PGCC Six Quality and Safety Education for Nursing Discussion
Question Description
Assessment and Document( Factors Affecting Health)
AssessmentDocumentation
Neuro –
What date, time, year and place?Pt A&O x4 ,Perlaa, Moves all extremities well
To check cranial nerves 2-12-CN- 2-12 intact
Ask pt to squeeze my hands, wiggle yourask pt about HA, Blurred vision,
Toes, stick our your tongue, smile,dizziness, document denies
Shrug our shoulders, point your toes,
Follow my fingers with your eyes-EOMs
Turn off lights and look at pupils for light
Reflex and accommodation
Cv- listen for heart sounds-and valvesCV-S1,S2, denies CP ,color good with cap refill < 3 sec.
Apple Pie Tastes MMMRate/rhthymHR 88 regular no ectopy , no cyanosis, Skin warm/dry
Check all peripheral pulses bilaterallyno edema noted , All peripheral pulses equal bil 2 +,
Brachial, radial, femoral, popliteal Os sat-97 % ,color adequate
Pedals and post tibias compare and
Document, check cap refill
Check for edema, skin color, temp
moisture
Resp – Check rr, auscultate lung sound inResp -unlabored normal on room air
All 9 lung fields ant- ruq-3 lobes, luq-2lobesall lung fields are clear with equal bilateral breath
Posterior-RUL, LUL, RLL, LLL check for adequatesounds, no use of accessory muscles,
Chest Excursion and use of accessory muscles
Document
GI- Check bowel sounds in all four quadrants checkGi- pt is on reg diet, tol well, has active bowel
Rlq for rebound tenderness, Check for Diet/stoolsound in all quadrants, no rebound tenderness,
Check color , amount and frequency of stoolregular stools daily with no issues of,Constipation nausea or vomiting
G/u-check voiding , amount and colorvoiding clear yellow urine with adequate amts
Skin- document any skin issues, birthmarks
Colors, wounds, any drainage, measure.document intact skin or wound measurement,
Document any incisions,scarsAppearance,drainage, dressings,scarsAppearance
INSTRUCTIONS
Please chick the link above and watch the you tube videos.
There are resources to help to
The other part under is factors affecting health, is another resoures
QUESTION TO WRITE ON
Please go to QSEN website and pick one of the six competencies. Pick one of the Listed KSA-knowledge, Skill and Attitudes and briefly describe how this KSA applies to you as a prelicensure nursing student.
Have a similar assignment? "Place an order for your assignment and have exceptional work written by our team of experts, guaranteeing you A results."