Virtual SIM ER questions PDF

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Virtual Healthcare Experience: Emergency Room Simulation Questions Abel 1. What is peak flow? What are the normal values? A person’s maximum speed of expiration. A reading of 400-600 l/min is considered normal. 2. What is prednisone? What is the mechanism of action? What are the side effects? What are the routes of administration? Prednisone is a corticosteroid. It is used for suppressing the immune system and inflammation. Side effects include: Retention of sodium and fluid, weight gain, high BP, loss of potassium, headache, muscle weakness, nausea, etc. Prednisone can be taken orally or through IV. 3. What is Ventolin? What is the mechanism of action? What are the side effects? What are the routes of administration? Ventolin is a bronchodilator. It is used in the treatment of asthma or other conditions that involve constriction of the airways. Side effects include nervousness, shaking, headache, cough, mouth and throat dryness/irritation, changes in taste, etc. Ventolin is inhaled orally. 4. What is high flowers position? Patient is sitting with upper body at a 60-90-degree angle. Legs bent or straight. 5. What is an aero chamber? What is it used for? An aero chamber is a tube with a mouthpiece that enables a child to breath or inhale a fixed dose of medication. This helps get medication directly into the lungs and works quicker. 6. What is Abel’s medical diagnosis? Asthma (moderate) 7. What is a nursing diagnosis for Abel? Ineffective breathing pattern as evidence by thick sputum as evidence by rapid respirations. 8. What might you educate Abel and his mother about prior to discharge? Make sure Abel is inhaling correctly and slower. Best way to clean aero chamber is to rinse with water and airdry, which should be done at least once a week. Roman 1. What is Roman’s level of consciousness on assessment? X1 2. What type of shock is Roman in? Septic 3. What are Roman’s risk factors for a bowel perforation? Crohn’s disease 4. What is Roman’s medical diagnosis? Bowel perforation 5. What is a nursing diagnosis for Roman? Risk for infection related to increased WBC’s as evidence by WBC levels.

6. What will the 1,000-cc normal saline bolus do for Roman? Helps to raise BP. 7. What unit will Roman be admitted to after surgery? ICU 8. What might the nurses need to educate Roman about prior to being discharged from the hospital? Diet and exercise Charlotte 1. What is Lipitor? What is the mechanism of action? What are the side effects? What are the routes of administration? Lipitor is a statin. It is used to treat high cholesterol and triglyceride levels. Side effects include cold-like symptoms, joint pain, diarrhea, UTI, stomach pain and nausea, etc. Lipitor is administered orally. 2. What communication facilitators did the nurse use with Charlotte? Recognition, asking questions about what happened, empathetic understanding, physical touch. 3. What pulses did the ER physician palpate on Charlotte? Dorsalis pedis pulse and posterior tibial pulse. 4. What should the nurse have done differently when placing the ID band on Charlotte’s wrist? Verify patient info and put the label facing the other way so it is easier for the next nurse to read. 5. What is the probable medical diagnosis for Charlotte? Left hip fracture. 6. What is a nursing diagnosis for Charlotte? Pain related to fall at home as evidence shortened leg lengths 7. Which healthcare professionals would be appropriate to consult for Charlotte? Ortho, physical therapy. 8. What might the nurses need to educate Charlotte and her son about prior to being discharged from the hospital? Assessment for walker/cane. Clear pathways.

Emergency Room Game: Self-Debriefing Questions 1. What were your thoughts and feelings while playing the simulation game? I found the simulation very realistic. It was a little overwhelming when answering some of the questions because we would need to know the answers if we were actually assessing a real patient. 2. Did you play the simulation more than once and, if you did, was it helpful to you? How? I have only played the simulation once, but I think it would help to play more than once. 3. How did you feel in the role of the nurse Laila Stein during this simulation? I felt helpful and caring, it felt good to feel like I was helping the patients.

4. What were your thoughts about triaging Roman, Abel, and Charlotte? Did anything surprise you? It was different having three patients with all different diagnosis’s and knowing when and who to assess first. I think it was a good learning experience. 5. Share what you learned in relation to establishing a therapeutic nurse–client relationship with Roman, Abel, Charlotte, and their families. Each patient and their family react differently to different types of communication, finding the best way to communicate in each situation is important. 6. Share what you learned about interprofessional communication within the healthcare team. Did anything bother you about the interprofessional communication? How should the communication be improved? I think the interprofessional communication within the healthcare team could have been better. Communication was snippy. They left out important information in the report in the beginning of the scenario. This can be improved by making sure the healthcare team is on top of knowing what is important to include in the patient reports. 7. Not everyone works their way through this scenario perfectly. What can you take away from the incorrect decisions/responses you may have made? I need to work on who should be seen first when caring for more than one patient, based off of their diagnosis/symptoms. 8. In summary, the learning objectives of this simulation are to:  Apply knowledge of physical and psychosocial factors when caring for pediatric and adult patients and their family members.  Identify normal findings, abnormal variations, and potential complications of medical and surgical conditions, such as asthma, fractures, and Crohn’s disease.  Prioritise care based on clinical assessments and findings. What were your key learning points related to these learning objectives? My key learning points were applying knowledge of physical and psychosocial factors when caring for the patients. I was surprised in how well I did identifying normal findings, conditions, abnormal variations, and potential complications. 9. What will you take away from this simulation to incorporate into your clinical practice? I will take away everything I learned during this simulation (what is missing from a report, patient priority, next actions, interventions, proper responses, etc.) 10. What questions remain unanswered for you in relation to this emergency simulation scenario? I don’t have any questions that I can think of at this time....