Charlie Snow Guided Reflection Questions PDF

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Pediatric Case 5: Charlie Snow Guided Reflection Questions

Opening Questions How did the simulated experience of Charlie Snow’s case make you feel? During the simulation, I felt anxious because of the way he was coughing, breathing, and wheezing. I felt as though I had to hurry up and click through everything so his condition didn’t worsen. I felt like the simulation was quick to go through and pretty straightforward. After contacting the provider, reading the new orders, and administering the prescribed medications, I felt satisfied with the patient’s outcome. Discuss the actions you felt went well in this scenario. I felt there was good communication between myself, the patient, and the patient’s relatives. After asking several questions, I was able to figure out my next steps which lead to the patient being able to breathe normally again.

Scenario Analysis Questions1 EBP List in order of priority your initial nursing actions identified for Charlie Snow based on physical findings and family interaction. The priorities for management of anaphylaxis is to support the airway, breathing, and circulation of the patient. The highest priority is ineffective airway clearance related to inflammation and the secondary priorities are adequate ventilation and perfusion. EBP

What complications might Charlie Snow face if symptoms are not recognized and treated in a timely manner?

Since anaphylaxis is a potentially life-threatening situation, it must be treated immediately because it can be fatal. Your blood pressure decreases and your airways narrow, which blocks breathing. EBP

Why was a glucocorticosteroid administered in this case? Would it have been appropriate to administer albuterol in this case? Why or why not?

1 The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: http://qsen.org/

From vSim for Nursing | Maternity and Pediatric. © Wolters Kluwer Health.

Pediatric Case 5: Charlie Snow Guided Reflection Questions Albuterol is used to prevent and treat difficulty breathing, wheezing, shortness of breath, coughing, and chest tightness. However, it doesn’t prevent or relieve upper airway edema, hypotention, or shock, so that’s why in this case a glucocorticosteriod was administered. PCC

What communication techniques could be initiated to decrease the anxiety of Charlie Snow’s aunt?

Therapeutic communication should be used to decrease anxiety, as well as involving family to participate in the patient’s care. Asking open-ended questions, being honest, educating, and explaining the situation also illeviates anxiety. S/QI

Reflect on ways to improve safety and quality of care based on your experience with Charlie Snow’s case.

Following the rights of medication administration is very important for proper patient care. These rights include: right medication, right patient, right dose, right time, right route, right reason, and right documentation. S/I

Because Charlie Snow is accompanied by his aunt and not by a parent, what legal matter must be considered before performing treatment?

Before medical treatment can be performed, obtaining a written legal consent form is required. T&C

What role do you feel Charlie Snow’s guardians and parents have as members of his health care team? (Explain your answer.)

His family members can be educated on how to use injectable epinephrine, monitor what foods Charlie can and can’t consume, making medical decisions for and with him, make sure Charlie understands the importance of being active in his own medical care and knowing the severity of his allergy, and knowing how to prevent and manage future episodes. T&C/I What key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-recommendation (SBAR) format. Patient is a 6 y/o Caucasian male who was brought to the hospital by his aunt and uncle for difficulty breathing. His aunt stated he ate a cookie that contained peanuts. The patient is alert and oriented, skin is dry and intact, but a bit blue in color. I attained IV acces in his left arm and the site shows no signs of redness, infiltration, or bleeding. Patient is on 2L of O2 via nasal cannula. ECG leads are attached and 420 mL of NS has been started. Lungs and heart assessed with no abnormal findings. The patient states he’s feeling better and vitals signs are stabilizing. Family and patient education were explained. Monitor vitals, patient discharge, and make follow-up appointment with primary doctor.

From vSim for Nursing | Maternity and Pediatric. © Wolters Kluwer Health.

Pediatric Case 5: Charlie Snow Guided Reflection Questions Concluding Questions Reflecting on Charlie Snow’s case, were there any actions you would do differently? If so, what were these actions, and why would you do them differently? I would contact the provider sooner and administer epinephrine quicker than I initially did. Describe how you would apply the knowledge and skills that you obtained in Charlie Snow’s case to an actual patient care situation. I had to do the simulation three times and every time I improved. The more you practice the better you become. I know I will be better at muti-tasking when it comes time to deal with actual patients.

From vSim for Nursing | Maternity and Pediatric. © Wolters Kluwer Health....