Eva Madison Guided Reflection PDF

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Pediatric Case 6: Eva Madison (Complex) Guided Reflection Questions

Opening Questions How did the simulated experience of Eva Madison’s case make you feel? I didn’t mind this scenario it was interesting to see the variations in a pediatric patient versus an adult patient. Describe the actions you felt went well in this scenario. Initial assessment went well, so did administering her IV fluids. Communication with both the patient and her mother went well too.

Scenario Analysis Questions1 EBP List in order of priority your initial nursing actions identified for Eva Madison based on physical findings and family interaction. My initial nursing actions were vital signs assessment and then administering IV fluids as ordered, in hindsight I feel that I maybe should have reversed that order. EBP

When initiating a fluid bolus for a dehydrated child, what type of fluid should be given and why? Normal saline would be administered first, until an assessment can be done you wouldn’t want to give dextrose or anything else until we know what her fluid and electrolytes are.

EBP

What complications might Eva Madison face if her symptoms are not recognized and treated in a timely manner? She may experience hypovolemic shock, she may be extremely dehydrated, her blood pressure would continually decrease, and circulatory collapse can occur.

PCC

What measures should be initiated to decrease anxiety in Eva Madison’s mother while simultaneously caring for Eva? Therapeutic communication, and constantly keeping her informed.

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 | Pediatric. © Wolters Kluwer Health.

S/QI

Reflect on ways to improve safety and quality of care based on your experience with Eva Madison’s case. Providing more oxygen supplementation and doing daily weights on the patient.

S/QI

What infection control measures should be taken in this case and why? She should be on contact precautions until the cause of her illness is found.

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 Eva Madison 5 years old, admitted to emergency room with diarrhea and vomiting for 3 days, she has had no urine output for 12 hours, the patient is dehydrated and has a history of gastroenteritis. Patient weight is 20.5 kg, BP 81/64, T 37.2, SPO2 96%, R 30, patient is pale with dry mucus membranes, complaining of stomach pain.

Concluding Questions Reflecting on Eva Madison’s case, were there any actions you would do differently? If so, what were these actions, and why would you do them differently? I had given the patient juice and I didn’t know that it would make the patient’s condition worse, so I would not give anything until I had doctors orders. Describe how you would apply the knowledge and skills you obtained in Eva Madison’s case to an actual patient care situation. I will be able to use what I learned in this simulation to provide care for a pediatric case potentially experiencing hypovolemic shock and will be able to recognize signs and symptoms and how to treat it.

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