In: Nursing
Case Scenario: Your unit received Mrs. C as admission from post-anesthesia care unit (PACU) Mrs. C is 82-yrs old and underwent Right Colectomy (Right-Sided Colon Resection) to remove a non-malignant tumor. Vitals were stable in PACU. Mrs. C has “PIV in Right AC” (peripheral IV catheter in right arm), indwelling urinary catheter, naso-gastric tube (NGT) and “O2 per NC at 4L/min” (oxygen through nasal cannula going at 4 liters). Mrs. C received Morphine Sulfate 5 mg through IV push in the PACU and has a PCA (patient-controlled analgesia) Morphine Sulfate 1 mg every 10 min. You assess level of consciousness and note Mrs. C is slow to respond to your questions.
6.) When Mrs. C is ready for discharge how will you evaluate whether your nursing interventions and overall careplan was effective?
Mrs. C is ready for discharge only when the full set of vital signs [heart rate, blood pressure, respiration rate, temperature, Glasgow Coma Scale (GCS)] , pain score and sedation score are within normal limits. senior medical review must be obtained if any of the following occur:
effectiveness of the intervention and the care plan is identified by assessing whether the goals are met appropriately.