Admission orders
Assignment Details: This week you have one assignment: a Branching Exercise found in the Learning Resources of the weekly syllabus. For this exercise, you will be given some data and then make a choice about the finding. Depending on your choices, you will define your “patient”. The assignment asks you to write a full set of admission orders for your patient—the Admission orders template is found in the Learning Resources for this week also, A reminder—this is NOT a paper—write the orders as you would enter them in the chart.
Branching Exercise: Cardiac Case 1
For this Assignment, you will review the interactive media piece/branching exercise provided in the Learning Resources. As you examine the patient case, consider how you might assess and treat patients with the symptoms and conditions presented.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To prepare:
Review the interactive media under Required Media: Branching exercise. This is provided in the Learning Resources.
Review the information provided in the case (patient presentation, vital signs, pmh, home meds, results of labs and diagnostics. With this information, critically think about what is happening with the patient.
Use your critical thinking skills and current guidelines to develop orders. Include additional labs/diagnostics, what needs repeated and followed up on. Medications that need to be ordered or changed.
The Assignment:
Using the required admission orders template found under the Learning Resources: Required Reading.
Develop a set of orders as the admitting provider.
Be sure to address each aspect of the order template
Write the orders as you would in the patient’s chart. Be specific. Do not leave room for the nurse to interpret your orders.
Do not assume anything has already been done/order. Use the information given. Example: If the case does not mention fluids were given, the patient did not receive fluids. You may have to start from scratch as if you are working in the ER. And you must provide orders if the patient needs to be admitted.
Make sure the order is complete and applicable to the patient.
Make sure you provide rationales for your labs and diagnostics and anything else you feel the need to explain. This should be done at the end of the order set – not included with the order.
Please do not write per protocol. We do not know what your protocol is and you need to demonstrate what is the appropriate standard of care for this patient.
A minimum of three current (within the last 5 years), evidenced based references are required.
Learning Resources
Required Readings
Fuller, V. J., & McCauley, P. S. (2023). Textbook for the adult-gerontology acute care nurse practitioner: Evidence-based standards of practice. Springer Publishing Company.
Tachycardia’s, pp. 106–109
Harris, C. (2023). Adult-gerontology acute care practice guidelines (2nd ed.). Springer Publishing Company.
Arrhythmias, pp. 53–58
American Heart Association. (n.d.). AlgorithmsLinks to an external site.. http://track.smtpsendemail.com/9064721/c?p=zUYb4rOChtfDhmZTRy7iKYRO5AM2rYT2MVB3uH_25ePj-h4WLO42bw8F8LCS9-M-YhsLBuvixwK_FrZ-H4VLWhJ6M81V7uTSZZkdfuEMb8v_mxtgROO-R4_C1xyW0NOYaqqLKEZbCA-noKFUk4X5aU5frIIWi0LUGrs_rPpItM956PqyqHOHSmIPVZoRVoL76mwVliUKxIDQHecd80mPIMn1rrDp9__CUTjyenKgW6Uu0nsc37PPXX5bYtus4Dmn
Document: Admission Orders Template (Word document)
Required Media
MedCram. (2019, June 9). ECG interpretation explained clearly and succinctly – arrhythmias, blocks, hypertrophyLinks to an external site.[Video file]. Retrieved from http://track.smtpsendemail.com/9064721/c?p=vPepypOJ4R9UDDcsoaGITbCcR-sYUBmdnlIjJLsFH8Mq0F9ZUy-Xjc4f2pcQtV8fOFoJZ8jVtWY2btKpej-abZpmgcYs2Rk20vqW7Q4hlqg8V_lIow46K5PjAEXKp7yL7lk7lO9TRQfREsNx_-0YRfv-hyEvjr6Ttfg5IejW9NwsICRoxklssQC_5EEcdlsN
MedCram. (2018, July 15). ST elevation – EKG/ECG interpretation case 12 (STEMI, MI, ACS)Links to an external site. [Video file]. Retrieved from http://track.smtpsendemail.com/9064721/c?p=B-vpvJJqYDyJhb62h-tSoz37i6ybnNkT99BTpUnvDWVRpW8wELEW4u-Om-XtrHyAbDF6nm3JRYiPZE7N5ClfYn_vQhxaf6bdwyTko-QEeXZo0WlQQJ2AH4oFNhQckGh89l4vWszGOJ70b-vDJsoGpnIkv9toHMTHplns6Czd8Z-KEL4SNrOhz52d-CYc4E_C
MedCram. (2017, July 23). EKG/ECG practice strip interpretation explained clearly – case 10Links to an external site. [Video file]. Retrieved from http://track.smtpsendemail.com/9064721/c?p=TPOM9o_aYzmcmdgUOEmAxsa1sbtM_HN4jV_a6iuL5wvR1qzHXdtqG6DGS5fbaC8OZUws2KVZut8uLewq9_oTk3JHbOH86b_eIUOOTs3UVwZZX20qO1aKT5swPKg9WO2M0Pec3DBXvyRnwqEPLP7eqOOOOBeK_fqhZsvsHhqwIhA10kuN9vCiTcaAXOXkKaA_
Walden University (Producer). (2019a). Branching exercise: Cardiac case 1Links to an external site.[Interactive media file]. Minneapolis, MN: Author.
Antiarrhythmic Drugs for the AGACNP
Paper Format: APA
Number of pages: 3
Sources: 4
Answer preview to Admission orders
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