REWRITE the dialogue to make it therapeutic A patient pulls his intravenous catheter out of his arm and is found with blood all over his arm and bed. The nurse comes into the room and says, “Look at this mess – why did you pull out your IV??”

A phlebotomist is called to the ER to draw a STAT hct, hgb, and plt ct on a young girl who appears extremely pale and very close to being unconscious. While checking for a good puncture site, the phlebotomist notes the “M” pattern of veins on both arms but really can’t feel the veins that well. After reapplying the tourniquet and making it a bit tighter, the vein in the middle of the AC on the right arm becomes palpable, but when entered, the blood slowly drips into the tube. After the tube is filled, the phlebotomist applies pressure to the puncture site and makes a point of holding it longer than usual before applying a new gauze and tape. While waiting, she overhears the nurse say that the patient’s BP is 80/50, and her pulse is weak. The mother says her daughter had a nose bleed that lasted almost all night. Ready to go back to the laboratory, the phlebotomist checks the puncture site again and sees that the bleeding has not stopped. The ER tech continues to put pressure on the…

Dr. Falcone is an emergency department physician who has just called the OR desk concerning a patient. He tells the charge nurse, “we have a 23-year old male patient status post MVA, no airbag deploy, moderate facial injuries, bruising and swelling about the left eye, diplopia and enophthalmos. CT confirmes left orbital floor fracture. Hell be up in 10 minutes.” If the fracture isn’t stable after being reduced, what instrument tray should the CST have available?

A patient is being transferred from the ICU to a regular hospi-tal room. What must the ICU nurse be prepared to do as part of this transfer?a. Provide a verbal report to the nurse on the new unit.b. Provide a detailed written report to the unit secretary.c. Delegate the responsibility for providing information.d. Make a copy of the patient’s medical record.