How would a dnr order change any of the priorities

Reference no: EM133544901

Assignment:

Three patients have been assigned to Nurse Aaliyah, a newly hired RN on a medical unit at a community hospital. Aaliyah has been orientated to the unit and is now independent, with an experienced mentor to support her transition to the unit. Aaliyah's assignment for the shift is three GI patients: a 60-year-old with cirrhosis of the liver with ascites; a 45-year-old with pancreatitis; a 28-year-old with Crohn's Disease with bowel obstruction.

1. Did you feel adequately prepared for the simulation experience?

2. How would you manage a multiple-patient assignment as a new grad?

3. What strategies may be helpful when prioritizing multiple patients?

4. How do you shift priorities or re-prioritize after you have evaluated outcomes?

5. What were your thoughts after listening to the iSBAR report? What further information would you like to ask?

6. How would a DNR order change any of the priorities?

7. How would the nurse address any of the abnormal lab results?

8. Think about the IP team. How would the new nurse delegate to other team members to assist in times of increased patient acuity/workload? i.e. other RNs, RPNs, physiotherapists, RTs, PSWs

9. Did you have any clinical concerns for the 3 patients?

10. Were you concerned about the onset of delirium tremors due to the abrupt cessation of alcohol?

11. What if the patient with Crohn's disease and a bowel obstruction refused the NGT re-insertion? What would be your next approach?

12 Why was the patient with cirrhosis experiencing unresponsiveness?

13. You overheard the healthcare team speak about the 'alky in bed 10' referring to the patient with non-alcoholic fatty liver disease (NAFLD). How would your response be?

14. How will this simulation experience change your practice?

Reference no: EM133544901

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