NURSING
Student Instructions for i-Human Virtual Simulation
NR325/NR330 Maggie Naganashe Scenario 2
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:
Maggie Naganashe is a 62-year-old American Indian female with chronic renal failure. She also has a 15-year history of type II diabetes mellitus and a history of hypertension, and hyperlipidemia. She lives on an American Indian reservation and is a proud member of the Odawa tribe. Mrs. Naganashe reports that she was unable to go to her dialysis treatment this week because her husband had to use their only car for a job interview. She was admitted for shortness of breath, swelling, weight gain and fatigue.
LEARNER OBJECTIVES:
1. Utilize clinical reasoning skills to perform a health history and physical assessment on an adult patient. (CO 1, 2, 3, 4)
2. Construct a plan of care based by prioritizing assessment findings and nursing diagnoses (CO 4, 5, 6, 7)
3. Evaluate patient outcomes to determine the effectiveness of nursing interventions and need for ongoing care (CO 4, 8)
4. Communicate and collaborate with the patient, family, and interdisciplinary healthcare team members (CO 3, 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 nurse’s 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, Analyze, Actions, 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 is assigned to be completed during
Week 4
prior to your scheduled debriefing with faculty/peers.
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:
In order 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 responses 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. Describe the fluid and electrolyte imbalance that occur with chronic renal failure.
2. What are key patient education concepts related to chronic kidney disease?
3. Explore the CDC Tribal Data, Information, and Resources at
www.cdc.gov/tribal/data-resources and read the following article.
Mitchell, F. (2012). Reframing diabetes in American Indian communities: A social determinants of health perspective.
Health & Social Work, 37(2):71–79.
[Note: This article can be located through the Chamberlain University Library.]
4. Describe risk factors and conditions that lead to health disparities for American Indians.
Immediately following the completion of the virtual simulation, you will complete the evaluation of the simulation using the link provided.
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