University Case Study: Critical Care Nursing ISP 92473 Assessment

This case study analyzes the critical care nursing of a 26-year-old male, Bryan Sim, who suffered a near-drowning incident at Bondi Beach. The assessment begins with the patient's presentation, including CPR and ROSC, and the subsequent handover in the Emergency Department. The student nurse then collects and reviews patient information, including vital signs (SpO2 90%, irregular sinus, etc.), medical history, and the circumstances of the event. The case study progresses to the processing of information, interpreting clinical data, and distinguishing relevant information to identify the nursing diagnosis. The nursing diagnosis highlights impaired gaseous exchange, decreased cardiac output, and ineffective cerebral tissue perfusion. Goals are established using the A-G approach, and actions are outlined to address the identified issues. The evaluation section details how the effectiveness of the interventions will be measured, including frequent monitoring and diagnostic tests. The case study concludes with a reflection on the learning process and implications for future clinical practice. The student demonstrates an understanding of the critical care process, from initial assessment to intervention and evaluation, emphasizing the importance of patient monitoring and timely interventions in a critical care setting.