The appeal process has two levels: an internal process and

UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUU I need help putting together the care template. Below is the template. The scenario is also attached below. The information provided was the only information on this scenario, and I would need to answer the template provided. Thank you. Below is the template and scenario Image transcription text Client Initials: Date of Admission: Age/DOB: Date of Care: Admitting Diagnosis: Allergies: Comorbidities: BSA/BMI: Code Status: Planned Treatments/Procedur… Show more Image transcription text END of ShiTt Priorities — How Has Your Glient Changed? (phase 3/Question 3 section) Recognize & Analyze Cues Priority Assessments/Cues Priority La… Show more NAME: XXXXX AGE: 36 130 LBS NO ALLERGIES NURSING ASSESSMENT & NOTES 4/1 1400 Nursing Note: Client admitted last night directly from emergency department with diagnosis of sepsis. Today, the client’s extremities are cool to touch. Client is confused and has shortness of breath. The vital signs are pulse 108 BPM, blood pressure 84/58 mmHg, respirations 24 BPM. Client’s nose is bleeding, pressure applied. Health care provider notified of client’s changes. 4/3 1800 Situation: Ms. Brown’s menstrual cycle started today. She has heavy bleeding. Background: Ms. Brown was admitted with sepsis and developed DIC. She was moved to step-down today after spending 3 days in the ICU. Assessment: Her current vital signs are listed in the EHR. In addition, Ms. Brown states she is normally on birth control pills but has not taken any since admission. Recommendation: I suggest you come to see the client and discuss options. 4/3 1800 Nursing Note: The client is lying in bed with her adult son at the bedside. She is awake, alert, and oriented x4. She has continued to have a nosebleed this evening. She also has a heavy menstrual flow. She states she is dizzy and lightheaded. She is anxious to get home as soon as possible. Reviewed bleeding precautions with the client. The client tolerated full liquids well and will advance to a full tray tomorrow morning. VITAL SIGN TREND Date Temp °F (°C) HR RR BP SpO2 O2 4/3 1400 101.1 °F (38.4 °C) 106 20 100/72 95% 3L/NC 4/3 1600 100.8 °F (38.2 °C) 104 20 128/84 93% 2L/NC 4/3 1800 99.8 °F (37.0 °C) 128 20 90/60 97% 3L/NC PROVIDER PRESCRIPTIONS & NOTES 4/1 1400 Prescriptions: Ceftriaxone 2 g daily IV x 7 days Normal Saline 30 mL/kg x 1 L; NS 125 mL/hr IV Norepinephrine 2 mcg/min IV Fludrocortisone 0.1 mg by mouth daily Morphine 2 mg IV PRN pain >5/10 Colace 100 mg by mouth daily 4/3 1600 Prescriptions: D/C Norepinephrine & fludrocortisone Continue ICU prescriptions O2 titrate SpO2 <95% Advance diet as tolerated Nothing rectally No IM injections Vital signs q2h Pressure-reducing mattress LAB RESULTS Lab Normal range 4/1 4/2 4/3 Platelets 150,000-300,000 mm3 50,000 L 85,000 L 98,000 L Prothrombin Time (PT) 11-12.5 seconds 8 L 20 H 16 H Partial thromboplastin time (activated) (aPTT) 23-35 seconds 60 H 48 H 40 H Fibrinogen 170-340 mg/dL 88 L 98 L 150 L D-dimer <0.5 mcg/mL 680 520 410

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