diKALAmi

can i also ask help here?i have here a very long situation. and i'm new to using fdar. i need help pretty please. I have no idea how to make an fdar note on this situation. Mrs. Ivory White, 67 was admitted to the medical-surgical unit with a diagnosis of deep vein thrombosis. Nurse A is also caring for several other patients, including two who are now in surgery, a newly admitted patient, and two who maybe discharged that morning. She begin her shift with the head-to-toe assessment of each patient. Mrs. White is resting comfortably with an IV line infusing heparin. The Iv site, in her upper left arm, seems damp, so Nurse A decided to change the dressing. She assembled the necessary items, and as she reentered the room one of her other patient returns from surgery. To receive the post-op patient, she ask Grey, an unlicensed assistant, to reinforce Mrs. White's IV site. The morning gets busier as Nurse A's assigned a new admission when she passed Grey in the hall and asked about her other patient's, who says they're doing "fine". Several hours later, sh finally have time to check on Mrs. White, who complains that her back is cold. When she mentioned this to Grey earlier, she says, he suggested the air conditioning vent might be blowing on her back and offered to adjust it. As Mrs. White explains that she is still cold, nurse A assessed her starting with her IV, and determined that the pump is running at the proper rate. She followed the line to Mrs. White's IV and noticed that the tubing is caught under her back. When Mrs. White turned to her side she discovered that the IV cannula is lying on the bed, which is very wet with IV fluid and some blood. Mrs. White probably pulled out the IV inadvertently earlier that morning. Nurse A recall the damp IV site and the need for a new dressing. Mrs. White may not have received heparin for several hours, placing her at risk for serious complications, such as pulmonary embolism. Upon completion of the assessment, nurse A ask Grey if he reinforced the IV site,as earlier directed.He apoloized and told her he forgot after being asked to help another nurse withan urgent task. She asked him why he didn't return to check on Mrs. White IV site at some point during the morning. "I'm sorry" he says, "but that isn't in my job description. I asked the patients how they're doing, but I don't assess them the way you do." Sorry to bother, but any response will be of great help.

my friend is already having her apcn training at PGH. I am happy for her because i know she deserves the spot. but at the same time I really envy her. i heard from her that PGH will increase the fee for the next batch. too bad.

me too. i would like to know the requirements and hospital director and chief nurse of Ospital ng Maynila for the letter of intent. I'm hoping someone could help me.