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Case: Splinter in finger

S.O.A.P. Questions

S: 4th and 2nd choices
O: 4th and 3rd choices
A: 1st choice
P: 1st and 2nd choices

Examination room
-Magnifying glass and glove on left hand
-Magnifying glass on left forearm
-Glove on left upper arm
-Thermometer in mouth

Laboratory
-Blood test complete blood count and glucose on elbow

Treatment
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th), gauze (5th), topical med (6th) and bandage (7th) on left hand
-IV med on forearm (8th)
-Call in family doctor to continue care and admit

Patient 080
Case: Hurt neck in car accident

S.O.A.P. Questions

S: 2nd and 2nd choices
O: 4th and 3rd choices
A: 2nd choice
P: 3rd and 4th choices

Examination room
-Sphygmomanometer on upper arm
-Stethoscope on heart
-Glove on chin/neck, left hand and left foot

Treatment
-Cervical collar on chin/neck (1st)
-IV (2nd) and IV med (3rd) on upper arm
-Tongue guard in mouth (4th)
-Transfer to trauma unit

Patient 081
Case: Sore throat, rash

S.O.A.P. Questions

S: 2nd and 1st choices
O: 2nd and 4th choices
A: 1st choice
P: 1st and 1st choices

Examination room
-Magnifying glass on chest, nose, left and right upper arms, left and right eyes, mouth and chin/neck
-Stethoscope on heart
-Othoscope on left and right ears
-Thermometer and tongue depressor in mouth

Laboratory
-Swab culture throat/quick on mouth

Treatment
-PO meds in mouth
-Discharge

Patient 082
Case: Took some pills

S.O.A.P. Questions

S: 3rd and 1st choices
O: 4th and 1st choices
A: 2nd choice
P: 3rd and 3rd choices

Examination room
-Sphygmomanometer on upper arm
-Stethoscope and EKG on heart
-Respirometer and tongue depressor in mouth
-Penlight on left and right eyes

Laboratory
-Blood gas test oxygen/carbon dioxide on wrist
-Blood test glucose and toxic screen on elbow

Treatment
-IV on forearm (1st)
-NG tube in nose (2nd)
-Call in psychiatrist to continue care and admit
-Hospital orders
-Poison control consulted
-Patient monitored

Patient 083
Case: Pain in side, blood in urine

S.O.A.P. Questions

S: 3rd and 1st choices
O: 4th and 3rd choices
A: 2nd choice
P: 2nd and 3rd choices

Examination room
-Stethoscope on heart
-Thermometer in mouth
-Glove on pelvis and right flank

Imaging room
-Ultrasound on pelvis

Laboratory
-Urine test microbiology, microchemistry and microcytology on pelvis
-Blood test complete blood count and kidney panel on elbow

Treatment
-IV (1st) and IV med (2nd) on forearm
-Call in urologist to continue care and admit

Patient 084
Case: Hit on side

S.O.A.P. Questions

S: 2nd and 3rd choices
O: 2nd and 1st choices
A: 2nd choice
P: 1st and 3rd choices

Examination room
-Sphygmomanometer on upper arm
-Stethoscope on heart
-Magnifying glass and glove on left flank
-Glove on abdomen and chest

Imaging room
-Ultrasound on pelvis

Laboratory
-Blood test complete blood count and type and cross on elbow
-Urine test dipstick on pelvis

Treatment
-IV on forearm
-Call in urologist to continue care and admit
-Hospital orders
-Patient advised to take no food or drink by mouth

Patient 085
Case: Caught finger in car door

S.O.A.P. Questions

S: 4th and 1st choices
O: 4th and 1st choices
A: 1st choice
P: 4th and 1st choices

Examination room
-Magnifying glass and glove on right hand

Treatment
-Med syringe on upper arm (1st)
-Sponge (2nd), needle (3rd) and bandage (4th) on right hand
-PO meds in mouth (5th)
-Discharge

Patient 086
Case: Cut thumb pad using power saw

S.O.A.P. Questions

S: 2nd and 3rd choices
O: 3rd and 2nd choices
A: 2nd choice
P: 2nd and 2nd choices

Examination room
-Magnifying glass and glove on left hand

Imaging room
-X-ray left hand

Treatment
-Bandage on left hand (1st)
-IV med on forearm (2nd)
-Call in hand surgeon to continue care and treatment
-Hospital orders
-Extremity elevated
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Level 5 patients-CODE BLUE!! Well, not all, but the patients are hurting.
Badly.

Patient 087
Case: Severe stomach pain

S.O.A.P. Questions

S: 3rd and 1st choices
O: 1st and 1st choices
A: 2nd choice
P: 2nd and 3rd choices

Examination room
-Magnifying glass, glove and stethoscope on abdomen
-Thermometer and respirometer in mouth
-Stethoscope on heart

Laboratory
-Blood test amylase, complete blood count, hemoglobin/hemacrotit and bleeding times on elbow
-Urine test microchemistry on pelvis

Treatment
-IV (1st) and IV med (2nd) on forearm
-NG tube in nose (3rd)
-PO meds in mouth (4th)
-Call in gastroenterologist to continue care and admit
-Hospital orders
-Patient advised to take nothing by mouth except medications

Patient 088
Case: Face and neck itch

S.O.A.P. Questions

S: 3rd and 1st choices
O: 1st and 2nd choices
A: 2nd choice
P: 2nd and 1st choices

Examination room
-Magnifying glass on left and right cheeks and eyes and chin/neck
-Stethoscope on heart and chest
-Tongue depressor in mouth

Treatment
-Med syringe on upper arm
-Discharge
-Hospital orders
-Patient rechecked; normalizing

Patient 089
Case: Arms and face itch

S.O.A.P. Questions