Drug Administration: Greetings and Asking For Help
Drug Administration: Greetings and Asking For Help
Drug Administration: Greetings and Asking For Help
RIGHT ROUTE
Nurse 1 : Next, we will check the route.
Nurse 2 : According to the medication order, it should be administered per oral.
Nurse 1 : Okay. Checked.
RIGHT DOCUMENTATION
Nurse 1 : We have completed the preparation. I will sign here. Now, its your turn. Can you sign there?
Nurse 2 : Okay. I will sign here. There you go.
CLOSING
Nurse 1 : Thank you, Linda. Appreciate your help.
Nurse 2 : Youre welcome. Its my pleasure.
NURSE-PATIENT PRE-OPERATIVE COMMUNICATION
1. GREETINGS, INTRODUCTION AND PURPOSE OF VISIT
Nurse : Good morning, Mrs. Smith. How are you feeling today?
Patient : Good morning, Nurse. Im okay.
Nurse : Very good. Im going to ask you some questions to make sure youre ready
for the surgery. So, just relax, okay?
Patient : Okay. Im ready.
2. LEGAL CHECK-LIST: CHECKING ID, QUESTIONS, AND INFORMED CONSENT
Nurse : Next, Im going to ask about your allergies. Do you have any drug allergies?
Patient : Yes. Ultram.
Nurse : Ok. Ultram. What about any antibiotic allergies?
Patient : No. I dont think so.
Nurse : Good. Did you eat any breakfast this morning?
Patient : No, I didnt. Ive been fasting since last night.
Nurse : Good. You have to empty your stomach at least 8 hours before surgery.
Non-medical checklist: Dentures, contact lenses, hearing aids, make up, nail polish, jewelry
4. CLOSING
PAIN ASSESSMENT
Nurse : Hows the pain? Throbbing pain, sharp pain?
Daniel : Its very sharp pain.
Nurse : Sharp pain? Okay. Let me check the wound.
Daniel : How is it? Is there anything wrong with the wound?
Nurse : The wound area looks red, but that is usually normal after a surgery.
When do you feel the pain?
Daniel : When I move, I feel a sharp pain.
Nurse : I see. Here is a pain chart. 0 is no pain; 1-3 is mild pain; 4-6 is
moderate pain; 7-10 severe pain. Whats your pain level?
Daniel : Around 6 or 7. Can I get something to reduce the pain?
Nurse : Ill check your chart to see if the doctor has prescribed medication
for your pain. Yes. He has prescribed a pain killer for you.
Daniel : Okay. Is there anything wrong with the wound?
Nurse : We dont have to worry about it right now. We will have to talk to
the doctor and see what he has to say about your pain.
Daniel : Alright. So, when can I get the pain killer?
Nurse : Ill get it for you.
GIVING MEDICATION
Nurse : Hi Daniel. Here is the pain killer. Let me help you take the medicine.
Daniel : Okay. Thanks.
Nurse : This medicine will help reduce your pain.
Daniel : Good.
CLOSING
Nurse : Okay, Daniel. Do you need anything else?
Daniel : No. Thank you. Im okay.
Nurse : Im going to visit other patients. Ill be back to check on you in an
hour. But if you need any help before then, just press this bell.
Daniel : Okay, Nurse.
Nurse : See you in an hour.
Handling angry patients
I have just returned to the nurse station after an emergency call to help a patient in another
room.
Nurse : Some nurses are taking their patients for lab tests. Some are administering medication to
patients. Im the stand by nurse, maam.
Again, sorry for the inconvenience. What can I do for you, maam?
PERCEPTION OF PATIENT: Identifying the Perception or expectation of patient about the news
Nurse So, Mary. Can you tell me why you are here today?
Client I had breast biopsy a week ago. So, you knew that, right?
Nurse Yes, I did. I just want to see your expectation for being here today.
Did you speak to your family doctor before coming here today?
Client No, I didnt. She is on vacation, so I havent had the chance to do it.
Do you have some information?
Nurse I do. Yes, I do. I just want to see if your doctor has given you any information at all
before I talk to you. Let me get the information here.
Client Okay.
INVITATION: Invite patient so share his/her opinion on how to receive the news: details or conclusion
Nurse I have this paper with me right here. Do want someone to be with you before I share
the result?
Client I came alone. Is this the pathology report?
Nurse Yes, this is the pathology report from the biopsy that you had.
Client There is a lot of information in the report.
Nurse Thats right. We have a lot of details here. Do you want me to explain each detail or just
go down to the conclusion of diagnosis?
Client Just give me the diagnosis for now.
KNOWLEDGE: Give the diagnosis and help patient to understand it.
Nurse Now. Lets go down to the very bottom part here to the diagnosis.
Client Okay. What does the MRI result say?
Nurse Maam, I wish I had better news to share with you, but Im sorry to tell you that
according to the result, you have a breast cancer, a breast carcinoma cancer.
For example:
You need to see dr. (name) to (purpose). Your next doctor
appointment is on (day, and date) at (time).
2 Medication teaching You have three types of medicine that you need to take
and schedule at home.
3 Self-care (e.g. diet, (Diet) Please limit consumption of liquid and glucose-
wound care, activity) contained food.
(Wound care) You need to change your wound dressing
at least once a day.
(Activity) Please limit your physical activities. Dont
carry heavy burden. Watch your steps to avoid falling.
4 Symptom management (pain) If you feel pain in the area where the surgery was,
at home (e.g. pain, please consult the doctor. While waiting for the doctors
nausea, short of appointment, you can try the deep breathing technique.
breath)
(nausea) When you feel like you want to vomit, relax,
take a deep breath, and drink warm water.