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    Clinical Exemplar

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    This clinical exemplar describes a 3-year old girl admitted for respiratory distress related to pneumonia. Her condition was deteriorating despite oxygen and respiratory treatments. She was withdrawn, tearful and in visible discomfort. Her oxygen saturations were in the mid-to-low 90s and decreasing. The physician ordered subcutaneous epinephrine, IV solumedrol and contacted the PICU to transfer the patient. The student nurse learned about assessing a patient with worsening respiratory distress and knowing when to escalate care. They also observed the transport process as the patient was prepared for helicopter transfer to the PICU.

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    Clinical Exemplar

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    27 views3 pages
    This clinical exemplar describes a 3-year old girl admitted for respiratory distress related to pneumonia. Her condition was deteriorating despite oxygen and respiratory treatments. She was withdrawn, tearful and in visible discomfort. Her oxygen saturations were in the mid-to-low 90s and decreasing. The physician ordered subcutaneous epinephrine, IV solumedrol and contacted the PICU to transfer the patient. The student nurse learned about assessing a patient with worsening respiratory distress and knowing when to escalate care. They also observed the transport process as the patient was prepared for helicopter transfer to the PICU.

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    clinical exemplar

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    This clinical exemplar describes a 3-year old girl admitted for respiratory distress related to pneumonia. Her condition was deteriorating despite oxygen and respiratory treatments. She was withdrawn, tearful and in visible discomfort. Her oxygen saturations were in the mid-to-low 90s and decreasing. The physician ordered subcutaneous epinephrine, IV solumedrol and contacted the PICU to transfer the patient. The student nurse learned about assessing a patient with worsening respiratory distress and knowing when to escalate care. They also observed the transport process as the patient was prepared for helicopter transfer to the PICU.

    Copyright:

    © All Rights Reserved
    Download as ODT, PDF, TXT or read online from Scribd
    Download as odt, pdf, or txt
    27 views3 pages

    Clinical Exemplar

    Uploaded by

    api-283672381
    This clinical exemplar describes a 3-year old girl admitted for respiratory distress related to pneumonia. Her condition was deteriorating despite oxygen and respiratory treatments. She was withdrawn, tearful and in visible discomfort. Her oxygen saturations were in the mid-to-low 90s and decreasing. The physician ordered subcutaneous epinephrine, IV solumedrol and contacted the PICU to transfer the patient. The student nurse learned about assessing a patient with worsening respiratory distress and knowing when to escalate care. They also observed the transport process as the patient was prepared for helicopter transfer to the PICU.

    Copyright:

    © All Rights Reserved
    Download as ODT, PDF, TXT or read online from Scribd
    Download as odt, pdf, or txt
    of 3

    Running head: CLINICAL EXEMPLAR

    Clinical Exemplar
    Heidi Bosmans
    University of South Florida

    CLINICAL EXEMPLAR

    During my preceptorship I had many excellent learning experiences. One of these experience
    included a patient in acute respiratory distress that was deteriorating. I will describe this situation using
    in this clinical exemplar. The purpose of a clinical exemplar, according to Black (1997), is to allow a
    nurse to highlight critical thinking skills is a situation they experienced and showcase all of what
    nursing entails.
    My patient was a three year old girl with a history of asthma and had been admitted for
    respiratory distress related to pneumonia. Her assessment showed tachypneia, diminished breath
    sounds, subcostal and intercostal retractions, and congested cough. Her O2 saturations where in the
    mid-to-low 90s and decreasing despite being on oxygen. She was also reporting pain in her abdomen
    which we attributed to the increased work of breathing. She was also just visibly uncomfortable. She
    was withdrawn and tearful at time.
    We gave her toys to attempt to cheer her up and continued to assess. She received many
    respiratory treatments and was eventually started on vapotherm. Despite this, her work of breathing did
    not improve very much and she continued to be in distress. The physician ordered subcutaneous
    epinephrine, IV solumedrol, and contacted All Children's PICU in order to have her transferred.
    I learned a lot from observing and participating in this patient's case. It showed me what
    assessment pieces to look for in a patient with deteriorating respiratory distress, and when to look into
    sending them to a higher acuity unit. I also learned a great deal about the transport process as I
    witnessed the transport nurses prepare the patient for the helicoptor flight to All Children's.

    CLINICAL EXEMPLAR

    3
    References

    Black, P.J., (1997). Use of the clinical exemplar in performance appraisals. Neonatal Network, 16(5),
    73-78.

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