Patient Introduction Location: Emergency Department Time: 12:30 Situation: This is Jennifer Hoffman. She is a 33-year-old female who has arrived in the Emergency Department. Background: She has a history of asthma since childhood, with multiple emergency visits within the last year. She recently acquired an upper respiratory infection and was unable to perform peak flow this morning. Assessment: Ms. Hoffman appears to be in severe respiratory distress, struggling to breathe. She is unable to speak except simple one-word statements. An IV was started with normal saline at a keep open rate. Recommendation: Please perform assessment and vital signs check. The provider has written new orders; please review these.

1. Document your initial focused respiratory assessment of Jennifer Hoffman.

2. Identify and document key nursing diagnoses for Jennifer Hoffman.

3. Document your phone call to the provider including the information you provided regarding the significant changes in Jennifer Hoffman

4. Referring to your feedback log, document the nursing care you provided.