Patient 14 years old female came to ER, bleeding, pain

Patient 14 years old female came to ER, bleeding, pain level 8/10, Vital Sign:BP: 117/79. Temp:98.1, HR: 104, RR: 20, O2 Sp: 100%, PEWS: No found Patient sitting comfortably on the stretcher No distress noted Plan from MD 16:00 Paint bleeding through dressing at this time Pain assessment 9/ 10 Finger laceration/injury X ray ordered Right second middle phalanx Avulsion Fragment MAR: T-dap(ADACEL, State Viacin) for 7y and older 0.5mL IM 15:30pm Lidocaine 10 mg/mL(1%) injection Intradermal Medication Ibuprofen 400mg (Complete) She had History Last visitED 5 years ago 1/23/2019 Influenza, CPR, Rapid Pneumonia of right Lob due to infectious organism She had plastics at bedside at this time Local Anesthesia She had insurance Medicaid base plan 1. Diagnoses and Problem for the shift a) Primary Diagnosis b) Describe patient’s diagnosis your own words and cite reference( Should describe about Avulsion Fragment) c) What would be the Primary Problem(s) for the shift What would be 2.Prioritization and Rationales of care 3. Focussed Assessment and Rational

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