NR341/342 Susan Weil Student Instructions ©2022 Chamberlain University. All Rights Reserved.

Revised 9.12.2022 1

Student Instructions for Standardized Simulation

NR341/342 Susan Weil

PURPOSE: The following information is to be used in guiding your preparation and participation in the scenario for this course. This document will provide applicable course outcomes in preparation for your simulation.

SCENARIO OVERVIEW: Susan Weil, who has a history of hypertension and osteoporosis, sustained a fall at a neighbor’s home. This occurred on Tuesday afternoon and was admitted to the emergency department. The client complains of severe right hip pain and explained hip was injured due to a fall from a neighbor’s porch. An X-ray confirmed a right subcapital hip fracture and required the client to be admitted to the medical-surgical unit for hemiarthroplasty. The surgery and postoperative recovery period have been uneventful except for moderate blood loss and a blood transfusion. The scenario takes place on the telemetry unit on Wednesday at 1045, where the client suddenly complains of shortness of breath and chest pain.

STUDENT ROLES DURING SIMULATION: During pre-briefing, you will be assigned one of these roles according to the description below to participate in the simulation as a nurse.

Charge Nurse (1): The charge nurse is responsible for the overall organization of safe, quality patient care. You are the team leader and serve as a resource to all interdisciplinary members and are responsible for the appropriate delegation of duties. You will serve as the point person for communication and can anticipate speaking with the physician or other primary care provider, ancillary support services, and others directly involved with the care being provided. You must be knowledgeable about the patient’s condition and able to dictate orders obtained and assist with implementation if needed. Additionally, be prepared to prioritize care and anticipate future needs.

Medication Nurse (1): The medication nurse is responsible for all actions and documentation related to the safe administration of medications. You will identify and correct any medication errors related to prescribing or distribution. This may include speaking with the physician or primary care provider. Prior to administering medication, you will assure the “Rights of Medication Administration.” You must be knowledgeable regarding the action and expected effects of the medications being administered and are responsible for monitoring and reporting any adverse reactions or unforeseen consequences of administration. Part of your role includes verifying medication calculations with a colleague and identifying any incompatible drug combinations. Documentation Nurse (1): The documentation nurse is responsible for the recording of all patient event activities during the simulation except for medication administration. You are responsible for documenting assessments, interventions, and outcomes on the designated tool (paper or electronic). Be prepared to read back and verify your documentation when requested and/or clarify the details. Additionally, you will be part of the interdisciplinary team and will contribute observational assessment findings including but not limited to changes in vital signs, alerts, psychosocial needs, and anticipated care.

NR341/342 Susan Weil Student Instructions ©2022 Chamberlain University. All Rights Reserved.

Revised 9.12.2022 2

Student Instructions for Standardized Simulation

NR341/342 Susan Weil

Assessment Nurse (1): The assessment nurse is responsible for overseeing a comprehensive assessment of the patient. This includes but is not limited to obtaining vital signs, head-to-toe assessment of all systems, and psych/social assessment of the patient. You will be prioritizing care, executing independent interventions, collaborating with interdisciplinary team members, anticipating the needs of the patient/family, and re-assessing or continually monitoring the patient for any changes in condition. You are responsible for implementing all non-medication- related interventions, verbalizing your findings to the team, and recommending any actions/interventions required. Additionally, you will be providing appropriate education to the patient and family/significant others.

Observer Nurse: (Max of 6) The observer is a non-participant role and will not communicate directly with the simulation team. The observer nurse will view the simulation in the briefing room through Learning Space as it is occurring. There may be multiple observer nurses in each scenario. The observer nurse will be given an observation guide to complete during the simulation. The data you collect will help the team during the debriefing process and facilitate an open and active discussion regarding the simulation experience. You will be an active participant in the debriefing and will be encouraged to share your observations and thoughts. Please keep in mind that your observations should be conveyed in a respectful, educational manner. The goal is to work together as colleagues in providing safe and effective care.

COURSE OUTCOMES: The NR341/342 standardized simulation enables the student to meet the following priority course outcomes:

CO 1. Provide patient and family-centered nursing care to adults with complex health needs using theories and principles of nursing and related disciplines (PO 1)

CO 4. Demonstrate effective clinical decision-making based on critical thinking skills and legal, ethical, and professional standards and principles when caring for patients and families with complex adult health needs (POs 4, 6)

CO 7. Use evidence including research findings from nursing and related disciplines to answer clinical questions related to nursing care of patients with complex adult health needs (PO 8)

**Although this scenario can address multiple course outcomes, faculty and students should focus on the course outcomes listed above**

DUE DATE: The standardized simulation will be conducted during Weeks 3-8 to ensure students are prepared to meet the objectives.

NR341/342 Susan Weil Student Instructions ©2022 Chamberlain University. All Rights Reserved.

Revised 9.12.2022 3

Student Instructions for Standardized Simulation

NR341/342 Susan Weil

SIMULATION TIMING: • Pre-brief: 20 minutes

• Prebrief Skills Review (OPTIONAL): 30 minutes • Run Time:45 minutes • Debrief: 90 minutes

REVIEW AND COMPLETE BEFORE THE START OF PRE-BRIEFING: To prepare for the simulation, you should complete your assigned reading for the course. In addition, you should be prepared to complete and document a thorough nursing assessment along with completing the following skills:

• Pain Management and comfort care

• Cardiac Dysrhythmias

• Ethical and Legal Issues in Critical Care Nursing

• Medication Administration and Dosage Calculations (PO, IV push, IV infusion rates)

• Utilizing I-SBAR for reporting

Please keep in mind you will also be required to recognize a variety of signs and symptoms linked to abnormalities in these skills.

Therefore, to prepare for the simulation, you are required to complete the pre-briefing questions below and submit them to the faculty facilitating the simulation before the start of the pre-briefing. If you do not complete the pre-briefing questions below and submit them to the faculty facilitating the simulation before the start of the pre-briefing, you will not be permitted to participate in the simulation.

Pre-Briefing Questions for NR341/342 Susan Weil

1. Describe the clinical manifestations that are representative of an ST-segment elevation myocardial infarction (STEMI) and Non-ST-segment elevation myocardial infarction (NSTEMI) event.

2. Define electrocardiogram (ECG) and cardiac biomarkers that correlate with a STEMI event.

3. Identify the actions, side effects, and nursing interventions required for administering the following medications and treatments: Aspirin, Nitroglycerin, Morphine, Heparin, Oxygen.