CORONARY CARE UNIT

Group 3 January 6, 2020 (Monday)

TIME PROGRAM
5:45 am – 6:00 am Pre conference
6:00 am – 7:00 am Endorsement
7:00 am –7:30 am Delegation:
 Patient
 Responsibilities
Rounds (checking of patient, IV lines, contraptions)
Chart and Kardex review:
 Doctor’s order
 Medications
 Pending laboratories
7:30 am – 8:30 am Bedside care
 Turning
 Diaper changing (if necessary)
 Suctioning
Giving of due medications
Feeding
Monitor:
 Vital signs
 Input and output
8:30 am – 9:00 am Charting
 Vital signs
 Input and output
 Medications
9:00 am – 9:30 am Initial checking of charts:
 Vital signs
 Input and output
 Medications
9:30 am – 10:30 am Chart review
 Doctor’s order
 Medications (if need to be shifted or withheld)
 Laboratories (if any)
10: 30 am – 11:00 am Checking of patients
Preparation and giving of medications (if any)
Monitor input and output
Charting:
 Medications given
 Input and output
11:00 am – 12: 00 nn BREAK TIME
12:00 nn – 1:00 pm Checking of patients
Bedside care
 Turning
  Diaper changing (if necessary)
 Suctioning
Giving of due medications
Feeding
Monitor:
 Vital signs
 Input and output
1:00 pm – 1:30 pm Charting
 Vital signs
 Input and output
 Medications
1:30 pm – 2:00 pm Final checking of charts
2:00 pm – 2:30 pm Endorsement
2:30 pm – 3:00 pm Short quiz
Post conference
 QUIZ
Name: ___________________________
Situation: Marlon, 56 years old was admitted to the CCU department for acute myocardial infarction
(AMI) management
1. Nurse tony is assessing the patient. Which of the following descriptions would nurse tony consider as
a classical pain of AMI?
a.) Pain in the back b.) Crushing mediastinal pain
2. Oxygen at 2-4 L/min via nasal cannula was prescribed. Nurse Tony understands that the primary
purpose of this order is to?
a.) Reduce pain b.) Increase myocardial oxygen supply
3. Morphine sulfate was administered in intravenous bolus to reduce pain and anxiety. Which of the
following vital signs should nurse Tony monitor to determine cardiac responses?
a.) Respiratory rate b.) Temperature
4. Nurses must be aware that pain in MI may occur without cause primarily during what time of the
day?
a.) Early in the morning b.) Anytime of the day
5. Marlon remarked that he always carried sublingual nitroglycerin tablet for chest pain wherever he
goes. When the pain is severe, he asked what he can do to enhance the tablet’s effect. Which is the
correct instruction of the nurse?
a.) Take with one glass of water after meals
b.) Make sure the tablet is under the tongue and dissolve

QUIZ
Name: ___________________________
Situation: Marlon, 56 years old was admitted to the CCU department for acute myocardial infarction
(AMI) management
1. Nurse tony is assessing the patient. Which of the following descriptions would nurse tony consider
as a classical pain of AMI?
b.) Pain in the back b.) Crushing mediastinal pain
2. Oxygen at 2-4 L/min via nasal cannula was prescribed. Nurse Tony understands that the primary
purpose of this order is to?
b.) Reduce pain b.) Increase myocardial oxygen supply
3. Morphine sulfate was administered in intravenous bolus to reduce pain and anxiety. Which of the
following vital signs should nurse Tony monitor to determine cardiac responses?
b.) Respiratory rate b.) Temperature
4. Nurses must be aware that pain in MI may occur without cause primarily during what time of the
day?
b.) Early in the morning b.) Anytime of the day
5. Marlon remarked that he always carried sublingual nitroglycerin tablet for chest pain wherever he
goes. When the pain is severe, he asked what he can do to enhance the tablet’s effect. Which is the
correct instruction of the nurse?
c.) Take with one glass of water after meals
d.) Make sure the tablet is under the tongue and dissolve