Skip to document
Welcome to StudocuSign in to access the best study resources
Guest user
0followers
Upload
HomeMy LibraryAsk AI
  • You don't have any recent items yet.
My Library
  • You don't have any courses yet.
  • You don't have any books yet.
  • You don't have any Studylists yet.

Maternity Case 02 Olivia Jones Complex GRQ

Maternity Case Olivia Jones VSIMS COMPLEX
Course

Care of the childbearing family (RNSG 1251)

4 Documents
Students shared 4 documents in this course
University

Lee College

Academic year: 2020/2021
Uploaded by:
Anonymous Student
This document has been uploaded by a student, just like you, who decided to remain anonymous.
Lee College

Comments

Please sign in or register to post comments.

Students also viewed

Related documents

Related Studylists

OB Clinical1030OB

Preview text

Maternity Case 2: Olivia Jones (Complex)

Guided Reflection Questions

Opening Questions How did the simulated experience of Olivia Jones’s case make you feel? I was nervous about this simulation. The patient was very uncomfortable, and I wanted to make sure I did everything I could to relieve her pain and anxiety. After completing it, I don’t think it was as bad as I anticipated.

Describe the actions you felt went well in this scenario. The action that I fell went best was medication administration. I am familiar with Magnesium sulfate and the side effects. Medication was verified by another nurse and administered after checking it the patient had any allergies.

Scenario Analysis Questions 1 EBP What are the indications that Olivia Jones’s preeclampsia has progressed? Indications that preeclampsia has progressed are results of LFT’s, current vital signs, electrolytes, the +3 pitting edema to bilateral lower extremities, crackles at the bases of her lungs, low platelets, worsening epigastric pain and headache, clonus 4+ deep tendon reflexes.

PCC What should the priority teaching for Olivia Jones include? Teaching for Olivia Jones should include her plan of care and prognosis of the disease. She should be given rationale for administration of magnesium sulfate and informed of the possibility for induced labor or c-section if indicated.

PCC/I Olivia Jones was placed on magnesium sulfate for treatment of her preeclampsia. What are the indications for this drug, and what should be taught to the patient regarding side effects? Magnesium Sulfate is indicated in the treatment of preeclampsia as to prevent its progression into seizure activity and eclampsia. Side effects usually include GI upset: N/V, diarrhea, and cardiac dysrhythmia.

T&C What key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-recommendation (SBAR) format. S- Olivia Jones is a 23-year-old African American female, G1PO at 36 weeks of gestation

1 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: qsen/

From vSim for Nursing | Maternity. © Wolters Kluwer Health.

admitted to L&D for assessment and monitoring. B- 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, visual disturbances, epigastric pain, and headaches. A- Pt has pitting edema bilat of lower extremities +3, crackles at base of both lungs, wet nonproductive cough, FHR is 154, deep tendon reflexes were brisk, hyperreflexia, w/ clonus, and graded to a +4, pts complains of headache, nausea, epigastric pain, and blurred spots. R- Reduce stimuli in the room, seizure precautions, magnesium sulfate, and communicate with the provider for possible induction of labor.

S What safety measures should be initiated while Olivia Jones is in the hospital? Seizures precautions- pad side rails, have oxygen and suction bedside, never leave a patient unattended during a seizure. Keep the lights dimmed, reduce stimuli, and continue to monitor patients blood pressure.

S/QI Based on your experience with Olivia Jones’s case, reflect on possible nursing actions for enhanced safety and quality improvement. Checking patient’s V/S including pulse, RR, blood pressure and temperature in a timely manner and assessing FHR. Following medication administration rules, assessing patient for allergies, and implementing safety and seizure precautions are also important to enhance safety and quality improvements.

Concluding Questions Reflecting on Olivia Jones’s case, were there any actions you would do differently? Explain. In the first scenario I called the NICU and surgery and this was not indicated. Patient did not have to deliver the baby currently. I would continue to monitor patient for worsening symptoms of preeclampsia.

Describe how you would apply the knowledge and skills that you obtained in Olivia Jones’s case to an actual patient care situation. With the skills learned from the simulation I would complete a head-to- toe, V/S freq, check patient for edema, question patient about headaches, coughing, swelling of feet, epigastric pain, and visual changes. If blood pressure cannot be managed, I would administer Magnesium Sulfate to prevent seizures. I would educate the patient about the pathophysiology of the disease process and the only way to cure it is delivery of the fetus.

From vSim for Nursing | Maternity. © Wolters Kluwer Health.

Was this document helpful?

Maternity Case 02 Olivia Jones Complex GRQ

Course: Care of the childbearing family (RNSG 1251)

4 Documents
Students shared 4 documents in this course

University: Lee College

Was this document helpful?
Maternity Case 2: Olivia Jones (Complex)
Guided Reflection Questions
Opening Questions
How did the simulated experience of Olivia Jones’s case make you feel?
I was nervous about this simulation. The patient was very uncomfortable, and I wanted to make sure I
did everything I could to relieve her pain and anxiety. After completing it, I don’t think it was as bad as I
anticipated.
Describe the actions you felt went well in this scenario.
The action that I fell went best was medication administration. I am familiar with Magnesium sulfate and
the side effects. Medication was verified by another nurse and administered after checking it the patient
had any allergies.
Scenario Analysis Questions1
EBP What are the indications that Olivia Jones’s preeclampsia has progressed?
Indications that preeclampsia has progressed are results of LFT’s, current vital signs, electrolytes,
the +3 pitting edema to bilateral lower extremities, crackles at the bases of her lungs, low
platelets, worsening epigastric pain and headache, clonus 4+ deep tendon reflexes.
PCC What should the priority teaching for Olivia Jones include?
Teaching for Olivia Jones should include her plan of care and prognosis of the disease. She
should be given rationale for administration of magnesium sulfate and informed of the
possibility for induced labor or c-section if indicated.
PCC/I Olivia Jones was placed on magnesium sulfate for treatment of her preeclampsia. What are
the indications for this drug, and what should be taught to the patient regarding side effects?
Magnesium Sulfate is indicated in the treatment of preeclampsia as to prevent its progression
into seizure activity and eclampsia. Side effects usually include GI upset: N/V, diarrhea, and
cardiac dysrhythmia.
T&C What key elements would you include in the handoff report for this patient? Consider the
situation-background-assessment-recommendation (SBAR) format.
S- Olivia Jones is a 23-year-old African American female, G1PO at 36 weeks of gestation admitted
1 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 | Maternity. © Wolters Kluwer Health.

Students also viewed

Related documents