NR304 Annie LaDuke Student Instructions
Annie LaDuke is a client with no significant health history. This morning, the client presented to the provider’s office with complaints of pain, increased redness, and warmth of the right lower leg in the calf area. The client was directly admitted to the inpatient medical unit. The scenario takes place on Thursday at 1600. During this scenario, students will have the opportunity to assess a client who is experiencing thrombophlebitis. Students are to perform a physical assessment incorporating a peripheral vascular assessment, and cultural assessment and utilize therapeutic communication for health promotion and support.
STUDENT ROLES DURING SIMULATION: During pre-briefing, you will be assigned one of these roles according to the description below to participate in the simulation as a nurse.
Charge Nurse (1): The charge nurse is responsible for the overall organization of safe, quality patient care. You are the team leader and serve as a resource to all interdisciplinary members and are responsible for the appropriate delegation of duties. You will serve as the point person for communication and can anticipate speaking with the physician or other primary care provider, ancillary support services, and others directly involved with the care being provided. You must be knowledgeable about the patient’s condition and able to dictate orders obtained and assist with implementation if needed. Additionally, be prepared to prioritize care and anticipate future needs.
Medication Nurse (1): The medication nurse is responsible for all actions and documentation related to the safe administration of medications. You will identify and correct any medication errors related to prescribing or distribution. This may include speaking with the physician or primary care provider. Prior to administering medication, you will assure the “Rights of Medication Administration.” You must be knowledgeable regarding the action and expected effects of the medications being administered and are responsible for monitoring and reporting any adverse reactions or unforeseen consequences of administration. Part of your role includes verifying medication calculations with a colleague and identifying any incompatible drug combinations. Documentation Nurse (1): The documentation nurse is responsible for the recording of all patient event activities during the simulation except for medication administration. You are responsible for documenting assessments, interventions, and outcomes on the designated tool (paper or electronic). Be prepared to read back and verify your documentation when requested and/or clarify the details. Additionally, you will be part of the interdisciplinary team and will contribute observational assessment findings including but not limited to changes in vital signs, alerts, psychosocial needs, and anticipated care.
NR304 Annie LaDuke Student Instructions ©2022 Chamberlain University. All Rights Reserved.
Revised 09/2022 2
Student Instructions for Standardized Simulation
NR304 Annie LaDuke
Assessment Nurse (1): The assessment nurse is responsible for overseeing a comprehensive assessment of the patient. This includes but is not limited to obtaining vital signs, head-to-toe assessment of all systems, and psych/social assessment of the patient. You will be prioritizing care, executing independent interventions, collaborating with interdisciplinary team members, anticipating the needs of the patient/family, and re-assessing or continually monitoring the patient for any changes in condition. You are responsible for implementing all non-medication- related interventions, verbalizing your findings to the team, and recommending any actions/interventions required. Additionally, you will be providing appropriate education to the patient and family/significant others.
Observer Nurse: (Max of 6) The observer is a non-participant role and will not communicate directly with the simulation team. The observer nurse will view the simulation in the briefing room through Learning Space as it is occurring. There may be multiple observer nurses in each scenario. The observer nurse will be given an observation guide to complete during the simulation. The data you collect will help the team during the debriefing process and facilitate an open and active discussion regarding the simulation experience. You will be an active participant in the debriefing and will be encouraged to share your observations and thoughts. Please keep in mind that your observations should be conveyed in a respectful, educational manner. The goal is to work together as colleagues in providing safe and effective care.
COURSE OUTCOMES: The NR304 standardized simulation enables the student to meet the following priority course outcomes:
• CO 1. Explain expected client behaviors while differentiating between normal findings, variations, and abnormalities (PO 1)
• CO 5. Demonstrate beginning skill in performing a complete physical examination using the techniques of inspection, palpation, percussion, and auscultation (PO 2)
• CO 7. Explore the professional responsibilities involved in conducting a comprehensive health assessment and providing appropriate documentation (PO 6, PO 7)
**Although this scenario can address multiple course outcomes, faculty and students should focus on the course outcomes listed above**
DUE DATE: The standardized simulation will be conducted during Weeks 1-7 to ensure students are prepared to meet the objectives.
SIMULATION TIMING: • Pre-brief: 20 minutes
• Prebrief Skills Review (OPTIONAL): 30 minutes • Run Time: 25 minutes • Debrief: 50 minutes
NR304 Annie LaDuke Student Instructions ©2022 Chamberlain University. All Rights Reserved.
Revised 09/2022 3
Student Instructions for Standardized Simulation
NR304 Annie LaDuke
REVIEW AND COMPLETE BEFORE THE START OF PRE-BRIEFING: To prepare for the simulation, you should complete your assigned reading for the course. In addition, you should be prepared to complete and document a thorough nursing assessment along with completing the following skills:
• Physical Assessment/Peripheral Vascular Assessment • Vital Signs/Pain Assessment • Review Electronic Health Record and Medication Administration Record (MAR) • Cultural Assessment • Education • Utilizing I-SBAR for reporting
Please keep in mind you will also be required to recognize a variety of signs and symptoms linked to abnormalities in these skills.
Therefore, to prepare for the simulation, you are required to complete the pre-briefing questions below and submit them to the faculty facilitating the simulation before the start of the pre-briefing. If you do not complete the pre-briefing questions below and submit them to the faculty facilitating the simulation before the start of the pre-briefing, you will not be permitted to participate in the simulation.
Pre-Briefing Questions for NR304 Annie LaDuke
1. Based on the nursing process, describe the following information regarding a client
diagnosed with deep vein thrombophlebitis. a. Components of a peripheral vascular assessment b. Predisposing factors for the development of deep vein thrombosis c. Diagnostic test and lab values associated with deep vein thrombophlebitis: venous doppler, D-dimer, INR, PT, PTT, Hematocrit, Hemoglobin, Platelets d. Establish a priority nursing diagnosis for the client
2. Formulate questions that would be included in a pain assessment for a client with deep vein thrombophlebitis.
3. Identify 3 non-pharmacological measures that can be used for pain relief in care for a client with deep vein thrombophlebitis
4. Identify cultural domains included when performing a culture assessment.
SCENARIO OVERVIEW:
STUDENT ROLES DURING SIMULATION:
Charge Nurse (1):
Medication Nurse (1):
The medication nurse is responsible for all actions and documentation related to the safe administration of medications. You will identify and correct any medication errors related to prescribing or distribution.
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