RRB Staff Nurse case studies
RRB Staff Nurse · Put your knowledge to work in context.
The RRB Staff Nurse recruitment is a competitive selection process run by the Railway Recruitment Board to fill nursing posts in Indian Railways hospitals and health units. It suits registered nurses who hold a recognised nursing qualification and registration with a State Nursing Council, and who want a stable public-sector clinical career with railway service conditions. The RRB Staff Nurse case studies are 5 cases and about 4,356 words.
1Post-operative haemorrhage on a night shift: fluid maths, blood and the nurse's judgement
Mr R, a 62-year-old man weighing 70 kg, is 6 hours post emergency laparotomy for a perforated duodenal ulcer. He returned to the surgical ward with a nasogastric tube, a urinary catheter and a Jackson-Pratt drain.
919 words, about 5 min2Magnesium sulphate toxicity in severe pre-eclampsia when the obstetrician is in theatre
Mrs A, a 26-year-old primigravida at 36 weeks' gestation, was admitted 6 hours ago with severe pre-eclampsia: BP 166/110 mmHg, 3+ proteinuria, headache and brisk reflexes. She received a loading dose of magnesium sulphate 4 g IV over 20 minutes, followed by a maintenance infusion of 1 g/hour through a syringe pump.
841 words, about 4 min3A 12 kg child in shock from diarrhoea: Plan C fluids, drip rates and the limits of gravity
A 3-year-old boy weighing 12 kg is brought to a railway hospital casualty at 22:00 with a 3-day history of watery diarrhoea and vomiting, and refusal of feeds since morning. He is lethargic, has sunken eyes, no tears, a skin pinch that retracts in 3 seconds, dry mucous membranes, capillary refill of 4 seconds, a weak pulse of 142/min, respiratory rate 42/min with deep breathing, temperature 37.6 °C, and has passed no urine for 8 hours.
829 words, about 4 min4Acute agitation in the emergency department: least restrictive care, rapid tranquillisation and the law
A 34-year-old man is brought to the emergency department of a divisional railway hospital by the Railway Protection Force at 23:40. He is shouting, pacing, and has pushed over a dressing trolley; he says "they are poisoning the water supply".
902 words, about 5 min5Nurse staffing arithmetic on a 40-bed railway hospital ward, and a broken spreadsheet
A 40-bed general medical ward in a zonal railway hospital is sanctioned 24 staff nurses. The head nurse and two nursing attendants work additional hours and are not counted in the nurse–patient ratio.
865 words, about 4 min