Sickle Cell Crisis Case Studies

Scenario: A 13 year old female is admitted to acute care for sickle cell crisis. The patient has an accessed port with maintenance IVF running and has a Dilaudid PCA for pain. The patient develops a fever of 103 and has a white blood cell count of 18 on recent labs. Due to the patient having a central line, fever, and increased WBC the patient triggered a CLABSI score of 3 on the watch list and antibiotics are not ordered. Per protocol, the paramedic notifies the bedside nurse and the attending physician of the CLABSI score so that appropriate antibiotics can be ordered. A 4 month old male is admitted for tracheitis and is on continuous cardio- respiratory monitoring. There are no parents staying with the patient. The patient has an O2 de-saturation of 85% which triggers the monitor alarm. Per protocol, the paramedic audio- videos into the patient’s room and visualizes that the patient’s trach has dislodged and patient has increased work of breathing. The paramedic initiates a RRT by sending an alert to the team.

Electronic health records enable an environment where all patient data can be captured, monitored, and used to continuously improve patient care. The facility

In my facility, the constant monitoring of the clinical logistics center with the assistance of health IT, has helped prevent and reduce infections, reduce medication errors and eliminate the odds of unexpected serious medical events in patients. My facility achieves national patient safety goals such as improving staff communication of critical lab reporting and ensuring handoff is received and documented; using alarms safely by ensuring that medical equipment alarms are heard and responded to on time; and preventing hospital acquired infections by identifying patients at risk for hospital acquired infections (CLABSI, CAUTI, VAP, and post surgical infections) through the use of evidenced based