Timing Manikin Expected Key Concepts (Approximate) Actions Interventions (Faculty respond via wireless mic/hidden location, manikin programmed for VS, LS, BS) Primary nurse Responds to Student introduces Patient identification enters room to questions from self, checks patient hang IV student identification Focused assessment antibiotic/ Manikin: Asks appropriate Dyspneic questions about Charge nurse at VS: T – 98.8F, patient’s condition. nurses station P 78, BP 120/70, reviewing chart R 28 Administers scheduled 5 - 7 min medication safely. Alarm sounds at “I don’t feel Charge Identification of nurses station quite right” nurse/Student #2 dysrhythmia (Faculty cue responds to alarm, interprets Therapeutic alarm, atrial fib dysrhythmia, goes communication with rhythm strip to assess patient patient, family, team placed on “cardiac monitor”) Next 3 minutes Charge nurse and Responds to Students should Recognition of primary nurse questions perform focused common complication consult assessment, obtain Next 5 – 7 Wife becomes VS Therapeutic minutes agitated/anxious, communication asks questions Notify physician about what is using SBAR (uses Use of SBAR happening telephone at nurses station) Safe documentation of new orders Receives new orders from physician (faculty
Timing (Approximate) Manikin Actions (Faculty respond via wireless mic/hidden location, manikin programmed for VS, LS, BS) Expected Interventions Key Concepts Primary nurse enters room to hang IV antibiotic/ Charge nurse at nurses station reviewing chart 5 - 7 min Responds to questions from student Manikin: Dyspneic VS: T – 98.8F, P 78, BP 120/70, R 28 Student introduces self, checks patient identification Asks appropriate questions about patient’s condition. Administers scheduled medication safely. Patient identification Focused assessment Alarm sounds at nurses station (Faculty cue alarm, atrial fib rhythm strip placed on “cardiac monitor”) Next 3 minutes “I don’t feel quite right” Charge nurse/Student #2 responds to alarm, interprets dysrhythmia, goes to assess patient Identification of dysrhythmia Therapeutic communication with patient, family, team Charge nurse and primary nurse consult Next 5 – 7 minutes Responds to questions Wife becomes agitated/anxious, asks questions about what is happening Students should perform focused assessment, obtain VS Notify physician using SBAR (uses telephone at nurses station) Receives new orders from physician (faculty Recognition of common complication Therapeutic communication Use of SBAR Safe documentation of new orders
83.QSEN-Simulation-Template-Post-CABG-Patient.docx