outline your role as an EN in caring for a PICC line and in caring for a client with IV fluids being administered? Consider the assessments and documentation you would complete. Who would you notify any concerns to?) B: When you enter Jason’s room to attend to his routine observations, you find that he is unresponsive. What is your response to this situation? (What is your immediate response to finding an unconscious client?) Outline 2 members of the MET and discuss the roles and responsibilities of each? (Outline 2 health professionals that may be part of the MET and what they would do in an emergency situation.) SCIENCE HEALTH SCIENCE NURSING BIO 8074

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