Cardiothoracic Surgery Daily Report

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Questions and Answers

What type of warning was given to the nurse regarding the patient's care?

  • Verbal reprimand
  • Written warning
  • Oral warning (correct)
  • No warning given

What will happen if the nurse repeats the mistake after the oral warning?

  • A written warning will be issued (correct)
  • No further action will be taken
  • A promotion will be considered
  • A monetary fine will be imposed

How can nurses ensure proper patient care after an incident?

  • By improving communication with the patient
  • By ignoring past mistakes
  • By delegating all responsibilities to other staff
  • By documenting incidents and warnings (correct)

What is the primary focus of nursing documentation standards?

<p>To ensure accurate recording of patient information (C)</p> Signup and view all the answers

What is indicated by the patient becoming well after the incident?

<p>Effective follow-up care was provided (C)</p> Signup and view all the answers

What can be concluded about the total number of patients on the date provided in the record?

<p>The total number of patients was equal to the patient census. (C)</p> Signup and view all the answers

Which statistic represents the patients who are in a critical condition?

<p>Critical Patients (A)</p> Signup and view all the answers

According to nursing documentation standards, which piece of information should always be included in the report?

<p>Hospital name. (D)</p> Signup and view all the answers

What is the primary purpose of shift reporting in a healthcare setting?

<p>To inform incoming staff about patient changes and key information (D)</p> Signup and view all the answers

What does the column 'Admissions' represent in the patient record?

<p>The number of new patients admitted on that date. (B)</p> Signup and view all the answers

In patient medication management, which of the following is critical for preventing medication errors?

<p>Regularly reviewing patient medication history and allergies (D)</p> Signup and view all the answers

Which action does not impact the patient census directly?

<p>Hospital name changes (D)</p> Signup and view all the answers

What is an essential aspect of patient census tracking in a nursing department?

<p>Tracking the number of patients admitted and discharged accurately (C)</p> Signup and view all the answers

Which key factor is necessary for effective incident reporting in nursing?

<p>Using a standardized format for consistency in reporting (B)</p> Signup and view all the answers

What is a critical nursing documentation standard to follow?

<p>All entries must be timed, dated, and signed by the nurse (A)</p> Signup and view all the answers

Flashcards

Head Nurse Name

The name of the head nurse in charge of the department.

Hospital Name

The name of the hospital where the department is located.

Department Name

The specific area or unit within the hospital.

Date

The date of the report or record.

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Group Number

The identification number for the group creating the report.

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Patient Census

The number of patients currently in the hospital at a specific time.

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Admissions

The number of new patients entering the hospital.

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Discharges

The number of patients leaving the hospital, either after recovery or transfer.

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Transfers

The number of patients moved from one hospital department to another.

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Critical Patients

The number of patients who are seriously ill and require intensive care.

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Verbal Warning

A formal spoken caution given to an individual for inappropriate behavior, usually with defined consequences if repeated.

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Written Warning

A formal written document outlining inappropriate behavior and future consequences if repeated.

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Promise to Improve

A commitment made by the individual to correct their behavior and avoid repeating the issue.

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Nurse's Role

The nurse is responsible for communicating with the patient and providing necessary care, ensuring patient safety.

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Follow-Up Action

Monitoring and assessing the individual's behavior after a warning is issued, ensuring they comply with expectations.

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Study Notes

Hospital Record

  • Head Nurse Name: Mohamed Abo Hashem
  • Hospital Name: Chest & Heart
  • Department Name: Cardiothoracic Surgery
  • Date: 21-3-2023
  • Group: 3
  • Under Supervision of: Dr. Doha

Statistical Record

  • Hospital Name: Chest & Heart
  • Department Name: Cardiothoracic Surgery
  • Head Nurse Name: Mohamed Abo Hashem
  • Date: 21/3/2023
  • Group: 3
  • Time: 12:00 PM
  • Patient Census: 12
  • Admissions: 1
  • Discharges: 1
  • Transfers: 1
  • Deaths: 0
  • Critical Patients: 7
  • Total Patients: 11

Medication Record

  • Hospital Name: Chest & Heart
  • Department Name: Cardiothoracic Surgery
  • Head Nurse Name: Mohamed Abo Hashem
  • Date: 21/3/2023
  • Group: 3
  • Patient Names and Medications: Various patients listed with prescribed medications (e.g., glucose, cefotaxime, saline, voltaren, etc.), dosages, routes (e.g., IV, IM, oral), and frequencies (e.g., every 12 hours).

Shift Report

  • Hospital Name: Chest & Heart
  • Head Nurse Name: Mohamed Abo Hashem
  • Date: 21-3-2023
  • Time: 12:00 PM
  • Group: 3
  • Patient Names, Conditions, and Treatments: Detailed information about patient conditions (e.g., pneumonia, COPD, cardiac issues), symptoms (e.g., headache, fever, abnormal vital signs, etc.), treatments (e.g., medication, IV fluids, ventilator support, etc.). and additional details of each patient
  • Number of beds: 12
  • Number of admissions: 1
  • Number of deaths: 0
  • Number of critical patients: 7
  • Number of discharges: 1
  • Number of transfers: 1

Incident Report

  • Hospital Name: Chest & Heart
  • Head Nurse Name: Mohamed Abo Hashem
  • Date: 21/3/2023
  • Patient Name: Ahmed El-Sayed Hussein
  • Incident Type: Error in medication administration (insulin overdose)
  • Description Insulin overdose occurred at 10:00 AM. Patient experienced hypoglycemia and other symptoms. The physician was notified.
  • Treatment: Physician intervention and nursing interventions, ensuring patient recovery.
  • Follow-up: Patient's condition improved, and warnings were given and warnings were issued to prevent future errors.

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