Student Instructions for i-Human Virtual Simulation

NR325/NR330 Scott Baldwin

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:

19-year-old male presents to the emergency department for a single episode of collapse with jerking and a loss of consciousness.

LEARNER OBJECTIVES:

1. Define the components of a focused nursing assessment. (CO1, 2)

2. Explain the approach for a focused nursing assessment for an adult brought to the emergency department, via ambulance, for a single episode of collapse with jerking and loss of consciousness. (CO1, 2)

3. Demonstrate an appropriate assessment for an adult brought to the emergency department, via ambulance, for a single episode of collapse with jerking and loss of consciousness. (CO1, 2, 3)

4. Distinguish between the treatment/interventions options for an adult brought to the emergency department, via ambulance, for a single episode of collapse with jerking and loss of consciousness. (CO1, 2, 4, 6)

5. Recommend appropriate treatment/interventions for an adult brought to the emergency department, via ambulance, for a single episode of collapse with jerking and loss of consciousness. (CO1, 2, 3, 4, 6)

6. Design an appropriate care plan for an adult brought to the emergency department, via ambulance, for a single episode of collapse with jerking and loss of consciousness. (CO1, 2, 4, 6)

STUDENT ROLES DURING SIMULATION:

You are the staff nurse at the hospital who will be conducting a comprehensive assessment. After completing your assessment, you are expected to document your findings as a nurses note in SBAR format.

KEY FEATURES OF i-HUMAN:

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

· There are required questions and/or additional information provided related to this case. The questions, information, and videos must be completed/reviewed prior to progressing to the next tab.

· Nursing Notes: At the end of the simulation, you will document your assessment findings using ISBAR.

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.  

DUE DATE:

The virtual simulation must be completed during

Week 5
.

SIMULATION TIMING:

· Pre-simulation preparation: 30-60 minutes

· Pre-brief: 15 minutes

· Run Time: 2.75 hours

· Debriefing: 60 minutes

ASSESSMENT & EVALUATION

Faculty will utilize your participation measurements in the i-Human case, and debriefing discussions to identify areas of opportunity for enhancement of your clinical growth. Your experiences in i-Human will contribute to your overall completion of clinical requirements for the course as documented on the Clinical Learning Evaluation tool.

i-Human Evaluation – What does my total score mean?

REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION:

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 Word document 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.

1. Create a list of symptoms/cues a nurse would expect to find during each of the phases of a seizure.

a. Pre-Ictal Phase

b. Early Ictal Phase

c. Late Ictal Phase

d. Post-Ictal Phase

2. The healthcare provider ordered Lorazepam PRN for a client at risk for having a seizure. Describe the information that a nurse should know prior to administration including:

a. Purpose of the Medication

b. Therapeutic Use

c. Complications

d. Interventions

e. Medication Administration, Contraindications, Precautions

f. Nursing Interventions

g. Client Education

h. Evaluation of Medication Effectiveness

3. A nurse is caring for a client who suddenly begins to have a seizure. What are the priority nursing actions?

**Immediately following the completion of the virtual simulation, you will complete the evaluation of the simulation using the link provided.

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see below

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Discussion Topic

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QUESTION 1

Step 1: The three “Principles of Action” outlined in the 

final report to the Commission on Social Determinants of Health
 

https://apps.who.int/iris/bitstream/handle/10665/43943/9789241563703_eng.pdf

are essential to achieving health equity. These actions contain a host of SDH such as access to decent employment, and gender equity. Read the “Executive Summary” (pages 1-23) (provided above) paying special attention to the different social determinants of health the Commission addresses. 

Step 2: Find one recent news article (published within the past month), in a newspaper or on a news website, that features a health issue in your particular country or community. Alternatively, you can find one new story of interest on CDC Global Health Newsroom 

https://www.cdc.gov/globalhealth/newsroom/
 (Choose one story from the list of news stories).

Step 3: Write an 300-350 word essay that includes the following information and answers to the following questions:

1. Briefly summarize the main features of the health issue you selected, and how it is affecting the country or community where it exists.

2. What are the main 

risk factors
 for this health issue?

3. Outline three social determinants of health that could influence those who are most at risk for this health issue. Describe how these social determinants are linked and relevant to this health issue. (Note: it may help to go through the determinants described by the Commission and try to visualize how each may be linked to the health issue you selected. For example, how might income, employment, gender, structural racism, global warming, physical environments, access to health services, etc. influence those who are at risk?)

4. Briefly describe 3 actions you recommend that could improve health equity related to this health issue. (These recommendations can be community actions, government actions, or international actions but they must address all three of the social determinants you described in question 3).

QUESTION 2

After reviewing the Case Study 'John's Journey' 

(provided in Week 1 Folder)
 Describe 2 things that the Case Study helped you to understand about the link between community and client health and the impact of the SDOH. Specifically link your observations to John and his family demonstrating understanding and review of the Case Study provided. 

Please be sure to adhere to the following when posting your weekly discussions:

1. Students are to write their name and the appropriate discussion number/discussion title in the title bar for each discussion. For example 
Discussion 1: Micheal Cabrera or Discussion 3: Sheila 

Smith. This is important in identifying that students are submitting original posts as well as response posts as required.

2. Students are to submit their discussions 
directly onto Blackboard Discussion Board.

Attachments submitted as discussion board posts will not be graded.

3.  As a reminder, 
all discussion posts must be minimum 350-550 words, references 
must be cited in 
APA format 7th Edition, and 
must include minimum of 3 scholarly resources published within the past

5-7 
years (not part of the classroom coursework).  

DISCUSSION POSTS WILL BE DUE NO LATER THAN SUNDAY, Since there was a delay to Week 1&2, this post has been extended to Week 3 and is due by Sunday, 9/17/23 by 11:59 pm EST

Since there is only two students who is registered for this section of the course there will not be any peer responses therefore discussions/Cases will only have the original response and my feedback and the rationale for the length as normally the original discussions are 250 words and 2 peer responses are 150 (300 words). I have therefore increased the length of this original post for this reason. 

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