Nursing

VIRTUALSTIMULATIONNR341_Anika_Singh_Student_Instructions.pdf

Revised 4.1.2021 1

Student Instructions for i-Human Virtual Simulation NR341 Anika Singh

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: Anika Singh is a 46-year-old female who was returning to her home from India where she had traveled for business purposes. This trip required a required a 14-hour transcontinental flight. While in flight, she began to experience severe respiratory distress and chest pain. Emergency supportive care given to patient until plane was able to do an emergency landing at a Chicago airport. Emergency personnel and ambulance met the plane upon landing and the patient was transported to the emergency department (ED) at Chamberlain Hospital. She has just arrived at the ED receiving 10L of oxygen per face mask, and on a cardiac transport monitor. While in route to the hospital, EMS gave courtesy call to ED nurse. The health care provider has given authorization for initiation of standing orders for presenting complaints to be started. It is now 8 hours since the onset of the patient’s complaints.

LEARNER OBJECTIVES:

1. Utilize clinical reasoning skills to perform a focused health history and physical assessment in an emergent setting. (CO 1, 2, 7)

2. Construct a plan of care based by prioritizing assessment findings and nursing diagnoses (CO 4, 5, 7) 3. Evaluate patient outcomes to determine the effectiveness of nursing interventions and need for ongoing

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

(CO 3) 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

• 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.

Revised 4.1.2021 2

• 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 2 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

Revised 4.1.2021 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?

Revised 4.1.2021 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. What are common differential symptoms and associated diagnostic tests to determine the underlying cause for these disorders?

a. Acute myocardial infarction b. Atrial fibrillation c. Pulmonary embolism d. Pneumonia

2. Describe how to use the acronym ROME to interpret arterial blood gases. 3. Describe the process utilized for titration of oxygen. Include rate of oxygen flow and mechanism of

delivery. 4. What conditions would indicate the need for intubation and ventilator support?

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

SCENARIO OVERVIEW:
LEARNER OBJECTIVES:
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.
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 cl...
i-Human Evaluation – What does my total score mean?
REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION:

VIRTUALSTIMULATIONNR341_Max_Cook_Student_Instructions.pdf

Revised 4.1.2021 1

Student Instructions for i-Human Virtual Simulation NR341 Max Cook

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: Max Cook is a 74-year-old male who presented to the emergency department (ED) 24 hours ago with complaints of shortness of breath, decreased energy level, and fever. He had not been feeling well for several days when he went to primary care provider who began treatment for pneumonia. Patient reported that he did not feel that antibiotic was helping him, so he stopped taking his med 2 days ago. His overall health declined rapidly over past 48 hours. Mr. Cook’s wife called the ambulance for transport to ED at Chamberlain Hospital. He was admitted to the Medical Intensive Care Unit (ICU).

LEARNER OBJECTIVES:

1. Utilize clinical reasoning skills to perform a health history and physical assessment on an adult patient. (CO 1, 3, 4, 6)

2. Construct a plan of care based by prioritizing assessment findings and nursing diagnoses (CO 1, 3, 4, 6, 7) 3. Evaluate patient outcomes to determine the effectiveness of nursing interventions and need for ongoing

care (CO 1, 4, 6) 4. Communicate and collaborate with the patient, family and interdisciplinary healthcare team members

(CO 1, 3, 6, 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 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

• 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.

Revised 4.1.2021 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 4 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

Revised 4.1.2021 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?

Revised 4.1.2021 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. Compare/contrast systemic inflammatory response syndrome (SIRS) and sepsis.

2. What are key nursing interventions when caring for patient on a ventilator?

3. Describe the purpose for the following types of vascular access devices: central venous catheter & arterial line.

4. A patient is experiencing worsening hypotension and is prescribed norepinephrine continuous infusion.

a. Prescription: Start Norepinephrine (levophed) 0.5 mcg/min and titrate to maximum of 12 mcg/min to maintain mean arterial pressure great than 65.

b. Pharmacy has mixed the drip as Norepinephrine 4mg in 250mL of D5W. c. How many mL/hr should the nurse program the pump to deliver 0.5mcg/min?

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

SCENARIO OVERVIEW:
LEARNER OBJECTIVES:
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.
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 cl...
i-Human Evaluation – What does my total score mean?
REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION:

VIRTUALSTIMULATIONNR341_Anika_Singh_Student_Instructions.pdf

Revised 4.1.2021 1

Student Instructions for i-Human Virtual Simulation NR341 Anika Singh

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: Anika Singh is a 46-year-old female who was returning to her home from India where she had traveled for business purposes. This trip required a required a 14-hour transcontinental flight. While in flight, she began to experience severe respiratory distress and chest pain. Emergency supportive care given to patient until plane was able to do an emergency landing at a Chicago airport. Emergency personnel and ambulance met the plane upon landing and the patient was transported to the emergency department (ED) at Chamberlain Hospital. She has just arrived at the ED receiving 10L of oxygen per face mask, and on a cardiac transport monitor. While in route to the hospital, EMS gave courtesy call to ED nurse. The health care provider has given authorization for initiation of standing orders for presenting complaints to be started. It is now 8 hours since the onset of the patient’s complaints.

LEARNER OBJECTIVES:

1. Utilize clinical reasoning skills to perform a focused health history and physical assessment in an emergent setting. (CO 1, 2, 7)

2. Construct a plan of care based by prioritizing assessment findings and nursing diagnoses (CO 4, 5, 7) 3. Evaluate patient outcomes to determine the effectiveness of nursing interventions and need for ongoing

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

(CO 3) 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

• 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.

Revised 4.1.2021 2

• 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 2 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

Revised 4.1.2021 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?

Revised 4.1.2021 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. What are common differential symptoms and associated diagnostic tests to determine the underlying cause for these disorders?

a. Acute myocardial infarction b. Atrial fibrillation c. Pulmonary embolism d. Pneumonia

2. Describe how to use the acronym ROME to interpret arterial blood gases. 3. Describe the process utilized for titration of oxygen. Include rate of oxygen flow and mechanism of

delivery. 4. What conditions would indicate the need for intubation and ventilator support?

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

SCENARIO OVERVIEW:
LEARNER OBJECTIVES:
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.
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 cl...
i-Human Evaluation – What does my total score mean?
REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION: