voamp1re

I just finished my first practice care and have recieved my feedback. I now have to do a comprehensive care plan for a grade but I was marked off for not correctly identifing my primary secondary or tertiary interventions. My practice care plan was a 34 y/o gentleman who was 4 days post chest trauma from being run over by a car. This patient was supposed to go home the day that he was assigned to me. After assessing him that morning I was supicious for PE and it turned out I was correct. SO..alot of things happened quickly and he was transferred to the ICU before the end of my shift. I used nursing diagnosis such as Impaired gas exchange, risk for disuse syndrome (which my instructor was happy with) but I don't understand how to rate the interventions that I used which were related to the nursing diagnosises. Could anyone help me understand or give me some examples for the "staging" of the interventions. Thanks

We seem to have a similar problem with one of our four clinical instructors. She has been known to ask off-beat but on topic questions which makes everyone uncomfortable and very nervous that they will be failed for not knowing the answer. During our vital signs validation she asked the student to name several reasons why she wouldn't take a blood pressure in a certain extremity. The student about had a meltdown. So...our study group started coming up with a list of questions that we thought would be off the wall for the validation that we were doing and used those as we practice trying to simulate what she does to make us nervous. Another question that she asked once during our isolation validation was "Why would you not clean up the water drops around the sink after washing your hands?" A: It's housekeepings job. So, don't beat yourself up , just try during practice simulating what he or she does that makes you nervous. Hope this helps.