Time Manikin Settings and Desired Learner Actions Actor Cues / Prompts Teaching Points Changes VS now : RN Learner: Nurse on outgoing shift: Discuss: BP: 130/89 Gown and gloves prior to RN learner: Importance of maintaining have to “I 0-3 min RR: 16 entering patient room contact isolation. go pick up my kid from HR: 84 Importance of appropriate Identifies patient and self school. I just started the Assesses LOC Pulse Ox: 95% handoff procedure antibiotic, he’s stable, will Obtains vital signs Example: Outgoing shift you just double check LOC:A&O x 3, calm, Obtains history reviews health record with everything for me?” communicative Checks medication and rate incoming shift, confirming allows Intentional error: Recognizes vancomycin patient background Physical Status vancomycin to infuse rapidly infusion rate as too rapid information, relevant health Lungs: normal via gravity Stops vancomycin infusion history, drug allergies, BS: positive x4 treatments/interventions Leaves room in a hurry Operator Verbal Sounds: ordered, before RN learner can ask I’m okay, my thigh hurts treatment/interventions any questions or assess where they drained that given or pending, lab tests, patient thing. plan of care. The outgoing and incoming shifts should visualize and confirm medicated drips at the bedside. Appropriate Vancomycin infusion rate: infuse over 4 VS change: CHANGE VS RN Learner: If faculty/simulation staff is Discuss: acting in the role of the provider: Recognizes patient condition Differential diagnoses FIRST, THEN VERBAL 3-10 min Orders: REACTION (agitation, is changing and symptoms of red Diphenhydramine75 mg PO SOB) Contacts Provider Learner man syndrome Cimetidine 300 mg PO via telephone Etiology of red man Sweating, switch on LEDs O2 at 2L/ min via NC BP: 110/65 Communicates patient status syndrome Enters orders in electronic RR: 22 to provider using SBAR Treatment modalities for red health record HR: 135 Provider Learner: man syndrome Pulse Ox: 92% and gloves prior to entering patient room
Time Manikin Settings and Changes Desired Learner Actions Actor Cues / Prompts Teaching Points 0-3 min VS now : BP: 130/89 RR: 16 HR: 84 Pulse Ox: 95% LOC:A&O x 3, calm, communicative Physical Status Lungs: normal BS: positive x4 Operator Verbal Sounds: I’m okay, my thigh hurts where they drained that thing. RN Learner: Gown and gloves prior to entering patient room Identifies patient and self Assesses LOC Obtains vital signs Obtains history Checks medication and rate Recognizes vancomycin infusion rate as too rapid Stops vancomycin infusion Nurse on outgoing shift: RN learner: “I have to go pick up my kid from school. I just started the antibiotic, he’s stable, will you just double check everything for me?” Intentional error: allows vancomycin to infuse rapidly via gravity Leaves room in a hurry before RN learner can ask any questions or assess patient Discuss: Importance of maintaining contact isolation. Importance of appropriate handoff procedure Example: Outgoing shift reviews health record with incoming shift, confirming patient background information, relevant health history, drug allergies, treatments/interventions ordered, treatment/interventions given or pending, lab tests, plan of care. The outgoing and incoming shifts should visualize and confirm medicated drips at the bedside. Appropriate Vancomycin infusion rate: infuse over 3-10 min VS change: CHANGE VS FIRST, THEN VERBAL REACTION (agitation, SOB) Sweating, switch on LEDs BP: 110/65 RR: 22 HR: 135 Pulse Ox: 92% RN Learner: Recognizes patient condition is changing Contacts Provider Learner via telephone Communicates patient status to provider using SBAR Provider Learner: and gloves prior to entering patient room If faculty/simulation staff is acting in the role of the provider: Orders: Diphenhydramine75 mg PO Cimetidine 300 mg PO O2 at 2L/ min via NC Enters orders in electronic health record Discuss: Differential diagnoses and symptoms of red man syndrome Etiology of red man syndrome Treatment modalities for red man syndrome 4
red_in_the_face_interprofessional_simulation_case_scenario.docx