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Maternity Case 01 Olivia Jones VSim Documentation
Maternal/Pediatric Clinical (ASN 205)
PITC Institute
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Maternity Case 1: Olivia Jones
Debriefing Guide
Opening Questions How did the simulated experience of Olivia Jones’s case make you feel?
Describe the actions you felt went well in this scenario.
Scenario Analysis Questions 1 EBP What are the indications that Olivia Jones’s preeclampsia has progressed?
Possible answers include but are not limited to: Olivia has epigastric pain, vision changes, nausea and vomiting, a headache unrelieved by nonsteroidal anti-inflammatory drugs (NSAIDs), right- sided pain, and chest tightness. A urine dipstick showed 4+ protein, blood pressure elevated above previous readings, and clonus. Additionally, Olivia has 3+ reflexes.
PCC What should the priority teaching for Olivia Jones include?
Possible answers include but are not limited to: The plan of care should be discussed with Olivia, including medications and the potential need for emergency interventions, which could possibly include prompt delivery. Discussions should include her as a part of the health care team.
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?
Possible answers include but are not limited to: The indications for administering magnesium sulfate are elevated blood pressure and contractions. Magnesium sulfate is used to prevent or stop seizures during pregnancy. The side effects are muscle weakness, lack of energy, blurred vision, slurred speech, headache, nausea and vomiting, flushing, and nasal congestion. Olivia should be informed that she also needs to have calcium gluconate on standby in case of toxicity. Due to the side effects of magnesium sulfate, Olivia should be on bed rest with a Foley catheter. Her call button should be placed within reach, and she should be instructed to call for assistance when getting out of bed.
T&C What key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-recommendation (SBAR) format.
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 and Pediatric. © Wolters Kluwer Health.
Maternity Case 1: Olivia Jones Debriefing Guide
Possible answers include but are not limited to: Situation: Introduce yourself, identify your patient by name, identify the patient’s chief complaint, and provide a brief summary of the patient’s current status. Background: Provide a brief history of the patient’s condition, including any interventions made in the past and the result of those interventions. Assessment: List the patient’s current vital signs, noting significant changes, as well as any other relevant examination findings or laboratory test results. Recommendation: Recommend any needed interventions to make on the patient’s behalf.
S What safety measures should be initiated while Olivia Jones is in the hospital?
Possible answers include but are not limited to: Olivia should be placed on seizure precautions (include padded side rails per institution protocol). Her blood pressure should be monitored frequently. Since Olivia is on magnesium sulfate, she also needs to have calcium gluconate on standby in case of toxicity. Due to the side effects of magnesium sulfate, Olivia should be on bed rest with a Foley catheter. Her call button should be placed within reach, and she should be instructed to call for assistance when getting out of bed.
S/QI Based on your experience with Olivia Jones’s case, reflect on possible nursing actions for enhanced safety and quality improvement.
Possible answers include but are not limited to: Possible areas for improvement include: using the rights of medication administration, especially related to magnesium sulfate; demonstrating appropriate use of equipment such as intravenous (IV) fluid administration devices, pulse oximeter, and fetal monitor; providing family teaching specific to administration of magnesium sulfate and signs and symptoms to report; and documenting I&O and all interventions performed.
Concluding Questions Reflecting on Olivia Jones’s case, were there any actions you would do differently? Explain.
Describe how you would apply the knowledge and skills that you obtained in Olivia Jones’s case to an actual patient care situation.
Possible answers include but are not limited to: Use of therapeutic communication for teaching patients about preeclampsia and safety precautions related to preeclampsia, including magnesium sulfate.
From vSim for Nursing | Maternity and Pediatric. © Wolters Kluwer Health.
Maternity Case 01 Olivia Jones VSim Documentation
Course: Maternal/Pediatric Clinical (ASN 205)
University: PITC Institute
