Below is a summary of Ahmed’s electronic health record (EHR) activity during the four hours he is in the ED. As an ED physician, you examine Ahmed, order tests and procedures, and diagnose his condition. Use his EHR, Virtual Physical Exam (VPE) and Internet research to answer the questions. Be prepared to discuss the responses with the rest of Ahmed’s healthcare team.

1. Internet Research: What are the functions of the liver?



2. Internet Research: You order a head CT scan and chest x-ray. Why would these tests be done on someone with suspected alcohol poisoning?

Review Ahmed’s ED EHR: What do Ahmed’s results indicate?



3. Internet Research: Based on what you know regarding his stress and drinking pattern, would you refer Ahmed to another specialist? If so, which type?



4. Review Ahmed’s VPE: Explain the intubation procedure.

Below is a summary of Ahmed’s electronic health record (EHR) activity during the four hours he is in the ED. As an ED nurse, you collect Ahmed’s family and health history and obtain, read and monitor his vital signs. Use his EHR, Virtual Physical Exam (VPE) and Internet research to answer the questions. Be prepared to discuss the responses with the rest of Ahmed’s healthcare team.

1. Internet Research: How can family medical history impact Ahmed’s diagnosis?



2. Review Ahmed’s VPE: Explain to Ahmed the intubation procedure.



3. Internet Research: You review Ahmed’s laboratory blood tests in his ED EHR and notice there are some abnormal results. List and explain why Ahmed’s test results are significant.



4. Internet Research: An IV is inserted to reduce dehydration and supply Ahmed with nutrients, commonly referred to as a “Banana Bag.” What nutrients are given to Ahmed through the IV?

Below is a summary of Ahmed’s electronic health record (EHR) activity during the four hours he is in the ED. As a laboratory or radiology technologist you collect and provide test results to assist the physician with their diagnosis. Use Ahmed’s EHR, Virtual Physical Exam (VPE) and Internet research to answer questions. Be prepared to discuss the responses with the rest of Ahmed’s healthcare team.

1. Internet Research: Ahmed’s physician orders a chest x-ray. Describe a chest x-ray.

Review Ahmed’s VPE: Explain his chest x-ray results.



2. Internet Research: Ahmed’s physician orders a head CT scan and chest x-ray. Why would these be done on someone suspected of alcohol poisoning?



3. Internet Research: You review Ahmed’s laboratory blood tests in his ED EHR and notice that there are some abnormal results. List and explain why Ahmed’s tests results are significant.

Below is a summary of Ahmed’s electronic health record (EHR) activity during the four hours he is in the ED. As a pharmacist, you ensure Ahmed receives the proper medications and dosage ordered by the physician. You review any adverse reactions he might have with medications. Use his EHR, Virtual Physical Exam (VPE) and Internet research to answer the questions. Be prepared to discuss the responses with the rest of Ahmed’s healthcare team.

1. Internet Research: Why do the EMTs give Zofran, an antiemetic, to Ahmed in the ambulance?



2. Review Ahmed’s VPE: During which step of the intubation procedure would medications be given to Ahmed? Why would medications be given during intubation?



3. Internet Research: Do any of the medications in Ahmed’s ED EHR have possible side effects, if so, what are they?



4. Review Ahmed’s ED EHR: A “Banana Bag” IV solution is inserted to reduce dehydration and supply Ahmed with nutrients. How long is Ahmed on this solution?
   
   Internet Research: List the nutrients found in the “Banana Bag” and explain why they are necessary.

Below is a summary of Ahmed’s electronic health record (EHR) activity during the four hours he is in the ED. As a medical and health services manager, you are responsible for making sure he receives excellent care. You will also figure Ahmed’s bill, consisting of his tests, procedures, room charges, supplies and medications. Using his EHR, Virtual Physical Exam (VPE) and Internet research, fill out the billing statement and be prepared to share this information with the rest of Ahmed’s healthcare team.

To determine the cost of Ahmed’s ED visit, you will need the following:

• MHSM – Bill
• MHSM – Bill Reference
• Ahmed’s EHR – ED Chart (link below)
• Virtual Physical Exam (link below)

1. Use the blank copy of Ahmed’s ED Bill and the Bill Reference to calculate his costs. In his EHR, look for the number of times a test is administered, number of days a cost is incurred or the units per day a medication is administered. You may need to do additional Internet research. Some helpful sites are www.healthcarebluebook.com, www.fairhealthconsumer.org and www.pharmacychecker.com.

Below is a summary of Ahmed’s electronic health record (EHR) activity during the four hours he is in the ED. As the health coach, you recommend lifestyle changes to reduce and prevent symptoms from recurring and decrease the need for future care. You also provide education Ahmed needs to understand his diagnosis and risk factors that may have caused his condition. Use his EHR, Virtual Physical Exam (VPE) and Internet research to answer the questions. Be prepared to discuss the responses with the rest of Ahmed’s healthcare team.

1. Review Ahmed’s VPE: Explain the intubation procedure.
   
   Internet Research: Explain to Ahmed why his throat may be sore after the tube is removed.



2. Internet Research: Review Ahmed’s lipid profile test results in his ED EHR and explain why his abnormal tests are important to understand.

Internet Research: Ahmed’s lipid profile can be improved by simple lifestyle modifications. What are some modifications and how can they help improve his health?



3. Internet Research: Based on what you know regarding his stress and alcohol, what types of professionals might be involved in Ahmed’s care?



4. Internet Research: What educational tools regarding alcohol poisoning would you give him before he leaves the hospital?