Physician

Below is a summary of Ryan’s EHR activity while he is in the ED. As an ED physician, you are responsible for examining the patient, ordering tests and procedures and diagnosing Ryan’s condition. Using his EHR, Virtual Physical Exam (VPE) and Internet research, answer the questions and be prepared to discuss the responses with the rest of Ryan’s health care team.


  1. Internet Research: In the ED, advanced cardiac life support (ACLS) continues. Ryan is hooked up to the hospital’s standard defibrillator with monitor and is shocked for a fourth time with 200 joules. What is the purpose of defibrillation?


  2. Review Ryan’s VPE: Ryan has 10 electrodes placed on his chest for a 12-lead electrocardiogram (EKG). Explain an EKG.

    Review Ryan’s ED EHR: What does Ryan’s EKG indicate?


  3. Internet Research: During ACLS, you order Epinephrine and Amiodarone. What are these medications and why are they used?


  4. Internet Research: Ryan responds to the ACLS measures, so you order a cardiac enzyme study, chest X-ray, non-contrast CT scan of the brain/head and echocardiogram. What information can you gather from each of these tests?

    • Cardiac enzyme study:
    • Chest X-ray:
    • Non-contrast CT scan of the head:
    • Echocardiogram:

View Ryan’s EHR – ED   Virtual Physical Exam
Advanced Cardiac Life Support (ACLS): Emergency medical procedures in which basic life support efforts of cardiopulmonary resuscitation (CPR) are augmented by establishment of an IV fluid line; possible defibrillation; drug administration; control of cardiac arrhythmias; endotracheal intubation and use of ventilation equipment.

(“Definition of ACLS.” Aclscertification.com. ACLS Certification Institute, n.d. Web. 09 June 2014.)
Joule: The International System Unit of electrical, mechanical and thermal energy.

(“Joule.” Dictionary.com. Dictionary.com, n.d. Web. 09 June 2014.)

Nurse

Below is a summary of Ryan’s EHR activity while he is in the ED. As an ED nurse, you are responsible for gathering Ryan’s family and health history and obtaining, reading and monitoring his vital signs. Using his EHR, Virtual Physical Exam (VPE) and Internet research, answer the questions and be prepared to discuss the responses with the rest of Ryan’s health care team.


  1. Internet Research: In the ED, advanced cardiac life support (ACLS) continues. Ryan is hooked up to the hospital’s standard defibrillator with monitor and is shocked for a fourth time with 200 joules. What is the purpose of defibrillation?


  2. Review Ryan’s VPE: Ryan has 10 electrodes placed on his chest for a 12-lead electrocardiogram (EKG). Explain an EKG.

    Review Ryan’s ED EHR: What does Ryan’s EKG indicate?


  3. Internet Research: During ACLS, the physician orders Epinephrine and Amiodarone. What are these medications and why are they used?


  4. Internet Research: Ryan responds to the ACLS measures, so his physician orders a cardiac enzyme study, chest X-ray, non-contrast CT scan of the brain/head and echocardiogram. What information can you gather from each of these tests?

    • Cardiac enzyme study:
    • Chest X-ray:
    • Non-contrast CT scan of the head:
    • Echocardiogram:

View Ryan’s EHR – ED   Virtual Physical Exam
Advanced Cardiac Life Support (ACLS): Emergency medical procedures in which basic life support efforts of cardiopulmonary resuscitation (CPR) are augmented by establishment of an IV fluid line; possible defibrillation; drug administration; control of cardiac arrhythmias; endotracheal intubation and use of ventilation equipment.

(“Definition of ACLS.” Aclscertification.com. ACLS Certification Institute, n.d. Web. 09 June 2014.)
Joule: The International System Unit of electrical, mechanical and thermal energy.

(“Joule.” Dictionary.com. Dictionary.com, n.d. Web. 09 June 2014.)

Technologist

Below is a summary of Ryan’s EHR activity while he is in the ED. As a laboratory or radiology technologist, you are responsible for obtaining and providing test results to assist the physician in diagnosing Ryan’s condition. Using his EHR, Virtual Physical Exam (VPE) and Internet research, answer the questions and be prepared to discuss the responses with the rest of Ryan’s health care team.


  1. Internet Research: In the ED, advanced cardiac life support (ACLS) continues. Ryan is hooked up to the hospital’s standard defibrillator with monitor and is shocked for a fourth time with 200 joules. What is the purpose of defibrillation?


  2. Review Ryan’s VPE: Ryan has 10 electrodes placed on his chest for a 12-lead electrocardiogram (EKG). Using VPE, explain an EKG.

    Review Ryan’s ED EHR: What does Ryan’s EKG indicate?


  3. Internet Research: Ryan responds to the ACLS measures, so his physician orders a cardiac enzyme study, chest X-ray, non-contrast CT scan of the brain/head and echocardiogram. What information can you gather from each of these tests?
    • Cardiac enzyme study:
    • Chest X-ray:
    • Non-contrast CT scan of the head:
    • Echocardiogram:

View Ryan’s EHR – ED   Virtual Physical Exam
Advanced Cardiac Life Support (ACLS): Emergency medical procedures in which basic life support efforts of cardiopulmonary resuscitation (CPR) are augmented by establishment of an IV fluid line; possible defibrillation; drug administration; control of cardiac arrhythmias; endotracheal intubation and use of ventilation equipment.

(“Definition of ACLS.” Aclscertification.com. ACLS Certification Institute, n.d. Web. 09 June 2014.)
Joule: The International System Unit of electrical, mechanical and thermal energy.

(“Joule.” Dictionary.com. Dictionary.com, n.d. Web. 09 June 2014.)

Pharmacist

Below is a summary of Ryan’s EHR activity while he is in the ED. As a pharmacist, you are responsible for ensuring Ryan receives the proper medications and dosage ordered by the physician. You are also responsible for reviewing any adverse reactions Ryan might have with his current medications. Using his EHR, Virtual Physical Exam (VPE) and Internet research, answer the questions and be prepared to discuss the responses with the rest of Ryan’s health care team.


  1. Review Ryan’s VPE: In the ED, advanced cardiac life support (ACLS) continues. Ryan is hooked up to the hospital’s standard defibrillator with monitor and is shocked for a fourth time with 200 joules. What is the purpose of defibrillation?


  2. Internet Research: During ACLS, the physician orders Epinephrine and Amiodarone. What are these medications and why are they used?


  3. Review Ryan’s ED EHR: You review Ryan’s EHR and notice he has two allergies. What is Ryan allergic to?

    Internet Research: Why is it important that you know this information?

View Ryan’s EHR – ED   Virtual Physical Exam
Advanced Cardiac Life Support (ACLS): Emergency medical procedures in which basic life support efforts of cardiopulmonary resuscitation (CPR) are augmented by establishment of an IV fluid line; possible defibrillation; drug administration; control of cardiac arrhythmias; endotracheal intubation and use of ventilation equipment.

(“Definition of ACLS.” Aclscertification.com. ACLS Certification Institute, n.d. Web. 09 June 2014.)
Joule: The International System Unit of electrical, mechanical and thermal energy.

(“Joule.” Dictionary.com. Dictionary.com, n.d. Web. 09 June 2014.)

MHSM

Below is a summary of Ryan’s EHR activity while he is in the ED. As a medical and health services manager, you are ultimately responsible for ensuring that Ryan receives the best overall care possible. You will also compile Ryan’s bills, consisting of his tests, procedures, room charges, supplies and medications. Using his EHRs, Virtual Physical Exam (VPE) and Internet research, complete Ryan’s bills and be prepared to verify the responses with the rest of his health care team.


To determine the cost of Ryan’s ED visit and hospital inpatient stay, you will need the following:

  • MHSM – Bill (includes both an ED and Inpatient statement)
  • MHSM — Bill Reference
  • Ryan’s EHR – ED Chart (link below)
  • Virtual Physical Exam (link below)
  • Ryan’s EHR – Inpatient Chart

  1. Use the blank copy of Ryan’s ED and Inpatient bills and the Bill Reference to calculate and track his costs. In his EHRs, look for costs in the areas of labs, pathology, medications (be sure to pay attention to how many times during his stay each was administered) and diagnostics. You may need to do additional Internet research. Some helpful sites are www.healthcarebluebook.com, www.fairhealthconsumer.org and www.pharmacychecker.com.


View Ryan’s EHR – ED   Virtual Physical Exam

Health Coach

Below is a summary of Ryan’s EHR activity while he is in the ED. As the health coach, you will recommend lifestyle changes to alleviate symptoms, prevent symptoms from recurring and decrease the need for future emergency care or hospitalization. You will also provide the education he needs to understand his diagnosis and the risk factors that may have caused his condition. Using his EHR, Virtual Physical Exam (VPE) and Internet research, answer the questions and be prepared to discuss the responses with the rest of Ryan’s health care team.


  1. Internet Research: In the ED, advanced cardiac life support (ACLS) continues. Ryan is hooked up to the hospital’s standard defibrillator with monitor and is shocked for a fourth time with 200 joules. What is the purpose of defibrillation?


  2. Review Ryan’s VPE: Ryan has 10 electrodes placed on his chest for a 12-lead electrocardiogram (EKG). Explain an EKG.

    Review Ryan’s ED EHR: What does Ryan’s EKG indicate?


  3. Internet Research: Ryan responds to the ACLS measures, so his physician orders a cardiac enzyme study, chest X-ray, non-contrast CT scan of the brain/head and echocardiogram. What information can you gather from each of these tests?
    • Cardiac enzyme study:
    • Chest X-ray:
    • Non-contrast CT scan of the head:
    • Echocardiogram:
View Ryan’s EHR – ED   Virtual Physical Exam
Advanced Cardiac Life Support (ACLS): Emergency medical procedures in which basic life support efforts of cardiopulmonary resuscitation (CPR) are augmented by establishment of an IV fluid line; possible defibrillation; drug administration; control of cardiac arrhythmias; endotracheal intubation and use of ventilation equipment.

(“Definition of ACLS.” Aclscertification.com. ACLS Certification Institute, n.d. Web. 09 June 2014.)
Joule: The International System Unit of electrical, mechanical and thermal energy.

(“Joule.” Dictionary.com. Dictionary.com, n.d. Web. 09 June 2014.)

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