MD1

SIM DAY 1

(Turing a patient with a hip fracture-Edith Jacobson)
 
The below activities are required to be completed before you arrive to the simulation.
If this is not completed, you will not be allowed to participate in the simulation (please be advised that simulations are limited, so make-up is not guaranteed. If the simulation is not completed for this course NUR2356 Multidimensional Care 1, you will fail to meet the objectives and not pass this course-both lecture and clinical).

1. Go To “My ATI” à Apply à Skills Modules 3.0 à Mobility (1hr)
   1. Complete the pretest (if you have not taken it yet), review the lesson, and finish with the posttest for Mobility (screenshot posttest results showing 95% or greater and showing 1 hour spent in module).
      1. (place screenshot here)

 

2. Complete the Osteoporosis Pathophysiology diagram below by using the ATI Med/Surg ebook, [“My ATI” à Learn à RN eBook Libraryà RN Adult Medical Surgical Nursing Edition 11.0 (this is the ebook you will need to complete the below diagram) start on page 463]) (1hr)
3. Complete the table below (1hr)

Complete the table below on medications using a Drug eBook. You can use any drug book, the below picture is an example of one book. You could use Rasmussen Library to search for a drug book.

Drug Name	Indications		Pharmacokinetics	Contraindications/Precautions	Nursing Implications	Implementation	Patient/family teaching Evaluation
Enoxaparin
Docusate Sodium
Morphine Sulfate

 

4. Complete the table below (1hr)

Complete the table below on lab values using the Lab and diagnostic ebook (example below).
 
 
 

Lab Name	Rationale	Normal Range (Adult)
Hgb
HCT
WBC
Platelets
Sodium (Na+)
Potassium (K+)
Chloride (CL)
BUN
HCO3
Creatinine
Glucose
Prothrombin time
INR
aPTT

 
 
 
YOU HAVE NOW COMPLETED THE PREP WORK FOR SIM
STOP HERE! DO NOT UPLOAD
(I will be looking at the above as you walk into the classroom, so please have it ready for me to review)
You will hand in the worksheet at the end of the SIM day. This is why the due date is on the course calendar
Simulation: This is the rotation for the SIM day, keep as a reference for the SIM day

Time	SIM (Room1)	Chart/EHR (Room2)	Skills (Room3)	Activity (Room4)
0900-0945	Group A	Group D	Group B	Group C
0945-1030	Group D	Group A	Group C	Group B
1030-1115	Group C	Group B	Group D	Group A
1115-1200	Group B	Group C	Group A	Group D
Group Debrief
1200-1230 LUNCH (bring your lunch)
1230-1315	Group A	Group D	Group B	Group C
1315-1400	Group D	Group A	Group C	Group B
1400-1445	Group C	Group B	Group D	Group A
1445-1530	Group B	Group C	Group A	Group D
Group Debrief

 
 
 

Student Instructions/Worksheet for SIM Day

 

Room Number	Activity
Room 1-SIM	Caring for Edith Jacobson
Room 2	Morning session: Activity- look through patient chart-develop “nursing brains.” Fill out print-off. Afternoon session: Activity-in small groups, develop an SBAR from the morning session-will discuss in group debrief-practice reading this with a partner. Fill out print off of SBAR
Room 3	Morning session: Review proper patient alignment and the importance of repositioning the patient. Activity– with a partner, practice repositioning using appropriate body mechanic techniques and appropriate use of various supplies to assist with proper body alignment.  Activity-Identify Morse Fall Risk Scale-Read handout and fill out Morse Fall Scale after reviewing given scenario. Activity-Using a mannequin to identify different lung sounds. Afternoon session: Activity-Perform focused Musculoskeletal Assessment on a partner (check muscle strength and ROM, assess skin, assess warmth, check pedal pulses and capillary refill). View video before going through the assessment: https://www.youtube.com/watch?v=t6hE_ntz4Ho   Musculoskeletal Assessment Inspect and palpate extremities for edema, tenderness, temperature, deformities & lesions Check capillary refill of fingers and toes Inspect gait and balance (Romberg test) Assess range of motion of neck, arms, & legs (at least 3 directions for each) Assess strength in all extremities Assess the following deep tendon reflexes: patellar, plantar, triceps, Achilles, biceps, & brachioradialis. Locate and palpate radial, brachial, popliteal, posterior tibial, and dorsalis pedis pulses, assessing for symmetry and strength.   –Activity- Chart findings from partner in EHR. Follow directions on how to chart in EHR. -EHR Tutor: (may need to use Chrome) -Go To  à ATI à My ATI à EHR Tutor Folderà SIM Day 1 MD1àMusculoskeletal Assessment To access this activity, you must “add a course” then enroll in the course by using the code below. Code: 3SWGPSE   THERE IS NOTHING TO HAND IN FOR EHR. THE INSTRUCTOR WILL LOOK AT YOUR CHARTING THROUGH EHR.
Room 4	Morning session– Research the proper techniques for using a walker/cane -make sure you identify the difference between these tools and the difference each has, for example, a wheeled walker or a 3-point cane. Activity- Practice educating others on the proper usage of a walker/cane (student nurse to demonstrate proper usage of devices). Afternoon session– Activity -Develop a Quizlet game using the above information (patho map/medication and lab information). You and a partner will develop a total of 10 questions. Each question should have the correct answer WITH rationale. Be sure to use evidence-based information. This will be presented in a large group debrief. Place link to Quizlet game here: -If you have additional time- Practice giving report to another nurse
If spare time is noted at any time throughout the day, students should complete the application questions at the end of the Med/Surg book in ATI on osteoporosis. Writing down the answers to each question (1-5). Or ATI Individual Quizzing (Fundamentals)

 
 
 
Post-SIM Activity
Nursing Care Plan
Article review: Please locate a peer-reviewed article published within the past 5 years that pertains to today’s SIM (examples: workplace injuries due to poor body mechanics, osteoporosis, hip surgery, etc.).  Include a one-half to a one-page discussion of the article and how it relates to patient care.
Patient education: Complete in a narrative format exactly how you would educate a patient on post-hip surgery; this can include, but is not limited to medication, possible complications associated with wounds, nutrition, activity.  Include 4 narrated sentences.
Complete care plan: Using information from today’s SIM, you will complete the care plan below. Make sure you are writing a problem nursing diagnosis. DO NOT USE “RISK FOR” as the start of your nursing diagnosis. I am looking for keywords such as related to and as evidence by in your nursing diagnosis.

D-Nursing diagnosis:

A-      Assessment	P- Planning (outcome-specific and measurable goal). This should be a SMART goal	I-Interventions-  (evidenced-based). This needs to be working towards your goal. Placing the call light next to the bed is not an intervention,	Rationale (why are you doing the intervention?)
S (what the pt says):       O (Information-assessment, lab/diagnostic):		1.     2.     3.     4.       5.	1.     2.     3.     4.       5.

 
Outcome: Critical Thinking: Self-assessment:
Self-reflect on how your simulation experience correlates with what you have learned in this lecture. Objectives are located in the course under each module and are helpful in completing this section.
 

 

Outcome: Caring

Identify one example from your simulation day in which you observed, participated in, or provided some aspect of caring for the provision of psychosocial and/or cultural diversity needs. How did you inspire or make a difference in your patient’s life today?
 
 
Create individualized quizzing checking Fundamentals.
Take a screenshot of quiz made and how many questions answered (60 questions should be completed) (below is an example of the screenshot I want copy and paste to this worksheet)
 
References
(Do not forget to put in-text citations within your worksheet)