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Verbal De-escalation
Robert Johnson is on oxygen therapy as he was experiencing increased shortness of breath. When the nurse approaches him, he is agitated and starts shouting, making it difficult to check his vitals or administer medication.
Tired and Fatigued
Megan O’Sullivan has been feeling tired and fatigued lately. She finds it difficult to go to sleep and has tried over the counter medication for her insomnia. She has lost her appetite and has lost 10lbs in the last three months. She has never been diagnosed for any mental illness.
EMS Cardiac Arrest
A 24-year-old female on a bike has been hit by a car at 40 miles per hour. As the paramedic at the scene, you need to offer essential medical interventions like controlling bleeding, immobilizing fractures and restoring responsiveness.
Thoracentesis
Thoracentesis refers to the procedure performed to aspirate fluid from the pleural space. This could be done for diagnostic or therapeutic purposes. In this given case, the patient has pneumothorax, calling for a thoracentesis procedure.
Supraorbital Nerve Block
A supraorbital nerve block is done to provide immediate localized anesthesia. This could be done for a number of reasons from laceration to removal of foreign object. In this case, it is a laceration on the forehead.
Knee Arthrocentesis
A 53-year-old male patient has suffering right-sided knee pain and swelling. This could be a case of gout or septic arthritis. Knee arthrocentesis is advised, a minor surgical procedure done to aspirate synovial fluid from the knee joint.
Multipatient Morning Shift
Your are the morning shift nurse taking over from the off-going nurse. Three patients need to be taken care of; each one with a different diagnosis. Ask proper questions to understand their health conditions and complete all morning tasks on time.
Delivering Bad News
Kirsten’s husband Rob has been diagnosed with terminal lung cancer and Kirsten must be informed. This scenario helps participants learn to navigate such delicate situations and deliver empathetic support.
Digital Block
Digital block is a nerve blocking technique used for performing painful procedures on the digits. It could be related to nail removal, foreign body removal or, as in this case, a laceration.