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Scene 1: Outside on Driveway.
As the nurse drives up to the house, consider the things she needs to be aware of before entering the patient’s house

Your Answer:

Correct Answer:

Key safe, Safe parking, Front door access, Outdoor lighting.

Scene 2: Community Nurse Arrives
Consider how the nurse prepares for the visit prior to entering the house. What does the nurse need to be aware of in order to select the appropriate nursing equipment and where might she have accessed this information? Use the hotspots indicated by the i icon to examine the equipment and how it is stored in the boot.

Your Answer:

Correct Answer:

Patient record on System One, Dressing packs, Computer, PPE, Moving and handling principles of equipment storage – stored to avoid leaning.

Scene 3: Introduction and purpose of visit.
Make notes of how the nurse introduces herself at the start of the visit; what important issues does she establish on first entering the patient’s home and reflect on how this facilitates developing a rapport with the patient?

Your Answer:

Correct Answer:

Nurse’s name and shows ID, Purpose of the visit, Checking the patient’s names and how does the patient want to be addressed? Where does the patient want the visit to be conducted? Verbal consent.

Hall Hazard risks: Activity.
Use the hotpots indicted by the i icon to examine the hazard risks you observe in the patient’s home

Your Answer:

Correct Answer:

Vacuum cleaner near front door, Bike in hallway, Cluttered living space, Lamp on floor, Package by the front door.

Scene 4: Preparing dressing change.
The nurse is preparing for conducting the dressing change; prior to undertaking the dressing, she asks the patient several key questions that enables the nurse to build a holistic assessment of the patient’s care requirements. Make notes on the questions the nurse asks and the issues the patient raises.

Your Answer:

Correct Answer:

Pain assessment, Mobility, Nutritional, Whom the patient lives with and family support network, Wound healing history.

Scene 5: Handwashing.
What does the nurse use to wash her hands?

Your Answer:

Correct Answer:

Not the hand soap, She uses her own cleaning solution.

Scene 6: Conducting the dressing change.
What are the key differences between conducting a non-touch technique in this community scenario than a clinical setting? Click on the i icon for points for consideration.

Your Answer:

Correct Answer:

Access to handwashing facilities, Surfaces to place equipment, Disposable of waste.

Scene 6a: Conducting the dressing change.
What advice does the nurse give the patient about the dressing?

Your Answer:

Correct Answer:

Look for signs of inflammation, Keep the wound clean and dry.

Scene 6b: Conducting the dressing change.
What other issues does the nurse notice in relation to the patients’ physical conditions?

Your Answer:

Correct Answer:

Swollen ankles, Nutrition and Pain.

Scene 7: Summing up.
Before concluding the visit, the nurse mentions referring the patient to several services; make a note of these services and the rationale for the referral.