Chamberlain College of NursingNR 452Student.NR452 Multi-Client Simulation Instructions

Student Instructions for Standardized Simulation NR 452 Multi-Client Scenario Client 1 of 2 Maria Hernandez Client 2 of 2 Keola Akana PURPOSE: The following information is to be used in guiding your preparation an ...

Student Instructions for Standardized Simulation NR 452 Multi-Client Scenario Client 1 of 2 Maria Hernandez Client 2 of 2 Keola Akana 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: Maria Hernandez: Maria Hernandez is an 81yo UTI patient just admitted from the ER for acute confusion and altered vital signs. 101.6F-110-20-96/60. She is Ax0x2 to person and place only. Her daughter reports via phone she has not been eating or drinking well. The scenario takes place on Monday at 1400. Keola Akana: Keola Akana is a 71 year old client who was directly admitted from his healthcare provider via urgent transport. He arrives with an acute episode of left sided heart failure. Keola’s weight in the provider’s office was 217 pounds, his previous weight was 210 two days ago. The scenario takes place on Monday at 1400 about 45 minutes after arrival from the provider’s office. 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 (Registered Nurse) (1): The charge nurse is responsible for the overall organization of safe, quality client 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 This study source was downloaded by 100000823961138 from CourseHero.com on 04-22-2021 09:14:08 GMT -05:00 https://www.coursehero.com/file/37901780/StudentNR452-Multi-Client-Simulation-Instructionspdf/ This study resource was shared via CourseHero.com NR 452 Multi-Client Simulation Student Instructions Revised 6.8.17 2 care being provided. You must be knowledgeable about the client’s condition and able to dictate orders obtained and assist with implementation if needed. Additionally, be prepared to prioritize care and anticipate future needs. Staff Registered Nurse (Assessment/Document/Medications) (1): The staff nurse is responsible for overseeing a comprehensive assessment of the clients, recording of all client activities, and performing actions related to safe administration of medications. You will be prioritizing care, executing independent interventions, collaborating with interdisciplinary team members, anticipating the needs of the client/family, and re-assessing or continually monitoring the client for any changes in condition. LPN (Licensed Practical Nurse) (1): The licensed practical nurse is responsible for the safe and competent care of clients under the supervision of a registered nurse. As a collaborative member of the interdisciplinary team, you will be responsible for the administration of medication and treatment within the scope of LPN practice. You will not be able to perform independent acts requiring the skill, judgment, and/or knowledge of a registered nurse. You will be asked to collaborate with registered nurses and report abnormal findings. You will be asked to document your findings in the appropriate charting format. UAP (Unlicensed Assistive Personnel (1): As unlicensed assistive personnel, you are responsible for providing safe and competent care to assigned clients. You will function in a supportive role to the licensed personnel (i.e. RN, LPN) and perform care based upon their direction and delegation. You will need to document your findings in the appropriate charting format and report your findings to licensed personnel. You are unable to provide any nursing intervention that requires independent, specialized knowledge, skill, or judgment. 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 NR452 standardized simulation enables the student to meet the following priority course outcomes: This study source was downloaded by 100000823961138 from CourseHero.com on 04-22-2021 09:14:08 GMT -05:00 https://www.coursehero.com/file/37901780/StudentNR452-Multi-Client-Simulation-Instructionspdf/ This study resource was shared via CourseHero.com NR 452 Multi-Client Simulation Student Instructions Revised 6.8.17 3  CO 2. Integrate communication and relationship skills in teamwork and collaboration functioning effectively with health team members and consumers of care (PO 3)  CO 4. Integrate critical thinking, clinical reasoning skills, best current evidence, clinical expertise, and patient/family preferences/values in the implementation of the nursing process (PO 4)  CO