Charlie Snow2.,WELL EXPLAINED WITH VERIFIED ANSWERS.

Guided Reflection Questions Opening Questions How did the simulated experience of Charlie Snow’s case make you feel? I enjoyed the experience of this kind of Sim. I was still a little unsure of myself and wound up skipping just a couple important steps because I wasn’t sure what would happen if I clicked that button. Describe the actions you felt went well in this scenario. My entrance into the room, handwashing, introducing myself to patient, identifying him and his family members all went smoothly. I took the patients vitals and asked the appropriate questions regarding his issue. I made the patient feel at ease with a toy and offered him a drink. Scenario Analysis Questions1 EBP What priority problem did you identify for Charlie Snow? I identified that the patient has contact dermatitis most likely due to the detergent that his aunt used to wash his clothes. EBP What complications might Charlie Snow face if his allergy is not recognized and actions are not initiated in a timely manner? If left untreated, the patient can start having difficulty breathing, he could start wheezing, his throat would be itchy and it would feel like its closing up. Further delay can lead to death. PCC What teaching measures should be included during Charlie Snow’s visit to the clinic? 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: Charlie should know how to recognize the signs of an allergy response. He should be made aware of his specific allergies and know how to avoid them. PCC Describe the age-appropriate strategies to empower Charlie Snow in the management of his allergies. Charlie should be told how to recognize the signs and symptoms of an allergic response. He has no control over washing his own clothes, but he can be told to be aware of any changes in his body, like red spots or itching. He should inform an adult immediately. If he is in a new place and playing with a new toy or touching something he’s never touched before he should wash his hands afterwards. It’s a good idea to wash hands frequently to avoid spreading any possible allergen. S/I Discuss what measures Charlie Snow and his aunt should take if he has an allergic response. How can you use age-appropriate informatics for assistance in teaching? For Charlie I would tell him what to look for on his body that could possibly be an allergic reaction, like red spots, feeling itchy. He should tell an adult immediately if he starts to see or feel anything like that. He should also make an adult aware if his face or throat starts to feel funny, puffy or tingly, if he has trouble breathing or anything that feels weird and not normal for him. For his Aunt she should always keep Benadryl on hand for an allergic reaction. She should give him a dose of Benadryl and wash him immediately with soap and cool water to remove any possible allergens from his skin. She should make sure she stays with Charlie to monitor his symptoms. If he starts to swell or state that he has trouble breathing she should call 911 right away. I would then ask the aunt to give me feedback about what I just told her so that I know she understands the steps to take. S/I Because Charlie Snow is accompanied by his aunt and not by a parent, what legal matter must be considered before performing treatment? The aunt must provide a document of consent signed by his parents that she has the right to make medical decisions on Charlie’s behalf. T&C Why is it important that Charlie Snow’s aunt communicate with Charlie’s teacher, school nurse, and principal about his allergies? What should she communicate? The school needs to be aware of Charlie’s allergies to ensure that he is not exposed to them. The nurse needs to be prepared to handle the situation should he come in contact with or ingest an allergen. Charlie should carry an epipen if his allergy is life threatening. Create an emergency care plan to share with the teachers, principal and school nurse should there be an episode. T&C/I What key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-recommendation (SBAR) format. S- 6 year old presents with red, itchy rash. Vitals are stable. A 12.5 mg dose of diphenhydramine was administered per the doctor’s order. B- Pt here with aunt who is caring for him while parents away, she washed his clothes in detergent that he has an allergy to. Pt is allergic to perfumes, dyes and peanuts. Pt is A&Ox4. A- Pt appears to have contact dermatitis due to his perfume and dye allergy. R- Patient should be monitored for reduction in symptoms for the next hour before he is discharged. QI Describe some actions that should take place to improve Charlie Snow’s quality of care. Care should be taken to have a child friendly atmosphere so that Charlie feels safe and at ease. He should be spoken to in terms that he is able to understand using pictures or dolls to explain procedures or symptoms. His aunt should be taught how to handle a child with allergies and what to look out for and when to call 911. Concluding Questions Reflecting on Charlie Snow’s case, were there any actions you would do differently? If so, what were these actions, and why would you do them differently? I think I did a pretty good job, however I forgot to show Charlie the faces chart and ask him how he was feeling. I also forgot to do teaching to him and his aunt. Describe how you would apply the knowledge and skills that you obtained in Charlie Snow’s case to an actual patient care situation. For an actual patient I know what exactly to look for now and say to the patient to get an understanding of how they are feeling. I am aware of the proper teaching techniques for a child and for the parent or guardian. Children need to be spoken to in a certain way so that they can understand what’s asked of them and how to handle situations. The parent or guardians also need to be taught how to handle emergency situations and the steps to take should things get worse.