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Scenario Flow and Script

The document describes a student nurse interacting with an admitted patient. The student nurse introduces themselves to the patient and asks for their name, date of birth, and language preference to ensure effective communication. The student checks the patient's comfort and closes the curtains for privacy before beginning assessments. The document then provides details on administering various medications like oxytocin, enoxaparin, nalbuphine, and paracetamol. It includes dosages and potential side effects. The student nurse also checks the patient's vital signs, fetal heart rate, and interprets normal lab results. Health education is provided to the new mother before the student nurse ends their shift by referring the patient to the next nurse.

Uploaded by

Jhoneric Vencer Escultor
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© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
258 views

Scenario Flow and Script

The document describes a student nurse interacting with an admitted patient. The student nurse introduces themselves to the patient and asks for their name, date of birth, and language preference to ensure effective communication. The student checks the patient's comfort and closes the curtains for privacy before beginning assessments. The document then provides details on administering various medications like oxytocin, enoxaparin, nalbuphine, and paracetamol. It includes dosages and potential side effects. The student nurse also checks the patient's vital signs, fetal heart rate, and interprets normal lab results. Health education is provided to the new mother before the student nurse ends their shift by referring the patient to the next nurse.

Uploaded by

Jhoneric Vencer Escultor
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 6

1.

Interacting with an admitted patient (7-3 shift)


Good day, ma'am. My name is Reinzor Bacaron, and I'm a student nurse from Davao Doctors
College. Today, I'll be your assigned nurse to assess you.
Please tell me your full name and date of birth, ma’am.
Would you mind ma’am if I ask you what language do you prefer me to speak? So that we will
able to communicate effectively.
What do you want me to call you ma’am?
How are you doing today, ma'am?
Do you feel something? ………… It's good to know, ma’am
Before we begin. Are you comfortable with the room temperature?
Let me just close the curtains so that ma’am I can ensure your privacy.

2. Performing nursing tasks done upon encountering a patient after receiving

Q & A Patient CI and Student Nurse

3. Administration of medication
1. Oxytocin is a hormone that causes contractions of the uterus. It can be used to start labor or
to speed up labor that began on its own. Contractions usually start in about 30 minutes after
oxytocin is given.

Side Effect
 a fast, slow, or uneven heart rate;
 excessive bleeding long after childbirth;
 severe headache, blurred vision, pounding in your neck or ears; or.
 confusion, severe weakness, feeling unsteady.
 Nausea
 Vomiting
2. Plain LR 500 s used to replace water and electrolyte loss in patients with low blood
volume or low blood pressure. It is also used as an alkalinizing agent, which increases the pH
level of the body.

Side Effects
 back pain.
 chest pain, discomfort, or tightness.
 decreased heart rate.
 difficulty breathing.

4. Enoxaparin is an anticoagulant that helps prevent the formation of blood clots

Dosage

 1.25 ml or 40 mg subcutaneous every 24hrs

Side Effects
 Mild irritation
 Pain
 Bruising
 Redness, and swelling at the injection
 Fatigue or fever may also occur
 Localized allergic reactions in 2%,
 Increased bleeding in 2%,

Enoxaparin is usually injected in the stomach area. You must use a different area of the
stomach each time you give the shot.
identify the injection site on the left or right side of the abdomen (approximately 3 inches
from the belly button).

When should I stop taking enoxaparin during pregnancy? Women should be


advised to stop the when contractions begin. For a planned delivery, most guidelines
recommend stopping enoxaparin within 24 hours, and this is especially important if an
epidural is desired.

5. Nalbuphine is used is used to relieve moderate to severe pain


Paracetamol, also known as acetaminophen, is a medication used to treat fever and mild to
moderate pain.

Dosage

 0.5 ML IV every 2 hrs. for Nalbuphine


 650mg Oral every 4 hours for Paracetamol

WHEN NEEDED ONLY

Side Effect

 Sedation (36%)
 Clamminess (9%)
 Nausea and vomiting (6%)
 Dizziness (5%)
 Xerostomia (4%)
 Headache (3%)

Paracetamol

 This drug usually has no side effects.

6. Aluminum and Magnesium Hydroxide is used to treat heartburn, acid indigestion, upset
stomach, bloating caused by gas, or stomach discomfort caused by eating or drinking too
much.
Dosage

 30 ml Orally every 2 hours for indigestion

WHEN NEEDED ONLY

Side effects
Do not swallow them whole. To avoid the chalky taste, take with water or milk.

 diarrhea

 constipation

 loss of appetite

 unusual tiredness

 muscle weakness

GET VITAL SIGNS AND INTERPRET LAB RESULTS


T- 36.3
BP- 120/80
RR- 20 Normal 12 to 16 Bpm
PR- 81 Normal 60 to 100 BPM
SPO2-98% Normal 95% or Higher

GET FETAL HEART RATE  120 BPM NORMAL 110 and 160 beats per minute

TT- 2 doses given Feb. 15, 2021 1st dose


July 18, 2021 2nd dose

Ma’am based on your lab results, everything appears to be normal, and there's nothing
to be concerned about.

4. Health education for the new mother

Breathing Exercise During Labor - Inhale in nose release in mouth- This is very helpful to
minimize or ease the pain during labor.
And also, to relax your abdomen.

Ma’am try to relax - To lessen the tension, anxiety and relieve comfort during labor

Prepare the necessary things for baby’s needs such as: - Clothes, bonnet, booties,
things that can warm the baby in order to prevent hypothermia

Drink and eat food before labor - For energy source and prevent dehydration during
labor.

Proper Hygiene - Very vital for the recovery state of the mother and to prevent further
infections to the baby

Continue eating healthy foods - Nutrition is very vital to help replenish all the energy that
was lost during labor and to supplement the milk production for the baby.

Proper Breastfeeding - Breastfeeding can help the baby to protect from allergies,
sickness, obesity and cancer.

Get your baby immunize - To prevent other health complications and boost immune
system.
5. Ending the shift

Maam Remember what I said; I'll recommend you to the next Student
Nurse on duty. Don't worry, maam; we'll see each other at the same time
tomorrow, and the doctor will be taking rounds shortly; if you have any
questions or require clarification, you may ask the doctor; and if you have
any concerns before I go, you can phone the next nurse on duty. Thank
you for your time, ma'am; I'll go ahead. God's bless you.

ENDORSEMENT:
Good Day, I am student nurse Reinzor Bacaron under the labor & delivery ward. I
would like to refer to you my patient. Room 457, Pt. Lucero, Denise Grace 19y/o,
unmarried, came in due to GI distress and abdominal pain under the service of Dr.
Valle.
(-) vomiting
(+) GI distress
(+) Abdominal Pain
VITAL SIGNS:
T- 36.3
BP- 120/80
RR- 20
PR- 81 SPO2-98%
TT- 2 doses given
Feb. 15, 2021 1st dose
July 18, 2021 2nd dose

Please admit under the service of Dr. Gloria


- VS q hourly
- Hook EFM monitoring; Monitor labor in progress
- Please monitor FHT
- I&O q shift
- DAT (direct antiglobulin test)
- IVF: D5LR 1L @ 120cc/hr.
Labs: INSTRUCTED FOR:
RAT (Rapid Antigen Test)
Urinalysis Sample specimen still not given
CBC DONE
AT ALL NORMAL VALUES
Chest X-ray DONE
• Impression: Normal Chest Findings
Blood Typing DONE:
• Blood Type (ABO + Rh)
• Blood Type O
• Blood Type Rh POSITIVE
Meds: - Start Oxytocin Drip –
Give PLR500cc fast drip while on left side lying position
- Watch out for any unusualities
- Please Refer and facilitate lab works

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