| Course | NU655 AGACNP Acute Care Diagnosis and Management Clinical III |
|---|---|
| Unit | Unit 8 |
| Paper type | Transfer summary |
| Length | About 610 words, 5 pages double-spaced |
| Format | APA 7 student paper |
| School | Purdue University Global |
| Program | MSN |
| Updated | September 2026 |
Free sample paper for NU655 Unit 8
Nineteen Days on Two Pages: A Transfer Summary to Inpatient Rehabilitation After Toxic Epidermal Necrolysis From Lamotrigine
[Student Name]
Purdue University Global
NU655: AGACNP Acute Care Diagnosis and Management Clinical III
Unit 8 Transfer Summary
[Instructor Name]
[Date]
The patient is composite; values, doses and dates are bracketed.
Synopsis
Ms. [R.] is a [44]-year-old woman who developed toxic epidermal necrolysis from lamotrigine started [three] weeks before admission for bipolar II disorder, with [38] percent of her body surface area detached and a SCORTEN of [3] on arrival. She spent [19] days in the burn unit with wound care, eye treatment, nutrition support and treatment of one line infection. She is now healed except for [two] small areas on the upper back, walking with a walker and eating a full diet.
Allergy
Lamotrigine: toxic epidermal necrolysis, [date]. Never to be restarted. Also avoid, until an allergist advises otherwise, other aromatic antiepileptic drugs such as carbamazepine, oxcarbazepine and phenytoin, which carry a risk of cross-reaction. This allergy is entered in the record, on her wristband and on the transfer medication list.
Active Problems
1. Wounds: two open areas on the upper back, [4] by [3] cm and [2] by [2] cm, with healthy granulation. Nonadherent silicone dressing changed every [two] days; no adhesive tape on skin.
2. Eyes: both eyes had mucosal involvement; now healing with mild dryness. Preservative-free lubricating drops every [two] hours while awake and ointment at night. Ophthalmology follow-up in [one] week, since scarring of the eyelid lining can develop weeks after the acute illness.
3. Mood: lamotrigine stopped; quetiapine [100 mg] at night started by psychiatry on [Day 10], with no mood symptoms since. Psychiatry follow-up in [two] weeks.
4. Deconditioning: [19] days of bed rest and pain. Goal: walking independently and managing stairs before home.
5. Nutrition: albumin [2.9] g/dL, improving. High-protein diet; dietitian review weekly.
6. Pain: acetaminophen scheduled; oxycodone [5 mg] before dressing changes only, used [two] times in the last [three] days.
7. Nail loss on both hands, expected to regrow over months; no treatment needed.
Resolved Problems
1. Fluid shifts in the first week, managed with burn unit protocols.
2. Central line infection with Staphylococcus epidermidis on [Day 8], treated with vancomycin for [seven] days; line removed.
3. Oral mucositis, now healed; eating normally.
4. Genital mucosal involvement, healed without scarring on the examination of [Day 17].
Resolved problems are listed in one line each, so the receiving team knows they happened but does not treat them again.
Why the Reaction Matters for Her Future Care
In a large European case-control study, lamotrigine was among the drugs most strongly associated with Stevens-Johnson syndrome and toxic epidermal necrolysis, with the risk concentrated in the first weeks of use (Mockenhaupt et al., 2008). Her SCORTEN of [3] on admission, a score that counts age, heart rate, detached skin area and several laboratory values, predicted a substantial risk of death (Bastuji-Garin et al., 2000). She survived, and the summary makes sure the drug cannot be restarted by someone who does not know this history.
Medications at Transfer
Quetiapine [100 mg] at night; acetaminophen [1 g] every [eight] hours; oxycodone [5 mg] before dressing changes as needed; preservative-free eye drops and ointment; omeprazole [20 mg] daily; enoxaparin [40 mg] daily until walking independently.
Follow-Up and Pending
Ophthalmology in [one] week; dermatology in [two] weeks; psychiatry in [two] weeks. No results pending. Summaries that include pending results, medications and follow-up plans reduce the information gaps that commonly occur at transfer (Kripalani et al., 2007).
Contact
Burn unit attending, pager [3318], for any question about the wounds or the reaction.
References
Bastuji-Garin, S., Fouchard, N., Bertocchi, M., Roujeau, J.-C., Revuz, J., & Wolkenstein, P. (2000). SCORTEN: A severity-of-illness score for toxic epidermal necrolysis. Journal of Investigative Dermatology, 115(2), 149-153. https://doi.org/10.1046/j.1523-1747.2000.00061.x
Kripalani, S., LeFevre, F., Phillips, C. O., Williams, M. V., Basaviah, P., & Baker, D. W. (2007). Deficits in communication and information transfer between hospital-based and primary care physicians: Implications for patient safety and continuity of care. JAMA, 297(8), 831-841. https://doi.org/10.1001/jama.297.8.831
Mockenhaupt, M., Viboud, C., Dunant, A., Naldi, L., Halevy, S., Bouwes Bavinck, J. N., Sidoroff, A., Schneck, J., Roujeau, J.-C., & Flahault, A. (2008). Stevens-Johnson syndrome and toxic epidermal necrolysis: Assessment of medication risks with emphasis on recently marketed drugs. The EuroSCAR-study. Journal of Investigative Dermatology, 128(1), 35-44. https://doi.org/10.1038/sj.jid.5701033
What the NU655 Unit 8 assignment asks for
The Unit 8 assignment asks you to write a transfer summary for a patient leaving acute care for another facility after a long or complex stay. You condense the stay into what the receiving team must know and do, list active problems with current plans, list resolved problems briefly, highlight allergies and safety issues, give medications and follow-up, and name a contact. Most prompts set two pages. The summary should be organized by what the receiving team will do, not by the order of events. Sources are expected where they explain a safety point, such as why an allergy matters. State the reaction and the drug in the first sentence.
Inside the NU655 Unit 8 example
The example opens with a three-sentence synopsis that gives the reaction, its severity and her current state. The allergy heading names the drug, the reaction and the related drugs to avoid, and notes where it is recorded. Active problems are numbered, each with a plan, and resolved problems are listed in single lines with a highlighted sentence explaining why. A short section explains, with the EuroSCAR and SCORTEN studies, why the reaction matters for her future care. Medications, follow-up appointments and a burn unit contact complete the summary, with a note on why complete transfer information matters. Every medication carries a dose.
Reading the NU655 Unit 8 grading rubric
The Unit 8 rubric generally scores condensation, accuracy, safety, completeness of plans and follow-up. Condensation earns full credit when the stay fits in a few sentences without losing what matters. Accuracy counts when problems and medications are correct. Safety is weighted heavily; an allergy to a drug that caused a life-threatening reaction must be impossible to miss. Plans are judged on whether the receiving team could act on them on the first day. Follow-up counts when each specialty and interval are named, along with a contact for questions. A summary the receiving team could act on without calling back meets the plan standard.
Common NU655 Unit 8 mistakes, and how to avoid them
The most common mistake is writing a day-by-day account of the stay, which buries the plans the receiving team needs. Another is listing the allergy only in the medication section. Students often forget related drugs that may cross-react. Eye follow-up is frequently missing after toxic epidermal necrolysis, although scarring can appear weeks later. Resolved problems are sometimes left out entirely, so the receiving team does not know they happened. And summaries without a contact leave the new team with no one to ask. Put the allergy in at least two places and say where else it is recorded. Also check that every medication has a dose and a reason, since the receiving team will reconcile the list on arrival. Finally, include a phone number, not just a name.
Get an NU655 Unit 8 example written to your instructions
Two pages, a synopsis that stands alone and a calendar date on every follow-up: that is the first transfer summary, free, within 24-48h. Outline the admission, the receiving facility and any site template, with identifiers removed, and send the rubric. The stay itself remains the student's; the sample condenses a composite stay with a different course. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.
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NU655 Unit 8 questions, answered
How long should a transfer summary be?
Long enough to manage the first days at the receiving facility, and no longer. Two pages is common for a complicated stay. The sample reaches that length by listing resolved problems in one line each and saving detail for active ones. Your site or program may set a template, and the summary follows it when one is supplied.
Why does the allergy get its own heading?
Because a severe cutaneous reaction can recur, sometimes more severely, if the drug or a close relative is given again. Burying that fact in a list risks a repeat exposure at a facility that reconciles medications from the summary. The heading names the culprit, the reaction and the related drugs avoided, which rubrics often check.
Can the summary be based on a patient I cared for?
The summary you hand in should be drawn from someone you helped care for, de-identified. The sample cannot reproduce a real record, so it shows the method with a composite stay. Logs, hours and anything your preceptor signs stay with you, and the finished summary reflects the patient and site you actually worked with.
Where can I find a free NU655 Unit 8 sample paper?
The full NU655 Unit 8 transfer summary is on this page, with the synopsis, allergy section, active and resolved problems, medications and follow-up. For a transfer after a different complex stay, a free summary can be written from your case.
Why list resolved problems in NU655 Unit 8?
So the receiving team knows they happened without treating them again. The sample lists four, including a line infection and early fluid shifts, in one line each, which keeps the summary short while leaving nothing out.