Date of Completion
Jun 13, 2020 09:29 AM
Josephine Morrow
Age: 80 years
Diagnosis: Venous stasis ulcer
Score
0
0
0
100%
Feedback Log
0:00 You arrived at the patient’s side.
0:00 You reviewed the patient information.
0:00 You reviewed the patient log.
0:00 You reviewed the diagnostics.
0:00 You reviewed the clinical observations.
0:00 You reviewed the MAR.
0:00 You reviewed the orders.
0:00 You reviewed the intake and output.
0:06 You washed your hands. To maintain patient safety, it is important to wash your
hands as soon as you enter the room.
0:10 Patient status – ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 121/80
mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 94%. Temp: 98 F (36.6 C)
1:10 Patient status – ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 120/80
mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 94%. Temp: 98 F (36.5 C)
1:18 You introduced yourself. This was reasonable.
1:32 You identified the patient. To maintain patient safety, it is important that you
quickly identify the patient.
1:41 You asked if the patient was <Allergy>allergic<> to anything. She replied: ‘Yes, I am allergic to
penicillin.’
1:48 You asked the patient how she felt. She replied: ‘I get tired easily.’
1:55 You asked what happened. She replied: ‘I have this wound on my leg; it does not seem to heal.’
2:02 You asked the patient if she needed anything. She replied: ‘I need help with my legs; they are swollen and hurt. I
easily get ulcers.’
2:10 Patient status – ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 122/81
mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 94%. Temp: 98 F (36.4 C)
2:13 You put on gloves.
2:23 You examined the patient’s legs. There is moderate edema and hyperpigmentation of the skin from the knees and
down on both sides. There is a dressing covering the skin lesion on the lower leg. There is normal elasticity of the skin. Her
color is normal, and she is not sweating.
2:58 You educated the patient about wound care. This was reasonable.
3:10 Patient status – ECG: Sinus rhythm. Heart rate: 95. Pulse: Present. Blood pressure: 123/81mm Hg. Respiration: 20.
Conscious state: Appropriate. SpO2: 94%. Temp: 97 F (36.3 C)
3:21 You assessed the patient’s dressing. This is correct. Assessing any dressings the patient has is always important.
3:36 You removed the dressing. This was reasonable. However, make sure to dress the area appropriately again when possible.
3:46 You assessed the patient’s ulcer. This was reasonable. The ulcer is shallow, 1 inch in width, and looks mostly pink