vSIM FOR NURSING - CLINICAL REPLACEMENT PACKET- Level 3 & 4 + Assignments incoporated

 Fundal assessment and massage if boggy/has poor tone  Management of postpartum hemorrhage  Monitor pads for lochia (amount/color), blood clots, and level of bleeding  Straight catheter insertion  Check Peri lac ...

 Fundal assessment and massage if boggy/has poor tone  Management of postpartum hemorrhage  Monitor pads for lochia (amount/color), blood clots, and level of bleeding  Straight catheter insertion  Check Peri laceration and provide support when patient needs to void (use of Peri bottle)  Type and cross, and blood transfusion of needed and ordered  Continuation of Oxytocin drip  Administration of Oxygen  PAIN MANAGEMENT: IV administration of ordered pain medication This SBAR actvity assists you in building the skill of communicating pertinent information when caring for a patient. Appropriate actions you should do to complete this activity include finding appropriate data to provide a thorough SBAR report. At the end of this activity, student will be able to: 1. Identify pertinent data from the patient information area of the vSim suggested reading section. 2. Communicate pertinent information for a patient using ISBAR. 1. Log into the Point and launch the assigned vSim, following all instructions posted on your learning management system (LMS). 2. Review the information contained in the patient information area of the suggested reading section. 3. Review the smart sense links found within the Nursing Care, Diagnostics and Pharmacology areas of the ssuggested reading. 4. Navigate and fill out the data in the following document using the patient information provided in the suggested reading area. 5. Submit for review. IS AREST TIMEMIN STUDENT LEARNING OUTCOMES ASSIGNMENT vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello, My name is Katarina Hagopian, RN and I am calling from the Maternity ward about your patient Fatime Sanogo. Your name, position (RN), unit you are working on SITUATION Fatime Sanogo, 23y/o Female admitted for induction of labor secondary to postdates (41 4/7). Currently c/o heavy bleeding out of vagina and pain level of 5 in the abdominal region. Patient’s name, age, specific reason for visit BACKGROUND Fatime was admitted yesterday at 0600 and delivered today at 0605. G1, P1, APGAR of 9/9, neonate 9lb 0oz, Second degree laceration during delivery and manual delivery of placenta. Currently getting 100mL of Oxytocin at 20mL/hr. Patient’s primary diagnosis, date of admission, current orders for patient ASSESSMENT Unable to void, pain level at a 5 located in abdomen and large blood loss coming from vagina. Uterus is soft and boggy, fundal massage preformed and uterus did not firm up. NKDA. BP: 99/50 HR: 106 Respirations: 18 / Oxygen: 97% Temp: 98.6o F Current pertinent assessment data using head to toe approach, pertinent diagnostics, vital signs RECOMMENDATION IV fluids to replace lost fluids Recheck vitals / lochia / blood loss Q15 Uterotonic medication to stop the bleeding (OXYTOCIN) Straight cath as patient is unable to void