Case Flow / Triggers/ Scenario Development States Initiation of Scenario : Patient is received in bed in semi fowler’s position. Pt. IV in left arm was pulled out during the transfer. Pt. has slight decrease in LOC and is lethargic. Learners will receive transfer report from ED nurse. State / Patient Status Desired learner actions & triggers to move to next state Baseline 0900 Operator Learner Actions Debriefing Points: (10-15 minutes) Conducts a complete head to Student /learner ability to BP: 80/50 toe assessment and measures perform a quick head to toe HR:130 vital signs. assessment RR: 26 Triggers: am not feeling Recognizes abnormal Prioritization of care: how did “I SpO2: 96% (2L O2 via nasal very well” findings. student prioritize their care prongs) SpO2 reads only Prioritizes plan of care. and was it appropriate for this when sensor is placed on Patient is agitated, lethargic Initiates and maintains patient? patient finger therapeutic communication. Was student/learner able to Temp: 38.4oC Bed is slightly damp from IV Initiates patient centered delegate care to complete being pulled out care. tasks in timely manner Lungs sounds are clear Reviews admitting orders. Discuss Kussmaul breath Heart Sounds: sinus feel like I might vomit” Delegation of care. sounds and clinical “I tachycardia, no mumur IV fluids initiated. significance Bowel Sounds: normoactive Student reconnects cardiac Review admitting and standing Skin: flushed and dry monitor. orders Pain: diffuse abdominal pain 2/10 State / Patient Status Desired actions & triggers to move to next state
Case Flow / Triggers/ Scenario Development States Initiation of Scenario : Patient is received in bed in semi fowler’s position. Pt. IV in left arm was pulled out during the transfer. Pt. has slight decrease in LOC and is lethargic. Learners will receive transfer report from ED nurse. State / Patient Status Desired learner actions & triggers to move to next state Baseline 0900 (10-15 minutes) BP: 80/50 HR:130 RR: 26 SpO2: 96% (2L O2 via nasal prongs) SpO2 reads only when sensor is placed on patient finger Temp: 38.4oC Lungs sounds are clear Heart Sounds: sinus tachycardia, no mumur Bowel Sounds: normoactive Skin: flushed and dry Pain: diffuse abdominal pain 2/10 Operator Triggers: “I am not feeling very well” Patient is agitated, lethargic Bed is slightly damp from IV being pulled out “I feel like I might vomit” Learner Actions Conducts a complete head to toe assessment and measures vital signs. Recognizes abnormal findings. Prioritizes plan of care. Initiates and maintains therapeutic communication. Initiates patient centered care. Reviews admitting orders. Delegation of care. IV fluids initiated. Student reconnects cardiac monitor. Debriefing Points: Student /learner ability to perform a quick head to toe assessment Prioritization of care: how did student prioritize their care and was it appropriate for this patient? Was student/learner able to delegate care to complete tasks in timely manner Discuss Kussmaul breath sounds and clinical significance Review admitting and standing orders State / Patient Status Desired actions & triggers to move to next state
COUPN%20%20template%20Diabetic%20Patient%20%28Adult%29%20V6%2002%2026%2014.docx