Question

In: Nursing

Decide what you would do in each of the following situations: 1.     Mary Thompson calls the...

Decide what you would do in each of the following situations:

1.     Mary Thompson calls the office. She thinks her husband may be having a mild heart attack but he thinks it's heartburn. You are alone in the office. What should you do?

2.     John Ransom arrives with what appears to be a broken wrist. The physician is in an examing room with another patient.

3.     You are alone in the office but the physician should be arriving in about 15 minutes. Diane Sanchez calls and states that she has been having severe daily headaches. What should you do?

4.     Melissa Green shows up without an appointment. She tends to be a bit of a hypochondriac, always thinking something is wrong when she is perfectly healthy. Today she is complaining of severe pain in her lower right abdomen. The physician is with a patient in an exam room. What should you do?

5.     Mr. Anderson comes in for a routine blood sugar check and promptly faints in the Reception Area. The physician and nurse are busy suturing a cut on a patient. You and the insurance biller are the only ones in the front office. What should you do?

6. (Worth 5 points) This was an actual interview question given by a local medical center. Imagine trying to answer this during the stress of an interview! Many interviews now include scenario questions, but this is the most involved one I've ever come across. List the steps you would take in handling this situation:

Your employer has been delayed at the hospital but is expected in the office in 15-30 minutes. You are the only employee in the office. The following people are in your Reception Area:

Mrs. Smith who is with her 2 year old grandson.

Mrs. Jones who has come in for a routine injection.

Mr. Green who is a new patient.

Mr. Johnson who is there for a consultation.

The phone rings and it is Jane Simmons calling in a panic because her four-year-old son has swallowed some kitchen cleaner. While you are talking to her the door to the office opens and in staggers Mr. Franklin. He gasps that he has been "shot by a thief" and collapses on the floor. Seeing the blood coming from Mr. Franklin's chest Mrs. Smith faints. Her grandson starts crying.

How would you handle this situation?

Solutions

Expert Solution

1.If you have persistent chest pain and you aren't sure it's heartburn, call 911 or emergency medical help.

Call your doctor if you had an episode of unexplained chest pain that went away within a few hours and you did not seek medical attention. Both heartburn and a developing heart attack can cause symptoms that subside after a while. The pain doesn't have to last a long time to be a warning sign.

2. Elevate Your Wrist. To reduce swelling and pain, raise your wrist so it's above your heart. ... Apply Ice. ... Use Pain-Relieving Medication. ... Exercise Joints Near the Wrist. ...

3.

  1. Rest in a quiet, dark room.
  2. Hot or cold compresses to your head or neck.
  3. Massage and small amounts of caffeine.
  4. Over-the-counter medications such as ibuprofen (Advil, Motrin IB, others), acetaminophen (Tylenol, others) and aspirin.

4.

  1. Learning stress management and relaxation techniques.
  2. Avoiding online searches for the possible meanings behind your symptoms.
  3. Focusing on outside activities such as a hobby you enjoy or volunteer work you feel passionate about.
  4. Avoiding alcohol and recreational drugs, which can increase anxiety.

5.Position the person on his or her back. If there are no injuries and the personis breathing, raise the person's legs above heart level — about 12 inches (30 centimeters) — if possible. ...

Check for breathing. If the person isn't breathing, begin CPR.

6.Firstly I admit Mr.Franklin and then finish the call with Simon giving necessary advice,then take necessary steps to wake up  mr smith ,later after I finish this emergency ones go with jones ,green,Johnson.


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