Fatima Khan Endocrine System Hourly Rounds Shadow health Objective data

Fatima Khan Endocrine System Hourly Rounds Shadow health Objective data

Objective Data Collection: 10 of 10 (100.0%)

Assessed General Appearance
1. Patient’s Appearance (1.00/1.00 point)

– The patient seems at ease and doesn’t show any signs of acute distress or sickness.
– The patient is not uncomfortable or visually displaying signs of acute distress or illness.

Assessed Vitals
1. Blood Pressure (1.00/1.00 point)

– Blood pressure is within the normal range.
– Blood pressure is high.
– Blood pressure is low.

2. Heart Rate (0.20/0.20 point)

– No unusual findings in heart rate.
– The patient’s heart rate is slow.
– The patient’s heart rate is fast.

3. O2 Saturation (0.20/0.20 point)

– No unusual findings in oxygen saturation.
– Oxygen saturation is low.

4. Respiratory Rate (0.20/0.20 point)

– No unusual findings in respiratory rate.
– The patient’s respiratory rate is slow.
– The patient’s respiratory rate is fast.

5. Temperature (0.20/0.20 point)

– The patient’s temperature is within the normal range.
– The patient’s temperature is high.
– The patient’s temperature is low.

Assessed IV
1. Insertion Site (0.33/0.33 point)

– No visible abnormal signs at the insertion site.
– There is redness at the insertion site.
– There is infiltration at the insertion site.

2. Dressing (0.33/0.33 point)

– The dressing is dry and intact.
– The dressing is moist and/or not intact.

3. IV Fluid (0.33/0.33 point)

– The IV is patent upon flushing.
– The IV is not patent upon flushing.

Assessed Peripheral Pulses
1. Radial Artery Amplitude (0.50/0.50 point)

– Radial artery pulse is absent.
– Radial artery pulse is barely palpable.
– Radial artery pulse is as expected.
– Radial artery pulse is increased.
– Radial artery pulse is bounding.

2. Dorsalis Pedis Artery Amplitude (0.50/0.50 point)

– Dorsalis pedis artery pulse is absent.
– Dorsalis pedis artery pulse is barely palpable.
– Dorsalis pedis artery pulse is as expected.
– Dorsalis pedis artery pulse is increased.
– Dorsalis pedis artery pulse is bounding.

Checked Capillary Blood Glucose
1. Timing (0.33/0.33 point)

– Capillary blood glucose is measured before a meal.
– Capillary blood glucose is measured after a meal.

2. Level (0.33/0.33 point)

– Capillary blood glucose is less than 80 mg/dL.
– Capillary blood glucose is between 80-130 mg/dL.
– Capillary blood glucose is between 130-180 mg/dL.
– Capillary blood glucose is greater than 180 mg/dL.

3. Assessment (0.33/0.33 point)

– The patient has normal blood glucose levels.
– The patient is hypoglycemic (low blood sugar).
– The patient is hyperglycemic (high blood sugar).

Check Insulin Pump
1. Last Bolus (1.00/1.00 point)

– No recent bolus was given.
– A manual bolus was given between 11 AM and 12 PM.
– A manual bolus was given between 10 AM and 11 AM.

Auscultated Breath Sounds
1. Breath Sounds (0.50/0.50 point)

– Breath sounds are clear in all areas.
– Breath sounds are diminished in some areas.
– Breath sounds are absent in some areas.

2. Adventitious Sounds (0.50/0.50 point)

– No adventitious sounds detected.
– Wheezing is present.
– Fine crackles are present.
– Stridor is present.
– Rhonchi are present.
– Rales are present.

Auscultated Heart Sounds
1. Heart Sounds (1.00/1.00 point)

– S1 and S2 heart sounds are audible.
– S1, S2, and S3 heart sounds are audible.
– S1, S2, and S4 heart sounds are audible.
– S1, S2, S3, and S4 heart sounds are audible.

2. Extra Heart Sounds (0.50/0.50 point)

– No extra heart sounds detected.
– Gallops are heard.
– A murmur is heard.
– Friction rub is heard.
– Valve clicks are heard.

Inspected IV Pump
1. Fluid (0.50/0.50 point)

– The correct fluid is in use.
– The incorrect fluid is in use.

2. Flow Rate (0.50/0.50 point)

– The flow rate is correct.
– The flow rate is incorrect.

Palpated Skin
1. Skin Palpation (1.00/1.00 point)

– The skin is warm and dry.
– The skin is cool and sweaty.

Fatima Khan Shadow Health Documentation
Objective Data Collection: 10 of 10 (100.0%)

Correct
Partially Correct

Incorrect
Missed

Assessed General Appearance
1 of 1 points
Patient Appearance (1.00/1.00 point)

Patient appears comfortable, and is not presenting visually with acute distress or illness
Patient appears uncomfortable, or is presenting visually with acute distress or illness

Assessed Vitals
1 of 1 points
Blood Pressure (1.00/1.00 point)

Normotensive
Hypertensive
Hypotensive

Heart Rate (0.20/0.20 point)

No abnormal findings
Bradycardic
Tachycardic

GET INSTANT HELP HERE
O2 Saturation (0.20/0.20 point)

No abnormal findings
Hypoxemia

Respiratory Rate (0.20/0.20 point)

No abnormal findings
Bradypnea
Tachypnea

Temperature (0.20/0.20 point)

Normothermic
Hyperthermic
Hypothermic

Assessed IV
1 of 1 points
Insertion Site (0.33/0.33 point)

No visible abnormal signs
Erythema
Infiltration

Dressing (0.33/0.33 point)

Dressing is dry and intact
Dressing is moist and/or not intact

IV Fluid (0.33/0.33 point)

Patent upon flushing
Not patent upon flushing

Assessed Peripheral Pulses
1 of 1 points
Radial Artery Amplitude (0.50/0.50 point)

0: Absent
1+: Diminished or barely palpable
2+: Expected
3+: Increased
4+: Bounding pulse
Fatima Khan Endocrine System Hourly Rounds Shadow health Objective data

Dorsalis Pedis Artery Amplitude (0.50/0.50 point)

0: Absent
1+: Diminished or barely palpable
2+: Expected
3+: Increased
4+: Bounding pulse

Checked Capillary Blood Glucose
1 of 1 points
Timing (0.33/0.33 point)

Preprandial
Postprandial

Level (0.33/0.33 point)

< 80 mg/dL 80-130 mg/dL 130-180 mg/dL > 180 mg/dL

Assessment (0.33/0.33 point)

Normoglycemic
Hypoglycemic
Hyperglycemic

Check Insulin Pump
1 of 1 points
Last Bolus (1.00/1.00 point)

No recent bolus administered
Manual bolus administered between 11 AM and 12 PM
Manual bolus administered between 10 AM and 11 AM
Fatima Khan Endocrine System Hourly Rounds Shadow health Objective data

Auscultated Breath Sounds
1 of 1 points
Breath Sounds (0.50/0.50 point)

Clear in all areas
Diminished in some areas
Absent in some areas

Adventitious Sounds (0.50/0.50 point)

No adventitious sounds
Wheezing
Fine crackles
Stridor
Rhonchi
Rales

Auscultated Heart Sounds
1 of 1 points
Heart Sounds (1.00/1.00 point)

S1 and S2 audible
S1, S2, and S3 audible
S1, S2, and S4 audible
S1, S2, S3, and S4 audible

Extra Heart Sounds (0.50/0.50 point)

No extra sounds
Gallops
Murmur
Friction rub
Valve clicks

Inspected IV Pump
1 of 1 points
Fluid (0.50/0.50 point)

Correct fluid
Incorrect fluid

Flow Rate (0.50/0.50 point)

Correct rate
Incorrect rate

Palpated Skin
1 of 1 points
Skin Palpation (1.00/1.00 point)

Warm and dry
Cool and diaphoretic
Fatima Khan Endocrine System Hourly Rounds Shadow health Objective data