2024.11.14 - [분류 전체보기] - 간호 실습 시나리오 (호흡기 병동 입원_한글)
간호 실습 시나리오 (호흡기 병동 입원_한글)
2024.11.14 - [분류 전체보기] - 간호 실습 시나리오(외과수술 전 간호_한글) 간호 실습 시나리오(외과수술 전 간호_한글)줄거리환자 나수술이 내일 대장 절제 수술을 받기 위해 입원한 상태에서, 간
strongdream-1.co.kr
2024.11.14 - [분류 전체보기] - 간호 실습 시나리오(외과수술 전 간호_한글)
간호 실습 시나리오(외과수술 전 간호_한글)
줄거리환자 나수술이 내일 대장 절제 수술을 받기 위해 입원한 상태에서, 간호사와 의사가 협력해 수술 전 준비를 진행한다. 의사는 수술의 목적과 절차를 설명하고 동의서를 받으며, 간호사는
strongdream-1.co.kr
Plot Summary
- This scenario takes place in the respiratory ward of a hospital and follows the process of admitting a female patient from the emergency room. After confirming room availability, two nurses guide the patient to her room, conduct initial assessments, and gather necessary information, such as medical history, symptoms, and other relevant details from the patient and her caregiver. Key symptoms include persistent cough, shortness of breath, and chest discomfort.
- The nurses also evaluate the patient's pain and fall risk, ultimately providing fall-prevention guidelines. The caregiver is briefed on hospital policies, meal and shower arrangements, emergency procedures, and visiting hours. To ensure patient comfort, the nurses adjust the bed and reassure the patient and caregiver that the medical team is committed to supporting the patient's recovery.
Characters
- Nurse 1 (Kim Hana)
- Nurse 2 (Kim Dooul)
- Patient (Na Hwanja)
- Caregiver (Son)
Scenario Details
The scenario begins with a phone call:
Nurse 1: Hello, this is Nurse Kim Hana from the respiratory ward.
Administrative Staff: Hello, this is the admissions office. We have a female patient in the ER who needs to be transferred. Do we have any rooms available?
Nurse 1: Just a moment, please. Nurse Kim Dooul, do we have a room for a female patient?
Nurse 2: Yes, we have a spot in room 3011.
Nurse 1: Yes, we have a room available. You can send the patient up. (Ends the call)
The patient arrives.
Nurse 1: Hello, ma’am. Could you please tell me your name?
Patient: I’m Na Hwanja.
Nurse 1: Ah, Ms. Na Hwanja! Hello, I’m your assigned nurse, Kim Hana.
Nurse 2: Now that you’re here, let’s check your height and weight first. Please come this way.
The nurses measure the patient's height and weight.
Nurse 1: (Calls the attending doctor) Hello, this is Nurse Kim Hana from the respiratory ward. The patient, Na Hwanja, has been admitted.
Nurse 2: Height: 160 cm, Weight: 45 kg.
Nurse 1: (Types the information into the system) Ms. Na, I’ll now guide you to your room. Please follow me.
The nurses escort the patient and her caregiver to the room.
Nurse 2: Ms. Na, please change into these hospital clothes, and you may place your belongings in the locker over there. (Attaches name tags to the room and bed and sanitizes hands.)
Nurse 1: I’ll now need to ask a few questions for our records.
Caregiver: Since my mother has a severe cough and speaking is difficult, I’ll answer on her behalf.
Nurse 1: Of course. Please stay nearby and listen in as well, Ms. Na.
The nurses sit with the patient and caregiver to begin gathering information.
Nurse 2: Ms. Na, I’ll be putting on an ID bracelet for you now. It might feel a bit uncomfortable, but please don’t remove it. We’ll need it to confirm your identity for tests. Now, let’s check your blood pressure and temperature. (Takes vital signs.)
Nurse 1: Could you tell me your name again, ma’am?
Caregiver: Na Hwanja.
Nurse 1: And your occupation?
Caregiver: She’s a homemaker.
Nurse 1: Do you have a religion?
Caregiver: Yes, she’s Christian.
Nurse 1: Does she smoke?
Caregiver: She smokes about half a pack per day.
Nurse 1: And for how many years has she been smoking?
Caregiver: About 20 years.
Nurse 1: Has she ever received counseling for quitting smoking?
Caregiver: No, she hasn’t.
Nurse 1: Is there a reason?
Caregiver: She just doesn’t want to do it.
Nurse 1: Does she drink alcohol?
Caregiver: No, she doesn’t drink.
Nurse 1: What are her current symptoms?
Caregiver: For about three months, she’s had a severe cough, trouble breathing, phlegm, and chest tightness. She was treated at another hospital, but her condition hasn’t improved.
Nurse 1: I see. Has she had any previous medical conditions?
Caregiver: She was diagnosed with high blood pressure ten years ago and asthma.
Nurse 1: Has she had any surgeries?
Caregiver: Five years ago, she had two surgeries for a broken leg.
Nurse 1: Is she allergic to any foods or medications?
Caregiver: No, she has no allergies.
Nurse 1: Is she currently taking any medication?
Caregiver: Just blood pressure medication and cough medicine.
Nurse 1: Please give us any medications you brought with you. We’ll check for any interactions with the treatments here and return them to you afterward.
Caregiver: Sure, thank you.
The nurses proceed with a pain assessment.
Nurse 1: Ms. Na, do you have any pain?
Patient: (Nods)
Nurse 1: On a scale from 0 to 10, where 0 is no pain and 10 is the worst pain, how would you rate it?
Patient: (Indicates a number with her fingers)
Nurse 1: Can you describe the pain? Is it a sharp stabbing pain, a dull pressing pain, or more of a burning sensation?
Patient: It feels like pressure, and it’s uncomfortable.
Nurse 1: How often does it hurt?
Patient: Constantly.
Nurse 1: What makes it worse?
Patient: Coughing and moving around.
Nurse 1: And what helps relieve it?
Patient: Resting and sitting down.
The nurses continue with additional health assessments, including fall risk and family history.
Nurse 1: Our assessment indicates that you’re at medium risk for falls, so I’d like to give you some prevention tips and information about the hospital’s policies.
The nurses explain the hospital rules and patient guidelines.
Nurse 2: Please bring your personal items like toiletries, slippers, tissues, and a water cup. You can purchase these at the convenience store on the first floor. Meals are provided according to a patient-specific diet. Visiting hours are at 10 AM each day, though it may vary. Press the call bell or dial the nurse’s station for assistance, and make sure to have your doctor’s approval for any outings.
Nurse 1: Ms. Na, because of your breathing difficulties, keeping the bed elevated may make you feel more comfortable. Please rest and feel assured that we’re here to help improve your health.
Caregiver: Thank you very much.
