Simulation Video1

By Adem Lewis / in , , /

Okay. Welcome to the Trinity Valley Community College simulation lab. I’m Mrs Wong, the simulation coordinator. Simulation replicates the clinical environment and allows the student nurse to provide patient care in a safe and learning environment. Research shows that simulation assists student nurse to critically think and gain a tremendous amount of experience and knowledge that can drawn upon in the world clinical setting. This video will allow you to observe level three nursing students as they provide safe, competent care to the patient in a simulated environment. Prior to arriving please review the simulation objectives and complete the assigned readings. These can be found on white board. These will allow the student, and assist you, in understanding the disease process, the medications you will be giving, and nursing care needed during the simulation. Let’s have fun.>>Good morning Mr Blane. My name is Orlene. I’m a student nurse. How are you feeling today?>>Oh, I’m feeling rather okay. Had a sleepless night.>>Oh no. Can you tell me your name and date of birth please?>>Sure. My name is Mr. James Blane. My birthday is January 5th 1937.>>Okay, thank you. Do you have any known allergies?>>No. No known allergy.>>Okay. Well, I’m here. I’m just gonna do an assessment on you. Okay, I’m gonna take your vital signs. Do you have any pain this morning?>>No. No pain.>>Okay, how’s your breathing?>>A little short of breath.>>Are you? I see you have an order for oxygen but you’re not wearing it. Is it bothering you?>>No. I probably during my sleep pulled it off, the damn thing.>>They can be kind of monotonous, can’t they?>>Mm-hm.>>So we need to make sure that you keep it on, okay?>>Okay.>>Mr Blake, you said you’re short of breath?>>Just a little bit.>>Just a little bit. [INAUDIBLE]>>Okay. We’re gonna get you a breathing treatment okay? I’m gonna sit you up a little bit more.>>All right. Thanks. You think I could have a cup of coffee?>>Well let me get your vital signs and then we’ll get you your coffee, okay? Let me check your. What is his diet and let’s [INAUDIBLE]>>Okay. We’ll check your blood pressure, okay?>>Mr Blane I have your Prednisolone, [UNKNOWN] and your Lasix.>>Okay, thank you.>>Yeah, so drink [INAUDIBLE] And I have your ADVAIR. One puff. Can you breathe out?>>[SOUND]>>Right. Now inhale.>>[SOUND]>>Okay, let that go down for a minute. Okay. You’re short of breath so I brought your Proventil. Okay? Breathe out.>>[SOUND]>>Breathe in.>>[SOUND]>>Breathe out.>>[SOUND]>>All right. Okay. Breathe a couple of times and we’ll give your other drugs. Okay.>>[INAUDIBLE]>>All right. Breathe out. Well pressure is 167/98.>>Thank you.>>Breathe in.>>167/98 [BLANK_AUDIO] [CROSSTALK] [BLANK_AUDIO]>>You wanna give us respirations? Respiration’s are 28, heart rate’s 91. [SOUND]. This IV has normal saline hanging at 75 milliliters per hour.>>I’m gonna stick this under your tongue, okay?>>Temperature 100.3.>>Temperature’s 100.3.>>The IV is patent. Clear. There’s no redness, swelling.>>What’s his O2 sat? Okay. 89.>>Okay. Is it set at one lever.>>Yes.>>Okay. His->>[COUGH]>>Mr Blane are you have a hard time breathing? Are you having a hard time breathing? [COUGH]>>A little bit.>>[COUGH] [COUGH] [COUGH]>>Okay we’ve got bronchi.>>[CROSSTALK]>>Okay his 02 keeps dropping.>>[COUGH]>>Can we have the charge nurse come in here please? I’m gonna get a hold of the doctor.>>[COUGH]>>Okay, thank you. Hold on sir.>>My chest hurts. Help.>>Okay. Just a moment. I’m gonna call the doctor, okay?>>Hi Mr. Blane, I’m Jenifer. I’m the charge nurse. I hear you’re having a hard time breathing?>>Dr Wu. This is Laura Lee, the nurse.>>This is Dr Wu.>>[CROSSTALK]>>shortness of breath and hypertension. He’s a 78 year old emphysema patient with a blood pressure of 162/97. Pulse rate is 92. His respiration are 32. His O2 sats are 83% after two liters via nasal cannula and he’s having the inhaler treatment. Can I give him something for the blood pressure and maybe nebulizer treatment?>>Okay. And was he doing in the night time?>>He said he had shortness of breath through the night. He said he had a rough night. And what was his baseline though the night?>>It was 89.>>So he’s dropped down to 85?>>Yes ma’am.>>Yeah, let’s go ahead and we’re gonna get respiratory up and let’s get some AVGs on him.>>Okay.>>And then let’s go ahead and give him some Prednisone 40 milligrams IV push.>>[CROSSTALK]>>162 over 97->>[CROSSTALK] [CROSSTALK] We’ll get a portable chest X-ray?>>Yeah, that sounds good and then call me after a respiratory’s there [INAUDIBLE]>>[INAUDIBLE]>>[COUGH]>>[CROSS-TALK]>>Okay. I’m gonna call rapid response. Rapid response to room 101, rapid response to room 101.>>[CROSSTALK] at 79 and his respiration’s are at 92. [SOUND]>>I’m sorry respirations are 32.>>And is there a pulse on him?>>[CROSS-TALK]>>Yes, there is a pulse on him.>>We’re gonna go ahead and have respiratory bagging. Okay. [INAUDIBLE]. [BLANK_AUDIO]>>And what’s his pulse now?>>69. L-tube’s going up.>>91. [CROSSTALk] [BLANK_AUDIO]. 81. All right. His vitals are going back up.>>I’m feeling a lot better now.>>You feeling better?>>Yeah, yeah.>>Great, good job. All right, thank you team.>>Will you set me up?>>Yes we will.>>Oh yeah, I’m a lot better. [CROSS-TALK].>>Push it back down. Let’s turn your oxygen back up to one. I’m gonna call the doctor and let her know that he’s out of the woods.>>Oh, great.>>Great

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