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Emergency Room 2
Emergency Room 2 (ER 2) FAQ
Copyright of Paul Pike [KawaiiNeko333@aol.com]
ER 2 is copyright of Legacy Interactive (www.legacyinteractive.com)
Version 1.0 Final
Ok everyone listen up! I want everyone to know that this is my work and I don't
want anybody ripping this FAQ off for themselves.
What is Emergency Room 2?
=========================
Emergency Room 2, created by Legacy Interactive, is a sim game in which you
take in patients, exam them and treat them. The whole goal of the game is to
make Chief of Staff by handling 100+ missions.
The Med-o-matic
===============
The Med-o-matic is your best friend in this game. The functions of it are:
S.O.A.P. (Subjective, Objective, Assessment and Plan)
Notes (Used to review which tests you've done)
Comm. (Used to talk to either Dr. D. Boss or whomever the doctor is in the room
for help)
Glossary (Used to look up medical terms for problems and body parts)
S.O.A.P.: Answering the questions of the S.O.A.P. allows you to get more points
and make good with Dr. D. Boss. The S.O.A.P. quesations here are done in
respective order from top to bottom (ex. S: 2nd and 1st choices. That means on
the Subjective Part, click on the 2nd circle, go down, then click the 1st
circle.)
Notes: You can look at the notes to see what the results were of the test you
did.
Comm.: Besides talking to Dr. D. Boss, you can use this to ask for help from
other doctors in the current room.
Examination Room: Keri Taker
Imaging Room: C.N. Sideyou
Laboratory: Mike Roscope
Treatment: Drew R. Dyer
Glossary: Do I need to say anything more?
Tools of the trade
==================
Examination Room
----------------
EKG: Used on the heart to record the electric impulses in the heart
Sphygmomanometer [say that 3X fast ;)]: Used on the upper arm to measure blood
pressure
Thermometer: Used in the mouth to measure the body temperature
Respirometer: Used to measure the patient's respiration rate
Magnifying Glass: Used to examine a part of the body
Glove: Used to get palpation info on a body part
Pulsometer: Used on a finger to measure the pulse rate
Stethoscope: Used on the heart to hear heart sounds, on the lungs to hear
respiration sounds, and on the abdomen to hear bowel sounds
Penlight: Used on the eye to check pupil response
Nasoscope: Used on the nose to examine the nasal mucosa
Othalmoscope: Used on the eye to inspect the inside of the eye
Tongue depressor: Used in the mouth to examine the mouth and throat
Othoscope: Used on the ear to view inside the ear
Eye dye: Used on the eye to detect abnormalities in the cornea
Imaging room
------------
X-ray: Used to take a photograph of the inside of the body
Ultrasound: Used for diagnostic or therapeutic purposes
CAT Scan: Used to get tomography info
Laboratory
----------
Blood test: Used to measure hemoglobin/hematocrit, type and cross, complete
blood count, amylase, glucose, liver enzyme, kidney panel, cardiac enzyme,
monospot, gall bladder panel, poison screen, blood alcohol, theophylline level
and toxic screen
Urine test: Used to measure dipstick, microbiology/chemistry/cytology
Swab culture: Used to measure throat/quick
Blood gas test: Used to measure O2/CO2 and carboxyhemoglobin
Stool test: Used to measure bacteria, ova/parasites and hemoccult
Treatment
---------
Nasal Prongs: Inserted into the nostrils to administer oxygen as treatment
protocol
Ear, Eye and Nose Drops: Medication administered into the ear, eye or nose
Sponge: Used to cleanse a wound skin area
Ambu Bag: Squeezable air reservoir used over the mouth to provide ventilation
Cervical Collar: Used to immobilize the neck
Silver Nitrate/Hot Cautery Tip: Used to stop a wound from bleeding or to
release a subungal hematoma
Wrap: Used to apply compression on an extremity
ET (Endo-tracheal) Tube: Placed in the trachea through the mouth for
ventilation
Tongue Guard: Used in the mouth for seizure protection
Irrigation Syringe: Used to irrigate a wound
Medication Syringe: Used to inject medication in the upper arm or locally at
the wound site
Forceps: Used to explore and debride wounds, and to remove foreign bodies
Oxygen Mask: Placed over the mouth and nose to improve oxygen
PO Meds (Per Oral Medications): Medications taken by mouth
Compress: Used to apply a warm or cool compress to an area
Topical Medication: Medications placed topically on the skin
Aerosolized Medications: Medications inhaled through the mouth into the airways
IV Medications: Medication infused through the IV system (usually in the
forearm)
NG (Nasal-gastric) Tube: Inserted into the nose to pump the stomach of its
contents or to decompress air in the GI tract
Gauze: Used to pack wounds
Splint Material: Used to immobilize an extremity
Nasal Splint: Used to immobilize the nose
Bandage: Used to dress a wound
Gel: Anesthetic applied to certain wounds
IV: Inserted into a vein (usually the forearm) to established an IV route,
increase fluid volume, or infuse blood
Needle (not on tool explanation list): Used to suture wounds
The patients await you, doc!
-----------------------------------------------------------------------------------------------
Level 1 cases-Very simple. Nothing life threatening here
Patient 000
Case: Itchy hands
S.O.A.P. Questions
S: 1st and 2nd choices
O: All 1st choices
A: 4th choices
P: 3rd and 1st choices.
Examination room
-Magnify glass on left and right hands
-Stethoscope on chest
Treatment
-Medication syringe on right upper arm (1st)
-Sponge on left and right hand (2nd and 3rd)
-Discharge
-Hospital orders
-Recheck patient
Patient 001
Case: Wheezing
S.O.A.P. Questions
S: 1st and 1st choices
O: 1st and 3rd choices
A: 1st choice
P: 2nd and 1st choice
Examination room
-Stethoscope on chest and heart
-Sphygmomanometer on upper arm
-Respirometer in mouth
-Magnifying glass on chest
-EKG on heart
Treatment
-Med syringe on upper arm (1st)
-Aero med to mouth (2nd)
-Discharge
-Hospital orders
-Patient under constant monitoring
-Patient rechecked
-Patient encouraged to drink fluids
Patient 002
Case: Burnt forearm
S.O.A.P. Questions
S: 2nd and 1st choices
O: 3rd and 3rd choices
A: 2nd choice
P: 3rd and 2nd choices
Examination room
-Glove and magnifying glass on left forearm
Treatment
-Sponge (1st), forceps (2nd), topical med (3rd) and bandage (4th) on left
forearm
-Discharge
Patient 003
Case: Hurt playing soccer
S.O.A.P. Questions
S: 3rd and 4th choices
O: 2nd and 4th choices
A: 1st choice
P: 4th and 1st choices
Examination room
-Magnifying glass and glove on left ankle
Imaging room
-X-ray on left ankle
Treatment
-Compress (1st) and splint (2nd) on left ankle
-Discharge
-Hospital orders
-Dispense crutches
-Extremity elevated
-Area immobilized
Patient 004
Case: Hurt wrist while rough housing
S.O.A.P. Questions
S: 3rd and 1st choices
O: 4th and 2nd choices
A: 3rd choice
P: 2nd and 1st choices
Examination room
-Magnifying glass and glove on left wrist
Imaging room
-X-ray left wrist
Treatment
-Compress (1st) and splint (2nd) on left wrist
-Discharge
-Hospital orders
-Area elevated
-Area immobilized
Patient 005
Case: Stuck something up nose
S.O.A.P. Questions
S: 4th and 3rd choices
O: 3rd and 4th choices
A: 1st choice
P: 1st and 1st choices
Examination room
-Magnifying glass, glove, and nasoscope on nose
-Glove on both cheeks
Treatment
-Nasal spray (1st), magnetized instrument (2nd) irrigation syringe (3rd) and
drops (4th) on nose
-Discharge
Patient 006
Case: Ear hurts
S.O.A.P. Questions
S: 2nd and 1st choices
O: 3rd and 1st choices
A: 4th choice
P: 1st and 1st choices
Examination room
-Othoscope on right ear
-Thermometer in mouth
Treatment
-Nasal spray on nose
-PO meds in mouth
-Drops on right ear
-Discharge
Patient 007
Case: Ear painful
S.O.A.P. Questions
S: 3rd and 2nd choices
O: 3rd and 4th choices
A: 4th choice
P: 3rd and 1st choices
Examination room
-Othoscope on right ear
Treatment
-PO meds in mouth
-Discharge
Patient 008
Case: Fell on bars, hurt elbow
S.O.A.P. Questions
S: 4th and 2nd choices
O: 1st and 3rd choices
A: 1st choice
P: 4th and 1st choice
Examination room
-Magnifying glass and glove on right elbow
Imaging room
-X-ray on right elbow
Treatment
-Compress (1st) and splint (2nd) on right elbow
-Discharge
-Hospital orders
-Area elevated
-Area immobilized
Patient 009
Case: Stepped on something
S.O.A.P. Questions
S: 4th and 2nd choices
O: 3rd and 4th choices
A: 4th choice
P: 4th and 1st choices
Examination room
-Magnifying glass and glove on left foot
Imaging room
-X-ray on left foot
Treatment
-Spongue (1st), med syringe (2nd,) forceps (3rd), irrigation syringe (4th),
magnetized instrument (5th), topical med (6th) and bandage (7th) on left foot
-Discharge
Patient 010
Case: Sore throat, hurts to swallow
S.O.A.P. Questions
S: 2nd and 1st choices
O: 2nd and 1st choices
A: 3rd choice
P: 2nd and 1st choices
Examination room
-Glove on chin/neck
-Thermometer and tongue depressor in mouth
Treatment
-PO meds in mouth
-Discharge
-Hospital orders
-Warm salt water gargle
-Anesthetic swallow administered
Patient 011
Case: Fell by pool, hurt thigh
S.O.A.P. Questions
S: 3rd and 1st choices
O: 4th and 1st choices
A: 2nd choice
P: 2nd and 1st choice
Examination room
-Glove on left hip, left thigh and pelvis
-Magnify glass on left thigh and left hip
Treatment
-Sponge (1st), forceps (2nd), topical med (3rd) and bandage (4th) on left thigh
-Discharge
Patient 012
Case: Hurt leg moving furniture
S.O.A.P. Questions
S: 3rd and 2nd choices
O: 2nd and 1st choices
A: 1st choice
P: 4th and 1st choices
Examination room
-Magnifying glass on left leg
-Glove on left ankle, left leg and left knee
Imaging room
-X-ray left knee
Treatment
-Sponge (1st), forceps (2nd), topical med (3rd) and bandage (4th) on left leg
-Discharge
Patient 013
Case: Hurt arm playing baseball
S.O.A.P. Questions
S: 4th and 2nd choices
O: 3rd and 1st choices
A: 3rd choice
P: 2nd and 1st choices
Examination room
-Glove on right elbow, right forearm and right wrist
-Magnifying glass on right forearm
Treatment
-Compress (1st) and wrap (2nd) right forearm
-Discharge
-Hospital orders
-Patient advised to rest injured extremity
-Extremity elevated
Patient 014
Case: Fell ice skating, hurt ankle
S.O.A.P. Questions
S: 4th and 3rd choices
O: 2nd and 3rd choices
A: 4th choice
P: 2nd and 1st choices
Examination room
-Magnifying glass and glove on right ankle
Imaging room
-X-ray right ankle
Treatment
-Compress (1st) and spling (2nd) on right ankle
-Discharge
-Hospital orders
-Ankle elevated
-Ankle immobilized
-Crutches dispensed
-X-ray confirms anatomical positioning
-----------------------------------------------------------------------------------------------
Level 2 Patients-They're getting a little sicker.
Patient 015
Case: Stomach pain, vomitting
S.O.A.P. Questions
S: 4th and 4th choices
O: 1st and 4th choices
A: 1st choice
P: 3rd and 3rd choice
Examination room
-Stepthoscope on heart and abdomen
-Glove and magnifying glass on abdomen
-Thermometer in mouth
Imaging room
-X-ray on abdomen
Laboratory
-Blood test hemoglobin/hematocrit, glucose, complete bloodcount and
sodium/potassium on elbow
-Urine test microchemistry on pelvis
Treatment
-PO meds in mouth (1st), IV med in forearm (2nd)
-Call in surgeon to continue care and admit
-Hospital orders
-Patient advised to take nothing by mouth except medications
Patient 016
Case: Sore throat, coughing, fever
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 1st and 2nd choices
A: 1st choice
P: 2nd and 1st choices
Examination room
-Stethoscope on heart and chest
-EKG on heart
-Tongue depressor, thermometer, magnifying glass and respirometer in mouth
-Sphygmomanometer on upper arm
Imaging room
-X-ray chest
Laboratory
-Blood gas test Oxygen & Carbon Dioxide
-Blood test complete blood count
Treatment
-PO meds in mouth
-Discharge
Patient 017
Case: Painful to look at light
S.O.A.P. Questions
S: 2nd and 2nd choices
O: 1st and 2nd choices
A: 3rd choice
P: 4th and 1st choice
Examination room
-Magnifying glass, othalmoscope, penlight and eyedrops on right eye
Treatment
-Irrigation syringe and drops on right eye
-Discharge
Patient 018
Case: Stabbed in side
S.O.A.P. Questions
S: 1st and 3rd choices
O: 2nd and 2nd choices
A: 3rd choice
P: 4th and 1st choice
Examination room
-Magnifying glass and glove on abdomen
-Sphygmomanometer on upper arm
-Respirometer in mouth
-Stethoscope on heart and abdomen
Treatment
-IV and IV med in forearm
-Nasal prongs in nose
-Transfer to trauma unit
Patient 019
Case: Sore throat, fever
S.O.A.P. Questions
S: 2nd and 2nd choice
O: 3rd and 1st choice
A: 4th choice
P: 1st and 1st choice
Examination room
-Stethoscope and glove on abdomen
-Glove on chin/neck
-Tongue depressor and thermometer in mouth
Laboratory
-Blood test complete blood count
Treatment
-Discharge
-Hospital orders
-Patient advised some antibiotics may cause rash
-Patient advised that no specific medication is available
Patient 020
Case: Splinter in palm
S.O.A.P. Questions
S: 2nd and 1st choices
O: 1st and 2nd choices
A: 4th choice
P: 4th and 1st choices
Examination room
-Magnifying glass and glove on left hand
Treatment
-PO meds in mouth (1st)
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th),
bandage on left hand
-Discharge
-Hospital orders
-Elevate area
Patient 021
Case: Stabbed in arm
S.O.A.P. Questions
S: 1st and 2nd choices
O: 2nd and 2nd choices
A: 4th choice
P: 2nd and 1st choice
Examination room
-Magnifying glass and glove on right forearm
Treatment
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th),
gauze (5th), topical med (6th) and bandage (7th) on left arm
-Discharge
Patient 022
Case: Inflamed throat, fever
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 4th and 4th choices
A: 1st choice
P: 2nd and 1st choice
Examination room
-Thermometer, tongue depressor and magnifying glass in mouth
-Glove on chin/neck
Laboratory
-Swab culture throat/quick in mouth
Treatment
-PO meds in mouth
-Discharge
-Hospital orders
-Warm salt water gargle administered
-Anesthetic swallow administered
Patient 023
Case: Sore throat, swollen glands
S.O.A.P. Questions
S: 1st and 1st choices
O: 2nd and 4th choices
A: 3rd choice
P: 3rd and 1st choices
Examination room
-Tongue depressor, thermometer and magnifying glass in mouth
-Glove on chin/neck
Treatment
-PO meds to mouth (1st)
-Compress to left and right cheek (2nd and 3rd)
-Discharge
-Hopsital orders
-Warm salt water gargle administered
Patient 024
Case: Rash
S.O.A.P. Questions
S: 4th and 2nd choices
O: 2nd and 2nd choices
A: 4th choice
P: 3rd and 1st choices
Examination room
-Magnify mouth and nose
-Tongue depressor in mouth
Treatment
-PO meds (1st), sponge (2nd) and topical med (3rd) to mouth
-Discharge
Patient 025
Case: Fell from skateboard, hurt elbow
S.O.A.P. Questions
S: 1st and 1st choices
O: 2nd and 3rd choices
A: 2nd choice
P: 2nd and 3rd choices
Examination room
-Magnifying glass and glove on left elbow
Imaging room
-X-ray left elbow
Laboratory
-Urine test microbiology, microchemistry and microbiolgy on pelvis
-Blood test type, hemoglobin/hematocrit and complete on elbow
Treatment
-Compress on left elbow
-Call in orthopedist to continue care and admit
-Hospital orders
-Extremity elevated
-Elbow immobilized
Patient 026
Case: Hurt shoulder playing football
S.O.A.P. Questions
S: 2nd and 1st choices
O: 3rd and 3rd choices
A: 3rd choice
P: 2nd and 3rd choices
Examination room
-Magnifying glass and glove on right shoulder
Imaging room
-X-ray on right shoulder
Laboratory
-Blood test complete blood count, hemoglobin/hematocrit and type and cross on
elbow
-Urine test microbiology, microchemistry and microcytology on pelvis
Treatment
-Compress on right shoulder
-Call in orthopedist to continue care and admit
-Hospital orders
-Shoulder immobilized
Patient 027
Case: Scraped side
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 2nd and 4th choices
A: 4th choice
P: 4th and 1st choices
Examination room
-Magnify left flank
-Glove on abdomen, left flank and chest
-Stethoscope on heart
Laboratory
-Urine test dipstick on pelvis
Treatment
-Sponge (1st), topical med (2nd) and bandage (3rd) on left flank
-Med Syringe on upper arm
-Discharge
Patient 028
Case: Fell on sprinkler
S.O.A.P. Questions
S: 4th and 4th choice
O: 4th and 2nd choice
A: 1st choice
P: 2nd and 1st choice
Examination room
-Magnifying glass, glove, penlight and eye dye on right eye
-Glove on chin/neck
Treatment
-Sponge (1st), forceps (2nd), topical med (3rd) and bandage (4th) on right eye
-Med syringe (5th) on upper arm
-Discharge
Patient 029
Case: Cut chin in car accident
S.O.A.P. Questions
S: 3rd and 3rd choices
O: 3rd and 2nd choices
A: 2nd choice
P: 1st and 2nd choice
Examination room
-Maginfying glass and glove on chin/neck
-Glove and tongue depressor in mouth
Treatment
-Sponge (1st), forceps (2nd) and bandage (3rd) on chin
-Med syringe on upper arm
-Call plastic surgeon to continue treatment
Patient 030
Case: Cut thigh while woodworking
S.O.A.P. Questions
S: 4th and 3rd choices
O: 2nd and 1st choices
A: 4th choice
P: 3rd and 1st choices
Examination room
-Magnifying glass and glove on right thigh
-Stethoscope on heart
Treatment
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th),
needle (5th), topical med (6th) and bandage (7th) on right thigh
-Discharge
Patient 31
Case: Cut finger with knife
S.O.A.P. Questions
S: 3rd and 1st choices
O: 1st and 3rd choices
A: 2nd choice
P: 4th and 2nd choice
Examination room
-Magnifying glass and glove on left hand
Imaging room
-X-ray left hand
Treatment
-Sponge (1st) and bandage (2nd) on left hand
-IV med (3rd) on forearm
-Call in hand surgeon to continue care and admit
-Hospital orders
-Extremity elevated
-----------------------------------------------------------------------------------------------
Level 3 patients-Now it gets harder
Patient 032
Case: Vomitted blood
S.O.A.P. Questions
S: 2nd and 2nd choices
O: 3rd and 2nd choices
A: 3rd choice
P: 2nd and 3rd choices
Examination room
-EKG on heart
-Glove, magnifying glass and stethoscope on abdomen
-Tongue depressor and magnifying glass in mouth
Imaging room
-X-ray abdomen
Laboratory
-Blood test amylase, bleeding times, hemoglobin/hematocrit and type and cross
on elbow
-Stool test hemoccult on pelvis
Treatment
-IV and IV med in forearm
-Call in gastroenterologist to continue care and admit
Patient 033
Case: Stomach pain, vomitting, diarrhea
S.O.A.P. Questions
S: 1st and 2nd choices
O: 4th and 2nd choices
A: 4th choice
P: 4th and 1st
Examination room
-Magnifying glass, glove and stethoscope on abdomen
Imaging room
-Stoll test ova/parasites on pelvis (I need help! I don't know how to do it in
this room!)
Laboratory
-Stool test hemoccult on pelvis
-Blood test sodium/potassium/chloride, glucose and complete blood count on
elbow
Treatment
-PO meds in mouth
-Discharge
Patient 034
Case: Abdominal distress
S.O.A.P. Questions
S: 4th and 1st choices
O: 1st and 4th choices
A: 4th choice
P: 4th and 3rd choices
Examination room
-Glove and magnifying glass on abdomen
-Stethoscope on heart and abdomen
-EKG on heart
-Tongue depressor and magnifying glass on mouth
Imaging room
-X-ray abdomen
Laboratory
-Stool test hemoccult on pelvis
-Blood test hemoglobin/hemacrotit, amylase, type and cross and bleeding times
on elbow
-Treatment
-IV (1st) and IV med (2nd) on forearm
-NG tube in nose (3rd)
-Call in surgeon to continue care and admit
Patient 035
Case: Kitchen fire while cooking
S.O.A.P. Questions
S: 2nd and 2nd choices
O: 3rd and 1st choices
A: 3rd choice
P: 4th and 3rd choices
Examination room
-EKG on heart
-Magnify glass on left eye, right eye and nose
-Tongue depressor, magnifying glass and respirometer in mouth
-Stethoscope on chest and heart
-Sphygmomanometer on upper arm
Imaging room
-X-ray chest
Laboatory
-Blood gas test carboxyhemoglobin and oxygen/carbon dioxide
Treatment
-EKG on heart (1st)
-Oxygen mask on mouth (2nd)
-Call in pulmonologist to continue care and treatment
-Hospital orders
-Patient rechecked; normalizing
Patient 036
Case: Chills, coughing, fever
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 4th and 1st choices
A: 1st choice
P: 2nd and 3rd choices
Examination room
-Sphygmomanometer on upper arm
-Stethoscope on heart and chest
-EKG on heart
-Thermometer, tongue depressor, magnifying glass and respirometer in mouth
Imaging
-X-ray chest
Laboratory
-Blood gas test oxygen/carbon dioxide on wrist
-Blood test complete blood count on elbow
Treatment
-EKG on heart (1st)
-PO meds in mouth (2nd)
-Oxygen mask on mouth (3rd)
-IV med on forearm (4th)
-Call in pulmonologist to continue care and admit
Patient 037
Case: Chest pain, difficulty breathing
S.O.A.P. Questions
S: 1st and 4th choices
O: 2nd and 3rd choices
A: 2nd choice
P: 3rd and 3rd choices
Examination room
-Stethoscope on chest and heart
-EKG on heart
-Glove on left hand and right hand
-Sphygmomanometer on upper arm
Laboratory
-Blood test complete blood count and bleeding times on elbow
Treatment
-EKG on heart (1st)
-IV (2nd) and IV med (3rd) on forearm
-PO meds in mouth (4th)
-Oxygen mask on mouth (5th)
-Call in cardiologist to continue care and admit
Patient 038
Case: Stabbed in chest
S.O.A.P. Questions
S: 2nd and 1st choices
O: 2nd and 3rd choices
A: 3rd choice
P: 4th and 1st choices
Examination room
-Magnify and glove on chest
-Stethoscope on heart and chest
Imaging room
-X-ray chest
Treatment
-Sponge (1st), med syringe (2nd), needle (3rd), topical med (4th) and bandage
(5th) on chest
-Discharge
-Hospital orders
-Deep breathing exercises advised
Patient 039
Case: Hit by ball, unconcious
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 3rd and 3rd choices
A: 2nd choice
P: 1st and 4th choice
Examination room
-Magnifying glass and glove on forehead
-Stethoscope on heart
-Sphygmomanometer on upper arm
-Respirometer and tongue depressor in mouth
-Othoscope on left ear
-Penlight in right eye
Treatment
-Cervical collar to chin/neck (1st)
-IV (2nd) and IV med (3rd) to forearm
-Tongue guard in mouth (4th)
-Transfer to trauma unit
Patient 040
Case: Fell, hurt shoulder
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 4th and 3rd choices
A: 3rd choice
P: 2nd and 2nd choices
Examination room
-Magnifying glass and glove on right shoulder
-Glove on right upper arm
Imaging room
-X-ray right shoulder
Treatment
-Compress on right shoulder
-Call in orthopedist to continue care and treatment
-Hospital orders
-Neurovascularity intact
-Shoulder immobilized
Patient 041
Case: Sinus headache
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 4th and 4th choices
A: 2nd choice
P: 3rd and 1st choices
Examination room
-Thermometer and tongue depressor in mouth
-Othoscope on left and right ears
-Nasoscope in nose
-Glove on forehead
Imaging room
-X-ray skull
Treatment
-Nasal spray in nose (1st)
-PO meds in mouth (2nd)
-Discharge
Patient 042
Case: Hurt ear while rough housing
S.O.A.P. Questions
S: 2nd and 1st choices
O: 4th and 1st choices
A: 3rd choice
P: 3rd and 1st choices
Examination room
-Magnifying glass, glove and othoscope on right ear
Treatment
-Sponge (1st), med syringe (2nd) and bandage (3rd) on right ear
-Discharge
Patient 043
Case: Ear bleeding
S.O.A.P. Questions
S: 3rd and 3rd choices
O: 4th and 1st choices
A: 3rd choice
P: 2nd and 2nd choices
Examination room
-Magnifying glass, glove and othoscope on right ear
Treatment
-Med syringe on upper arm
-Call in plastic surgeon to continue care and treatment
Patient 044
Case: Put something in ear
S.O.A.P. Questions
S: 3rd and 1st choices
O: 3rd and 4th choices
A: 3rd choice
P: 2nd and 4th choices
Examination room
-Othoscope on left ear
Treatment
-Forceps (1st), irrigation syringe (2nd), drops (3rd) on left ear
-Discharge
Patient 045
Case: Got something in eye
S.O.A.P. Questions
S: 2nd and 1st choices
O: 4th and 2nd choices
A: 1st choice
P: 2nd and 3rd choices
Examination room
-Stethoscope on heart
-Sphygmomanometer on upper arm
-Magnifying glass and penlight on left eye
Imaging room
-X-ray skull
Treatment
-Bandage left eye (1st)
-IV med in forearm (2nd)
-Call in opthamologist to continue care and treatment
-Hospital orders
-Patient advised to stay in bed rest position
Patient 046
Case: Eye is red
S.O.A.P. Questions
S: 2nd and 2nd choices
O: 2nd and 1st choice
A: 4th choice
P: 1st and 1st choices
Examination room
-Magnifying glass, eye dye, penlight and othalmoscope on right eye
Treatment
-Compress right eye
-Discharge
-Hopsital orders
-Blood thinning med and bleeding level to be monitored
-Patient advised that appearance is worse than condition
Patient 047
Case: Eye hurts, painful to look at light
S.O.A.P. Questions
S: 4th and 1st choices
O: 3rd and 3rd choices
A: 1st choice
P: 4th and 1st choices
Examination room
-Magnify, othalmoscope, penlight and eye dye on left eye
Treatment
-Drops (1st), irrigation syringe (2nd), bandage (3rd) on left eye
-Discharge
Patient 048
Case: Stepped on rusty nail
S.O.A.P. Questions
S: 1st and 3rd choices
O: 1st and 2nd choices
A: 4th choice
P: 1st and 1st choices
Examination room
-Magnifying glass and glove on right foot
Treatment
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th),
gauze (5th), topical med (6th), bandage (7th) on right foot
-PO meds in mouth (8th)
-Discharge
Patient 049
Case: Hurts to swallow
S.O.A.P. Questions
S: 1st and 2nd choices
O: 3rd and 4th choices
A: 4th choice
P: 2nd and 3rd choices
Examination room
-Tongue depressor, magnifying glass and thermometer in mouth
-Stethoscope on heart
-Glove on chin/neck
Laboratory
-Blood test complete blood count on elbow
-Urine test microbiology, microchemistry and microcytology on pelvis
Treatment
-PO meds in mouth (1st)
-IV (2nd) and IV meds (3rd) on forearm
-EKG on heart (4th)
-Call in otolaryngologyst to continue care and admit
Patient 050
Case: Bungee jumping accident
S.O.A.P. Questions
S: 1st and 2nd choices
O: 4th and 3rd choices
A: 1st choice
P: 4th and 4th choices
Examination room
-Stethoscope on heart and chest
-Sphygmomanometer on upper arm
-Magnifying glass and glove on forehead
-Glove on chin/neck, left hand, right hand, left foot and right foot
-Penlight and othalmoscope on left eye and right eye
Treatment
-Cervical collar on chin/neck (1st)
-IV (2nd) and IV med (3rd) on forearm
-Tongue guard (4th) and oxygen mask (5th) on mouth
-Transfer to trauma unit
Patient 051
Case: Drowned in bathtub
S.O.A.P. Questions
S: 1st and 3rd choices
O: 2nd and 1st choices
A: 2nd choice
P: 2nd and 4th choices
Examination room
-EKG and stethoscope on heart
-Stethoscope on chest
-Magnifying glass, tongue depressor and respirometer in mouth
-Pulsometer on hand
Treatment
-ET tube (1st) and ambu bag (2nd) on mouth
-IV (3rd) on forearm
-Aero med (4rd) on mouth
-Transfer to trauma unit
Patient 052
Case: Rash
S.O.A.P. Questions
S: 2nd and 1st choices
O: 4th and 2nd choices
A: 4th choice
P: 1st and 1st choices
Examination room
-Magnifying glass on chest, mouth, chin/neck, left and right ears, left and
right eyes and nose (whew!)
-Thermometer and tongue depressor in mouth
-Glove on chin/neck
-othoscope on left and right ears
Treatment
-PO meds in mouth
-Discharge
-Hospital orders
-Patient given tepid bath
Patient 053
Case: Fell from rollerblades
S.O.A.P. Questions
S: 4th and 1st choices
O: 1st and 2nd choices
A: 1st choice
P: 3rd and 1st choice
Examination room
-Magnify left knee
-Glove on left knee, left leg and left thigh
Imaging room
-X-ray left knee
Treatment
-Sponge (1st), forceps (2nd), topical med (3rd), bandage (4th), wrap (5th) on
left knee
-Discharge
-Hospital orders
-Area immobilized
Patient 054
Case: Hurts when urinating, fever
S.O.A.P. Questions
S: 2nd and 1st choices
O: 2nd and 3rd choices
A: 4th choice
P: 3rd and 3rd choices
Examination room
-Glove on pelvis and right flank
-Sphygmomanometer on upper arm
-Stethoscope on heart
-Thermometer in mouth
Imaging room
-Ultrasound on pelvis
Laboratory
-Blood test complete blood count and kidney panel on elbow
-Urine test microbiolgy and microcytology on pelvis
Treatment
-IV and IV med to forearm
-PO meds to mouth
-Call in nephrologist to continue care and admit
Patient 055
Case: Cut left heel in lawn mower
S.O.A.P. Questions
S: 1st and 4th choices
O: 4th and 1st choices
A: 4th choice
P: 3rd and 2nd choices
Examination room
-Magnifying glass and glove on left foot
Treatment
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th),
cautery (5th), needle (6th), topical med (7th), bandage (8th) on left foot
-Discharge
-----------------------------------------------------------------------------------------------
Level 4 patients-For the most part, all I can say for some is...OUCH!
(especially Patient 073)
Patient 056
Case: Passed blood
S.O.A.P. Questions
S: 2nd and 2nd choices
O: 4th and 3rd choices
A: 3rd choice
P: 3rd and 3rd choices
Examination room
-Magnifying glass and glove on abdomen
-Tongue depressor in mouth
Imaging room
-X-ray abdomen
Lboratory
-Stool test hemoccult on pelvis
-Blood test hemoglobin/hemacrotit, complete blood count, bleeding times and
type and cross on elbow
Treatment
-IV on forearm
-Call in gastroenterologist to continue care and admit
-Hospital orders
-Patient advised to take nothing by mouth except medications
Patient 057
Case: Stomach pain, vomitting
S.O.A.P. Questions
S: 3rd and 4th choices
O: 3rd and 3rd choices
A: 3rd choice
P: 4th and 3rd choices
Examination room
-Magnifying glass, glove and stethoscope on abdomen
-Stethoscope and EKG on heart
-Tongue depressor and thermometer in mouth
Imaging room
-X-ray abdomen
Laboratory
-Stool test hemoccult on pelvis
-Blood test hemoglobin/hemactotit, complete blood count, amylase and glucose on
elbow
Treatment
-NG tube on nose (1st)
-IV (2nd) and IV med (3rd) in forearm
-PO meds in mouth (4th)
-Call in surgeon to continue care and treatment
Patient 058
Case: Stomach pain, vomitting, fever
S.O.A.P. Questions
S: 3rd and 2nd choices
O: 3rd and 3rd choices
A: 1st choice
P: 4th and 3rd choices
Examination room
-Magnifying glass, glove and stethoscope on abdomen
-Stethoscope on heart
-Tongue depressor and thermometer in mouth
Imaging room
-X-ray abdomen
Laboratory
-Stool test hemoccult on pelvis
-Blood test complete blood count, hemoglobin/hemacrotit, glucose and
sodium/potassium/chloride on elbow
Treatment
-NG tube on nose (1st)
-PO meds in mouth (2nd)
-IV (3rd) and IV med (4th) in forearm
-Call in surgeon to continue care and admit
Patient 059
Case: Itching and wheezing
S.O.A.P. Questions
S: 1st and 4th choices
O: 4th and 1st choices
A: 1st choice
P: 2nd and 1st choices
Examination room
-Sphygmomanometer on upper arm
-EKG on heart
-Stethoscope on heart and chest
-Magnifying glass on cheeks, eyes, mouth, chin/neck and chest
-Tongue depressor in mouth
Laboratory
-Blood gas test oxygen/carbon dioxide on wrist
Treatment
-Med syringe on upper arm
-Discharge
-Hospital orders
-Patient under constant monitoring
Patient 060
Case: Itching and wheezing
S.O.A.P. Questions
S: 3rd and 3rd choices
O: 4th and 1st choices
A: 2nd choice
P: 1st and 1st choices
Examination room
-Sphygmomanometer on upper arm
-EKG on heart
-Stethoscope on heart and chest
-Magnifying glass on cheeks, eyes, mouth, chin/neck and chest
-Tongue depressor in mouth
Laboratory
-Blood gas test oxygen/carbon dioxide on wrist
Treatment
-Med syringe on upper arm
-Discharge
-Hospital orders
-Patient under constant monitoring
-Patient rechecked; normalizing
Patient 061
Case: Wheezing
S.O.A.P. Questions
S: 4th and 1st choices
O: 3rd and 3rd choices
A: 1st choice
P: 1st and 3rd choices
Examination room
-EKG and stethoscope on heart
-Stethoscope on chest
-Magnifying glass on mouth, chest and nose
-Respirometer, tongue depressor and thermometer in mouth
Imaging room
-X-ray chest
Laboratory
-Blood gas test oxygen/carbon dioxide on wrist
-Blood test complete blood count on elbow
Treatment
-Aero med in mouth (1st)
-Med syringe on upper arm (2nd)
-IV med in forearm (3rd)
-Call in pulmonologist to continue care and admit
-Hospital orders
-Patient advised to drink fluids
Patient 062
Case: Burned hand
S.O.A.P. Questions
S: 2nd and 4th choices
O: 1st and 2nd choices
A: 4th choice
P: 1st and 1st choices
Examination room
-Magnifying glass and glove on right hand
Treatment
-PO meds in mouth (1st)
-Sponge (2nd), forceps (3rd), topical med (4th), bandage (5th) on right hand
-Med syringe on upper arm (6th)
-Discharge
Patient 063
Case: Burned feet
S.O.A.P. Questions
S: 3rd and 4th choices
O: 1st and 2nd choices
A: 2nd choice
P: 4th and 1st choices
Examination room
-Magnifying glass and glove on left and right feet
Treatment
-PO meds in mouth (1st)
-Sponge (2nd), forceps (3rd), topical med (4th) and bandage (5th) on right foot
-Sponge (6th), forceps (7th), topical med (8th) and bandage (9th) on left foot
-Discharge
Patient 064
Case: Heart pounding
S.O.A.P. Questions
S: 4th and 3rd choices
O: 2nd and 4th choices
A: 3rd choice
P: 2nd and 3rd choices
Examination room
-Stethoscope and EKG on heart
-Sphygmomanometer on upper arm
-Respirometer in mouth
Laboratory
-Blood test complete blood count and bleeding times on elbow
Treatment
-Oxygen mask on mouth (1st)
-IV (2nd) and IV med (3rd) on forearm
-EKG on heart (4th)
-Call in cardiologist to continue care and admit
Patient 065
Case: Difficulty breathing
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 2nd and 1st choices
A: 3rd choice
P: 4th and 3rd choices
Examination room
-Stethoscope and EKG on heart
-Sphygmomanometer on upper arm
-Stethoscope on chest
-Magnifying glass on chin/neck
Imaging room
-X-ray chest
Laboratory
-Blood gas test oxygen/carbon dioxide on wrist
-Blood test complete blood count, bleeding times and sodium/potassium/chloride
on elbow
Treatment
-Oxygen mask on mouth (1st)
-IV (2nd) and IV med (3rd) on forearm
-EKG on heart (4th)
-Call in cardiologist to continue care and admit
Patient 066
Case: Fainted
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 2nd and 2nd choices
A: 3rd choice
P: 2nd and 2nd choices
Examination
-EKG on heart
-Stethoscope on heart and chest
-Sphygmomanometer on upper arm
-Glove on left and right hands
Laboratory
-Blood test complete blood count, bleeding times and enzymes on elbow
Treatment
-Oxygen mask on mouth (1st)
-IV (2nd) and IV med (3rd) on forearm
-EKG on heart (4th)
-Call in cardiologist to continue care and admit
Patient 067
Case: Fell off bike
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 3rd and 2nd choices
A: 3rd choice
P: 1st and 3rd choices
Examination room
-Sphygmomanometer on upper arm
-Stethoscope on heart
-Magnifying glass and glove on forehead
-Penlight and othalmoscope on eyes
-Glove on chin/neck
Imaging room
-CAT Scan skull
Laboratory
-Blood test complete blood count, type and cross and glucose on elbow
-Urine test microbiology, microchemistry and microcytology on pelvis
Treatment
-Cervical collar on neck (1st)
-IV on forearm (2nd)
-Tongue guard in mouth (3rd)
-Call in neurologoist to continue care and admit
Patient 068
Case: Swallowed stuffed toy part
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 3rd and 1st choices
A: 2nd choice
P: 1st and 3rd choices
Examination room
-EKG and stethoscope on heart
-Respirometer, tongue depressor and magnifying glass on mouth
-Stethoscope on chest
-Pulsometer on hand
Imaging
-X-ray chest
Treatment
-Oxygen mask on mouth
-Call in pulmonologist to continue care and admit
-Hospital orders
-Patient monitored
Patient 069
Case: Swallowed toy
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 3rd and 1st choices
A: 4th choice
P: 3rd and 3rd choices
Examination room
-Magnifying glass, respirometer and tongue depressor in mouth
-Stethoscope on chest
Imaging room
-X-ray chest
Treatment
-Oxygen mask on mouth
-Call in gastroenterologist to continue care and admit
-Hospital orders
-Patient monitored
Patient 070
Case: Slipped and hurt hip
S.O.A.P. Questions
S: 3rd and 1st choices
O: 3rd and 1st choices
A: 3rd choice
P: 4th and 3rd choice
Examination room
-Magnifying glass and glove on right hip
-Glove on right knee
Imaging room
-X-ray pelvis
Laboratory
-Blood test type and cross on elbow
-Urine test microbiology, microchemistry and microcytology on pelvis
Treatment
-EKG on heart
-IV (1st) and IV med (2nd) on forearm
-Call in orthopedist to continue care and admit
-Hospital orders
-Patient advised to take nothing by mouth
-Neuro-vascularity intact
Patient 071
Case: Twisted thumb in revolving door
S.O.A.P. Questions
S: 4th and 3rd choices
O: 2nd and 3rd choices
A: 3rd choice
P: 2nd and 2nd choices
Examination room
-Magnifying glass and glove on left hand
Imaging room
-X-ray left hand
Laboratory
-Urine test microbiology, microchemistry and microcytology on pelvis
-Blood test type and cross and complete blood count on elbow
Treatment
-Compress on left hand (1st)
-IV (2nd) and IV med (3rd) on forearm
-Call in orthopedist to continue care and treatment
-Hospital orders
-Thumb immobilized
-Extremity elevated
-Patient advised to take nothing by mouth
-Neurovascularity intact
Patient 072
Case: Caught finger in car engine
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 1st and 3rd choices
A: 2nd choice
P: 2nd and 3rd choices
Examination room
-Magnifying glass and glove on right hand
Imaging room
-X-ray right hand
Laboratory
-Urine test microbiology, microchemistry and microcytology on pelvis
-Blood test complete blood count and type and cross on elbow
Treatment
-Sponge (1st), bandage (2nd) and compress (3rd) on right hand
-IV (4th) and IV med (5th) on forearm
-Call in orthopedic surgeon to continue care and admit
-Hospital orders
-Area elevated
-Area immobilized
-Neurovascularity intact
-Patient advised to take nothing by mouth
Patient 073
Case: Injured foot chopping wood
S.O.A.P. Questions
S: 1st and 1st choices
O: 4th and 4th choices
A: 3rd choice
P: 2nd and 3rd choices
Examination room
-Stethoscope on heart
-Respirometer in mouth
-Sphygmomanometer on upper arm
-Magnifying glass and glove on left foot
Imaging room
-X-ray left foot
Laboratory
-Urine test microbiology, microchemistry and microcytology on pelvis
-Blood test complete blood count and type and cross on elbow
Treatment
-Sponge (1st), bandage (2nd), compress (3rd), IV (4th) and IV med (5th) on left
foot
-Call in orthopedic surgeon to continue care and admit
-Hospital orders
-Area elevated
-Area immobilized
-Patient advised to take nothing by mouth
-Neurovascularity intact
Patient 074
Case: Gunshot injury to thigh
S.O.A.P. Questions
S: 1st and 4th choices
O: 1st and 2nd choices
A: 3rd choice
P: 3rd and 3rd choices
Examination room
-Magnifying glass and glove on left thigh
Imaging room
-X-ray left thigh
Laboratory
-Urine test microbiology, microchemistry and microcytology on pelvis
-Blood test complete blood count and type and cross on elbow
Treatment
-Sponge (1st), bandage (2nd) and compress (3rd) on left thigh
-IV (4th) and IV med (5th) on forearm
-Call in orthopedic surgeon to continue care and admit
-Hospital orders
-Area elevated
-Area immobilized
-Patient advised to take nothing by mouth
-Neurovascularity intact
Patient 075
Case: Hit in nose by elbow
S.O.A.P. Questions
S: 3rd and 4th choices
O: 3rd and 1st choices
A: 4th choice
P: 4th and 1st choices
Examination room
-Magnifying glass, glove and nasocope on nose
-Glove on left and right cheeks
-Tongue depressor in mouth
Imaging room
-X-ray skull
Treatment
-Irrigation syringe (1st), nasal spray (2nd), compress (3rd) and cautery (4th)
on nose
-Discharge
Patient 076
Case: Pain in side
S.O.A.P. Questions
S: 3rd and 3rd choices
O: 1st and 3rd choices
A: 1st choice
P: 1st and 4th choices
Examination room
-Magnifying glass and glove on abdomen
-Stethoscope on heart and abdomen
-Respirometer in mouth
-Sphygmomanometer on upper arm
Treatment
-IV (1st) and IV med (2nd) on forearm
-Nasal prongs on nose (3rd)
-Transfer to trauma unit
Patient 077
Case: Feels nauseated
S.O.A.P. Questions
S: 3rd and 3rd choices
O: 1st and 2nd choices
A: 4th choice
P: 2nd and 3rd choices
Examination room
-Stethoscope and glove on abdomen
-Thermometer in mouth
-EKG on heart
Laboratory
-Urine test microbiology and microchemistry on pelvis
-Blood test complete blood count, glucose and liver enzyme test on elbow
Treatment
-IV (1st) and IV med (2nd) on forearm
-Call in infectious disease specialist to continue care and admit
Patient 078
Case: Scraped side
S: 3rd and 1st choices
O: 3rd and 3rd choices
A: 2nd choice
P: 2nd and 2nd choices
Examination room
-Magnifying glass, glove and stethoscope on abdomen
-Stethoscope on heart
Imaging room
-CAT Scan on abdomen
Laboratory
-Blood test complete blood count, type and cross and bleeding times on elbow
-Urine test microbiology, microchemistry and microcytology on pelvis
Treatment
-IV on upper arm
-Call in surgeon to continue care and treatment
Patient 079
Case: Splinter in finger
S.O.A.P. Questions
S: 4th and 2nd choices
O: 4th and 3rd choices
A: 1st choice
P: 1st and 2nd choices
Examination room
-Magnifying glass and glove on left hand
-Magnifying glass on left forearm
-Glove on left upper arm
-Thermometer in mouth
Laboratory
-Blood test complete blood count and glucose on elbow
Treatment
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th),
gauze (5th), topical med (6th) and bandage (7th) on left hand
-IV med on forearm (8th)
-Call in family doctor to continue care and admit
Patient 080
Case: Hurt neck in car accident
S.O.A.P. Questions
S: 2nd and 2nd choices
O: 4th and 3rd choices
A: 2nd choice
P: 3rd and 4th choices
Examination room
-Sphygmomanometer on upper arm
-Stethoscope on heart
-Glove on chin/neck, left hand and left foot
Treatment
-Cervical collar on chin/neck (1st)
-IV (2nd) and IV med (3rd) on upper arm
-Tongue guard in mouth (4th)
-Transfer to trauma unit
Patient 081
Case: Sore throat, rash
S.O.A.P. Questions
S: 2nd and 1st choices
O: 2nd and 4th choices
A: 1st choice
P: 1st and 1st choices
Examination room
-Magnifying glass on chest, nose, left and right upper arms, left and right
eyes, mouth and chin/neck
-Stethoscope on heart
-Othoscope on left and right ears
-Thermometer and tongue depressor in mouth
Laboratory
-Swab culture throat/quick on mouth
Treatment
-PO meds in mouth
-Discharge
Patient 082
Case: Took some pills
S.O.A.P. Questions
S: 3rd and 1st choices
O: 4th and 1st choices
A: 2nd choice
P: 3rd and 3rd choices
Examination room
-Sphygmomanometer on upper arm
-Stethoscope and EKG on heart
-Respirometer and tongue depressor in mouth
-Penlight on left and right eyes
Laboratory
-Blood gas test oxygen/carbon dioxide on wrist
-Blood test glucose and toxic screen on elbow
Treatment
-IV on forearm (1st)
-NG tube in nose (2nd)
-Call in psychiatrist to continue care and admit
-Hospital orders
-Poison control consulted
-Patient monitored
Patient 083
Case: Pain in side, blood in urine
S.O.A.P. Questions
S: 3rd and 1st choices
O: 4th and 3rd choices
A: 2nd choice
P: 2nd and 3rd choices
Examination room
-Stethoscope on heart
-Thermometer in mouth
-Glove on pelvis and right flank
Imaging room
-Ultrasound on pelvis
Laboratory
-Urine test microbiology, microchemistry and microcytology on pelvis
-Blood test complete blood count and kidney panel on elbow
Treatment
-IV (1st) and IV med (2nd) on forearm
-Call in urologist to continue care and admit
Patient 084
Case: Hit on side
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 2nd and 1st choices
A: 2nd choice
P: 1st and 3rd choices
Examination room
-Sphygmomanometer on upper arm
-Stethoscope on heart
-Magnifying glass and glove on left flank
-Glove on abdomen and chest
Imaging room
-Ultrasound on pelvis
Laboratory
-Blood test complete blood count and type and cross on elbow
-Urine test dipstick on pelvis
Treatment
-IV on forearm
-Call in urologist to continue care and admit
-Hospital orders
-Patient advised to take no food or drink by mouth
Patient 085
Case: Caught finger in car door
S.O.A.P. Questions
S: 4th and 1st choices
O: 4th and 1st choices
A: 1st choice
P: 4th and 1st choices
Examination room
-Magnifying glass and glove on right hand
Treatment
-Med syringe on upper arm (1st)
-Sponge (2nd), needle (3rd) and bandage (4th) on right hand
-PO meds in mouth (5th)
-Discharge
Patient 086
Case: Cut thumb pad using power saw
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 3rd and 2nd choices
A: 2nd choice
P: 2nd and 2nd choices
Examination room
-Magnifying glass and glove on left hand
Imaging room
-X-ray left hand
Treatment
-Bandage on left hand (1st)
-IV med on forearm (2nd)
-Call in hand surgeon to continue care and treatment
-Hospital orders
-Extremity elevated
-----------------------------------------------------------------------------------------------
Level 5 patients-CODE BLUE!! Well, not all, but the patients are hurting.
Badly.
Patient 087
Case: Severe stomach pain
S.O.A.P. Questions
S: 3rd and 1st choices
O: 1st and 1st choices
A: 2nd choice
P: 2nd and 3rd choices
Examination room
-Magnifying glass, glove and stethoscope on abdomen
-Thermometer and respirometer in mouth
-Stethoscope on heart
Laboratory
-Blood test amylase, complete blood count, hemoglobin/hemacrotit and bleeding
times on elbow
-Urine test microchemistry on pelvis
Treatment
-IV (1st) and IV med (2nd) on forearm
-NG tube in nose (3rd)
-PO meds in mouth (4th)
-Call in gastroenterologist to continue care and admit
-Hospital orders
-Patient advised to take nothing by mouth except medications
Patient 088
Case: Face and neck itch
S.O.A.P. Questions
S: 3rd and 1st choices
O: 1st and 2nd choices
A: 2nd choice
P: 2nd and 1st choices
Examination room
-Magnifying glass on left and right cheeks and eyes and chin/neck
-Stethoscope on heart and chest
-Tongue depressor in mouth
Treatment
-Med syringe on upper arm
-Discharge
-Hospital orders
-Patient rechecked; normalizing
Patient 089
Case: Arms and face itch
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 1st and 1st choices
A: 4th choice
P: 4th and 1st shot
Examination room
-Magnifying glass on left and right cheeks and eyes, left and right forearms
and chin/neck
-Stethoscope on chest
-Tongue depressor in mouth
Treatment
-Med syringe on upper arm (1st)
-PO meds in mouth (2nd)
-Discharge
-Hospital orders
-Patient rechecked; normalizing
Patient 090
Case: Breathing trouble
S.O.A.P. Questions
S: 1st and 3rd choices
O: 3rd and 1st choices
A: 4th choice
P: 1st and 3rd choices
Examination room
-Sphygmomanometer on upper arm
-EKG and stethoscope on heart
-Respirometer and tongue depressor in mouth
-Magnifying glass on left and right cheeks, left and right eyes, mouth, chest
and chin/neck
-Stethoscope on chest
Laboratory
-Blood gas test oxygen/carbon dioxide on wrist
Treatment
-IV on forearm (1st)
-Oxygen mask on mouth (2nd)
-IV med on forearm (3rd)
-Aero med in mouth (4th)
-Call in allergist to continue care and admit
-Hospital orders
-Patient under constant monitoring
Patient 091
Case: Patient unconcious, rash
S.O.A.P. Questions
S: 4th and 1st choices
O: 3rd and 4th choices
A: 1st choice
P: 1st and 3rd choices
Examination room
-Sphygmomanometer on upper arm
-EKG and stethoscope on heart
-Penlight on left and right eyes
-Magnifying glass on left and right cheeks, left and right eyes and mouth
-Stethoscope on chest
-Tongue depressor and respirometer in mouth
Laboratory
-Blood gas test oxygen/carbon dioxide on wrist
Treatment
-ET tube (1st) and ambu bag (2nd) in mouth
-IV on forearm (3rd)
-Aero med in mouth (4th)
-IV med on forearm (5th)
-Call in allergist to continue care and admit
Patient 092
Case: Burned mouth from hot food
S.O.A.P. Questions
S: 1st and 1st choices
O: 1st and 2nd choices
A: 2nd choice
P: 1st and 4th choices
Examination room
-Magnifying glass and tongue depressor on mouth
Treatment
-IV (1st) and IV med (2nd) on forearm
-Transfer to burn unit
-Hospital orders
-Patient monitored for oral swelling
-Mouth rinsed with cool water
Patient 093
Case: Hurts to breathe
S.O.A.P. Questions
S: 4th and 4th choices
O: 3rd and 3rd choices
A: 1st choice
P: 4th and 1st choices
Examination room
-Stethoscope on chest and heart
-Sphygmomanometer on upper arm
-Thermometer and tongue depressor in mouth
Imaging room
-X-ray chest
Treatment
-Med syringe (1st), gel (2nd) and bandage (3rd) on chest
-Discharge
-Hospital orders
-Patient rechecked
Patient 094
Case: Gunshot wound to head (YEE-OWCH!)
S.O.A.P. Questions
S: 4th and 4th choices
O: 4th and 4th choices
A: 2nd choice
P: 1st and 4th choices
Examination room
-Magnifying glass on forehead and nose
-Glove on forehead
-Othoscope on left ear
-Penlight on right eye
-Sphygmomanometer on upper arm
-Stethoscope on heart
-Respirometer and tongue depressor in mouth
Treatment
-Cervical collar on chin/neck (1st)
-IV (2nd) and IV med (3rd) on forearm
-Tongue guard in mouth (4th)
-Transfer to trauma unit
Patient 095
Case: Toothache, can't eat
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 1st and 2nd choices
A: 2nd choice
P: 1st and 3rd choices
Examination room
-Magnifying glass, glove, thermometer and tongue depressor in mouth
-Glove on chin/neck
-Stethoscope on heart
Laboratory
-Blood test complete blood count and glucose on elbow
Treatment
-IV (1st) and IV med (2nd) on forearm
-PO meds in mouth (3rd)
-Call in internist to continue care and admit
-Hospital orders
-Patient advised of elevated glucose, possible diabetes mellitis
-Patient advised of need for dental repair or extraction
Patient 096
Case: Horse stepped on forearm
S.O.A.P. Questions
S: 3rd and 1st choices
O: 2nd and 3rd choices
A: 1st choice
P: 4th and 3rd choices
Examination room
-Magnifying glass and glove on left forearm
-Glove on left wrist
-Stethoscope on heart
-Respirometer in mouth
-Sphygmomanometer on upper arm
Imaging room
-X-ray left forearm
Laboratory
-Blood test complete blood count and type and cross on elbow
-Urine test microbiology, microchemistry and microcytology on pelvis
Treatment
-Sponge (1st), bandage (2nd) and compress (3rd) on left forearm
-IV (4th) and IV med (5th) on forearm
-Call in orthopedic surgeon to continue care and admit
-Hospital orders
-Area elevated
-Area immobilized
-Neurovascularity intact
-Patient advised to take nothing by mouth
Patient 097
Case: Twisted knee
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 1st and 2nd choices
A: 2nd choice
P: 4th and 1st choices
Examination room
-Magnifying glass and glove on left knee
Imaging room
-X-ray left knee
Treatment
-Compress (1st), med syringe (2nd) and splint (3rd) on left knee
-Discharge
-Hospital orders
-Area elevated
-Area immobilized
-Crutches issued
Patient 098
Case: Drowned while surfing
S.O.A.P. Questions
S: 1st and 3rd choices
O: 4th and 1st choices
A: 2nd choice
P: 2nd and 4th unit
Examination room
-Magnifying glass and tongue depressor in mouth
-Stethoscope and EKG on heart
-Pulsometer on left and right hands
Treatment
-EKG on heart (1st)
-ET tube (2nd) and ambu bag (3rd) to mouth
-IV on forearm (4th)
-Aero med in mouth (5th)
-Transfer to trauma unit
Patient 099
Case: Cut forehead on sprinkler
S.O.A.P. Questions
S: 4th and 2nd choices
O: 1st and 4th choices
A: 2nd choice
P: 1st and 1st choices
Examination room
-Magnifying glass and glove on forehead
-Glove on neck
Treatment
-Med syringe (1st), sponge (2nd), forcepts (3rd), needle (4th), topical med
(5th) and bandage (6th) on forehead
-Discharge
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