Merged: Kim Johnson GUIDED REFLECTION AND ISBAR

Kim Johnson Guided Reflection Questions Opening Questions How did the simulated experience of Kim Johnson’s case make you feel? It was a case where professionals needed to provide their up most skills/ psch to this patient young and had so much going for herself. Talk about what went well in the scenario. Educating the patient, she appears to understand the situation not that she except it but she did take the time to understand what was being said to her. Reflecting on Kim Johnson’s case, were there any actions you would do differently if you were to repeat the scenario? If so, how would your patient care change? I couldn’t say I would change anything because situations change in the medical field all the time. Working in the medical field you should be able to adapt in any situation. Scenario Analysis Questions * 1 PC What priority problem(s) did you identify for Kim Johnson? Educating patient on the importance of cleanness and emptying the bladder. S Identify safety hazards in Kim Johnson’s patient care situation. Educate patient on fall risks and assure the patient that it is help here in the hospital to assist her. S Identify potential complications from using improper sterile technique during intermittent catheterization. Potential complication could be uti or infection with wound if sterile technique is not applied. PCC/T&C How would you correct the nurse’s actions specific to the contamination of the sterile field? Discharged and start again QI/I Which federal and state programs offer benefits to support Kim Johnson’s care? 1* The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: From vSim for Nursing | Fundamentals. © Wolters Kluwer. Long term care facility Concluding Questions Describe how you would apply the knowledge and skills that you obtained in Kim Johnson’s case to an actual patient care situation. (Answer on next page) By taking all proper procedure you see in this paragraph a patient get straight catheterization. Ms. Johnson was put in a prone position so she could be comfortable. The sterile field was prepared and the catheterization began. She was told that her gown would be lifted and she would be exposed while the procedure was done. Nurse assisted with holding patient legs apart. The genitalia was cleaned and the catheter was contaminated. When it touched the patient's leg we had to discharge the catheter and start again. The second attempt nothing was contaminated and 341 ml was collected. From vSim for Nursing | Fundamentals. © Wolters Kluwer. vSim ISBAR ACTIVITY STUDENT WORKSHEET Name: Alexandra McQueen Patient: Kim Johnson Date: 06/08/2021 106/108 INTRODUCTION Alexandra McQueen, LPN, Rehabilitation Unit 0800 Your name, positon (LPN), unit you are working on SITUATION Kim Johnson, 26-year-old, F, Thoracic T8 Spinal cord Injury Patent’s name, age, specific reason for visit BACKGROUND Kim has complete spinal cord injury at the T8 level. Bullet penetrated spinal column with no injury to visceral organs. She was admitted yesterday. Current orders vitals q8h Omeprazole 40 mg PO daily 0900, enoxaparin sodium 40mg SQ daily 0900, Oxybutynin 5mg ER PO daily 0900, Docusate Sodium 100mg PO once daily at 2200. PT is scheduled for 1030. Diet is reg with high fiber. Activity is out of bed to chair, I&O every 8hrs, Antiembolism stockings, intermittent catheterization every 4 hours, Bladder scan before catheter. Patent’s primary diagnosis, date of admission, current orders for patent ASSESSMENT Kim is alert and oriented. Normal skin elasticity Chest had normal sensation for temp., noxious, tactile stimuli of the chest. Breathing 20bpm, chest moving equally. for temp., noxious, or tactile stimulus, reflexes absent in both legs. Breath sounds were clear and equal bilaterally. HR and RR were reg. No murmur. LABS are WNL BP 126/84, radial and pedal pulses were strong 90bpm reg., pt reports no pain, temp. 98F, O2 96%, HR 90, RR 19 bpm equally, Cap. Refill -2 sec. Intermittent catherization Output was 354mL of urine. Patient teaching was done on Bladder management and I & O. Abdomen had no sensation for temp., noxious, or tactile stimuli subcostal, reflexes absent. Arms strength WNL legs have no sensation No difficulty breathing, mucous membranes showed no signs of dehydration. Current pertnent assessment data using head to toe approach, pertnent diagnostcs, vital signs RECOMMENDATION Vitals q8h, intermittent catherization q4h, Reposition q2h Discharge teachings or pt education Med admin @ 0900 Any orders or recommendatons you may have for this patent- TOP 3 most important things to pass on. Then anything you were not able to get to This study source was downloaded by from CourseH on :03:04 GMT -05:00 This study resource was shared via CourseH This study source was downloaded by from CourseH on :03:04 GMT -05:00 This study resource was shared via CourseH Powered by TCPDF ()