Mr Jones Case Study Essay

Mr Jones has just entered the hospital with a severe crushing pain in his chest. As an on duty RN not knowing who Mr Jones is or the circumstances of his condition, the first step to take is to have a doctor notified given Mr Jones age, obesity and his chest pain making a heart problem very likely. Second is to make an assessment of his condition and acquire any relevant information and medical history. The right cues pertaining to Mr Jones current condition will be necessary moving forward, as judgments based on inaccurate or incomplete information is a primary reason for clinical mistakes and failure to rescue (Levett-Jones et al., 2010). The current cues which are most concerning are Mr Jones’s severe chest pain, combined with his age weight, and the hour and a
Next will be a round of standard observations from the ADDS chart(respiratory rate, O2 saturation, O2 flow rate when given oxygen, blood pressure, heart rate, temperature, conscious level, pain score etc.). Then a cardiac chest pain chart due to his Angina causing severe chest pain and risk to his heart, an ECG to monitor his heart rhythm for irregularities and start a Fluid balance chart for dehydration due to heart complications or if the heart is not circulating blood effectively, especially in the lungs (Shepherd, 2011). Given Mr Jones’s critical condition these observations will be given every 15 minutes, or when possible, for as long as hospital policy or the doctor requires followed by observations every 30 minutes for however long the hospital requires. Mr Jones’s physical condition is not the only cue that needs assessment; his mental, social, emotional and spiritual concerns should be address once the immediate danger is