You will be caring for Leah Draper,

You will be caring for Leah Draper, a 21-year-old female admitted for R/O pneumonia last evening. She has a history of actinic keratosis and non-prescribed subcutaneous testosterone drug use. Patient was transported by ambulance from residence to EC by EMS upon finding the patient with self-inflicted wound of the left breast, febrile state, and reports of malaise and SOB. You will be caring for the patient at 0700 at the start of a 12-hour shift on the morning after her admission. The simulation scenario is the initial encounter with the patient where you will perform a focused assessment based on the patient’s medical/surgical condition and any other presenting assessment findings, as well as develop a plan of care for your shift. Social History: The patient is employed as a free-lance artist and lives with a partner of 6 months. Prioritize the following information and complete an ISBAR for your newly admitted patient: – 21- year- old female- Lives with an identified partner for the past six (6) months- Self-inflicted L breast wound- Non-prescribed testosterone drug use- Admitting diagnosis: R/O pneumonia- Febrile I S B A R Fill ISBAR

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