Highlights
Task:
Ally is a 17 year old female with a two year history of Crohn's Disease, and is currently studying Year 12. At 0800 hrs, Ally was admitted to the Day Surgery Unit (DSU) at Lakewood Drive Medical Centre for a routine colonoscopy and biopsy, which is scheduled for theatre at approximately 1000 hrs.
Ally was admitted to the DSU by the registered nurse (RN), Sharon. The consent form was checked as part of the procedure, and Sharon noted that consent had been given for colonoscopy and biopsy only. Ally reinforced to Sharon that under no circumstances would she agree to a blood transfusion as she had a fear of receiving someone else’s blood. This conversation was recorded in the admission notes. Ally’s vital signs on admission were recorded as: temperature: 37.2; pulse: 70 bpm; ` respirations: 16bpm; and blood pressure: 110/75 mmHg.
Ally was transferred to theatre for the procedure at 1200 hrs because an emergency surgical case earlier in the morning caused a significant delay for all elective procedures. Following the colonoscopy, Ally returned to the DSU ward at 1400hrs. Her condition was haemodynamically stable and she was fully conscious although complaining of mild abdominal pain (pain score 3/10). She also said she felt she was ‘leaking slightly’ from the bowel and thought it might be some diarrhoea. Routine (half hourly) observations were commenced.
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