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:

McKenzie Freeman (she/her/hers) is a client who presented to the emergency department in acute respiratory distress. McKenzie was actively involved in playing soccer when the client began experiencing wheezing and shortness of breath. The client utilized her rescue inhaler which did not improve their respiratory status.

LEARNER OBJECTIVES:

1. Utilize clinical reasoning skills to perform a health history and physical assessment on a pediatric client. (CO1,2,3,4,6,7)

2. Construct a plan of care based by prioritizing assessment findings and nursing diagnoses (CO1,2,4,7)

3. Evaluate client outcomes to determine the effectiveness of nursing interventions and need for ongoing care (CO1,2,4,7)

4. Communicate and collaborate with the client, family, and interdisciplinary healthcare team members (CO 2,3)

STUDENT ROLES DURING SIMULATION:

You are the staff nurse at the hospital who will be conducting a comprehensive physical assessment, interpreting labs, and applying clinical judgment in your nursing plan of care. After completing your assessment, you are expected to document your findings as a Nurse’s Note in SBAR format.

KEY FEATURES OF i-HUMAN PATIENTS®:

· 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. This process will require you to treat the simulated patient as a real patient 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 2 .

SIMULATION TIMING:

· Pre-brief: 30 minutes

· Run Time: 2.5 hours

· Debriefing: 60 minutes

ASSESSMENT & EVALUATION

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

i-Human Patients® 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. Describe the challenges of asthma treatment in the pediatric client.

2. Describe the assessment of a pediatric client in acute respiratory distress.

3. Describe the mechanisms of actions, side effects and nursing implications of the following medications used to treat exacerbation of asthma:

a. Beta-adrenergic agonist

b. Corticosteroids

c. Muscarinic antagonist

4. Create a teaching plan for inhaler use and trigger avoidance for a school-age child and caregiver.

COMPLETE AFTER THE VIRTUAL SIMULATION:

To finalize your clinical learning experience, you will need to complete the following steps:

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

· After completing the i-Human Patients® case, you will need to download the i-Human Patients® PDF Performance Evaluation and upload it to the Weekly Clinical Learning Assignment in the week the case is assigned.

· Document your clinical learning experience after completion, you are required to document on a Clinical Learning Evaluation (CLE), your performance rating and the specific simulation performed within the formative comments.

Revised 01/2024 JT/AP

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