Reference no: EM133784834

Charge Nurse

The charge nurse is the team leader, ensuring the client receives safe, organized, high-quality care. The learner fulfilling this role may delegate duties to members of the nursing team as appropriate. The charge nurse will be the primary point person for communicating with members of the interdisciplinary team to coordinate client care. This role requires the learner to keep members of the nursing team updated with changes in client status, healthcare provider updates, and new information learned throughout the scenario. Additionally, this role will support the primary nurse with the implementation of orders as needed.

Primary Nurse

The primary nurse is fundamentally responsible for maintaining effective communication with the client and/or family member(s). The learner fulfilling this role will obtain the client's health history, perform initial comprehensive or focused physical assessments and follow-up reassessments, and implement non-medication interventions included in the plan of care. The primary nurse will purposefully observe the client for any changes in status. Additionally, the primary nurse will provide all clients and family members with education, with the exception of medication administration.

Medication Nurse

The medication nurse is accountable for performing all aspects of medication administration and documentation. The learner fulfilling this role will ensure all medications are administered according to the Rights of Medication Administration and clarify related orders with the healthcare provider. The medication nurse will provide client education on the actions, expected effects, required monitoring, and adverse reactions for each medication administered during the SBE activity. Additionally, the medication nurse must be prepared to provide observational findings, including but not limited to changes in client status or psychosocial needs, and make recommendations for nursing interventions.

Documentation Nurse

The documentation nurse is responsible for recording all assessments, interventions, and client outcomes during the simulation-based activity, with the exception of medication administration. The learner fulfilling this role will validate all data entered into the electronic health record with team members. The documentation nurse should also be prepared to provide observational findings, including but not limited to changes in client status or psychosocial needs, and make recommendations for nursing interventions.

Complete the following pre-simulation assignment using the course text book FA Davis.

1. Describe the pathophysiology of colon cancer.

2. Describe the process of providing colostomy care.

3. Compare and contrast normal and abnormal assessment findings for a stoma.

4. Describe priority interventions for a client diagnosed with clostridium difficile.

5. Describe client education priorities for a client with a colostomy.