Orange County NC Website
Browse       Search
DocuSign Envelope ID:79C5D167-66CA-4E59-B4AC-AA38CC1 B20BD <br /> SIMULATION CASE SAMPLE ' <br /> Candidate: <br /> Date of Eval: <br /> PHASE 1 <br /> SIMULATION LAB EXAMINATION <br /> CARDIACARREST <br /> Examination Findings: <br /> C* Obtain Full Set of Vital Signs Correctly <br /> BP: 110/70 in sitting position. P: 100-strong-regular RR:15 <br /> Temp:98.0 oral 02:—99%On Room Air <br /> Glucose: 110(Glucose measurement not required) <br /> 1 Perform physical exam(to include cardiac,resp,and GI at minimum) <br /> Respiratory: Lung sounds clear in all fields with equal chest rise and fall. <br /> Cardiovascular: No chest pain or pressure.Regular pulse. Lead II unremarkable. <br /> Gastrointestinal:Soft,tender to palpation epigastric region only,no distention,no discoloration.Vomiting x1 without <br /> blood. Normal RM and Urine <br /> Musculoskeletal: No tenderness, No pain.No signs of trauma <br /> Neurological:Alert.No motor or sensory deficits noted.LA Stroke Scale=Neg <br /> Integumentary: No signs of trauma.Skin is pale,cool,and clammy to touch. <br /> Orthostatics: <br /> BP: 105/68 in standing position. P: 104—strong—regular RR: 15 <br /> 02:—99%On Room Air <br /> ---Patient placed in unit and en route to UNC-- <br /> Patient suddenly develops chest pain while en route to hospital. Pain is substernal,squeezing 10/10, radiating to the left <br /> chest/shoulder/arm <br /> Repeat Vitals: <br /> BP: 100/60 P: 115—weak-regular RR: 20 02:—99% <br /> 1 Follows CHEST PAIN Protocol: <br /> Patient interventions: <br /> 1 Oxygen <br /> C* 12-Lead Performed Correctly(***Acute MI Suspected***) <br /> _/C* Aspirin given <br /> 1 Nitroglycerin SL given <br /> 1 Demonstrates how to transmit 12-lead <br /> See Page 3 <br /> 38 Page <br />