V Sim Clinical Replacement Packet for Students PDF

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Summary

vsim Josephine morrow
clinical packet
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Description

vSim for

CLINICAL REPLACEMENT PACKAGE

STUDENT RESOURCES

vSim for vSIM CLINICAL REPLACEMENT PACKET STUDENTS STUDENT INSTRUCTIONS

FOR

FOR

Est. Time: 4-6 Hours

VIRTUAL CLINICAL REPLACEMENT

This activity packet is intended to be used with your assigned virtual patient found in vSim. The Six Step learn flow in vSim is to be followed as instructed below. Once you have completed the Six Steps, in addition to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. L EARN F LOW - S TEP ONE  Finish    

the Suggested Readings, then complete the following four activities: Clinical Worksheet Plan of Care Concept Map Pharm4Fun Worksheet (one per medication) ISBAR Worksheet

L EARN F LOW – S TEP TWO  Take the Pre-Simulation Quiz  Student may take several times using the answer key to provide immediate remediation prior to the virtual simulation. Quiz is recorded as complete. L EARN F LOW – S TEP THREE  Launch the virtual simulation  Suggest student complete the vSim Tutorial prior to launching Step Three.  Each clinical experience in the simulation lasts a maximum of 30 minutes.  Student is to complete the simulation as many times as it takes to meet an 80% benchmark. L EARN F LOW – S TEP FOUR  Complete the Post-Quiz  The answer key is not visible to the student until after they have submitted the quiz.  The quiz grade is recorded as a percentage L EARN F LOW – S TEP FIVE  Document  The student documents the clinical events that occurred during the simulation using the information contained in step five.  If using DocuCare, the instructor assigns the same vSim patient which can be found in DocuCare cases. L EARN F LOW – S TEP SIX Last Updated 8/11/2021 1|Page

vSim for  Reflection Questions  Students are to complete the reflection questions and submit to instructor post clinical replacement (see syllabus for details).  The quiz grade is recorded as a percentage

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vSim for CONCEPT MAP/ PLAN

OF

CARE

Est. Time: 30 Minutes

This activity creates an opportunity for you to organize the nursing care required for the patient care presented in your assigned vSim. S TUDENT L EARNING OUTCOMES At the end of this activity, student will be able to: 1.

Describe pathological events associated with the patient’s disease process or condition.

2.

Create a plan of care and prioritized nursing interventions based on patient care needs.

3.

Identify anticipated diagnostic and physical assessment findings related to the identified condition or disease process.

A SSIGNMENT 1.

Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS).

2.

Review the information contained in the patient information.

3.

Review the smart sense links associated with Nursing Care, Diagnostics, and Pharmacology found in the suggested reading area.

4.

Create the following “concept map”. List the pathophysiology associated with the patient’s disease process or condition, the anticipated physical assessment findings, vital signs, diagnostics, specific nursing interventions, and other patient information associated with the patient situation.

5.

Utilize the smart sense links throughout the vSim to complete the worksheet.

6.

Submit your concept map for review.

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vSim for

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vSim for CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT -

(Include Pathophysiology of Disease Process) Dehydration: Fluid loss causes a reduction in intracellular and extracellular fluid volume. Dehydration can be determined through blood sodium serum and catergorized by severity/osmolarity. Hypokalemia: deficient serum potassium level (normal range is 3.5 to 5 mEq/L). Decreased PO intake with increased GI output as well as insensible loss from fever and increased respirations are creating a negative fluid balance causing dehydration leading to a reduction in blood serum potassium levels.

DIAGNOSTIC TESTS (Reason for Test and Results)

PATIENT INFORMATION

ANTICIPATED PHYSICAL FINDING

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Potassium level serum: less than 3.5 mEq/L = 2.9 mEq/L Sodium level serum: less than 133-143 mEq/L = 130 mEq/L BUN 8-23 mg/dL HCO3 22-26mEq/L = 15 mEq/L WBC 4-11 = 21 HCT 40-45% = 55% Arterial blood gas analysis shows acidic pH level of 7.31, Bicarb level is acidic at 15 = patient is in metabolic acidosis and not compensating Na, K, BUN, HCO3 assess renal function

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Male Middle-Eastern 50- years old Admitted to the ED with a diagnosis of dehydration and hypokalemia Height: 180 cm Weight: 73.5 kg Allergies: N/A Admitted: 2/22/2021

ANTICIPATED NURSING INTERVENTIONS

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Finding a weak, irregular pulse Assessing tachycardia and tachypnea Assessing orthostatics hypotension Hyperactive bowel sounds Elevated respirations Fever

vSim for Obtain blood cultures, urine cultures, stool cultures before administering antibiotics Administer antipyretics Obtain IV access for anticipated IV antibiotics, fluid bolus, continuing IV fluids to correct fluid and electrolyte imbalances and increase BP while decreasing HR and improving pulse quality, IV push medications to assist with nausea/vomiting and pain management. Obtain lab specimens to continue monitoring for decrease in WBC count, monitor Lactic Acid levels, monitor patient for s/s of sepsis, monitor patient’s electrolytes, and renal function Place patient in seizure precautions for low sodium Continue to monitor patient’s vital signs, including assessment of pain Encourage patient’s PO intake if patient is not ordered NPO Encouraging fluids, foods rich in potassium, and sodium Place nutrition consult Monitor patient’s intake and output, monitoring UOP for decrease...