Describe the specific situation

Reference no: EM133364398

Case Study: A 34-year-old male, who had a ruptured appendix nine days previously, presents to the nurse in triage with a complaint of back and neck pain and a feeling of dread. At triage, the patient's vital signs are pulse 120, temp 98.9, and respiratory rate 28. Saturations on room air are 88%.

The nurse in triage discusses the case with one of the physicians, who recommend ABGs and a STAT portable chest X-ray. The X-ray is abnormal, with changes consistent but not diagnostic for pulmonary embolism.

The physician orders a PA and Lateral chest X-ray in the radiology department. The patient's tachypnea and tachycardia are exacerbated, and the nurse is concerned about sending the patient out of the emergency department (ED) without monitoring. She voices her concern to the physician, who reevaluates the patient and judges him to be safe to travel to radiology without a monitor. She again voices her concerns, and the physician tells her to get the patient to radiology. The unmonitored patient becomes unresponsive in radiology and is rushed back to the ED, where a code is called. ACLS protocols are followed, but the patient dies. What else could you have said if you were the nurse and felt it was necessary to have the patient monitored?

Questions:

D: Describe the specific situation

E. Express your concerns about the action

S. Suggest other alternatives

C. Consequences should be stated.

Reference no: EM133364398

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