Below is a summary of Dan’s EHR activity during the two hours he is in the ED. As an ED physician, you are responsible for examining the patient, ordering tests and procedures and diagnosing Dan’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 Dan’s health care team.

1. Review Dan’s VPE: Dan immediately undergoes a 12-lead electrocardiogram (EKG). Using VPE, explain an EKG.
   
   Review Dan’s VPE: What does Dan’s EKG result indicate?



2. Internet Research: You order an angiography with cardiac catheterization. What is this test?
   
   Internet Research: Why is it performed on Dan?



3. Review Dan’s ED EHR: You review Dan’s laboratory blood tests and notice that there are some abnormal results. List the tests with abnormal results.
   
   Internet Research: What do these tests measure and why are Dan’s results significant?

Below is a summary of Dan’s EHR activity during the two hours he is in the ED. As an ED nurse, you are responsible for gathering Dan’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 Dan’s health care team.

1. Review Dan’s VPE: Dan needs to immediately undergo a 12-lead electrocardiogram (EKG). Using information from VPE, explain to Dan how an EKG is administered.
   
   Review Dan’s VPE: What do Dan’s EKG result indicate?



2. Internet Research: The physician orders an angiography with cardiac catheterization. What is this test?
   
   Internet Research: Why is it performed on Dan?



3. Review Dan’s ED EHR: You review Dan’s laboratory blood tests and notice that there are some abnormal results. List the tests with abnormal results.
   
   Internet Research: What do these tests measure and why are Dan’s results significant?

Below is a summary of Dan’s EHR activity during the two hours 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 Dan’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 Dan’s health care team.

1. Review Dan’s VPE: Dan immediately undergoes a 12-lead electrocardiogram (EKG). Using information from VPE, explain to Dan how an EKG is administered.
   
   Review Dan’s VPE: What do Dan’s EKG results indicate?



2. Internet Research: The physician orders an angiography with cardiac catheterization. What is this test?
   
   Internet Research: Why is it performed on Dan?



3. Review Dan’s ED EHR: You review Dan’s laboratory blood tests and notice that there are some abnormal results. List the tests with abnormal results.
   
   Internet Research: What do these tests measure and why are Dan’s results significant?

Below is a summary of Dan’s EHR activity during the two hours he is in the ED. As a pharmacist, you are responsible for ensuring Dan receives the proper medications and dosage ordered by the physician. You are also responsible for reviewing any adverse reactions Dan 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 Dan’s health care team.

1. Review Dan’s VPE: Dan is immediately put on Activase through an intravenous (IV) line in the arm. Use information from VPE to explain this medication and why it is important for Dan to take it as soon as possible.



2. Internet Research: The physician prescribes nitroglycerin and heparin. Why?



3. Review Dan’s EHR. You notice that the physician has recommended several medications. What are these medications?
   
   Internet Research: Which medication will help lower his lipid panel results and how will it do so?

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

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

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

1. Use the blank copy of Dan’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.

Below is a summary of Ryan’s EHR activity during the two hours 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 Dan’s health care team.

1. Review Dan’s VPE: Review the image of Dan’s angiograph. What does it indicate?



2. Internet Research: The physician will diagnose Dan and select the best treatment option after reviewing all of Dan’s test results and health history. In the meantime, you want to provide Dan with information about possible treatments. List the different treatment options for heart disease and provide basic information about each.



3. Review Dan’s EHR: What are the results of his Lipid Profile panel?



4. Internet Research: Provide Dan with information on how he can lower his Lipid Profile (cholesterol) through exercise.



5. Internet Research: One dietary suggestion for Dan to lower his cholesterol is to consume foods that are low in saturated fat and high in monounsaturated and polyunsaturated fats. Define each type of fat and explain why they have been recommended to Dan?