Description: The article is about ipass login. This is a brief introduction on how I pss the baton can be used in the emergency department. In this article, the author mainly shows how I pass the baton can be used in the emergency department.
My name is Jeff Klassen, I’m here to tell you about a more safer and dignified way to hand over. Some of you have heard of I pass the baton, but you’re not using it because it seems too long and too complicated. It’s not different from the way that you’re signing.
I pass the baton doesn’t stand for anything, you can get rid of it, it’s short. I stands for introduce yourself, do you know how to introduce yourself ? The P and the A and the S are probably what you’re doing. P stands for patient identifiers, such as name sex and age. For example, Mr. Smith is a 46 year old male instructor. A is for your assessment. It can all the details that you would normally put in to your assessment.
The first S stands for the situation. It is a one-line summary of what’s going on with the patient. If you’re like me, you may probably throw in all the relevant background on the patient or 30 relevant social issues. Background is the B.
The second s is for safety issues, this is where I pass the baton starts to get useful. You can take a few seconds to think of anything that the new doctor should know about. Radiology result wasn’t related to their entrance complaint, they have something change with their vitals.
A stands for actions, you actions stands for your sign off with an itemized list of all the actions that need to be done for that results for assessments for polygon CT results. T stands for timing of each of those actions. N stands for which of those actions needs to happen next.
My name is Jeff Watson. Elko is a cat with pancreatitis that is waiting for internal medicine. He is 33 years old in stretcher 3, he is no past medical history, but his alcohol use is suspect, he presented with three days of abdominal pain and vomiting.
He has been vomiting and appearing hypovolemic, his life days came back at 950, a CT abdomen shows some pancreatitis without any surgical complications. His current safety issues include many aspects, number one is hypovolemia.
He has had one liter, he is getting a second liter as we speak. His blood pressure is normal, he feels febrile but these should be monitored. Number two is hypokalemia, his k is 2.1. The third issue I want to bring up is withdrawal. He states that he hasn’t had a drink in about a day, I am suspicious, there may be a component of withdrawal contributing to his tachycardia. I’ve given him a small dose of diazepam.
Number four is his symptom control. He’s much more comfortable after seven point five milligrams of morphine IV and fifty milligrams of Gravol IV, but he’s still not tolerating anything by mouth. The next thing that needs to be done is a reassessment of hypovolemia and possible withdrawal symptoms. We should be in about one hour. The second issue is his electrolytes. I ordered repeat electrolytes to be drawn at 8:30 p.m.
I’ve asked the nurse to keep an eye on them but you should probably have an eye for them. The third issue is admition, he obviously can’t go home, he’s still not eating, he is quite sick. I’ve already spoken to the screening medical resident, they’ve told me that they’re busy but they are on their way, it might be several hours.