HLBN 621 Nursing Practice Case Study
This assessment relates to Nga Huanga/Learning Outcomes 1 – 10
This Case Study has three parts:
Once you have completed the Formative Workbook answer the Summative Assessment questions. Your answers should be thorough yet concise.
You are required to submit your Formative Workbook however this will not be assessed.
Flora Jones is a 35-year old female that has been brought into the Emergency Department (ED) following a high-speed car crash. She was hit from behind travelling at 100 kilometres per hour. She was wearing a seat belt and was trapped in the car for 45-minutes before being cut out by the fire service and brought into ED by ambulance. She is immobilised in a hard-collar and backboard.
In order of priority, what nursing assessments might the triage nurse conduct? Provide a rationale for your choices.
Explain the process of triage and what physiological parameters the nurse may use to assign a triage code.
On examination in ED Flora has a large laceration over her left temporal area and abrasions across her chest and abdomen from the seatbelt she was wearing. She is complaining of pain over her hips. She is opening her eyes to voice, is confused and is localising to pain.
What is Flora’s Glasgow Coma Scale (GCS)?
Flora’s vital signs are:
|Blood Pressure:||110/50 mmHg|
|Heart Rate:||110 beats/minute|
|Respiratory Rate:||24 breaths/minute|
|Oxygen Saturations:||98% on room air|
|Glasgow Coma Scale (GCS)||12/15|
The nurse assigns Flora a Triage Code Two using the Australasian Triage Scale (ATS). Explain what a Triage Code Two means and why the nurse would have assigned this code. HLBN 621 Nursing Practice Case Study