Charge RN played by Faculty if required as confederate to assist student(s) Scenario Progression Outline Timing Manikin Actions Expected Interventions May use the (approximate) following Cues: 0-1 min -raise HOB Imbedded cues: BP 90/60 Vol.9 Gap will c/o SOB Patient Temp 38.4 until nurse raises HOB. P - 96 If HOB not raised R 34 within 1 min pt will ask – O2 sats 85% to sit up – Auscultation Sounds Lungs: Wheezes Normal Bowel: Hyperactive O2 sats improve slightly (86) if HOB 1-6 min raised, -Assess T, P, R, BP, O2 sat *recognize T high, P high, R will refer nurse Patient high, BP low and O2 sat to family member if critically low asked questions due to -Assess current Level of severe dyspnea dyspnea using a rating scale -Auscultate lungs follows Family member -Auscultate the chest Family member script *recognize wheeze sound in provided to answer lungs patient Hx questions See Appendix E 6-15 min -assess O2 delivery system -may increase flow up to 5 L/min via nasal cannula -check Dr orders regarding If no meds by 10 O2 sats improve more oxygen min will cue patient if venturi mask -reassess O2 sat nurses, you give “can’t applied (88) -change O2 delivery system to me something to help venturi mask with O2 flow rate with my breathing” 4-6 and 24 or 28% nozzle -Check Dr orders/MAR for medications to improve respiratory status -Administer Salbutamol .
Charge RN played by Faculty if required as confederate to assist student(s) Scenario Progression Outline Timing (approximate) Manikin Actions Expected Interventions May use the following Cues: 0-1 min 1-6 min 6-15 min BP 90/60 Vol.9 Gap Temp 38.4 P - 96 R – 34 O2 sats – 85% Auscultation Sounds Lungs: Wheezes Normal Bowel: Hyperactive O2 sats improve slightly (86) if HOB raised, O2 sats improve more if venturi mask applied (88) -raise HOB -Assess T, P, R, BP, O2 sat *recognize T high, P high, R high, BP low and O2 sat critically low -Assess current Level of dyspnea using a rating scale -Auscultate lungs -Auscultate the chest *recognize wheeze sound in lungs -assess O2 delivery system -may increase flow up to 5 L/min via nasal cannula -check Dr orders regarding oxygen -reassess O2 sat -change O2 delivery system to venturi mask with O2 flow rate 4-6 and 24 or 28% nozzle -Check Dr orders/MAR for medications to improve respiratory status -Administer Salbutamol . Imbedded cues: Patient will c/o SOB until nurse raises HOB. If HOB not raised within 1 min pt will ask to sit up Patient will refer nurse to family member if asked questions due to severe dyspnea Family member follows Family member script provided to answer patient Hx questions See Appendix E If no meds by 10 min patient will cue nurses, “can’t you give me something to help with my breathing”
COPD%20on%20april%202013%20template%20.docx