On 3/6/24, Brenda assumed care of a 21-year-old post-op patient. The patient had a scheduled c-section and was recovering in PACU. While providing care and monitoring the patient, Brenda noticed a rhythm change on the monitor. The patient did not have a history of cardiac issues. According to Brenda, the rhythm would convert from NSR to what seemed to be a bundle branch block. Coupled with her knowledge from her previous experience in labor and delivery and ICU, the RN determined that this was an abnormal finding for this patient.

Brenda continued to provide quality care to the patient while further investigating her findings. This patient arrived at recovery as the last scheduled case, and there was limited staff. Brenda consulted the CRNA regarding her findings. She then went on to bring it to the attention of the surgeon. After speaking with the surgeon, the patient was determined to be asymptomatic and subsequently discharged to L&D. Brenda ensured that a printed copy of the captured abnormal rhythm was placed on the chart and that her findings were communicated to the receiving nurse after being persistent about her findings to the care team, a cardiac consult was ordered by the surgeon and the patient was evaluated in an outpatient setting.

Approximately a week later, Brenda was made aware that the patient's cardiac evaluation indicated WPW. The patient did not complain of cardiac issues; however, if Brenda had not made her findings known, then the patient likely would not have received a cardiac evaluation. Thanks to Brenda's attention to detail and critical thinking, the patient was evaluated and treated. During the patient's stay in PACU, Brenda remained calm and provided assurance to the patient. Recovery can be scary for patients as it is an unfamiliar environment, with unfamiliar people. She is an outstanding nurse.