NURSING

NR442 Everett Vaughn Scenario 1 Student Instructions © 2021 Chamberlain University. All Rights Reserved

Revised 10.12.2021 1

Student Instructions for i-Human Virtual Simulation NR442 Everett Vaughn Scenario 1

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

SCENARIO OVERVIEW: Everett Vaughn is 47-year-old male who was diagnosed with Acquired Immune Deficiency Syndrome 7 years ago. He was hospitalized for 7 days to receive IV antiviral therapy for treatment of low-grade fever, nausea, vomiting, and mental status change. He has been discharged from hospital and home health services have been ordered. LEARNER OBJECTIVES:

1. Utilize clinical reasoning skills to perform a health history and physical assessment on an adult patient. (CO1, 2, 3, 6, and 8)

2. Construct a plan of care based by prioritizing assessment findings and nursing diagnoses (CO 1, 2,3, 5, 7 and 8)

3. Evaluate patient outcomes to determine the effectiveness of nursing interventions and need for ongoing care (CO 1, 2, 3, 4, and 8)

4. Communicate and collaborate with the patient, family and interdisciplinary healthcare team members (CO 1, 4, and 7)

STUDENT ROLES DURING SIMULATION:

You are the staff nurse at the hospital who will be conducting a comprehensive assessment. After completing your assessment, you are expected to document your findings as a nurse’s note in SBAR format.

KEY FEATURES OF i-HUMAN:

• As the nurse, you are expected to complete the case scenario using the following tabs: EHR, History, Physical, Nursing Notes, Summary

• Gear Heads: These are icons that open required questions and/or additional information related to the case. The questions, information, and videos must be reviewed prior to progressing to the next tab.

• Nursing Notes: At the end of the simulation, you will document your assessment findings using ISBAR.

NR442 Everett Vaughn Scenario 1 Student Instructions © 2021 Chamberlain University. All Rights Reserved

Revised 10.12.2021 2

Confidentiality: To preserve the educational value, integrity and safety of the learning environment, you agree to maintain strict confidentiality about the proceedings of the simulation session, details of the training scenarios and the performance of all participants. You acknowledge that this expectation aligns with the guidelines related to the Health Insurance Portability and Accountability Act (HIPAA) as well as laws governing Protected Health Information (PHI) in client care environments. You will not view, discuss, share, record or disclose any confidential information pertaining to the session. You understand that lapses in confidentiality are considered academic misconduct and could result in dismissal from the academic program.

Fiction Agreement: You will suspend judgment of realism for any given simulation in exchange for the promise of learning new knowledge and skills, treating the simulated patients with the same care due an actual patient, act with a genuine desire to learn even when it may be difficult to do so.

DUE DATE: The virtual simulation is assigned to be completed during Week 5 prior to your scheduled debriefing with faculty/peers.

SIMULATION TIMING:

• Pre-simulation preparation: 30-60 minutes • Pre-brief: 30 minutes • Run Time: 2-2.5 hours • Debriefing: 60 minutes

NR442 Everett Vaughn Scenario 1 Student Instructions © 2021 Chamberlain University. All Rights Reserved

Revised 10.12.2021 3

ASSESSMENT & EVALUATION Faculty will utilize your participation measurements in the i-Human case, and debriefing discussions to identify areas of opportunity for enhancement of your clinical growth. Your experiences in i-Human will contribute to your overall completion of clinical requirements for the course as documented on the Clinical Learning Evaluation tool.

i-Human Evaluation – What does my total score mean?

NR442 Everett Vaughn Scenario 1 Student Instructions © 2021 Chamberlain University. All Rights Reserved

Revised 10.12.2021 4

REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION: In order to prepare for the simulation, you are required to complete the pre-simulation questions below and submit this prework to the faculty via uploading your responses in Canvas prior to the start of the virtual simulation. If you do not complete the pre-simulation questions and upload them, you will not be able to access or participate in the simulation.

1. Discuss safety concerns that may arise for the patient who is caring for himself at home.

2. Identify 3 assessment considerations the nurse would consider for a patient receiving IV therapy in a home environment.

3. List 2 indicators that the nurse would utilize to determine needs for placement of higher level of care.

4. Identify local resources for clients who are unable to fully care for themselves.

5. Determine the educational plan of a client in the home to address the following: a. PICC line care and maintenance b. Self-administration of IV therapy. c. Home safety strategies d. When to notify healthcare professional

**Immediately following the completion of the virtual simulation, you will complete the evaluation of the simulation using the link provided.