response -Ms-02
Jambo
DeploymentFlowchart1.pptxDeployment Flowchart
Patient Background
Educated and active female patient in her mid-forties that is married and has three children.
Exercises
Balanced diet
Non-smoker
Occasional alcohol
History of asthma requiring occasional therapy.
History
Mild intermittent right lower quadrant pain that woke up patient
Low grade fever
Applied heating pad
Pain and fever subsides
Pain and fever returns a few hours later
Patient presents at doctor’s office
Nurse Assessment
Patient taken directly to exam room upon arrival
Vital signs and assessments are completed
Elevated temperature- 102 degrees
Rapid heart rate
Sweating
Holding right lower quadrant
Requests provider evaluation immediately.
Physician Assessment
Physician determines that based on patient’s symptoms she should be transferred to emergency room for further evaluation.
Emergency Room
Oxygen is applied
Patient is NPO
IV is started
Patient receives fluids, pain and anti-nausea medication
Exam completed- diagnosis appendicitis
Recommended immediate surgery
Post Surgery
Surgery successful
Patient transferred to med surg floor
Nurse identifies non-productive cough and crackles in left lower lung
Consultation with resident chest x-ray ordered
Patient diagnosed with lower lobe pneumonia
Antibiotics and medications started
Additional 2 days of hospital care needed
Discharge
Patient PHI sent to patient’s physician
Appointment scheduled with surgeon
Appointment scheduled pulmonary specialist
Appointment scheduled with primary care provider
Patient attends post op meeting
Recommendations made
Patient Recovery
Patient receives in home nursing care for pneumonia
Patient condition slowly recovers
Patient experiences fatigue but improves
Patient sees primary care physician for follow-up
Flowchart
Patient
Primary Care Provider
Emergency Room Provider
Hospital Nurse
Resident
Primary Care Provider
Office Nurse
Surgeon
References
Nelson, E. C., Batalden, P. B., Godfrey, M. M. & Lazar, J. S. (2011). Value by design: developing clinical microsystems to achieve organizational excellence. Jossey-Bass: San Francisco, CA. p. 228.
