Sam Houston State University

NURS MISC Jackson Weber
Age: 5 years
Diagnosis: Generalized Tonic-Clonic Seizures
Score
Feedback Log
0:00 You arrived at the child.
0:00 You introduced yourself.
0:04 You washed your hands. To maintain patient safety it is important to wash your
hands as soon as you enter the room.
0:10 Child status - ECG: Sinus rhythm. Heart rate: 100. Pulse: Present. Blood pressure: 117/79
mmHg. Respiration: 13. Conscious state: Appropriate. SpO2: 99%. Temp: 36.8 C
1:10 Child status - ECG: Sinus rhythm. Heart rate: 100. Pulse: Present. Blood pressure: 119/80
mmHg. Respiration: 14. Conscious state: Appropriate. SpO2: 99%. Temp: 36.7 C
1:16 You identified the child. To maintain patient safety it is important that you quickly
n

identify the child.
1:25 You identified the relatives. This is important, as the patient is below 18 years of
age.
1:42 You obtained legal consent from the child's relative. This was reasonable.
2:10 Child status - ECG: Sinus rhythm. Heart rate: 100. Pulse: Present. Blood pressure: 118/80
mmHg. Respiration: 14. Conscious state: Appropriate. SpO2: 99%. Temp: 36.7 C
2:46 You asked the parent: Does he have any known allergies? The parent replied:
'No. I don't think so.'
3:03 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff.
This will allow you to reassess the child continuously.
3:06 You looked for normal breathing. He is breathing at 14 breaths per minute. The
chest is moving equally.
3:10 Child status - ECG: Sinus rhythm. Heart rate: 100. Pulse: Present. Blood pressure: 118/80
mmHg. Respiration: 14. Conscious state: Appropriate. SpO2: 98%. Temp: 36.7 C
3:27 You checked the pulse at the brachial artery. The pulse is strong, 100 per minute
and regular. It is correct to assess the child's vital signs.
3:51 You measured the <Temperature>temperature<> in the ear. The
temperature was 36.7 C