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Media Essay

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Submitted By jcrox9
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NURS1131: Complex Care Nursing – written assessment
Part 1: Media Annotation tool Time sequence | code | comments | 0-30 seconds | BARCG – did not assess patient appropriatelyGuideline 4 AirwayGuideline 5 BreathingGuideline 8 Cardiopulmonary Resuscitation.PTS (18 sec)PNTS – comm (23 sec) | DRS ABC- did not assess for any danger, assessed for response however failed to assess airway, breathing and circulation and jumped straight to compressions.Poor assessment of response inappropriate pain stimuli response technique.No code blue called by the second responder. | 30 – 60 seconds | PTS (39 sec)BARCG- Guideline 11.2 Protocols for advanced Life support. (59 secs) | Defibrillator pad were not attached properly.Rhythm was not assessed after the shock. | 60 – 90seconds | PTS (64 sec)PTS (80 sec) | Guardel airway was inserted with nil airway assessment. Pillow was also not removed for enhancing airway.Nil jaw thrust for airway. | 90 – 120 seconds | PTS (119 sec)PNTS – DM (119 sec) | Hands were off the chest and not ready for compression during doctors assessment. Delay compression. | 120 – 150 seconds | PNTS- SA (135 sec)PNTS – TM (149 sec) | Nurse with her arm crossed not taking any initiative of taking any roles.Task evident, no one initiated the scribe role until the doctor appointed one. All incoming nurses showed no initiative in taking any roles. | 150 – 180 seconds | PTS (158 sec)PTS (176 sec)
PNTS DM, Comm, TM | Poor documentation, no record of first, second shock and rounds of compression due to delay start of scribing.Nurse’s compression begins to become inadequate in quality.Fail to swap with another nurse on compressions as she has been on it for more than 5 minutes. | 180 – 210 seconds | PNTS – Commm (206 sec) | Nil vital signs taken such as blood pressure, HR, SP02. Scribe nurse did not ask for regular vital signs after each set of 2 min

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