station 6; Responding to a Deteriorating Patient (20 Min) Scenario 3- Mrs/ Edith-Mary Johnston Edith Mary Johnston has been sitting in the chair now for 2 hours and it is now time for Edith-Mary to have her wound dressing attended to. When you approach Edith-Mary you can see that she is slumped in her chair. She is breathing, opening her eyes to pain, is confused, and localizing to pain. You note that Edith-Mary’s observations are as follows: GCS 11 Blood pressure 88/50 Pulse 55 bpm Respirations 20 Temperature 37,9 C SOPO2 96% BGL 4,8 mmol In this station, you will discuss with your RN (educator) What you should do as the Enrolled nurse looking after Edith-Mary. Discuss each step-in order of priority with your assessor? Write an ISBAR handover using the table below and give a bedside handover to your Assessor depicting the deterioration and medical emergency and ongoing care for Edith-Mary. Debrief with the RN (educator) following the event and discuss the importance of debriefing
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