yentingyenta -“i’ll do it.”
Yay -you get a star for being the first one to jump in. * 🙂
Hopefully others will join too.
I made these first two scenarios easy for students.
“pt 2 is not stable. first step is to maintain a patent Airway (abc’s). suction, ambu-bag, o2, call for help etc.”
Correct, but I’m just going to Mefarish your words a little.
Check for unresponsiveness (Tap & shout). Maybe the pt. isn’t really unconscious. Next call for help. (If unconscious.) Open airway, place OPA. Check for breathing. If not breathing or not breathing adequately give rescue breaths. This should be done with whatever you have on you or next to you. It could be a pocket mask or a CPR shield or a BVM/Ambu bag. Check for pulse. This case the pt. has one. (So I don’t have to go down the whole protocol.) 🙂
Hopefully by now the troops have gathered and whomever does the intubation in your facility has been alerted. (Usually Anethesia or Respiratory therapy.)
“first pt is stable and not acutely having a problem. i would explain that she is not the only pt under my care, other pts need care right now but i will be back as soon as i can”
Remember I’m not here to criticize, but I’m just critiquing for learning purposes. You got as far as the first four words and after that nothing else is correct. Either you didn’t read case #1 so carefully or you became defensive. You don’t have to tell me. Either way -this is the next step. – First thing I’d say -“No I’m sorry -I really don’t know how long you have been waiting, but we have to go in order and treat the most serious pts. first. But the good news is -I’m here to help you now.” Remember you were sent to assess the pt. You can’t say -I’ll be back later or by her obnoxiousness know whether she has an acute problem or not.
The next step is to ask -“What made you come to the hospital today”? Chief Complaint, then HPI, then Sample History & so on & so on.
“and what would you do now that i gave my answer?”
This question -I don’t understand.