(20 minutes) Operator: Learner Actions: Debriefing Points: Time laps 1 hour Make improvements on Learners read through Learners recognize slight Slight improvement in mannequin if interventions admitting orders. improvement in patient status patient status are appropriate Learners reassess patient and with IV fluids. vital signs. If Tylenol had been given on Students evaluate significant Nursing process and the need previous state decrease findings. to reassessment. BP: 90/65 HR: 115 temp to 37.8oC Student prepares and Discuss complexity of IV RR: 20 Initiates continuous insulin continuous insulin infusion. SpO2: 97% on 2L O2 nasal Triggers: infusion as per orders with Teaching and communication prongs Have patient pull off nasal assistance from the RN. skills. Temp: 38.4oC without prongs stating "It is Student recognizes scope of Discuss significant findings Tylenol given bothering my nose". practice and need for the RN such as fruity breath, supervision improvements in LOC. Temp: 37.8oC with Tylenol Patient states: "What's Effective teaching and Discuss implications of fluid given going on?" communication with patient. administration and signs of Student collects urine from fluid overload. Level of consciousness collection bag for urinalysis. Look at lab values and what begins to improve. Glucometer testing. are the important lab values, what are the abnormal and what are the appropriate interventions. STATE / PATIENT STATUS DESIRED ACTIONS & TRIGGERS TO MOVE TO NEXT STATE 3. Final State (20 mins) Operator: Learner Actions: Debriefing Points: (Time laps 4 hours) Make improvement on Recognize patient Evaluation of simulation, student BP: 110/70 mannequin when improvements learning and student satisfaction HR: 90
(20 minutes) Time laps 1 hour Slight improvement in patient status BP: 90/65 HR: 115 RR: 20 SpO2: 97% on 2L O2 nasal prongs Temp: 38.4oC without Tylenol given Temp: 37.8oC with Tylenol given Operator: Make improvements on mannequin if interventions are appropriate If Tylenol had been given on previous state decrease temp to 37.8oC Triggers: Have patient pull off nasal prongs stating "It is bothering my nose". Patient states: "What's going on?" Level of consciousness begins to improve. Learner Actions: Learners read through admitting orders. Learners reassess patient and vital signs. Students evaluate significant findings. Student prepares and Initiates continuous insulin infusion as per orders with assistance from the RN. Student recognizes scope of practice and need for the RN supervision Effective teaching and communication with patient. Student collects urine from collection bag for urinalysis. Glucometer testing. Debriefing Points: Learners recognize slight improvement in patient status with IV fluids. Nursing process and the need to reassessment. Discuss complexity of IV continuous insulin infusion. Teaching and communication skills. Discuss significant findings such as fruity breath, improvements in LOC. Discuss implications of fluid administration and signs of fluid overload. Look at lab values and what are the important lab values, what are the abnormal and what are the appropriate interventions. STATE / PATIENT STATUS DESIRED ACTIONS & TRIGGERS TO MOVE TO NEXT STATE 3. Final State (20 mins) (Time laps 4 hours) BP: 110/70 HR: 90 Operator: Make improvement on mannequin when Learner Actions: Recognize patient improvements Debriefing Points: Evaluation of simulation, student learning and student satisfaction
COUPN%20%20template%20Diabetic%20Patient%20%28Adult%29%20V6%2002%2026%2014.docx