NURSING

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:

58-year-old patient is being admitted to the hospital for acute gastrointestinal issues.

LEARNER OBJECTIVES:

1. Define the components of a comprehensive nursing assessment. (CO1, 2)

2. Explain the approach for a comprehensive nursing assessment for an adult who is being admitted for recurrent abdominal cramping and diarrhea with blood-streaked stool. (CO1, 2, 3)

3. Demonstrate an appropriate assessment for an adult who is being admitted for recurrent abdominal cramping and diarrhea with blood-streaked stool. (CO1, 2, 3)

4. Distinguish between the treatment/interventions options for an adult who is being admitted for recurrent abdominal cramping and diarrhea with blood-streaked stool. (CO1, 2, 4)

5. Recommend appropriate treatment/interventions for an adult who is being admitted for recurrent abdominal cramping and diarrhea with blood-streaked stool. (CO1, 2, 4, 6)

6. Design an appropriate care plan for an adult who is being admitted for recurrent abdominal cramping and diarrhea with blood-streaked stool. (CO1, 2, 3, 4, 6)

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 nurses 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

· There are required questions and/or additional information provided related to this case. The questions, information, and videos must be completed/reviewed prior to progressing to the next tab.

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

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 must be completed during Week 5 .

SIMULATION TIMING:

· Pre-simulation preparation: 30-60 minutes

· Pre-brief: 15 minutes

· Run Time: 2.75 hours

· Debriefing: 60 minutes

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?

REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION:

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 Word document 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. What are risk factors that would increase a patient’s likelihood of developing the following gastrointestinal conditions?

a. Gastrointestinal virus (enterovirus, clostridium difficile etc.)

b. Bowel obstruction

c. Crohn’s Disease

d. Diverticulitis

e. Gastrointestinal cancer

2. Compare and contrast the signs and symptoms (cues) associated with the following gastrointestinal conditions:

a. Gastrointestinal virus (enterovirus, clostridium difficile etc.)

b. Bowel obstruction

c. Crohn’s Disease

d. Diverticulitis

e. Gastrointestinal cancer

3. Describe the priority nursing interventions to perform when a patient is experiencing acute gastrointestinal distress.

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

©2023 Chamberlain University LLC. All rights reserved.

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 1300 | Chicago, IL 60661

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

· There are required questions and/or additional information provided related to this case. The questions, information, and videos must be completed/reviewed prior to progressing to the next tab.

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

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 must be completed during Week 3 .

SIMULATION TIMING:

· Pre-simulation preparation: 30-60 minutes

· Pre-brief: 15 minutes

· Run Time: 2.75 hours

· Debriefing: 60 minutes

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?

REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION:

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 Word document 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. Draw a picture of a patient experiencing heart failure exacerbation that includes the most common findings/cues that a nurse would anticipate.

2. Create a list of expected orders that a nurse would anticipate for a patient experiencing heart failure exacerbation. (Include Diet, Medications, Labs/Imaging, and any other Special Instructions)

3. Prior to the patient’s discharge, what educational topics are the most important to teach them to prevent heart failure exacerbations in the future?

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

©2023 Chamberlain University LLC. All rights reserved.

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 1300 | Chicago, IL 60661

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:

Gloria Townsend has been admitted for a total right knee replacement due to chronic osteoarthritis. Gloria’s pain levels have worsened over the past couple of months while on pain medication and the pain also wakes them from sleep. Gloria is an avid gardener and has been unable to garden for several months due to an increase in pain. For the past week, Gloria has been sitting in the recliner for most of the day, due to pain.

Learner Objectives:

1. Utilize clinical reasoning skills to perform a health history and physical assessment on an adult patient. (CO 1, 2, 3, 4) 

2. Construct a plan of care based by prioritizing assessment findings and nursing diagnoses. (CO 4, 5, 6, 7) 

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

4. Communicate and collaborate with the patient, family, and interdisciplinary healthcare team members. (CO 3, 6)

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 nurses 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, Analyze, Actions, Nursing Notes, Summary.

· There are required questions and/or additional information provided related to this case. The questions, information, and videos must be completed/reviewed prior to progressing to the next tab.

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

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 7 prior to your scheduled debriefing with faculty/peers.

SIMULATION TIMING:

· Pre-simulation preparation: 30-60 minutes

· Pre-brief: 15 minutes

· Run Time: 2.75 hours

· Debriefing: 60 minutes

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?

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. The nurse is caring for a postoperative orthopedic patient.

a. What are the potential complications?

b. What would be the signs and symptoms related to complications?

c. What nursing interventions/actions can the nurse implement to prevent and treat potential complications?

2. Describe key components to discuss with a patient when educating about mobility, self-care, and health promotion after discharge.

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

©2022 Chamberlain University LLC. All rights reserved.

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661

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:

58-year-old patient is being admitted to the hospital for acute gastrointestinal issues.

LEARNER OBJECTIVES:

1. Define the components of a comprehensive nursing assessment. (CO1, 2)

2. Explain the approach for a comprehensive nursing assessment for an adult who is being admitted for recurrent abdominal cramping and diarrhea with blood-streaked stool. (CO1, 2, 3)

3. Demonstrate an appropriate assessment for an adult who is being admitted for recurrent abdominal cramping and diarrhea with blood-streaked stool. (CO1, 2, 3)

4. Distinguish between the treatment/interventions options for an adult who is being admitted for recurrent abdominal cramping and diarrhea with blood-streaked stool. (CO1, 2, 4)

5. Recommend appropriate treatment/interventions for an adult who is being admitted for recurrent abdominal cramping and diarrhea with blood-streaked stool. (CO1, 2, 4, 6)

6. Design an appropriate care plan for an adult who is being admitted for recurrent abdominal cramping and diarrhea with blood-streaked stool. (CO1, 2, 3, 4, 6)

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 nurses 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

· There are required questions and/or additional information provided related to this case. The questions, information, and videos must be completed/reviewed prior to progressing to the next tab.

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

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 must be completed during Week 5 .

SIMULATION TIMING:

· Pre-simulation preparation: 30-60 minutes

· Pre-brief: 15 minutes

· Run Time: 2.75 hours

· Debriefing: 60 minutes

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?

REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION:

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 Word document 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. What are risk factors that would increase a patient’s likelihood of developing the following gastrointestinal conditions?

a. Gastrointestinal virus (enterovirus, clostridium difficile etc.)

b. Bowel obstruction

c. Crohn’s Disease

d. Diverticulitis

e. Gastrointestinal cancer

2. Compare and contrast the signs and symptoms (cues) associated with the following gastrointestinal conditions:

a. Gastrointestinal virus (enterovirus, clostridium difficile etc.)

b. Bowel obstruction

c. Crohn’s Disease

d. Diverticulitis

e. Gastrointestinal cancer

3. Describe the priority nursing interventions to perform when a patient is experiencing acute gastrointestinal distress.

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

©2023 Chamberlain University LLC. All rights reserved.

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 1300 | Chicago, IL 60661