SOLVED47

I would have the 3-year-old in first with the 1-inch head laceration. I would make sure the patient’s guardian had gauze to apply to the wound with pressure to control the bleeding in the meantime. I would make sure the room was stocked with everything needed for a laceration repair such as sterile drapes, a needle holder, appropriate suture material, surgical scissors, tissue forceps, sterile gauze pads, needles, syringes, and sterile cups/basins. (this would all be on the sterile field). Sterile gloves, bandage scissors, bandage material, antiseptic solution, sterile water or saline, anesthetic, PPE, antibiotic ointment, cotton-tipped applicator, and biohazard and sharps container will be items placed off to the side. Some things I could do to ease the situation while waiting for the physician could be trying to entertain the child so he might not think about the laceration on his head. Show him all the “cool” tools in the office. Reassure the parent or guardian that it will be ok. Next, I would have the 63-year-old with the wrist pain that was an obvious break/fracture. with fractures mobilization of the affected part and prevention of shock are the main concerns. Needing to have the extremity splinted. Elevation of the part and application of a cold pack of ice help prevent swelling. You may have to control bleeding also if there is damage to the exterior. The MA may have to assist the Physician in the traction, alignment, and deduction before applying a splint or cast. If it is more serious it will need to have an exterior frame through which pins or wires are attached to the bones. Things I could do to make sure the patient is calm and not too anxious is offering things like water or a snack. Also explaining to him the things that might happen so he understands and might feel more comfortable about the situation. If you feel like the patient is getting more anxious when you start to explain the procedures make sure to change the subject and possibly talk about something a little lighter. Next, I would take the 32-year-old with ankle pain and can’t walk on it. I would for one bring out a wheelchair and assist him or her in getting into the wheelchair. I would room them and start asking health history questions or things that may have caused this ankle pain to happen. In the meantime, while waiting for the physician I can offer ice and for the patient to lay on the bed with his ankle elevated. The patient may end up needing an x-ray and other tests done. Next, I would take the 55-year-old with a small arm laceration. I would stock the room with things needed to clean and irrigate the wound if needed and also gauze and bandages to dress the wound. Being 55 I would probably just explain to the patient what is going to happen. But if needed I could go in depth in educating him on what’s about to happen and ask him if he has any questions. see if he needs a glass of water. If he’s bleeding, make sure to give him a gauze to stop the blood in the meantime. Lastly, I would take the 10-year-old with skinned knees and elbows. I would make sure to get a system for irrigating out his wounds to make sure there was no dirt or any other particles left in his scrapes. I would bring bandages in case the physician may want to use them but he may not because these scrapes may need to breath to heal rather than being covered up. If the patient started having anxiety about the situation I would sit down and talk to him about what may happen. If that made things worse I would see what he would want to talk about instead. how can i reply to this students discussion post?
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