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Nursing Nursing Assignment – medication research

Attached

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 1 of 50

PATIENT: Peterson, Wallace DOB: 06/06/1954 AGE: 69 GENDER: MALE

MRN: 7214732 HOSPITAL FLOOR: Med-Surg ROOM: 327 HCP: Lois Myer, MD

CODE STATUS: FULL CODE ISOLATION: Standard ALERTS: None

DRUG ALLERGIES: NKDA ENVIRONMENTAL ALLERGIES: NKA FOOD ALLERGIES: NKA

DIET: Sodium-Controlled HEIGHT: 5’ 7” WEIGHT: 131 lbs. BMI: 20.5

PATIENT CHART TABS

➢ SCENARIO SUMMARY

➢ PROVIDER CHARTS: PROVIDER ORDERS

➢ PROVIDER CHARTS: HISTORY & PHYSICAL

➢ PROVIDER CHARTS: PROGRESS NOTES

➢ PROVIDER CHARTS: CONSULTATION REPORTS

➢ PATIENT CHARTING: ADMISSION HISTORY

➢ PATIENT CHARTING: SYSTEM ASSESSMENTS

➢ PATIENT CHARTING: IV’s

➢ VITAL SIGNS: VITAL SIGNS

➢ VITAL SIGNS: INTAKE/OUTPUT

➢ VITAL SIGNS: BLOOD GLUCOSE

➢ VITAL SIGNS: HEIGHT & WEIGHT

➢ ORDER ENTRY – PHARMACY

➢ ORDER RESULTS

➢ PATIENT CARD

➢ MEDICATION ADMINISTRATION RECORD

➢ OTHER DEPARTMENTS: AMBULATORY & EMERGENCY

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 2 of 50

SCENARIO SUMMARY

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 3 of 50

PROVIDER CHARTS: PROVIDER ORDERS

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 4 of 50

PROVIDER CHARTS: HISTORY & PHYSICAL

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 5 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 6 of 50

PROVIDER CHARTS: PROGRESS NOTES

PROVIDER CHARTS: CONSULTATION REPORTS

PATIENT CHARTING: ADMISSION HISTORY

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 7 of 50

PATIENT CHARTING: ADMISSION HISTORY CONTINUED…

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 8 of 50

PATIENT CHARTING: ADMISSION HISTORY CONTINUED…

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 9 of 50

PATIENT CHARTING: ADMISSION HISTORY CONTINUED…

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 10 of 50

PATIENT CHARTING: ADMISSION HISTORY CONTINUED…

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 11 of 50

PATIENT CHARTING: ADMISSION HISTORY CONTINUED…

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 12 of 50

PATIENT CHARTING: ADMISSION HISTORY CONTINUED…

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 13 of 50

PATIENT CHARTING: ADMISSION HISTORY CONTINUED…

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 14 of 50

PATIENT CHARTING: ADMISSION HISTORY CONTINUED…

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 15 of 50

PATIENT CHARTING: ADMISSION HISTORY CONTINUED…

PATIENT CHARTING: SYSTEM ASSESSMENTS

SYSTEM ASSESSMENTS INTERVENTIONS

BASIC NURSING CARE

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 16 of 50

PATIENT CHARTING: SYSTEM ASSESSMENTS
PATIENT CHARTING SUMMARIES

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 17 of 50

PATIENT CHARTING: SYSTEM ASSESSMENTS
PATIENT CHARTING SUMMARIES CONTINUED..

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 18 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 19 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 20 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 21 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 22 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 23 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 24 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 25 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 26 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 27 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 28 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 29 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 30 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 31 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 32 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 33 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 34 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 35 of 50

PATIENT CHARTING: IV’s

VITAL SIGNS: VITAL SIGNS

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 36 of 50

VITAL SIGNS: INTAKE/OUTPUT

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 37 of 50

VITAL SIGNS: HEIGHT/WEIGHT

VITAL SIGNS: BLOOD GLUCOSE

ORDER ENTRY – PHARMACY

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 38 of 50

ORDER RESULTS

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 39 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 40 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 41 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 42 of 50

PATIENT CARD

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 43 of 50

MEDICATION ADMINISTRATION RECORD

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 44 of 50

OTHER DEPARTMENTS: AMBULATORY & EMERGENCY
OB TRIAGE NOTES

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 45 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 46 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 47 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 48 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 49 of 50

PN107 IN-PERSON SIMULATION (GERIATRIC)
PATIENT CHART

(WALLACE PETERSON)

Updated 7/25/2023 Page 50 of 50

STUEDENT RESOURCES:

Centers for
Disease Control
and Prevention
(CDC)

The CDC is the central authority for Health Care information. From this site, the user
may explore national standards, find specialized patient teaching, and follow
emergency trends of health and disease in the United States.

CDC: Vaccines &
Immunizations

This dedicated CDC site focuses on immunization standards and infection control
trends. Stay up to date with the current standards by monitoring this site.

/vaccines/

Quality and Safety
Education for
Nurses (QSEN)

QSEN is a comprehensive resource for quality and safety education for nurses. From
this site, the reader can find detailed information about the knowledge, skills and
attitudes nurses need related to patient-centered care, teamwork and collaboration,
evidence-based practice, quality improvement, safety, and informatics.

The Joint
Commission

The Joint Commission is the gatekeeper for hospital accreditation. This organization
monitors hospital quality, establishes monitoring and accreditation standards, and
serves as the institutional watch dog on behalf of the public. This important website
lists patient care standards and monitoring trends.

Agency for
Healthcare
Research and
Quality (AHRQ)

This extremely rich and valuable interdisciplinary site is sponsored by the U.S.
Department of Health and Human Services. The site serves as the National Guideline
Clearinghouse for a wide variety of health care problems and diseases.

Institute of Health
Care
Improvement

The institute of Health Care Improvement is a nonprofit organization dedicated to
providing safe and effective healthcare to patients. The Programs and Topics sections
of this website offer valuable information about best practices and national practice
standards.

Institute for Safe
Medication
Practices (ISMP)

ISMP is a nonprofit organization dedicated to educating the healthcare community
and consumers about safe medication practice. This site is an excellent resource for
information related to medication standards, education, and monitoring.

Institute of
Medicine (IOM)

The IOM is part of the National Academies. The purpose of this organization is to
advise the nation as how to improve health. The IOM may address clinical issues such
as the safety of medication administration in addition to advising the nation as to the
health and direction of a specific discipline such as nursing.

MedlinePlus MedlinePlus, sponsored by the National Institute of Health, provides information
regarding various health topics, drugs and supplements, and related information.

Medline and
PubMed

Medline and PubMed is The National Library of Medicine’s database covering the
fields of nursing, medicine, and a variety of other clinical and preclinical services.

tabases_medline.html

NANDA
International

NANDA International is an organization dedicated to the support of an international
community of nurses equipped with a common language of nursing diagnoses to
further patient care. Access a global network of nurses from this site and take part in
the evolution of nursing diagnoses and care planning.

Canadian Nurses
Association (CNA)

Canadian Nurses Association (CNA) is the national voice of registered nurses in
Canada. CNA works to improve health outcomes and strengthen the publicly funded,
not-for-profit health system. The site contains valuable information about becoming
a registered nurse, professional development, current issues, and the benefits of
joining CNA.

American Nurses
Association (ANA)

The American Nurses Association (ANA) is the premier organization representing the
interests of the nation’s 4 million registered nurses. ANA is at the forefront of
improving the quality of health care for all. Founded in 1896, and with members in all
50 states and U.S. territories, ANA is the strongest voice for the profession. ANA
exists to advance the nursing profession by fostering high standards of nursing
practice, promoting a safe and ethical work environment, bolstering the health and
wellness of nurses, and advocating on health care issues that affect nurses and the
public.

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