NR 224 Maria Hernandez Student Instructions Revised 6.7.17 1
\nStudent Instructions for Standardized Simulation
\nNR 224 Maria Hernandez
\nPURPOSE:
\nThe following information is to be used in guiding your preparation and participation in the scenario for this
\ncourse. This document will provide applicable course outcomes in preparation for your simulation.
\nSCENARIO OVERVIEW:
\nMaria Hernandez is an 80-year-old Hispanic female. She is widowed and lives alone in a senior housing
\napartment. Her two children live out of state. She spends most days watching television, rarely leaving her
\napartment. Mrs. Hernandez was admitted for surgical debridement of a non-healing sacral ulcer, which has been
\npresent for several months.
\nSTUDENT ROLES DURING SIMULATION:
\nDuring pre-briefing, you will be assigned one of these roles according to the description below to participate in
\nthe simulation as a nurse.
\nCharge Nurse (1):
\nThe charge nurse is responsible for the overall organization of safe, quality patient care. You are the team leader
\nand serve as a resource to all interdisciplinary members and are responsible for appropriate delegation of
\nduties. You will serve as the point person for communication and can anticipate speaking with the physician or
\nother primary care provider, ancillary support services, and others directly involved with the care being
\nprovided. You must be knowledgeable about the patient\u2019s condition and able to dictate orders obtained and
\nassist with implementation if needed. Additionally, be prepared to prioritize care and anticipate future needs.
\nDocumentation Nurse (1):
\nThe documentation nurse is responsible for recording of all patient event activities during the simulation
\nwith the exception of medication administration. You are responsible for documenting assessments,
\ninterventions, and outcomes on the designated tool (paper or electronic). Be prepared to read back and
\nverify your documentation when requested and\/or clarifying the details. Additionally, you will be part of the
\ninterdisciplinary team and will contribute observational assessment findings to include but not limited to
\nchanges in vital signs, alerts, psychosocial needs, and anticipated care.
\nAssessment Nurse (1):
\nNR 224 Maria Hernandez Student Instructions Revised 6.7.17 2
\nThe assessment nurse is responsible for overseeing a comprehensive assessment of the patient. This includes
\nbut is not limited to obtaining vital signs, head-to-toe assessment of all systems, and psych\/social assessment of
\nthe patient. You will be prioritizing care, executing independent interventions, collaborating with
\ninterdisciplinary team members, anticipating the needs of the patient\/family, and re-assessing or continually
\nmonitoring the patient for any changes in condition. You are responsible for implementing all non-medication
\nrelated interventions, verbalizing your findings to the team, and recommending any actions\/interventions
\nrequired. Additionally, you will be providing appropriate education to the patient and family\/significant others.
\nObserver Nurse:
\nThe observer is a non-participant role and will not communicate directly with the simulation team. The
\nobserver nurse will view the simulation in the briefing room through Learning Space as it is occurring. There
\nmay be multiple observer nurses in each scenario. The observer nurse will be given an observation guide to
\ncomplete during the simulation. The data you collect will help the team during the debriefing process and
\nfacilitate an open and active discussion regarding the simulation experience. You will be an active participant in
\nthe debriefing and will be encouraged to share your observations and thoughts. Please keep in mind that your
\nobservations should be conveyed in a respectful, educational manner. The goal is to work together as
\ncolleagues in providing safe and effective care.
\nCOURSE OUTCOMES:
\nThe NR224 standardized simulation enables the student to meet the following priority course outcomes:
\n\uf0b7 CO 1. Differentiate between the components and apply the principles of the nursing process in the
\nlearning laboratory setting using simulated patient care scenarios (PO 1)
\n\uf0b7 CO 3. Demonstrate communication skills necessary for interaction with other health team members and
\nfor providing basic nursing care in a simulated environment (PO 3)
\n\uf0b7 CO 8. Explain the rationale for selected nursing interventions based upon current nursing literature (PO
\n8)
\n**Although this scenario can address multiple course outcomes, faculty and students should focus on
\nthe course outcomes listed above**
\nDUE DATE:
\nThe standardized simulation will be conducted during Units\/Weeks 6-8 to ensure students are prepared to meet
\nthe objectives. Simulation will be performed during the lab component of this course. Medication
\nadministration will not be completed during this scenario.
\nNR 224 Maria Hernandez Student Instructions Revised 6.7.17 3
\nSIMULATION TIMING:
\n\uf0b7 Pre-brief: 10-12 minutes
\n\uf0b7 Run Time: 20-25 minutes
\n\uf0b7 Debrief: 40-50 minutes
\nREVIEW AND COMPLETE PRIOR TO THE START OF PRE-BRIEFING:
\nIn order to prepare for the simulation, you should complete your assigned reading for the course. In addition,
\nyou should be prepared to complete and document a thorough nursing assessment along with completing the
\nfollowing skills:
\n\uf0b7 Vital signs
\n\uf0b7 Infection control
\n\uf0b7 Pressure ulcer & wound healing
\n\uf0b7 Client rights
\nPlease keep in mind you will also be required to recognize a variety of signs and symptoms linked to
\nabnormalities in these skills.
\nTherefore, in order to prepare for the simulation, you are required to complete the pre-briefing questions below
\nand submit to the faculty facilitating the simulation prior to the start of pre-briefing. If you do not complete the
\npre-briefing questions below and submit to faculty facilitating the simulation prior to the start of pre-briefing,
\nyou will not be permitted to participate in the simulation.
\n1. What are some non-pharmacological measures that can be used for pain relief in care for this patient?
\n2. What vital signs could be indicative of complications for this patient?
\n3. Based on what you\u2019ve learned about the nursing process, describe one applicable nursing diagnosis,
\ntreatments, and nursing considerations for this diagnosis.
\n**Immediately following the completion of debriefing, you will complete the evaluation of the simulation within
\nLearning Space**<\/p>\n","protected":false},"excerpt":{"rendered":"
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