Nursing

NR341 Max Cook Student Instructions
© 2021 Chamberlain University. All Rights Reserved.

Revised 4.1.2021 1

Student Instructions for i-Human Virtual Simulation
NR341 Max Cook

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:
Max Cook is a 74-year-old male who presented to the emergency department (ED) 24 hours ago with
complaints of shortness of breath, decreased energy level, and fever. He had not been feeling well for several
days when he went to primary care provider who began treatment for pneumonia. Patient reported that he
did not feel that antibiotic was helping him, so he stopped taking his med 2 days ago. His overall health
declined rapidly over past 48 hours. Mr. Cook’s wife called the ambulance for transport to ED at Chamberlain
Hospital. He was admitted to the Medical Intensive Care Unit (ICU).

LEARNER OBJECTIVES:

1. Utilize clinical reasoning skills to perform a health history and physical assessment on an adult patient.
(CO 1, 3, 4, 6)

2. Construct a plan of care based by prioritizing assessment findings and nursing diagnoses (CO 1, 3, 4, 6, 7)
3. Evaluate patient outcomes to determine the effectiveness of nursing interventions and need for ongoing

care (CO 1, 4, 6)
4. Communicate and collaborate with the patient, family and interdisciplinary healthcare team members

(CO 1, 3, 6, 7)

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

• Gear Heads: These are icons that open required questions and/or additional information
related to the case. The questions, information, and videos must be reviewed prior to
progressing to the next tab.

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

NR341 Max Cook Student Instructions
© 2021 Chamberlain University. All Rights Reserved.

Revised 4.1.2021 2

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: 30 minutes
• Run Time: 2-2.5 hours
• Debriefing: 60 minutes

NR341 Max Cook Student Instructions
© 2021 Chamberlain University. All Rights Reserved.

Revised 4.1.2021 3

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?

NR341 Max Cook Student Instructions
© 2021 Chamberlain University. All Rights Reserved.

Revised 4.1.2021 4

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. Compare/contrast systemic inflammatory response syndrome (SIRS) and sepsis.

2. What are key nursing interventions when caring for patient on a ventilator?

3. Describe the purpose for the following types of vascular access devices: central venous catheter &
arterial line.

4. A patient is experiencing worsening hypotension and is prescribed norepinephrine continuous
infusion.

a. Prescription: Start Norepinephrine (levophed) 0.5 mcg/min and titrate to maximum of 12
mcg/min to maintain mean arterial pressure great than 65.

b. Pharmacy has mixed the drip as Norepinephrine 4mg in 250mL of D5W.
c. How many mL/hr should the nurse program the pump to deliver 0.5mcg/min?

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

  • SCENARIO OVERVIEW:
  • LEARNER OBJECTIVES:
  • 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.
  • 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 cl…
  • i-Human Evaluation – What does my total score mean?
  • REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION:

MSN5300 WEEK 4

 

 Identify 5 research articles and write a brief summary of the ethical approaches used in the research studies

Please include 400 words in your initial post and two scholarly references . Please refer to the discussion rubric. Also check for plagiarism and artificial intelligence(AI) .The work must be in your own words.Attached you can find the rubric to do the assigment

Nursing

 Consider a topic the topic: obesity , that rises to the presidential level. How did the current and previous presidents handle the problem? What would you do differently? I need 150 words 

smoking cessation

Each student will individually write a paper over a relevant maternal-infant nursing topic that is addressed by a Healthy People 2030 objective. Healthy People 2030 objectives are available at 

https://health.gov/healthypeople/objectives-and-data/browse-objectives
 .The concept chosen must be appropriate and relevant to maternal-infant nursing. The purpose of this assignment is three-fold:  to thoroughly research a topic of interest relating to maternal-infant nursing; to synthesize the information found; and to then draw inferences about the concept. 

This paper is expected to be short, succinct, focused, and developed on the chosen topic. The student can adequately address the criteria in 
3-5 pages, excluding the title and reference pages. All papers must be typed and in APA 7 format.  I encourage you to meet with Megan Hasler, the School of Nursing's librarian if needed for APA guidance or search questions, etc. 

Students are strongly encouraged to send papers to the Writing Center prior to submission.
  References must include a minimum of three (3) journal articles, and you may also include an appropriate medical/nursing dictionary or encyclopedia, the course textbook, the state department of health website for vital statistics, the CDC, etc. See evaluation criteria below for specific guidelines, and PDF attachment for a template.  
Due by Sunday, November 5, at 23:59pm. In the box below you will find examples of topics that have an associated Healthy People 2030 objective. Topic must be approved.

NO MORE THAN ONE QUOTE IN THE PAPER!

Maternal-Infant Concept Paper Evaluation Rubric

CRITERION

POINTS POSSIBLE

Topic is defined adequately

5

How is evidence-based practice being utilized regarding the topic chosen?

5

How does this relate to nursing practice? What are some nursing considerations?

10

Choose and identify one Healthy People 2030 objective related to your chosen topic and research how your state/region/county/city compares to the goal.

10

What effect does this topic have on the client?  What cultural barriers may exist to complicate care? Other cultural considerations?

10

APA Style/Format correct (references, citations, title page, etc.)

5

Grammar (spelling, punctuation) and Content (clear, appropriate word usage, complete sentences, paragraphs, etc.)

5

TOTAL

50

Individual Rights & Vaccination Policy

 School board trustees are requesting public comment before they vote on a vaccination policy for all children in a local school district. 

module 5

 

Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with the father of Robby, her firstborn. She indicates “pretty serious partying” with the likely father of the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per week, plus intermittent methamphetamine use.Which clinical information would be most critical for you to collect in the first visit?What are the greatest risk factors for substance use disorder for this patient?Which harm reduction strategies would you recommend?Identify your city. Then refer this patient to three agencies near you that would support positive health outcomes for this patient.   (These agencies must not have been used in past discussion posts). What was your rationale for choosing these three agencies? 

Renal

Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. 

Renal Failure

Patient Profile:

J.M. is a 37-year-old woman transferred to a large medical center from a small rural hospital for further evaluation of lower abdominal pain, nausea, vomiting, and progressive deterioration of urinary output.

Subjective Data:

-Long history of ETOH Abuse with a drinking binge two days ago

-Arthritis with heavy use of ibuprofen

-HTN for three years, treated with hydrochlorothiazide and a calcium channel blocker

-Borderline NIDDM for three years, does not want to take medications and has been trying

to lose weight and “watch her sugar intake.”

Objective Data:

B/P: 160/110 K: 6.3 mEq/L Urinary output: <15ml/hr Na: 149 mEq/L Lethargic Hgb A1C: 9.2%

Creatinine: 9.6 mg/dL BUN: 121 mg/dL

CRITICAL THINKING QUESTIONS…

1. Address how the various factors in her past medical history could have contributed to her present renal problem.

2. Is her acute renal failure likely to be prerenal, intrarenal, postrenal, or a combination? Why?

3. Discuss each of the laboratory values and how they reflect the pathophysiology that occurs in renal failure. What is the significance of her Hgb A1C level?

4. What are the specific priorities of treatment for J.M.?

5. Explain the types of dialysis available, their indications, and their advantages/ disadvantages. What type of dialysis will most likely be used for J.M?

6. After two weeks of intensive support and dialysis, J.M’s urinary output returns. Explain the diuretic phase of recovery in Acute Renal Failure, and what complications can occur.

7. Do you think she needs intervention for her diabetes? What guidelines did you consult? How would you start in treating a patient with newly diagnosed Type 2 diabetes? Which medication(s) might you want to start first? What patient education issues would you emphasize in the initial period?

weekly discussion

STRATEGIES FOR ACADEMIC PORTFOLIOS

In the realm of marketing, a successful branding strategy is one of the most important contributors to organizational success. A solid branding strategy can help add visibility and credibility to a company’s products.

Similarly, nurse-scholars can build a personal brand to add visibility and credibility to their work. You can begin building your brand by developing and maintaining an academic portfolio. Such an activity can help share the results of your efforts and contribute to your success. This Module’s Discussion asks you to consider and share strategies for building your portfolio.


Note

: Unless otherwise noted, initial postings to Discussions are due on or before Day 3, and response postings are due on or before Day 6. You are required to participate in the Discussion on at least three different days (a different day for main post and each response). It is important to adhere to the weekly time frame to allow others ample time to respond to your posting. In addition, you are expected to respond to questions directed toward your own initial posting in a timely manner.

 

RESOURCES

Required readings

Required Readings

· Burns, M. K. (2018). 
Creating a nursing portfolio
Links to an external site.
. Ohio Nurses Review, 93(3), 16-17.

· Casey, D. & Egan, D. (2013). 
The use of professional portfolios for career enhancement
Links to an external site.
. British Journal of Nursing, 15(11), 547–552.

· East, R. (2015). 
Developing a nurse practitioner portfolio
Links to an external site.
. ACORN: The Journal of Perioperative Nursing in Australia, 28(4), 35.

· Hannans, J. & Olivo, Y. (2017). 
Craft a positive nursing digital identity with an ePortfolio
Links to an external site.
. American Nurse Today, 12(11), 48–49. Retrieved November 14, 2018, from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Digital-Identity-1017a-1.pdf

· Leahy, R., & Filiatrault, A. (2017). 
Employers’ perceptions of the benefits of employment electronic portfolios
Links to an external site.
. International Journal of ePortfolio, 7(2), 217-223.

· McMillan, L. R., Parker, F., & Sport, A. (2014). 
Decisions, decisions! E-portfolio as an effective hiring assessment tool
Links to an external site.
. Nursing Management, 45(4), 52-54.

· Walden University. (n.d.). 
Walden University catalog
Links to an external site.
. Retrieved October 4, 2019, from https://catalog.waldenu.edu

Select College of Nursing, then Master of Science in Nursing (MSN). Review the MSN Learning Outcomes on this page.

· Walden University. (n.d.). 
Field experience: College of Nursing: Student resources – Graduate courses
Links to an external site.
. Retrieved from https://academicguides.waldenu.edu/fieldexperience/son/applicationprocess?preview=628dc4af1964e1228ef523827b9733ab#s-lg-box-3870501

· Walden University Writing Center. (n.d.). 
Walden templates: Overview
Links to an external site.
. Retrieved from https://academicguides.waldenu.edu/writingcenter/templates

Note: Download and review the College of Nursing Template by navigating to “Program-Specific Templates” and then “College of Nursing,” and selecting “College of Nursing Writing Template With Instructions.”

· Document:
 APA Basics Checklist: Citations, Reference List, and Style
 Download APA Basics Checklist: Citations, Reference List, and Style(PDF)

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 



WEEKLY RESOURCES

To Prepare:

· Reflect on strategies that you can pursue in developing portfolios or portfolio elements that focus on academic achievements.

· Review one or more samples from your own research of resources focused on portfolio development.

BY DAY 3 OF WEEK 8

Post an explanation of at least two strategies for including academic activities and accomplishments into your professional development goals. Then, explain how those goals may align with the University’s emphasis on social change. Be specific and provide examples.

BY DAY 6 OF WEEK 8

Respond to at least 
two of your colleagues' posts by offering additional ideas regarding academic achievements to include or offering alternative ways of presenting the current achievements.

FOCUSED SOAP NOTE AND PATIENT CASE PRESENTATION,

  

· State 3–4 objectives for the presentation that are targeted, clear, use appropriate verbs from Bloom’s taxonomy, and address what the audience will know or be able to do after viewing.

·

Work Environment in Nursing Practice

 

  • Discuss the strategies for maintaining a healthy work environment; the legal implications of workplace violence and the responsibilities from organizations in providing a healthy work environment
  • Review the ANA Bill of Rights (Box 14-1 from your textbook) and discuss how it protects nurses.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.