Question

A middle-age man presents to the emergency department (ED) with reports of chest pain and indigestion. He reports some minor discomfort in his jaw. The patient is alert and oriented; BP 90/50; HR/80. You are the RN assigned to his care. There is an unlicensed assistive personnel (UAP) working with you.

1. Which assessment data will you perform on his arrival to the ED? Why?

2. The provider orders labs, 12-lead ECG, IV fluids, blood pressure checks, medication for chest pain, and oxygen at 2 L per nasal cannula. What part of the patient's care will you delegate to the UAP? Which information will you communicate on delegation?

3. Which interventions will you implement to ensure this patient's safety?

4. Which priority information will you document in the patient's electronic health record?

5. The patient's wife is very concerned about her husband returning to work as owner of a roofing company. What education will you provide the patient and his wife at this time? With which health care team members will you collaborate to ensure positive patient outcomes?

Answer 1

1.Immediately afternoon receiving patient to the emergency hospital need to do complete physical examination by providing stability care like position and oxygen administration .According to patient complaint of chest pain indigestion, difficulty in jaw we need collect history about smoking, alcoholism, dietary pattern and work pattern, need to clarify about pain radiation to left shoulder or not. Need to do complete vital signs assessment.Need to know about previous medical history, using of any medications.

2.UPA.Unlicensed professional assistant was para professional not have license to do all procedures.They only provide support to the patient in disability conditions.If provider ordered test, as RN we need to do arrangements for all test ,we need to assign work for UPA that is *Look after the patient,observe for any changes in condition and inform immediately. *Collect history of patient inform. *Encourage to assist in arrangements for lab test like assisting in sample collection.

3. To ensure safety of patient first we need to provide comfortable position. *Need to administer Oxygen according to patient saturation level of patient. *Provide Medication with physician orders.

4. Everything about the patient need to document in electronic health record. First priority we need to give for patient complaint because based on complaints only primary care will be provided. Need to record result of lab report by this only we can conclude patient final diagnosis