Reference no: EM133568248

Assignment: i-Human Virtual Simulation

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:

I. Utilize clinical reasoning skills to perform a focused health history and physical assessment in an emergent setting.

II. Construct a plan of care based by prioritizing assessment findings and nursing diagnoses.

III. Evaluate patient outcomes to determine the effectiveness of nursing interventions and need for ongoing care.

IV. Communicate and collaborate with the patient, family and interdisciplinary healthcare team members.

Key Features of i-Human:

I. As the nurse, you are expected to complete the case scenario using the following tabs: EHR, History, Physical, Nursing Notes, Summary

II. 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.

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.

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.

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

i. Acute myocardial infarction
ii. Atrial fibrillation
iii. Pulmonary embolism
iv. Pneumonia

II. Describe how to use the acronym ROME to interpret arterial blood gases.

III. Describe the process utilized for titration of oxygen. Include rate of oxygen flow and mechanism of delivery.

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