Initial Evaluation
First of all, it is necessary to assess the wounds of the patient, examining them in detail. The additional information, including previous injuries, hospitalizations, and family history are required to identify potential allergy and predispositions. The blood test is necessary to eliminate blood poisoning and reveal any other concomitant diseases. The lacerations should properly be cleaned, and the wheel-chair bound may be used to stop bleeding so that the patient’s state would not be complicated with anemia (Terry, Lê, Nguyen, & Hoang, 2015). When the bleeding would be stopped, a nurse may ask such questions as to when did the injure occurs, how it was received, and whether any measures were applied or not. After that, the wound itself, namely, its size, shape, and the site should be evaluated based on systematic physical examination, digit distal, and X-ray examination.
It is possible to categorize the identified injury as wound exudate that is marked by the risk of hypovolaemic shock as a result of hemorrhage (Corbett, 2012). Suturing may be required to close the wound so that nerves and joints would not receive the additional pressure and traumas. Such pharmacotherapeutics as Tetanus Vaccine in case infection is detected or antibiotic ointment to reduce the impact of the infection may be used.
Potential Intervention
The complementary therapies for this patient should focus on education and prevention promotion. In particular, he should be educated on the consequences, potential complications, and first aid principles regarding such cases. Moreover, it is possible to contact his employee and question work environment safety (Corbett, 2012). The work-related health injuries and hazards are a rather serious issue that needs significant efforts to be prevented. The role of a nurse is to explain that simple safety rules may prevent injury that, in its turn, may lead to the lamentable consequences. The increased awareness of the patient would serve as the most effective preventive measure.
This case may be attributed to Healthy People 2020 objectives that are associated with occupational safety and health (“Occupational Safety and Health”, 2017). At this point, the key goals are early intervention and prevention of traumas at workplace One of the most common violations is the lack of briefing on the workplace: “at baseline, 4.0 work-related injury deaths per 100,000 full-time equivalent workers occurred in 2007, the target is 3.6 deaths, based on a target-setting method of 10 percent improvement” (“Occupational Safety and Health”, 2017, para. 1). Often it is formal as, if experienced workers can simply follow rules, then for new employees, the lack of explanations may turn out to be fatal. In addition to providing the necessary instructions, the process of work should involve regular briefings and the creation of appropriate rest, changing, eating rooms, etc. The workplace should also have facilities and specialists, who are capable of providing medical assistance, if necessary.
It is possible to bill for this visit in the form of detailing the costs of the examination, including laboratory tests, physical examination, and preventive education. It should be noted that Medicare may cover these costs to some extent. The level fourth of Evaluation and Management (E & M) coding may be used in this case. The implementation of the Circle of Caring that implies the integrative efforts of physicians and nurses as well as the continuous transformation of the health care system in terms of changing societal needs may benefit this patient as he needs the comprehensive care.
References
Corbett, L. Q. (2012). Wound care nursing: Professional issues and opportunities. Advances in Wound Care, 1(5), 189-193.
Occupational Safety and Health. (2017). Web.
Terry, D., Lê, Q., Nguyen, U., & Hoang, H. (2015). Workplace health and safety issues among community nurses: A study regarding the impact on providing care to rural consumers. BMJ Open, 5(8). Web.