TASK 50 You are a nurse for a general practitioner and a patient is going to have a day colonoscopy procedure in the hospital next week. You are attending the patient for the first time
Patient Details : Mr. Michael White
DOB : 05.02.1956
Next of Kin : Sister, Contact number: 05743863564
Marital Status : Single
Date of Birth : 12 August 1956. Presenting issue : colon cancer scan results: positive, pt wants colonoscopy
Social Background: Lives alone in a large house
Full time worker Hobbies : cycling
Grandfather died of colon cancer (2005)
Father-bowerl cancer (1996): resection, other procedure
Medical Background
2013: Some bowel issues: constipation, Poor diet, overweight, eating fast food, drinking and smoking heavily
2014: Cold flu, runny nose not related to bowel/stomach problems)
2015: headaches, fever, tired (not related to bowel/ stomach problems)
On Doctors consultation: Patient admitted changing bowel patterns and bowel test results: abnormal Patient is worried about family history and wants colonoscopy. Pathology test requested. R/V post procedure doctor & nurse
Nursing Notes.
RR: 22 hr; 77 BP: 145/85, Spo2:97 % RA Height: 175 cm, Weight: 80 kg
Pathology results : FBE, UED, REC (will receive preprocedure) Avoid smoking and alcohol consumptions
Previous anesthetics: No issues, may not need that much amount of anesthetics
Nursing Notes
Arranged transport for day procedure
NKA, sensitive to codeine : Alert band attached with this letter : Alert to inform other staff
Patient signed the consent form strictly fasting since midnight : a day before the procedure
Diet prep : Have light breakfast the day before the procedure then thin fluids afterward.
Bowel preparation : PREPKIT C 2 days prior to procedure
Brochure given : Explained the procedure, possible outcomes and
risks associated with procedure, pre and post expectations, complications, side effects, risks of anesthetics, full sedative, local but not full block anesthetics Importance of balance diet and exercise explained
Follow-up R/V. Post procedure with doctor & nurse
Further counseling and tests will depend on the result of the surgery Send letter to a day procedure nurse
Using the information in the case notes, write a letter to the surgical Nurse., Georgia Surgical Hospital, 27 Station Road, Brisbane, including details of your preprocedure assessment and nursing management.
Submit your OET letters for correction: (for a minimal fee)
https://goltc.in/oet-writing-correction/