Location: emergency room subjective: this is a 38-year-old female who presents to the emergency room with a history of currently being under treatment for a right corneal abrasion that occurred on sunday. she states she was seen by the "eye doctor earlier today" and now has a bandage over her eye. apparently her eye is opened underneath the bandage and she is unable to close her eyelid. she feels her eyelid is stuck to the bandage. objective: she is afebrile with stable vital signs. the patch was removed and there was a folded piece of telfa that had slipped down and her upper eyelid was unable to close over the top of this. the telfa was removed and a wet patch was placed. this did provide significant comfort. her eye patch was reinforced. assessment: 1. right corneal abrasion under treatment. 2. eye patch replaced as described above. plan: she has a follow up visit tomorrow morning with ophthalmology. i told her she needs to keep that appointment. she is to return here sooner if she is having increasing problems. cpt code:

How does enthusiasm one advance on the job?

Rita schmidt, 74 years of age, is a female patient who was admitted to the surgical unit after undergoing removal of a section of the colon for colorectal cancer. the patient does not have a colostomy. the patient has several small abdominal incisions and a clear dressing over each site. the incisions are well approximated and the staples are dry and intact. there is a jackson-pratt drain intact with minimal serous sanguineous drainage present. the patient has a salem sump tube connected to low continuous wall suction that is draining a small amount of brown liquid. the patient has no bowel sounds. the foley catheter has a small amount of dark amber-colored urine without sediments. the patient has sequential compression device (scd) in place. the nurse performs an assessment and that the patient's breath sounds are decreased bilaterally in the bases and the patient has inspiratory crackles. the patient's cardiac assessment is within normal limits. the patient is receiving o2 at 2 l per nasal hg; heart rate 110 bpm; respiratory rate 16 breaths/min; and the patient is afebrile. the patient is confused as to place and time. cannula with a pulse oximetry reading of 95%. the vital signs include: blood pressure, 100/50 mm. a. explain the assessment parameters used to provide clues to detect postoperative problems early and the interventions needed. b. what gerontological postoperative considerations should the nurse make?

Apatient was improperty positioned during a surgical procedure and suffered continual muscle compression. which of the following emergency procedures should the surgical technologist anticipate to relieve pressure of the deep tissues? a. embolectomy b. osteotomy c. fasciotomy d. phlebectomy