Post-Simulation Work
1. Discuss how you used critical thinking during the simulation scenario.
During the simulation I needed to make quick decisions on what to do and how to help. I was the float nurse during the simulation so my job was to help any of the other nurse, staff. There were several times during the simulation that a child was crying or screaming so I had to think on my feet to help them. One example was when I was helping patient number 3, she has started to choke so I held her up so that her nurse, Rylie, was able to suction her without problem. After we suctioned her she stopped crying and seemed to be less irritated. When helping with patient 1 I need to explain to her how to use an incentive spirometry. She is only 7 years old so I needed to explain how to use it at an appropriate level. I used to colors to help explain and let her tough it to help her feel comfortable. During the simulation I was jumping from room to room helping the patient and nurses so I need to keep my prioritizes organized and help the nurses as much as I could.
2. Discuss the prioritization of care in detail for the pediatric patients.
The main priority for all the pediatric patient was to make sure they are getting enough air. They needed an open airway. Without an open airway nothing else matters. To help with the patients airways we monitored their O2 sats and if they were low we made sure to apply oxygen, and continue to monitor their sats. Once oxygen was applied we worked on
One of the most important things to maintain a trauma patients airway is ensuring that you have adequate help around (Stephens, 2011). This is important because there are many different tasks that must be delegated in maintaining this persons airway. Some of these processes include opening the airway, suctioning the airway, inserting the proper adjunct, and maintaining
Participants reaffirmed that the guidance of the nursing team at the moment of discharge were specific to the care in relation to the drug therapy or to invasive devices, such as probes and tracheostomies, without a focus on the guidance about the general care related to the chronic health conditions and the importance of following-up the child after the hospital discharge. One can say that the factors associated with the readmission of children are related to the age group of infants, with respiratory problems associated with chronic conditions, besides the lack of effectiveness in the post-discharge follow-up. Accordingly, it is relevant to reflect about the role of the nursing team in the planning of interventions capable of providing the adaptation of children and their families over the period of admission, at the moment of discharge and in the post-discharge. The combination of guidance of verbal and written strategies can help us to understand the trajectory of illness and adaptation, thereby avoiding
Like everyone else, I was very nervous for my first simulation experience mostly because I wasn’t sure what to expect. Before the simulation started my partner agreed he would focus on administering medications and that I would focus on doing the assessment and helping with whatever else the patient needed at that time. After talking to the patient for a little, we discovered that he was having difficulty breathing. What we did first was elevated the head of the bed. He said he was still having trouble, so I ensured his nasal cannula was working properly and asked him to do some deep breathing exercises with me. That still wasn’t helping so I knew that albuterol, a fast-acting bronchodilator, would need to be administered before any other med.
Organic chemistry and critical thinking are important components in my future career. I found this to be the case when I asked Ashley Geisinger, Pharmacist at Meyer Pharmacy in Waverly, Iowa, what kind of influence organic chemistry and critical thinking has in pharmacy. Ashley is also married to my cousin, so I was fortunate enough to have been around her for a few years now. Prior to graduation high school and attending Grand View, I had multiple conversations with Ashley about future careers in medicine and college plans pertaining to a future in medicine.
Before the vital sign assessment simulation examination, I felt jumpy and a little stressed. Although classmates and I had done a lot of practices and kept reading the notes we had dropped down in the 1st and 2nd simulation, we still worried the examination, which is examined in our daily performance score. I expected that I could pass the examination because of my adequate exercise. And I expected I could avoid the careless mistakes such as counting the pulse or the respiration rate of the human simulator wrongly. I also expected I could treat the simulator well as pretend treating to a real person. I should have a conversation to the simulator and explained what I would be done to it. These should be performed in real life.
My role for this simulation was to act as a family member of the patient. When the nurses went into the room, the patient just came back from a procedure. The patient stated that during the procedure, he was having light headed, feeling woozy and sweaty. The patient told the nurse that he did not finish all of his breakfast before the procedure. During my role, I asked to the nurse why the patient is having lightheaded, feeling woozy and sweaty. The nurses tested the patient’s blood sugar and did a vital. The patient blood sugar was low and below normal. I asked the nurses what does below normal mean. The nurses gave me an explanation and further discuss ways to help patients manage diabetes.
3. Check nutritional labs every shift to ensure patient is getting proper nutrition through the tube feedings (specifically electrolytes, proteins, glucose, carbohydrates and lipids). Assess weight and signs of malnutrition daily (brittle hair, bruises, dry skin, pale skin, wasting,
I did assessment on my daughter. I walk into the room and my first assessment was her safety and the environment she is surrounded by. I washed my hand and introduce myself and what I will be doing to the patient, and ask the patient for her name and date of birth. I gave a privacy and started to check for vital signs.
The issue I have chosen that concerns my core program is the necessity of a Certification. Currently in the United States it is not required in all 50 states that a surgical technologist be certified.
After we (me and Amandeep) introduced ourselves to ten junior nursing students and professors, we were like observers through the simulation. The professor (Kerstin) divided those students into two groups. Certainly, students had a medical surgical nursing lab. Each group included four students and one family member. During that nursing practice, the both patients had surgery post-operative, one of the patient was male and the other one was female. There were two scenarios during that simulation. In the first scenario, students had a few mistakes, such as given water to the patient who was supine position, late change the fluids, wear socks strongly and incorrect way. However, during the second
Every sentient human being has the right to live with “human rights” because morally it is right and is a way of life, but there are various factors and occurrences that come in play, which can contradict “human rights”. There are many ways that sentient human beings can lose their so called ”human rights”. Some examples might that can have someone lose their rights is by murdering, kidnapping, sexual assault, and basically having the intent of sternly harming a human being. These types of criminal acts are ways one can and should lose their “human rights”, some laws implemented into the system, which deny “human rights” might not be considered equitable, but should be considered as a minor punishment to
Blood gas analysis may be performed to determine if high concentration oxygen therapy is needed (Bush & Thomson, 2007). The management of fever would be a part of care plan when the infant is febrile due to infection (Axton & Fugate 2009).
As a future professor and researcher, data analysis and statistics are two functions that I will need to be able to perform. Broadly, this course will prepare me to perform both data analysis and statistics. Being able to conduct statistical analysis on SPSS is a good foundation to have as a researcher. After conducting these analyses, it is crucial to be able to interpret them. There are also supplementary benefits of learning data analysis and statistics. Learning these skills will help me to become a more advanced critical thinker. Having strong critical thinking skills will help me as I manage a classroom in the future. Specifically this could come to play when I am teaching undergraduates and attempting to answer their questions. As a
Pediatric patients have higher basal metabolic rates which require a larger amount of oxygen per kilogram than adult patients. Ensuring sufficient oxygen perfusion is a top priority to ensure proper healing and to observe if the patient is suffering from adverse medication effects.
This procedure is generally done once the patient is asleep, as that is least stressful on the patient. It is important to explain to the patient that when they were given the medication to put them to sleep, their brain was unconscious and therefore the desire to breathe was interrupted (Ignatavicius & Workman, 2013). It is also important to explain to the patient, if they want to know, the roles of the workers in the operating room. Each operating room has an anesthesiologist as well as a nurse anesthetist. The nurse anesthetist monitors the patient’s vitals during the procedure, therefore this person is making sure that the amount of medication is right, as well as making sure that the oxygen levels are within an acceptable range (Glick,