1. CLINICAL APPLICATION TRAINING CARE PARTNER

2. Define the Purpose of StarPanel The Inpatient Whiteboard Frames and How to Resize The Actions Menu Identify Commonly Used Links View and Print Documents V:training/NEO/CP/lcd.ppt StarPanel LEARNING OBJECTIVES

3. HED LEARNING OBJECTIVES Overview of Care Organizer Tip sheet for create and end an assignment Complete labs Define the Purpose of HED Chart Vital Signs and I&O’s Chart Interventions Change Information Communicate with RN V:training/NEO/CP/lcd.ppt`

4. How many of you have been here when starting a new job???

5. CASE STUDY You are assisting with the admission of a 54 year old patient with complaints of a deep and productive cough for 1 week with progressively worsening phlem. He has run a fever for 2 days with a t-max of 102.0 F. He has managed at home with Tylenol and Robitussin. He is otherwise a healthy middle aged man without complaints of pain to speak of. He does have a contracture of his hand that is a result of a childhood injury. He comes with a double lumen PICC which was placed prior to his transfer to the floor. His admission order was entered and he was immediately transferred to one of your many empty beds. He has nasal cannula running at 2L. V:training/NEO/CP/lcd.ppt

6. ENTER V/S AND I&O DATA LEARNERS DO WITHOUT ASSIST oTemp 100.9 oral oPulse 104 dinamap oRespirations 24 visual oPulse ox 98% on 2L by nasal cannula oBP = 122/68 left arm oWeight 85.45 kg oIntake 400 oOutput 300 oStool X 1 V:training/NEO/CP/lcd.ppt

7. ENTER INTERVENTIONS LEARNERS DO WITHOUT ASSIST Ambulated: 150 feet with assist of 1 Hygiene : Assisted with Bath – mod. assist Positioning Care: click Done Full liquid diet: lunch…ate 75% Intake: 240 ml Foley Output: 300 ml from foley bag Stool x1 V:training/NEO/CP/lcd.ppt

9. CASE STUDY PRACTICE CONTINUED Chart at 10am o Foley catheter placed to BSB o Patient showered with family assistance o Refused a linen change o Ambulated in the hall 150 feet with your assistance o Ate 40% of his snack o Temp 100.6 oral o HR 118 monitor o Resp 24 visual o B/P in right arm 151/87 o O2 sat 95% on 4L BNC o Coughing episode resulted in vomiting his snack (moderate amount) Chart at 12 noon o Output 425 cc o Temp 101.2 o HR 124 o Resp 28 o B/P in right arm 162/91 o O2 sat 92% on 4L BNC o Pt reports increased SOB and refuses Incentive spirometry o Pt refuses to eat lunch o Pt reports overall feeling worse throughout the day

10. COMMUNICATION You are partnered with an RN who recently graduated from Nursing school. Your patient, Mr. Jones, had a lengthy ICU stay, isn’t eating much and still has IV’s infusing. Your RN partner tells you she is concerned about Mr. Jones’s nutritional status and overall condition. V:training/NEO/CP/lcd.ppt

11. COMMUNICATE WITH YOUR PATIENT’S RN TO GIVE BETTER PATIENT CARE What information is important to tell the Nurse? V/S and I&O decreased output Food eaten Skin oWhat information should the Nurse share with you? Strict I & O If meds given like Lasix or IV bolus to increase output General discussion at beginning of shift V:training/NEO/CP/lcd.ppt