Nr324/nr329 nancy gilbert simulations

NR324/NR329 Nancy Gilbert Student Instructions
©2022 Chamberlain University. All Rights Reserved.

Revised 9.12.2022 1

Student Instructions for Standardized Simulation

NR324/NR329 Nancy Gilbert

PURPOSE:
The following information is to be used in guiding your preparation and participation in the scenario for this
course. This document will provide applicable course outcomes in preparation for your simulation.

SCENARIO OVERVIEW:
Nancy Gilbert is a patient with a 5-year history of laryngeal cancer requiring a permanent tracheostomy and
continuous supplemental oxygen. Mrs. Gilbert has an 80-pack-year history of cigarette smoking (2 packs per day
for 40 years) and lives with their husband who continues to smoke in their home. On Tuesday morning, Nancy
was admitted to the medical unit with pneumonia and placed in contact isolation for Methicillin- Resistant
Staphylococcus Aureus (MRSA). The scenario takes place on Wednesday at 1400. During this scenario, students
will have the opportunity to assess a patient with moderate respiratory distress and implement sterile
tracheostomy suctioning while maintaining contact isolation precautions.

STUDENT ROLES DURING SIMULATION:
During pre-briefing, you will be assigned one of these roles according to the description below to participate in
the simulation as a nurse.

Charge Nurse (1):
The charge nurse is responsible for the overall organization of safe, quality patient care. You are the team leader
and serve as a resource to all interdisciplinary members and are responsible for appropriate delegation of
duties. You will serve as the point person for communication and can anticipate speaking with the physician or
other primary care provider, ancillary support services, and others directly involved with the care being
provided. You must be knowledgeable about the patient’s condition and able to dictate orders obtained and
assist with implementation if needed. Additionally, be prepared to prioritize care and anticipate future needs.

Documentation Nurse (1):
The documentation nurse is responsible for recording of all patient event activities during the simulation
with the exception of medication administration. You are responsible for documenting assessments,
interventions, and outcomes on the designated tool (paper or electronic). Be prepared to read back and
verify your documentation when requested and/or clarifying the details. Additionally, you will be part of the
interdisciplinary team and will contribute observational assessment findings to include but not limited to
changes in vital signs, alerts, psychosocial needs, and anticipated care.

Medication Nurse (1):
The medication nurse is responsible for all actions and documentation related to the safe administration of
medications. You will identify and correct any medication errors related to prescribing or distribution. This may
include speaking with the physician or primary care provider. Prior to administering medication, you will assure
the “Rights of Medication Administration.” You must be knowledgeable regarding the action and expected effects
of the medications being administered and are responsible for monitoring and reporting any adverse reactions or
unforeseen consequences of administration. Part of your role includes verifying medication calculations with a
colleague and identifying any incompatible drug combinations.

NR324/NR329 Nancy Gilbert Student Instructions
©2022 Chamberlain University. All Rights Reserved.

Revised 9.12.2022 2

Student Instructions for Standardized Simulation

NR324/NR329 Nancy Gilbert

Assessment Nurse (1):
The assessment nurse is responsible for overseeing a comprehensive assessment of the patient. This includes
but is not limited to obtaining vital signs, head-to-toe assessment of all systems, and psych/social assessment of
the patient. You will be prioritizing care, executing independent interventions, collaborating with
interdisciplinary team members, anticipating the needs of the patient/family, and re-assessing or continually
monitoring the patient for any changes in condition. You are responsible for implementing all non-medication
related interventions, verbalizing your findings to the team, and recommending any actions/interventions
required. Additionally, you will be providing appropriate education to the patient and family/significant others.

Observer Nurse (Max of 6):
The observer is a non-participant role and will not communicate directly with the simulation team. The
observer nurse will view the simulation in the briefing room through Learning Space as it is occurring. There
may be multiple observer nurses in each scenario. The observer nurse will be given an observation guide to
complete during the simulation. The data you collect will help the team during the debriefing process and
facilitate an open and active discussion regarding the simulation experience. You will be an active participant in
the debriefing and will be encouraged to share your observations and thoughts. Please keep in mind that your
observations should be conveyed in a respectful, educational manner. The goal is to work together as
colleagues in providing safe and effective care.

COURSE OUTCOMES:
The NR324/NR329 standardized simulation enables the student to meet the following priority course outcomes:

• CO 1. Provide effective professional nursing care for adult patients and their families in acute care
settings using the nursing process. (PO1)

• CO 3. Demonstrate effective communication skills necessary for collaboration with other health team
members and for providing professional nursing care to adult patients and their families (PO 3)

• CO 4. Apply critical thinking strategies to make good clinical decisions in the adult patient clinical
setting. (PO4)

**Although this scenario can address multiple course outcomes, faculty and students should focus on
the course outcomes listed above**

DUE DATE:
The standardized simulation will be conducted during Weeks 2-8 to ensure students are prepared to meet the
objectives.

NR324/NR329 Nancy Gilbert Student Instructions
©2022 Chamberlain University. All Rights Reserved.

Revised 9.12.2022 3

Student Instructions for Standardized Simulation

NR324/NR329 Nancy Gilbert

SIMULATION TIMING:
• Pre-brief: 20 minutes

• Prebrief Skills Review (OPTIONAL): 30 minutes
• Run Time: 25 minutes
• Debrief: 50 minutes

REVIEW AND COMPLETE BEFORE THE START OF PRE-BRIEFING:
In order to prepare for the simulation, you should complete your assigned reading for the course. In addition,
you should be prepared to complete and document a thorough nursing assessment along with completing the
following skills:

• Nursing Care: Acid-base Balance
• Nursing Care: Altered Gas Exchange
• Utilizing I-SBAR for reporting

Please keep in mind you will also be required to recognize a variety of signs and symptoms linked to
abnormalities in these skills.

Therefore, in order to prepare for the simulation, you are required to complete the pre-briefing questions below
and submit to the faculty facilitating the simulation before the start of pre-briefing. If you do not complete the
pre-briefing questions below and submit to faculty facilitating the simulation before the start of pre-briefing,
you will not be permitted to participate in the simulation.

1. You are the nurse caring for a patient with a tracheostomy. What communication strategies can you

promote with your patient in order to effectively interact and communicate?

2. You are the nurse caring for a patient with methicillin-resistant staphylococcus aureus (MRSA).

a) What is MRSA?

b) Describe the precautions required when providing care to this patient.

c) List topics to include in the patient and family education.

3. Describe the assessment cues and nursing interventions for infiltration and extravasation of an

intravenous (IV) catheter.