TEACH FOR NURSES LESSON PLAN
Chapter 30: Bedside Assessment and Electronic Documentation
CHAPTER OBJECTIVES
1. Use recommended techniques to perform an appropriate reassessment of the hospitalized patient.
STUDENT RESOURCES
understand
• Textbook Chapter 30
• Sherpath for Medical-Surgical Nursing*
• Animations (Evolve website)
apply
• Case Studies (Evolve)
• Elsevier Adaptive Quizzing*
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INSTRUCTOR RESOURCES
before class
• Nursing Curriculum Standards (below)
in class
• PowerPoint Presentations (Evolve)
* Sold separately from textbook.
TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
THE HEALTH HISTORY
GENERAL APPEARANCE
Emphasize that the nurse
should have adequate
knowledge of the patient
and his or her condition
• Activity: Have students submit appropriate documentation for an examination they have performed.
• Clinical Activity: Assign students to work with a preceptor in the hospital setting to perform a
number of assessments on hospitalized patients.
• Activity: Have students review assessments of hospitalized patients completed by another
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
ELECTRONIC HEALTH
RECORDING
Patient Safety
Discuss the fact that any
new neurologic issue may
be a sign of serious
complications.
Note that an intravenous
(IV) site can easily become
infected or broken down;
emphasize the importance
of good IV site care.
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
Provide the students with
several scenarios and have
IN-CLASS/ONLINE CASE STUDY
M.R., a 51-year-old man, was rushed to the emergency department after a motor vehicle accident 3 days ago. M.R. is now in the intensive care unit
(ICU).
Subjective Data
Lost consciousness at the scene
Pain 6/10 in left leg and right arm
Family at bedside
Objective Data
Fractured left femur, repaired with casting, same day as accident; casting clean, dry, and intact; positive distal pulses; positive cap refill toes
Fractured left wrist, repaired with external fixator, same day as accident; four pins, clean, dry, and intact with two fixator rods lateral surfaces;
Questions
1. What physical assessment data are collected during shift assessment?
30-5
2. Assess and document the patient’s pain assessment.
3. Identify the differences between comprehensive assessment and shift assessment.
4. How will the nurse adapt the assessment of the skin to the hospitalized patient?
5. How will the nurse adapt the assessment of the musculoskeletal system for this patient?
Answers
1. Common physical assessment data collected during shift assessment include the following:
2. Procedure: Perform a symptom analysis of the patient’s pain.
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4. Assessment of the skin is adapted to the hospitalized patient as follows:
NURSING CURRICULUM STANDARDS
QSEN/NLN COMPETENCIES
• Teamwork and Collaboration/Professional Identity
o Using SBAR For Staff Communication
• Quality Improvement/Spirit of Inquiry
NURSING CONCEPTS
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The following conceptual themes and specific concepts match those presented in Giddens, J. F. (2017). Concepts for nursing practice (2nd ed.).
St. Louis: Elsevier. The specific exemplars chosen and listed below for each concept have been tailored specifically to correspond to the Jarvis
textbook.
A full Concept-Based Curriculum Map covering the entire book can be found in the “Download by Resource Type” folder on Evolve.
THEME: Protection and Movement
BSN ESSENTIALS
• Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety
o Using SBAR For Staff Communication
o Patient Safety