Concept Map worksheet

ClinicalSimulationPacket.docx

DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS)

DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS)

ANTICIPATED PHYSICAL FINDINGS

ANTICIPATED NURSING INTERVENTIONS

vSim ISBAR ACTIVITY STUDENT WORKSHEET
INTRODUCTION
Your name, position (RN), unit you are working on
SITUATION
Patient’s name, age, speciﬁc reason for visit
BACKGROUND
Patient’s primary diagnosis, date of admission, current orders for patient
ASSESSMENT
Current pertinent assessment data using head to toe approach, pertinent diagnostics, vital signs
RECOMMENDATION
Any orders or recommendations you may have for this patient

PATIENT EDUCATION WORKSHEET

NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE

MEDICATION:

CLASSIFICATION:

PROTOTYPE:

SAFE DOSE OR DOSE RANGE, SAFE ROUTE

PURPOSE FOR TAKING THIS MEDICATION

PATIENT EDUCATION WHILE TAKING THIS MEDICATION

Date: Student Name: Assigned vSim:

Initials: Age: M/F:

Code Status:

Diagnosis:

Length of Stay: Allergies:

HCP:

Consults:

Isolation:

Fall Risk: Transfer:

IV Type: Location:

Fluid/Rate:

Critical Labs:

Other Services:

Consults Needed:

Why is your patient in the hospital (Answer in your own words and include the History of present Illness)?:

Health History/Comorbities (that relate to this hospitalization):

Shift Goals/ Patient Education Needs: 1.

Path to Discharge:

Path to Death or Injury:

( Clinical Worksheet )

Alerts:

What are you on alert for with this patient? (Signs & Symptoms)

What Assessments will focus on for this patient? (How will I identify the above signs &Symptoms?)

List Complications may occur related to dx, procedure, comorbidities:

What nursing or medical interventions may prevent the above Alert or complications?

Management of Care: What needs to be done for this Patient Today? 1.

Priorities for Managing the Patient’s Care Today

What aspects of the patient care can be Delegated and who can do it?