NRS163 - Clinical Reasoning 1 - Charles Sturt University

Assignment Task

Introduction

Thomas walks into the medical center with his father. He is seen by the medical centre clerk who identifies that Thomas has been a patient of Dr Stephens at the centre. The clerk notices that he does not look well and calls the registered nurse managing the clinic. Thomas and his stepfather are directed by the clerk to take a seat in the waiting area until they are called by the Registered Nurse.

Information

• Get all the documentation for Thomas from the clerk and check his details;
• have Thomas change into a hospital gown and help him get comfortable on the bed with a warm blanket;
• complete a full set of observations (Temp, Pulse, Resp Rate, O2 Sats, BP) and update his health history;
• find out what time he last ate and drank, what he ate and drank, and if he has vomited;
• document all the findings on the SAGO chart, update the Health History form, and any other information on the whiteboard in the clinic.

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