VSim01 Olivia Jones reflection

VSIM

Academic year: 2023/2024

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

Maternity Case 1 : Olivia Jones

Guided Reflection Questions Opening Questions How did the simulated experience of Olivia Jones’s case make you feel? - Involved. Describe the actions you felt went well in this scenario. - Assessing and giving meds per order Scenario Analysis Questions* EBP What are the indications that Olivia Jones’s preeclampsia has progressed? - BP, FHR, Blurry vision, sweaty skin, nausea. PCC What should the priority teaching for Olivia Jones include? - Signs of worsening condition, meds, and AEs of meds 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? - Seizure prevention. Seizure precautions. PCC/I Olivia Jones was given hydralazine. What is the indication for this medication? How often can it be given? What are the side effects? - HTN. IV push. Reflex tachycardia. T&C What key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-recommendation (SBAR) format. - S: Patient was admitted with preeclampsia with severe features - B: received 2 does od betamethasone at 30 weeks and at home she has been taking nifedipine 10 mg tabs x3/day

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.

A: HR 110, BP 182/116, RR 28, SpO2 92%, and T 98. Was given 5mg of hydralazine and loading dose of mag sulfate was started
R: Educate patient and support people on preeclampsia and signs of worsening condition. S What safety measures should be initiated while Olivia Jones is in the hospital?
seizure precautions. S/QI Based on your experience with Olivia Jones’s case, reflect on possible nursing actions for enhanced safety and quality improvement.
Do a full H2T assessment not just focused ones. EMP How would you have handled the situation if Olivia Jones had experienced a seizure?
Ensure patient safety and call for help. Concluding Questions Reflecting on Olivia Jones’s case, were there any actions you would do differently? Explain.
Do the H2T assessment first and thoroughly. Describe how you would apply the knowledge and skills that you obtained in Olivia Jones’s case to an actual patient care situation.
I will be better prepared for the real situation by following the suggested feedback.

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

Maternity Case 1: Olivia Jones

Guided Reflection Questions

Opening Questions

How did the simulated experience of Olivia Jones’s case make you feel?

- Involved.

Describe the actions you felt went well in this scenario.

- Assessing and giving meds per order

Scenario Analysis Questions

EBP What are the indications that Olivia Jones’s preeclampsia has progressed?

- BP, FHR, Blurry vision, sweaty skin, nausea.

PCC What should the priority teaching for Olivia Jones include?

- Signs of worsening condition, meds, and AEs of meds

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?

- Seizure prevention. Seizure precautions.

PCC/I Olivia Jones was given hydralazine. What is the indication for this

medication? How often can it be given? What are the side effects?

- HTN. IV push. Reflex tachycardia.

T&C What key elements would you include in the handoff report for this patient?

Consider the situation-background-assessment-recommendation (SBAR)

format.

- S: Patient was admitted with preeclampsia with severe features

- B: received 2 does od betamethasone at 30 weeks and at home she has

been taking nifedipine 10 mg tabs x3/day

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/

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VSim01 Olivia Jones reflection

Pediatrics I Clinical for APNs (NGR 6331L )

University of Central Florida

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Maternity Case 1 : Olivia Jones