Skill Validation

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Skills Validation PNCI Eliana Ruiz Age: 86 Weight: 55 kg Base: Standard Adult Overview Synopsis The learner will be providing care to an 86-year-old Hispanic female admitted to the MedicalSurgical Unit with a non-healing wound on her right upper leg where a femoral-popliteal bypass graft was performed two weeks ago. She is diabetic and injured her left ankle by tripping on a curb on the way to the hospital. She is anxious about not being able to care for herself when she returns home. She lives alone but has a daughter close by, and has no insurance. This Simulated Clinical Experience™ (SCE™) has five states, that are transitioined manually. With manual transitions, the instructor should advance to the applicable state when…show more content…
The patient’s vital signs have stabilized, with HR in the 70s, BP is in the 120s/60s, regular RR and 37.6o Celsius temperature. Graft site wound bed is pink with tissue granulation noted. The learner is expected to prepare the patient for discharge. This SCE prepares the learner for the following items of the NCLEX-RN test format: NCLEX-RN Test Plan: X Safe and Effective Care Environment X Management of Care X Safety and Infection Control X Health Promotion and Maintenance X Psychosocial Integrity X Physiological Integrity X Basic Care and Comfort X Pharmacological and Parental Therapies X Reduction of Risk Potential X Physiological Adaptations Author Nancy McMenamy and Dr. Judy Johnson-Russell, Texas Woman’s University - Dallas, TX Reviewed by Nancy McMenamy, Texas Woman’s University - Dallas, TX, 2008 and Wendy Jo Wilkinson, METI - Sarasota, FL, 2009 Program for Nursing Curriculum Integration (PNCI®) Skills Validation © 2009 METI, Sarasota, FL 2 Skills Validation PNCI Background Patient History Past Medical History: Although the patient is Hispanic, she can speak English and provides her history to the nurse. She reports that two weeks ago she was in the hospital for a femoralpopliteal bypass graft that was performed on her right leg. She noted some drainage coming from her incision and thought she should have it checked out. She has a history of diabetes, for which she takes insulin.
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