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Vsim olivia jones - vsim
Care of the childrearing family (nurs420)
Felician University
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- Document the data from your focused antepartum assessment of both Ms. Jones and the fetus.
I put up seizure pads , and minimized outside stimulation, I assessed the patient's vital signs , applied oxygen via facemask at 10 liters. Attached the FHM, and performed a head to toe assessment. The fetus was in longitudinal lie in vertex presentation and the FHR was WNL
- Write the situation-background-assessment-recommendation (SBAR) communications you would use to update the provider on Ms. Jones’s status at the time of her admission.
Olivia Jones is a 23 year old African American female, G1PO at 36 weeks of gestation admitted to L&D for assessment and monitoring. Around 30 weeks pt had an elevated BP of 146/92, proteinuria and was developing mild preeclampsia. She was admitted with increasing symptoms: Protein dipstick +4, negative ketones and glucose, +2 dependent edema, and facial puffiness. Pt is experiencing nausea, fatigue, and headaches not relieved by acetaminophen. Situation: OJ was admitted due to preeclampsia for assessment and monitoring. Patient presents with elevated blood pressure and nausea. She did not want to take anything for her nausea. Background: She is a 23-year-old African-American female, G1P0 at 36 weeks of gestation. Assessment: assessment documented above. Recommendation: Communicate with MD to induce labor to prevent preeclampsia from worsening
- Document the teaching you would provide to the patient and her support person prior to administering magnesium sulfate.
Magnesium sulfate is used to prevent seizures in severe pre-eclampsia pregnancy. Put the patient on their side and discourage the semi-fowler's position for extended periods of time. Notify the care provider if the patient feels like passing out, weak, numbness around the mouth, muscle tightness, or contractions. Also if the patient is experiencing sweating, anxiety, cold feelings, flushing, weak or shallow breathing, and extreme drowsiness. The care providers will continuously monitor your vitals to ensure stability
- Document the administration of the magnesium sulfate bolus and the initiation of the magnesium sulfate infusion.
Started infusing magnesium sulfate in sterile water (6g in 100 mL) at 200 mL/hr
- Document your reassessment of the patient’s status after administering magnesium sulfate.
Ms. Jones’s respirations are 22 breaths per minute. Her chest is moving equally. Her pulse is strong, 100 per minute and regular. Her blood pressure is at 166/100 mmHg. Her
temperature is at 98 F.
6 on Olivia Jones’s case, were there any actions you would do differently? Explain.
The simulated experience of Olivia Jones made me feel better prepared to monitor a preeclampsia patient in a real-world scenario. The simulation was difficult in that the patient was expressing a great deal of discomfort and receiving very little relief from any of the interventions
- Describe how you would apply the knowledge and skills that you obtained in Olivia Jones’s case to an actual patient care situation.
I felt the assessment of Olivia Jones went well in this scenario. I did my best to systematically go through every organ system while also including other relevant assessments like pain and fetal monitoring.
Vsim olivia jones - vsim
Course: Care of the childrearing family (nurs420)
University: Felician University
