Vsim for nursing answers

Pediatric Case 4: Sabina Vasquez (Complex) Documentation Assignments 1. Document your initial focused assessment of Sabina Vasquez. 2. Identify and document key nursing diagnoses for Sabina Vasquez. 3. Referring to your feedback log, document the nursing care you provided and Sabina Vasquez’s response. 4. Document the patient teaching that you would provide for Sabina Vasquez and her family before discharge. From vSim for Nursing | Pediatric. © Wolters Kluwer Health. Pediatric Case 4: Sabina Vasquez (Complex) Guided Reflection Questions Opening Questions How did the simulated experience of Sabina Vasquez’s case make you feel? Describe the actions you felt went well in this scenario. Scenario Analysis Questions* EBP List in order of priority your initial nursing actions for Sabina Vasquez based on physical findings and family interaction. EBP What complications might Sabina Vasquez face if her symptoms are not recognized and if care is not initiated in a timely manner? PCC What actions should be taken to ensure the delivery of appropriate information to Sabina Vasquez’s mother? PCC Recognizing the acuity of the situation, how would you include Sabina Vasquez and her mother in the decision-making process? S/QI Reflect on ways to improve safety and quality of care based on your experience with Sabina Vasquez’s case. T&C/I What key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-recommendation (SBAR) format. QI As you begin to think about discharge planning for Sabina Vasquez and her family, what teaching needs to be provided? * The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: http://qsen.org/ From vSim for Nursing | Pediatric. © Wolters Kluwer Health. Pediatric Case 4 Sabina Vasquez (Complex) Guided Reflection Questions Concluding Questions Reflecting on Sabina Vasquez’s case, were there any actions you would do differently? If so, what were these actions, and why would you do them differently? Describe how you would apply the knowledge and skills obtained in Sabina Vasquez’s case to an actual patient care situation. From vSim for Nursing | Pediatric. © Wolters Kluwer Health. Date of Completion Feedback Log 0:00 You arrived at the child. 0:00 You introduced yourself. 0:07 You washed your hands. To maintain patient safety it is important to wash your hands as soon as you enter the room. 0:10 Child status - ECG: Sinus tachycardia. Heart rate: 145. Pulse: Present. Blood pressure: 120/80 mmHg. Respiration: 25. Conscious state: Appropriate. SpO2: 94%. Temp: 39.2 C # ! 0:49 You identified the child. To maintain patient safety it is important that you quickly identify the child. # ! 0:59 You identified the relatives. This is important, as the patient is below 18 years of age. 1:10 Child status - ECG: Sinus tachycardia. Heart rate: 146. Pulse: Present. Blood pressure: 123/82 mmHg. Respiration: 26. Conscious state: Appropriate. SpO2: 93%. Temp: 39.2 C # ! 1:12 You asked the parent: Does she have any known allergies? The parent replied: 'No. I don't think so.' # ! 1:19 You offered the child a toy. This is reasonable. # ! 1:35 You looked for normal breathing. She is breathing at 27 breaths per minute. There are a few audible wheezes. The chest is moving equally. # ! 2:05 You attached the pulse oximeter.<> This was indicated by order. 2:10 Child status - ECG: Sinus tachycardia. Heart rate: 146.