Patient Scenario

Question Answered step-by-step Patient Scenario As one of the nurses who took care of the patient prior to confirmation of COVID-19, you have been notified by the local health department that you need to self-quarantine your house. You are asymptomatic and question the public health nurse about why you need to self-quarantine. 9.    Why does the nurse need to self-quarantine and what is involved in self-quarantine?   Patient Scenario continuedAs you are quarantined at home, you are watching the news and you hear about social distancing. 10. What is social distancing? 11. How is social distancing supposed to help “flatten the curve”? Patient Scenario continuedYou begin to worry about all the people you may have come in contact with that either had COVID-19 or you could have given COVID-19 to. 12. What could you say to help alleviate her anxiety about infecting others?  13. What are some suggestions that you could give that would help a quarantined person feel less isolated?Patient Scenario continued Not only are you stressed over being quarantined to your house, but you are also worried about your elderly grandmother who is in the nursing home. 14. Why are patients who are in a setting such as a nursing home or other congregate living setting more at risk for contracting COVID-19?  15. What are the implications of social distancing on people who are institutionalized?  16. What could be done at the nursing home to try to help prevent the spread of COVID-19?   Patient Scenario continuedYou have been released from self-quarantine and are working on the unit at the hospital that has been designated for all patients under investigation or who have tested positive for COVID-19. During report, you were told that all the patients you are caring for are in Droplet Plus isolation. This means you will be wearing all PPE required for droplet isolation plus a face shield. 17. What is the correct order for donning PPE for Droplet Plus isolation?  18. What is the order for doffing PPE for Droplet Plus isolation?  Patient Scenario continuedThere is a discrepancy in how the virus is transmitted. Some reports and stating that COVID-19 might be transmitted via airborne particles. 19. If the virus is known to be airborne, how will this change PPE for providers? Why? Patient Scenario continued20. Mid-morning, you hear voices in the hallway that are getting louder. You head toward the voices to investigate the situation. You find a family member of one of the patients on the floor who is positive for COVID-19 loudly telling the front desk worker that they have the right to visit their family member. The hospital policy that was recently put in place is that no visitors are allowed in the patient room of someone who has tested positive for COVID-19 unless death is imminent. 21. What do you say to the family member to attempt to de-escalate the situation? 22. When that doesn’t work, what do you do? Patient Scenario continuedYou and your colleagues are taking care of four patients on the designated COVID-19 unit. All of the patients are critically ill and currently on BiPap for airway management. All four patients are rapidly declining and airway management via endotracheal tube and ventilator is imminent. However, due to overcrowded intensive care units because of the COVID-19 pandemic, there is only one ventilator left in the surrounding area. You have to pick one of the four patients knowing that the other three will die without ventilator support. 28. Who gets the ventilator? Why? (Crisis Standards of Care) A 51-year-old male family practice physician who is married with two teenage children. A 32-year-old grade school principal is a single mother of two young children. A 24-year-old graduate student who is 20 weeks pregnant with her and her husband’s first child. A 37-year-old male paramedic is the single parent of a 14-year-old.  Health Science Science Nursing NURSING NUR 102 AB Share QuestionEmailCopy link Comments (0)