Question Answered step-by-step AUDIT REPORT T11.1 OPERATIVE REPORT, CESAREAN SECTION LOCATION :… AUDIT REPORT T11.1 OPERATIVE REPORT, CESAREAN SECTIONLOCATION: Inpatient, HospitalPATIENT: Lisa LoganATTENDING PHYSICIAN: Andy Martinez, MDSURGEON: Gary Sanchez, MDPREOPERATIVE DIAGNOSIS:    1. Spontaneous rupture of the membranes.    2. Failure to progress.POSTOPERATIVE DIAGNOSIS:    1. Spontaneous rupture of the membranes.    2. Failure to progress.PROCEDURE PERFORMED: Primary low transverse cesarean section.ANESTHESIA: Epidural with Duramorph.ESTIMATED BLOOD LOSS: 700 ccPATIENT: Lisa LoganFLUIDS: 3000 cc crystalloidURINE OUTPUT: 90COMPLICATIONS: NoneFINDINGS: A single viable male infant, Apgar’s 7 at 1 minute, 9 at 5 minutes, weight 2656 gm (5 pounds 13.7 ounces).PROCEDURE PERFORMED: Primary low transverse cesarean section.ANESTHESIA: Epidural with Duramorph.INDICATIONS: Lisa is a 22-year-old, G1, who presented to her primary obstetrician with ruptured membranes at 38 weeks and was found to have intermittent late decelerations. She was transported here. Pitocin was used to attempt to cause cervical change; however; despite nine hours of attempting to adjust Pitocin without causing late deceleration, she remained at 3 to 4, 90 and 0. The baby began to experience late decelerations, and patient elected to proceed with cesarean. Risks and benefits of surgery were discussed with the patient.FINDINGS AT THE TIME OF SURGERY: Included single viable male infant, left occiput transverse position, with cord around the neck 1, normal tubes and ovaries, normaluterine contour.TECHNIQUE: The patient was taken to the operating room, where epidural anesthesia was dosed. She was prepped and draped in a normal sterile fashion, and anesthesia was found to be adequate. A Pfannenstiel skin incision was made with the scalpel and carried through to the underlying fascia, which was nicked in the midline, and the fascial incision was extended bilaterally with Mayo scissors. The superior aspect of the fascial incision was grasped with Kocher clamps, tented up, and the underlying rectus muscles were dissected off with sharp dissection. The inferior aspect of the fascial incision was likewise grasped with Kocher clamps, tented up, and the underlying rectus and pyramidalis muscles were dissected off with sharp dissection. The rectus muscles were separated in the midline, and the incision was extended superiorly and inferiorly, with good visualization of the bladder. The peritoneum was grasped with hemostat, tented up, and entered sharply. The peritoneal incision was extended superiorly and inferiorly with good visualization of the bladder. The rectus muscles were separated in the midline. The bladder blade was inserted. The vesicouterine peritoneum was grasped with pickup, entered sharply, and the incision was extended bilaterally with Metzenbaum scissors. The bladder flap was created digitally. The bladder blade was reinserted. The uterus was transcribed in a transverse manner with the scalpel and extended with bandage scissors. The fetus in left occiput posterior presentation was delivered into the incision, and the fetus was bulb suctioned on the abdomen after delivery. Cord gases were cut and sent. The fetus was handed to NICU after the cord was clamped and cut. The placenta was extracted manually. The uterus was exteriorized, cleared of clots and debris, and the angles of the uterine incision were grasped with ring forceps, and the incision was closed with 0 Vicryl in a running locked fashion, a second imbricating layer was used to achieve hemostasis. The bladder flap was closed with 2-0 Vicryl in a running fashion. The posterior cul-de-sac was copiously irrigated. The uterus was replaced within the abdominal cavity. The pelvic cavity was then copiously irrigated and cleared of clots and debris. Then, the rectus diathesis was closed with 2-0 Vicryl in a running fashion. The fascia was closed with 0 Vicryl in a running fashion, using two sutures beginning at the angles and meeting in the midline. The subcuticular space was closed with 2-0 Vicryl interrupted sutures. The skin was reapproximated with staples. The patient tolerated the procedure well. Sponge, lap, and needle counts were correct, and she was taken to recovery in stable condition.T11.1:SERVICE CODE(S): 59510ICD-10-CM DX CODE(S): O42.92ARE MY CODES CORRECT IS THERE ANY MISSING? Health Science Science Nursing HIM 205 Share QuestionEmailCopy link Comments (0)

Question Answered step-by-step What would you do if you were Pat’s coworker? How would you do to… What would you do if you were Pat’s coworker? How would you do to correct Pat’s behavior while maintaining your own professional responsibilities and integrity? What would be the most reasonable thing to do in this situation?Image transcription textPat – a certi?ed/licensed health care practitioner {your choice on which practice role) – joins the main hospitalstaff after successfully completing new employee and section orientation at Famous Hospital. He had workedfor 10 years at General Hospital but grew tired of the 2 hour daily commute. He is thrilled to be wo… Show more… Show more Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

Question Answered step-by-step History and Physical Assessment Case Study The nurse is preparing… History and Physical Assessment Case StudyThe nurse is preparing to do health history and physical assessment on a 5-year-old child whose family has just moved to the area.1. What is the appropriate introduction when first meeting the family?2. List 6 guidelines for communicating with children.3.  Communication is related to the development of thought processes in children-the nurse communicates at the level the child understands. What are the thought processes of the school-age child?4. What are the 10 categories that are addressed in a pediatric health history?5. What are the developmental characteristics of a school-age child’s response to pain? What tool would you use to evaluate pain in this age child?  Health Science Science Nursing NURS 236 Share QuestionEmailCopy link Comments (0)