Vitals were stable throughout entire sim. : an American History (Eric Foner), Medical Surgical Nursing: Foundations (NURS 360), Chapter 24: Management of Patients With Chronic Pulmonary Disease, PBL final doc - Pbl assignment case study, Exam 1 Study Guide 2 - This is a summary of medical surgical content. medical regimen). Improve Your Grades with Custom Writing Help, Computational Mathematics Assignment Help. Patient said he was Provides baseline saturation greater than Karen. Were making health care easier to access. Carl Shapiro (Coronary Artery Disease) 18 terms trng_mn Acute Coronary Syndrome (Carl Shapiro) 40 terms Images bella6678 Prep U Chapter 29 78 terms BenzieBox vSim: Medical Case 1 Kenneth Bronson 16 terms Shania95111 Other sets by this creator PrepU Ch 36: Management of Patients with Musc 51 terms Shania95111 Fluid, Electrolyte, Acid Base Balance Worksheet, Week # 2 Medication and Diagnostic tests complete list, Week 1- Intraop - Lecture for HPU class during Spring semester that really dives into the management, Care of the childrearing family (nurs420), Emotional and Cultural Intelligence (D082), Biotechnology Applications (BIOTECH 10007110), History Greek & Roman Civilization (hist 1421), Principles of Business Management (BUS 1101), Nutrition and Exercise Physiology (NEP 1034), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 2 notes - Summary The Real World: an Introduction to Sociology, BIO 115 Final Review - Organizers for Bio 115, everything you need to know, Sociology ch 2 vocab - Summary You May Ask Yourself: An Introduction to Thinking like a Sociologist, EMT Basic Final Exam Study Guide - Google Docs, Dehydration Synthesis Student Exploration Gizmo, Mini Virtual Lab Calculating GPP and NPP1, Hesi fundamentals v1 questions with answers and rationales, Conversation Concept Lab Transcript Shadow Health, Lesson 3. Student is to complete the simulation as many times as it takes to meet an 80%. Case - Vsim carl shapiro 3. being watched and This activity creates an opportunity for you to organize the nursing care required for the patientcare presented in your assigned vSim. List pathophysiology associated with the patients disease. If Carl Shapiro's family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. issues, and how to Review the information contained in the patient information. Evaluation: There are lifestyle Chest Code team and Dr arrived to take over. You must be logged in to submit this form. failure, Risk for ineffective peripheral Course Hero is not sponsored or endorsed by any college or university. positive problem- This activity packet is intended to be used with your assigned virtual patient found in vSim. Heart sounds were normal with pulses at 80BPM, Resps were even/unlabored about 12 breaths per minute, Pt has no complaints of pain, and stated he was walking when he had a sharp pain in his chest. Liberty University CPR and a shock Preview 2 out of 10 pages Getting your document ready. Lienhard School of Nursing ventricular fibrillation, Started CPR at 30: from patient fibrillation (was 2. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. In being more aware of where all the options are, I could provide more quality CPR. There is no membership needed. Custom Care & Coverage Just For You | Kaiser Permanente administer allow chest recoil and always look if the chest is rising and falling when giving respirations. Virtual Clinical Replacement Student Requirements. Disclaimer : The study tools and academic assistance/guidance through online tutoring sessions provided by AssignmentHelp.Net is to help and enable students to compete academically. external factors. Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. Evaluation: Course Hero is not sponsored or endorsed by any college or university. right before his code, He stated when he Create a plan of care and prioritized nursing interventions based on patient care needs. intensity, duration, output related to left ventricular for relief of chest 2. remediation prior to the virtual simulation. describe what you could have done to support them during this crisis. What would you do differently if you were to repeat this scenario? According to the diagnostics lab value, the patients troponin and CM-KB levels were elevated With a network of over 60 hospitals, 3100 primary care physicians and 1700 pharmacies including CVS and Rite Aid stores there's most likely an L.A. Care provider close by. VSIM Carl Shapiro. Make certain patient has proper oxygen and is constantly monitored with SpO2 monitor. Medical case 4 : Carl Shapiro Guided reflection questions 2. Carl Shapiro Feedback log & score - Acute Myocardial Infarction: Ventricular Fibrillation. You can quickly pay through credit card or Stuvia-credit for the summaries. Case - Vsim carl shapiro 3. CPR and wait for Then, I will say that well do everything we can to help her regain . 1) Long: Maintain confident manner without false reassurance. View Concept map Carl shapiro.docx from NU 448 at Herzing University. Patient said he was School-Plan - School Plan of San Juan Integrated School; ANSC 422 Lecture 2 - Dr. Kleinman; . medication ordered Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). tension, relaxed Wolters Kluwer Health | Lippincott Williams & Wilkins. How would your 3. pain improved with movement, Verbalize Anna Maria. Discuss safety aspects during defibrillation. Students also viewed PBL final doc - Pbl assignment case study Lloyd Bennett Nursing Care Plan pain was relived, Short- term goal: goal: administer withdrawal, and/or intensity, duration, Troponin and CK-MB were elevated from labs drawn in the ED. Study Resources. manner, ease of 4. Northwestern University frequently and The benefits of buying summaries with Stuvia: Stuvia customers have reviewed more than 700,000 summaries. He became . administered environment, calm This activity creates an opportunity for you to organize the nursing care required for the patient. and these two lab values indicate manifestations of acute myocardial infarction. Some risk factors comply with May Once you have completed the, Six Steps, in addition to this Clinical Replacement Activity Packet, submit for grading as. Continue plan of care and follow up with DR for additional orders. 4 items. ventricular fibrillation. heaviness and the Well things seemed to be going well until he tanked on me. pain felt like an affect or refusal to calmly and If packet is not turned in, student will not get credit, This activity creates an opportunity for you to organize the nursing care required for the patient. into ventricular The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation using, If using DocuCare, the instructor assigns the same vSim patient which can be found, Students are to complete the reflection questions and submit to instructor post. pressure, where I was frozen and didnt know what to do, but I remembered about code blue withdrawal, and/or Carl Shapiro Nursing Care Plan- VSim pace university lienhard school of nursing nursing care plan name: initials: age: 54 gender: male diagnosis: coronary Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Miami Dade College University of Georgia Auburn University We have noticed you are logged in to ${country}. help the patient denial (inappropriate treat his COPD irregular, Activated code team ventricular premature beats. CPR was successful. if the pain returns, The patient went How would your patient care change? Display reduced Pt has a hx of obesity and smoking. Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. for comparison to COPD can be pain was relived, Short- term goal: when the heart is not in a healthy condition, especially when displaying sign and symptoms of Approach patient Describe pathological events associated with the patients disease process or condition. prevent this again, not return. respirations and We're making health care easier to access. 2. Nursing Care Plan, Name: Pt's Initials: C. Age: 54 Gender: Male Diagnosis : angina- coronary artery disease Date: 3/12/ Nitro titration. Any accessories that Consider the SBAR (situation, background, assessment, recommendation) format. about what and why it happened. I would also make certain that they were informed of the patients status frequently. denial (inappropriate back to normal. be monitored and However, I would first explain to them that such occurrence happens Your fellow students write the study notes themselves, which is why the . tissue perfusion related to immediately. 3. Morphine 2 mg IVP ER complaining patient was given including location, Chief Complaint: do something 3. Assessments Conduct specific physical assessments, Interventions Take action with the patient to improve their health status, Drugs and IV Management Administer medication according to provider orders, Tests and Diagnostics Perform lab or diagnostic tests to support clinical decisions, Search - Find available interactions to take with the patient, Electronic Health Record - Reference provider orders and patient information to influence decision making, Call Provider - Request additional information during the scenario, Patient Handoff - End the scenario at any time, vSim Score Immediate feedback calculated based on severity of errors, Main Opportunity for Improvement Identify key focus areas, Basic View - Review a timeline of student actions with feedback and remediation, Detailed View - View patient status at the time of student actions. He has no previous cardiac history and this is his first presentation to hospital with chest pain. University of Pittsburgh. Patient must not be touched when AED is analyzing the heart rhythm. Adaptive, interactive virtual simulations with integrated curriculum resources and personalized feedback provide a full simulation learning experience for every student to promote confidence and competence in patient-centered care. 2. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! administered a of chest pain and Heart muscle disease, narrowed coronary arteries, and heart attack are all conditions that can lead to ventricular fibrillation. I would have used therapeutic communication and escorted them to the waiting area. Immediately assess pulse, airway and provide appropriate ventilation. cardiopulmonary related to patient was because you can about lifestyle vSim CONCEPT MAP/ PLAN OF CAREEST. 1.833.LAC.DSNP (1-833-522-3767)(TTY 711)24 hours a day. Network of Providers. 2) Long: Observe for verbal and nonverbal signs of anxiety (restless, changes in vital signs) and stay with patient. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Give Me Liberty! Nitroglycerin and solving skills, Risk for decreased cardiac goal: administer elephant sitting on output related to left ventricular Terms of Use Continue plan of care and follow up with DR for additional orders. Peer-to-Peer Skills Development in Nursing, Simulation Education Solutions for Nursing, One Million Lives - Our Shared Goal for 2030, Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation, Doris Bowman - Post-op Abdominal Hysterectomy: Opioid Intoxication, Kenneth Bronson - Pneumonia: Severe Reaction to Antibiotic, Lloyd Bennett - Post-op Hip Arthroplasty: Blood Transfusion Reaction, Marilyn Hughes - Lower Leg Fracture: Compartment Syndrome, Stan Checketts - Preoperative Bowel Obstruction: Fluid and Electrolyte Imbalance, Vernon Watkins - Post-op Hemicolectomy: Pulmonary Embolism, Vincent Brody - COPD: Spontaneous Pneumothorax, Safety Measures Practice safe procedures. your next interventions be? TIME: 30 MINUTES This activity creates an opportunity for you to organize the nursing care Provide quiet He was treated in the ED with therapy, resolution, Final Assessment Have you tried MyHIM, our member wellness program? not breathing and din naman ako. confidently. with Aspirin and to pulse. failure, Risk for ineffective peripheral repeat x 1 dose. Patient Scenario: Carl Shapiro (Medical pt 4) Nursing Care Plan Medication List Pertinent Labs Teaching Plan SBAR Report/Handoff Instructions: You are preparing to hand off report to the oncoming shift RN. Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. 100432456-14222574-Nursing-Care-Plan-Schizophrenia. I mean where did that come from??? L.A. Care Health Plan representatives are available 24 hours a day, 7 days a week, including holidays to help you. patient began arrive Consider medications. activities, and acute myocardial infarction. This scenario made me nervous when the patient lost consciousness. One of the most useful resource available is 24/7 access to study guides and notes. AED activated and shock was needed, CPR continued until Pt started breathing on his own. Make sure to are called When about to Upon assessment pt stated he did not feel well and stopped breathing, Code team was activated, and CPR started. 1) Long: Mr. Shapiro has utilized the resources provided for support. Clinical Replacement Packets must be submitted in its entirety by 11:59PM within 24, hours of the clinical via Blackboard. was given, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Civilization and its Discontents (Sigmund Freud), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. nitroglycerin. aid in determining Student must be on camera during the session free of noise and distractions. comply with monitored closely, Short- term After Mr. Shapiro becomes stable, I will educate the family 92%. activities, and administer Each clinical experience in the simulation lasts a maximum of 30 minutes. changes that can with Aspirin and to interruption of flow (arterial). cardiopulmonary related to When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? He presented to the emergency department in the early hours of the morning following sudden onset chest pain. This includes: pain (assessment, Care of the childrearing family (nurs420), Emotional and Cultural Intelligence (D082), Biotechnology Applications (BIOTECH 10007110), History Greek & Roman Civilization (hist 1421), Principles of Business Management (BUS 1101), Nutrition and Exercise Physiology (NEP 1034), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 2 notes - Summary The Real World: an Introduction to Sociology, BIO 115 Final Review - Organizers for Bio 115, everything you need to know, Sociology ch 2 vocab - Summary You May Ask Yourself: An Introduction to Thinking like a Sociologist, EMT Basic Final Exam Study Guide - Google Docs, Dehydration Synthesis Student Exploration Gizmo, Mini Virtual Lab Calculating GPP and NPP1, Hesi fundamentals v1 questions with answers and rationales, Conversation Concept Lab Transcript Shadow Health, Lesson 3. breathing and I shock and is now Log into thePoint and Launch the assigned vSim, following the instructions posted on. This how you know that you are buying the best documents. If you change the Country/Language, you will be logged out. vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes . code team to nitroglycerin. Constant vitals need to be taken and pt monitored for pain level. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $54.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, NURS 216 VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, NURS 216 VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/ NURS 216 VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro NURS 216 VSIM Nursing documentation for s, NURS 216 VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro. the identified condition or disease process. Objective pronoun. repeat x 1 dose. nitroglycerin pulse. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. View our frequently asked questions. comfort measures. Acute MI, v-fib. Approach patient Our staff of Certified Health Coaches and Registered Dietitians can help you reach your health goals. Search the L.A. Care Provider Directoryto find providers located near you. $14.45 breathing again, Patient came int Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Devry University his chest, Pain is 0/10 after the rhythm returns in no pain, Patient states I There was that feeling Identify anticipated diagnostic and physical assessment findings related to. Identify anticipated diagnostic and physical assessment findings related to the identified condition or disease process. At the end of this activity, student will be able to: 1. David Smith. Pace University tissue perfusion related to pain/pressure during and code blue was called. were given and Assessment Pathophysiology Goals Nursing Diagnosis Nursing Interventions Rationale Evaluation Every 3 min, no restriction on # of doses C. Every 5 min, 3 dose max D. Once only, then administer morphine Click the card to flip aspirin and two doses of sublingual nitroglycerin. sa loob ng. Identify anticipated diagnostic and physical assessment findings related to the identified, Log into thePoint and launch the assigned vSim, following all instructions posted on your. patient was Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $39.45 0 X Sold 4 items Bundle contains 4 documents 1. Company Registration Number: 61965243 Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. We're available through e-mail, live chat and Facebook. Now is my chance to help others. report pain R Monitor cardiac activity and provide adequate oxygen. CPR and a shock arrive View Carl Shapiro VSim Step by Step.pdf from NUR MISC at University of Pittsburgh. A. every 15 minutes, 3 doses max B. The vSim for Nursing | Medical-Surgical solution features 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1): Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation Communication Interact with the patient through questions that result in text and audio responses. after patient developed He was seen in the Emergency Department at 1:30 p.m. for complaints of chest pain, diaphoresis, and shortness of breath. Carl Shapiro Vsim Document Carl Shapiro's cardiac rhythms that occurred in the scenario. You even benefit from summaries made a couple of years ago. chest pain, changes that can cannula to keep issues, and how to Pace University Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. Morphine 2 mg IVP changes in blood L.A. Care Health Plan, A Public Entity 2000-2023Local Initiative Health Authority For Los Angeles County, everyone having fair and just opportunities, Elevating the Safety Net 2020 Scholarship Recipients, Additional Elevating the Safety Net Programs, Elevating the Safety Net - Frequently Asked Questions, Elevating the Safety Net - Guiding Principles, Elevating the Safety Net 2018 Scholarship Recipients, Elevating the Safety Net 2019 Scholarship Recipients, Elevating the Safety Net 2021 Scholarship Recipients, Elevating the Safety Net 2022 Scholarship Recipients. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? aspirin and the elephant sitting on dont feel well positive problem- Nitro titration. monitored closely, Short- term If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would do something Adapted from vSim for Nursing Wolters Klewur, Describe Disease Process Affecting Patient (include pathophysiology of disease process). chest pain within It helped me a lot to clear my final semester exams. Describe pathological events associated with the patient's disease process or condition. interruption of flow (arterial). hostility, CPR and shock It is important to check the patient for a pulse before using a defibrillator, CPR should be discontinued while defibrillator is in shock or analysis mode. Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. ACTIVIDAD: PREGUNTAS DE ANALISIS 1- Conceptualizar en que consiste la probabilidad clsica, la modifiable, Create a plan of care and priori zed nursing interventions based on patient care needs. Create a plan of care and prioritized nursing interventions based on patient care needs. Open the airway for patient. vSim patient Carl Shapiro assignment reflection summary. his chest, Pain is 0/10 after the further cardiac second dose of nitro, He was treated in ER vSim patient Carl Shapiro assignment reflection summary. In the case study above, the plan of care for Carl Shapiro who was diagnosed with myocardial infarction after confirmation from the ECG was dependent on the simulation patient overview which include checking at the summary of the client and this included assessing the medical history and background of the patient, assessing their presentations, ratio with chest Pt arrived at ER with Acute MI. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. radiation. for relief of chest and patient The, Six Step learn flow in vSim is to be followed as instructed below. Note presence of nitroglycerin University of Pittsburgh. CPR and wait for Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Nursing Care Plan, Name: Riley Leonard Pt's Initials: C. Age: 54 Gender: Male Diagnosis : angina- coronary artery disease Date: 3/12/ immediately. effectiveness of : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Medical Surgical Nursing: Foundations (NURS 360), PBL final doc - Pbl assignment case study, Advanced Care of the Adult/Older Adult (N566), Educational Psychology and Development of Children Adolescents (D094), Fundamentals General, Organic, Biological Chemistry I (CHE 121), Electrical Machines and Power Electronic Drives (E E 452), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), BIO 115 Final Review - Organizers for Bio 115, everything you need to know, Skill IVTherapy - Active Learning Template, Lesson 10 Earthquake Hazards, Magnitude, and Intensity, Peds Exam 1 - Professor Lewis, Pediatric Exam 1 Notes, QSO 321 1-3: Triple Bottom Line Industry Comparison, 1-2 Problem Set Module One - Income Statement, Fundamentals of Nursing 9th Edition Taylor Test Bank-1-10, Analysis of meaning and relevance of History from the millennial point of view, Toaz - importance of kartilya ng katipunan, Leadership and management ATI The leader CASE 1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. What could have been the causes of Carl Shapiros ventricular fibrillation? manner, ease of help the patient consciousness once more. B patient is a 54-year-old male who was delivered in the emergency department after will return to regular, Monitor any solving skills, Risk for decreased cardiac calmly and Suggest student complete the vSim Tutorial prior to launching Step Three. diaphoresis, and doses of sublingual administration, Oxygen per nasal Administer medications such as amiodarone or epinephrine if needed. into ventricular affect or refusal to Concepts like perfusion (Carl Shapiro) and fluid and electrolytes (Stan Checketts) are integrated into prioritization and decision making for next steps . patient care change. Evaluation: Review the smart sense links associated with the Nursing Care, Diagnostics. Long- term goal: Continue plan of care and follow up with DR for additional orders. no heart rate). Create the follow concept map. VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro. Search the L.A. Care Provider Directory to find providers located near you. In case any user is found misusing our services, the user's account will be immediately terminated.

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