Luz R Pardo
June 2024
Luz R
Pardo
,
BSN, RN
6B Medicine
Audie Murphy VA Hospital
San Antonio
,
TX
United States
Ms. Pardo’s continued and persistent monitoring, including her voice of concern, prevented the deterioration of the patient’s condition.
Ms. Pardo is a nurse on 6B Medicine Unit. She reviews and interprets continuous cardiac and SpO2 monitors for identification of irregular heart rhythms. Ms. Pardo has been with the VA for serval years and functions in the role of preceptor and mentor. Her observation to detail and quick response provided an opportunity for her unit leaders to submit this DAISY nomination.
Ms. Pardo is being recognized for going above and beyond when monitoring a 74-year-old veteran who had been admitted for syncope with recurring syncopal events six weeks prior to hospitalization. Ms. Pardo was monitoring her patient assignment as usual and noted irregularities. A timeline was shared to provide a clear snapshot of the event.
At 0940, Ms. Pardo notified the primary RN for the veteran due to the patient having episodes of A Fib with frequent pauses overnight. Ms. Pardo followed back up with the nurse, and at this time, no interventions from the provider were ordered.
At 1130, Ms. Pardo notified the primary RN for due to a 4.8 to 6.6 second pause. In speaking with the primary nurse, Ms. Pardo noted the patient was now symptomatic (feeling lightheaded, fuzzy, and almost passing out). With this information, Ms. Pardo immediately notified the DARRT nurse and her leadership of this event. The primary team consulted Cardiology and the patient remained on the acute care unit.
At 1305, the Nurse Manager engaged with the cardiology and medicine team regarding the ongoing events, and the patient now reporting symptomatic impact and if closer monitoring was needed.
At the conclusion of this event, the veteran had an emergency temporary pacemaker placed as the veteran continued to experience pauses extending to 12 seconds while in PCU. Ms. Pardo’s continued and persistent monitoring, including her voice of concern, prevented the deterioration of the patient’s condition. Her dedication and commitment to compassionate service make her a DAISY Nurse, as she exhibited all the I CARE values.
Ms. Pardo is being recognized for going above and beyond when monitoring a 74-year-old veteran who had been admitted for syncope with recurring syncopal events six weeks prior to hospitalization. Ms. Pardo was monitoring her patient assignment as usual and noted irregularities. A timeline was shared to provide a clear snapshot of the event.
At 0940, Ms. Pardo notified the primary RN for the veteran due to the patient having episodes of A Fib with frequent pauses overnight. Ms. Pardo followed back up with the nurse, and at this time, no interventions from the provider were ordered.
At 1130, Ms. Pardo notified the primary RN for due to a 4.8 to 6.6 second pause. In speaking with the primary nurse, Ms. Pardo noted the patient was now symptomatic (feeling lightheaded, fuzzy, and almost passing out). With this information, Ms. Pardo immediately notified the DARRT nurse and her leadership of this event. The primary team consulted Cardiology and the patient remained on the acute care unit.
At 1305, the Nurse Manager engaged with the cardiology and medicine team regarding the ongoing events, and the patient now reporting symptomatic impact and if closer monitoring was needed.
At the conclusion of this event, the veteran had an emergency temporary pacemaker placed as the veteran continued to experience pauses extending to 12 seconds while in PCU. Ms. Pardo’s continued and persistent monitoring, including her voice of concern, prevented the deterioration of the patient’s condition. Her dedication and commitment to compassionate service make her a DAISY Nurse, as she exhibited all the I CARE values.