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Part 1 of the scenario
- Mr. Z, a 55 year old male, is at work in Building 66 when he notices a sudden pain in his chest and left arm.
- He calls 911 and waits in his office until the local paramedics arrive.
- When the paramedics arrive, they record:
- his name,
- age,
- ECG,
- and medical history.
How the application will be used by the users for part 1:
The paramedics log into the application:
They create a new patient folder:
They then fill the main information:
Part 2 of the scenario
- The nurses perform an ECG of their own on Mr. Z
- The nurses determine that he is having a heart attack.
- The nurses quickly ask for a few details about
- the history of the pain
- the symptoms
- any allergies they should be aware of.
- They note down only the most important things, like allergies or current treatments that might interfere with treatment
- They will record the other information on his medical history once they have the time.
- As Mr. Z is was not allergic to aspirin, the nurses quickly administer a dose,
How the application will be used by the users for part 2:
The nurse log into the application (and select the patient Mr. Z in the list as we have seen precedently:
The nurses perform an ECG of their own on Mr. Z:
- The nurses determine that he is having a heart attack.
- The nurses quickly ask for a few details about
- the history of the pain
- the symptoms
- They note down only the most important things, like allergies or current treatments that might interfere with treatment
- They will record the other information on his medical history once they have the time.
Part 3 of the scenario
The doctor reads the nurses notes and sends Mr. Z into the coronarography room to have a balloon catheter inserted into his blocked artery (percutaneous coronary intervention, a.k.a. angioplasty). The doctor prescribes Heparin to prevent blood clotting.
Part 4 of the scenario
Over the next few days after the angioplasty Mr. Z. is also monitored, but less closely. The nurses come by to dispense medications, note his medical status, take samples ordered by the doctors, record ECG data to assess his heart function, monitor blood pressure, and perform blood tests to check for infection. The nurses note other kinds of information important to taking care of the patient such as his shellfish allergy. Two different doctors stop by visit Mr. Z everyday day, one in the morning, one at the end of the afternoon. The doctors read through any pertinent notes left by the other doctor, and the nurses. The doctors then examine the patient and make adjustments to the orders. At the end of the stay (typically a few days for a heart attack), a doctor reviews Mr. Z's information to ensure that no other problems are present. The doctor decides that Mr. Z is well enough to leave the ICU. When Mr. Z leaves, the doctor reviews the medications prescribed and procedures performed by the hospital to send an accurate bill to his insurance provider.