Standardized Simulation Assignment

Standardized Simulation Assignment

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT:   Standardized Simulation Assignment  

Standardized Simulation Assignment

NR 224 Maria Hernandez Student Instructions Revised 6.7.17 1

Student Instructions for Standardized Simulation

NR 224 Maria Hernandez

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: Maria Hernandez is an 80-year-old Hispanic female. She is widowed and lives alone in a senior housing

apartment. Her two children live out of state. She spends most days watching television, rarely leaving her

apartment. Mrs. Hernandez was admitted for surgical debridement of a non-healing sacral ulcer, which has been

present for several months.

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 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. Documentation Nurse (1):

The documentation nurse is responsible for recording of all patient event activities during the simulation with the exception of 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 clarifying the details. Additionally, you will be part of the interdisciplinary team and will contribute observational assessment findings to include but not limited to changes in vital signs, alerts, psychosocial needs, and anticipated care.

Assessment Nurse (1):

NR 224 Maria Hernandez Student Instructions Revised 6.7.17 2

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:

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 NR224 standardized simulation enables the student to meet the following priority course outcomes:

 CO 1. Differentiate between the components and apply the principles of the nursing process in the learning laboratory setting using simulated patient care scenarios (PO 1)

 CO 3. Demonstrate communication skills necessary for interaction with other health team members and for providing basic nursing care in a simulated environment (PO 3)

 CO 8. Explain the rationale for selected nursing interventions based upon current nursing literature (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 Units/Weeks 6-8 to ensure students are prepared to meet the objectives. Simulation will be performed during the lab component of this course. Medication administration will not be completed during this scenario.

NR 224 Maria Hernandez Student Instructions Revised 6.7.17 3

Standardized Simulation Assignment

SIMULATION TIMING:

 Pre-brief: 10-12 minutes

 Run Time: 20-25 minutes

 Debrief: 40-50 minutes

REVIEW AND COMPLETE PRIOR TO THE START OF PRE-BRIEFING: In order 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:

 Vital signs

 Infection control

 Pressure ulcer & wound healing

 Client rights

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

abnormalities in these skills.

Therefore, in order to prepare for the simulation, you are required to complete the pre-briefing questions below

and submit to the faculty facilitating the simulation prior to the start of pre-briefing. If you do not complete the

pre-briefing questions below and submit to faculty facilitating the simulation prior to the start of pre-briefing,

you will not be permitted to participate in the simulation.

1. What are some non-pharmacological measures that can be used for pain relief in care for this patient?

2. What vital signs could be indicative of complications for this patient?

3. Based on what you’ve learned about the nursing process, describe one applicable nursing diagnosis,

treatments, and nursing considerations for this diagnosis.

**Immediately following the completion of debriefing, you will complete the evaluation of the simulation within

Learning Space**

Standardized Simulation Assignment

Standardized Simulation Assignment

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.