Assignment title: Management
You are working as an Enrolled Nurse in the Emergency Department (ED) when 82 year old Mr Barber (of Greek heritage – and Greek Orthodox religion) is brought in by ambulance at 8pm on the 6/3/2013. Handover from the paramedics is as follows: • 6 hour history haematemasis and epigastric pain • Vomited x 4 bright blood • Mr Barber called the ambulance because he felt dizzy, sat down on the floor and was unable to get up • Ambulance noted approx. 150ml haematemasis in a bucket on arrival Past History: • Diverticulitis • Emphysema • Ischaemic heart disease • Osteoarthritis • Morbid obesity: BMI 42 ` Social History; • Mr Barber is the sole carer for his 80 year old wife who has dementia. Mrs Barber has been left in the care of a neighbour. You note that Mr Barber's clothes are blood stained on arrival. He states that he is feeling nauseous. Please answer each of the following questions: 1. The nurse completes an assessment of Mr Barber's condition on arrival. Explain the following in relation to the assessment process. a) Discuss the type of infection control policy would be implemented for Mr Barber? (50-100 words) b) List the PPE precautions that the nurse would use during assessment. c) Review the vital signs on the ADDS chart. Discuss how these parameters relate to evaluating the severity of blood loss? (50 words) d) Review the medication chart and discuss the action of the drug prescribed for nausea. (50-100 words)