Annie Laduke is a 32-year-old Native American female with no significant health history.
Ebook: Jarvis, C., Eckhardt, A., & Thomas, P. (2020). Physical examination & health assessment (8th ed.). Saunders.
PURPOSE:
The following information is to be used in guiding your preparation and participation in the scenario for this course. This document will provide applicable course outcomes in preparation for your simulation.
SCENARIO OVERVIEW:
Annie Laduke is a 32-year-old Native American female with no significant health history. This morning, she presented to her provider’s office with complaints of pain, increased redness, and warmth of the right lower leg in the calf area. She was directly admitted to the inpatient medical unit by her provider.
1. Based on what you’ve learned about the nursing process, describe one applicable nursing diagnosis,
treatments, and nursing considerations for this diagnosis.
2. What are some non-pharmacological measures that can be used for pain relief in care for this patient?
3. Describe the components of a peripheral vascular nursing assessment.
PLEASE FOLLOW THE GUIDELINES ATTACHED IN THE FILES WITH THE SCENARIO.
THE EXAMPLE ON THE FILE IS JUST TO HAVE AN IDEA SHOULD BE IN APA FORMAT
Please ensure that your submissions adheres to 7th edition APA formatting and is submitted in a Microsoft Word document format.
APA format (7th ed.) and is free of errors
Grammar and mechanics are free of errors free of Plagiarism
References: Use your book, the outside source must be within the last 5 yrs, Scholarly Articles,s or Nurse journals within the last 5 yrs.
NR 304 Annie Laduke Student Instructions Revised 6.7.17 1
Student Instructions for Standardized Simulation
NR 304 Annie Laduke
PURPOSE: The following information is to be used in guiding your preparation and participation in the scenario for this
course. This document will provide applicable course outcomes in preparation for your simulation.
SCENARIO OVERVIEW: Annie Laduke is a 32-year-old Native American female with no significant health history. This morning, she
presented to her provider’s office with complaints of pain, increased redness, and warmth of the right lower leg
in the calf area. She was directly admitted to the inpatient medical unit by her provider.
STUDENT ROLES DURING SIMULATION: During pre-briefing, you will be assigned one of these roles according to the description below to participate in
the simulation as a nurse.
Charge Nurse (1):
The charge nurse is responsible for the overall organization of safe, quality patient care. You are the team leader and serve as a resource to all interdisciplinary members and are responsible for appropriate delegation of duties. You will serve as the point person for communication and can anticipate speaking with the physician or other primary care provider, ancillary support services, and others directly involved with the care being provided. You must be knowledgeable about the patient’s condition and able to dictate orders obtained and assist with implementation if needed. Additionally, be prepared to prioritize care and anticipate future needs.
Documentation Nurse (1):
The documentation nurse is responsible for recording of all patient event activities during the simulation with the exception of medication administration. You are responsible for documenting assessments, interventions, and outcomes on the designated tool (paper or electronic). Be prepared to read back and verify your documentation when requested and/or clarifying the details. Additionally, you will be part of the interdisciplinary team and will contribute observational assessment findings to include but not limited to changes in vital signs, alerts, psychosocial needs, and anticipated care.
NR 304 Annie Laduke Student Instructions Revised 6.7.17 2
Assessment Nurse (1):
The assessment nurse is responsible for overseeing a comprehensive assessment of the patient. This includes but is not limited to obtaining vital signs, head-to-toe assessment of all systems, and psych/social assessment of the patient. You will be prioritizing care, executing independent interventions, collaborating with interdisciplinary team members, anticipating the needs of the patient/family, and re-assessing or continually monitoring the patient for any changes in condition. You are responsible for implementing all non-medication related interventions, verbalizing your findings to the team, and recommending any actions/interventions required. Additionally, you will be providing appropriate education to the patient and family/significant others.
Medication Nurse (1):
The medication nurse is responsible for all actions and documentation related to safe administration of medications. You will identify and correct any medication errors related to prescribing or distribution. This may include speaking with the physician or primary care provider. Prior to administering medication, you will assure the “Rights of Medication Administration”. You must be knowledgeable regarding the action and expected effects of the medications being administered and are responsible for monitoring and reporting any adverse reactions or unforeseen consequences of administration. Part of your role includes verifying medication calculations with a colleague and identifying any incompatible drug combinations.
Observer Nurse:
The observer is a non-participant role and will not communicate directly with the simulation team. The observer nurse will view the simulation in the briefing room through Learning Space as it is occurring. There may be multiple observer nurses in each scenario. The observer nurse will be given an observation guide to complete during the simulation. The data you collect will help the team during the debriefing process and facilitate an open and active discussion regarding the simulation experience. You will be an active participant in the debriefing and will be encouraged to share your observations and thoughts. Please keep in mind that your observations should be conveyed in a respectful, educational manner. The goal is to work together as colleagues in providing safe and effective care.
COURSE OUTCOMES: The NR 304 standardized simulation enables the student to meet the following priority course outcomes:
CO 1. Explain expected client behaviors while differentiating between normal findings, variations, and abnormalities (PO 1)
CO 5. Demonstrate beginning skill in performing a complete physical examination using the techniques of inspection, palpation, percussion, and auscultation (PO 2)
CO 7. Explore the professional responsibilities involved in conducting a comprehensive health assessment and providing appropriate documentation (PO 6, PO 7)
NR 304 Annie Laduke Student Instructions Revised 6.7.17 3
**Although this scenario can address multiple course outcomes, faculty and students should focus on the course outcomes listed above**
DUE DATE: The standardized simulation will be conducted during Units/Weeks 1-7 to ensure students are prepared to meet the objectives. The simulation will be performed during lab component of this course.
SIMULATION TIMING:
Pre-brief: 10-12 minutes
Run Time: 20-25 minutes
Debrief: 40-50 minutes
REVIEW AND COMPLETE PRIOR TO THE START OF PRE-BRIEFING: In order to prepare for the simulation, you should complete your assigned reading for the course. In addition, you should be prepared to complete and document a thorough nursing assessment along with completing the following skills:
Health histories and physical assessments: a-Peripheral vascular system
SIMCARE CENTER™ activities: b-Focused assessment
Please keep in mind you will also be required to recognize a variety of signs and symptoms linked to abnormalities in these skills.
Therefore, in order to prepare for the simulation, you are required to complete the pre-briefing questions below and submit to the faculty facilitating the simulation prior to the start of pre-briefing. If you do not complete the pre-briefing questions below and submit to faculty facilitating the simulation prior to the start of pre-briefing, you will not be permitted to participate in the simulation.
1. Based on what you’ve learned about the nursing process, describe one applicable nursing diagnosis,
treatments, and nursing considerations for this diagnosis.
2. What are some non-pharmacological measures that can be used for pain relief in care for this patient?
3. Describe the components of a peripheral vascular nursing assessment.
**Immediately following the completion of debriefing, you will complete the evaluation of the simulation within
Learning Space**