Ricky Stone is an 8-year-old African American male that arrived at the emergency department with his mom. He is seven days postoperative from a tonsil and adenoidectomy. Today, he vomited at home and filled a bowl of clotted blood. After the initial examination, learners are expected to articulate pertinent findings to the care provider and team. They must then use assertive communication to communicate with the physician and create a plan of care based on findings of the history and physical exam. Learners must also communicate effectively with an anxious parent.

Authored by: Shelly Burns DNP MS RN CNE

Learning Objectives

‘- Communicate with an anxious parent regarding the patient’s history and help create an appropriate plan of care
– Articulate pertinent findings to the care provider and team after examining the postoperative T&A patient
– Use assertive communication when collaborating with the physician and members of the team to create a plan of care based on findings of the history and physical exam
– Initiate and manage appropriate treatment of post-tonsil and adenoidectomy bleeding