Assessment one- Case study
Scenario
Matt, a 14-year-old boy, suffered an open fracture involving the tibia and fibula of the right leg while riding his quad bike on his family property in rural New South Wales. An aeromedical retrieval was required. Matt and his father were transferred by helicopter to the nearest regional facility. Upon arrival, Matt was treated in the Emergency Department (ED), where he was stabilised. Imaging was undertaken, confirming the need for surgical management. He was then transferred from ED directly to theatre for emergency surgery for an open reduction and internal fixation (ORIF).
Explain the role and actions of the ED nurse when transferring Matt from ED to theatre? What information should be included when communicating during transfer of care and why?
What nursing actions may assist you in recognition and management of Matt’s deterioration?
Briefly discuss the role and nursing actions undertaken by the Registered Nurse when caring for Matt and how will these assist in identifying sepsis?
What considerations need to be made when organising Matt’s transfer to the local rural facility and eventual discharge?
