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VSim Olivia Jones part one
Maternity Nursing Care
Keiser University
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Maternity Case 1: Olivia Jones (Core)
Guided Reflection Questions
Opening Questions How did the simulated experience of Olivia Jones’s case make you feel? The simulation gave me a lot more confidence on how to deal with a patient who’s pregnant. Describe the actions you felt went well in this scenario. The head-to-toe assessment went well as well as giving the medications that the doctor ordered. It was clear and giving the medication was pretty good.
Scenario Analysis Questions 1 EBP What are the risk factors for Olivia Jones and her baby if preeclampsia is not treated in a timely manner? The baby and Olivia Jones could be harmed if not treated for preeclampsia. The patient could suffer from seizures, and even harm the baby. EBP List the warning signs of hypertensive disorder in pregnant women. Nausea, weight gain, fluid imbalance, visual changes, edema. PCC What should the priority teaching for Olivia Jones include? The patient should be taught the signs and symptoms of having eclampsia. She should also be taught that she has to be on bed rest and not do certain activities that elevate her blood pressure. T&C What key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-recommendation (SBAR) format. S: The patient is 23 year old African American female who is 36 weeks pregnant. Patient came in with 8lb weight gain in 2 weeks, nausea, and edema. B: Pregnancy has no prior issues until the appointment today. The patients baby has a heart rate of 130/Min
1 competencies: Patient-Centered Care (PCC), Teamwork anThe Scenario Analysis Questions are correlated to the Qualitd Collaboration (T&C), Evidence-Based Practice (EBP), y and Safety Education for Nurses (QSEN) Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: qsen/
From vSim for Nursing | Maternity. © Wolters Kluwer Health.
A: RR: 18, BP: 146/92, DTR normal +2, Glucose is negative, Mild edema +1, No contractions, +2 protein. R: Monitor the vital signs, maintain seizure precautions, and monitor the I&O’s. PCC What communication techniques could be initiated to decrease the anxiety of Olivia Jones and her mother? Patient education and answering all the questions the patients asked. Help the patient with any concerns she has. S What safety measures should be initiated while Olivia Jones is in the hospital? Keep the environment in her room quiet, low light, and make sure the patient has plenty of privacy. Make sure the call light is in reach and the patient has seizure pads ready. I Consider what information on preeclampsia should be provided to Olivia Jones. Patient education plays a big role in finding out what are some symptoms of eclampsia. You also want to let her know what eclampsia is and what to monitor.
Concluding Questions Reflecting on Olivia Jones’s case, were there any actions you would do differently? Explain. I would’ve asked the patient if she wanted more privacy because there was a person in the room with her. Ask a bit more open-ended questions as well instead of having the patient just say yes or no. Describe how you would apply the knowledge and skills that you obtained in Olivia Jones’s case to an actual patient care situation. The experience I got from the vSim made me a lot more confident in how to approach a patient who is suffering from preeclampsia. I know what to check for and what blood test to run that the doctor ordered.
From vSim for Nursing | Maternity. © Wolters Kluwer Health.
VSim Olivia Jones part one
Course: Maternity Nursing Care
University: Keiser University
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