Simulation Design Template:
Jenny Brown-Simulation #3
Date: File Name: Jenny Brown
Discipline: Nursing Student Level:
Expected Simulation Run Time: Guided Reflection Time: twice the
approx. 20 minutes amount of simulation run time
Location: Postpartum unit Location for Reflection:
Admission Date: Yesterday | Today’s Date:
Brief Description of Client
Name: Jenny Brown
Gender: F Age: 23 Race: Weight: 74.8 kg Height: 66 in
Religion: Christian – does not attend church services
Major Support: Eric (boyfriend) Support Phone: 555-555-5566
Allergies: No known allergies Immunizations: Current, including influenza and Tdap
Attending Physician/Team: Shelley Northridge, CNM, Linda Barkus, MD (pediatrician)
Past Medical History: Mild intermittent, exercise-related asthma as a child - resolved. Brief
admission to acute adult psychiatric unit for three days with acute anxiety/panic attack after she
learned about the infant’s congenital anomaly (cleft lip/palate). Diagnosed with PTSD. Some
anemia this pregnancy requiring iron supplement.
History of Present Illness: Uncomplicated term delivery of female infant with cleft lip &
palate; normal blood loss.
Social History: Recent discharge from military service that included deployment to combat
zones in Iraq. College student studying construction management. Stable monogamous
relationship with boyfriend Eric.
Primary Medical Diagnosis: Normal spontaneous vaginal delivery at 40 weeks gestation.
Surgeries/Procedures & Dates: None
Jenny Brown – Simulation #3
© National League for Nursing, 2015
1
, Nursing Diagnoses: Alteration in comfort r/t childbirth; knowledge deficits regarding self-care,
breast feeding, newborn care, and care of infant with cleft lip & palate; anxiety r/t ability to be a
good mother and care for newborn with cleft lip/palate
Psychomotor Skills Required Prior to Simulation
Postpartum and newborn assessment (including physical exam and attention to
development milestones for mother and infant)
Cognitive Activities Required Prior to Simulation
[i.e. independent reading (R), video review (V), computer simulations (CS), lecture (L)]
Read introductory monologues for Jenny and Eric for background information (R)
Read chapter in maternity text related to focused postpartum assessment (including
appropriate physical, mental, and developmental milestones) and breast feeding (R)
Read chapter in pediatric text or combined maternal-child textbook about newborn
assessment and care to an infant with a cleft lip and palate (R)
Review of elements of therapeutic communication, effective patient-centered education,
and discharge teaching (R)
Become familiar with questions and scoring of Edinburgh Postnatal Depression Scale (R)
(http://www.fresno.ucsf.edu/pediatrics/downloads/edinburghscale.pdf)
Simulation Learning Objectives
General Objectives
1. Practice standard precautions throughout the exam.
2. Employ effective strategies to reduce risk of harm to the client.
3. Assume the role of team leader or member.
4. Perform focused physical and psychosocial assessments noting abnormal findings.
5. Recognize changes in patient symptoms and/or signs of patient compromise.
6. Perform priority nursing actions based on clinical data.
7. Reassess/monitor patient status following nursing interventions.
8. Perform within scope of practice.
9. Demonstrate knowledge of legal and ethical obligations.
10.Communicate with client in a manner that illustrates caring for his/her overall well-
being.
11.Communicate appropriately with physician and/or other healthcare team members in a
timely, organized, patient-specific manner.
Jenny Brown – Simulation #3
© National League for Nursing, 2015
2
Jenny Brown-Simulation #3
Date: File Name: Jenny Brown
Discipline: Nursing Student Level:
Expected Simulation Run Time: Guided Reflection Time: twice the
approx. 20 minutes amount of simulation run time
Location: Postpartum unit Location for Reflection:
Admission Date: Yesterday | Today’s Date:
Brief Description of Client
Name: Jenny Brown
Gender: F Age: 23 Race: Weight: 74.8 kg Height: 66 in
Religion: Christian – does not attend church services
Major Support: Eric (boyfriend) Support Phone: 555-555-5566
Allergies: No known allergies Immunizations: Current, including influenza and Tdap
Attending Physician/Team: Shelley Northridge, CNM, Linda Barkus, MD (pediatrician)
Past Medical History: Mild intermittent, exercise-related asthma as a child - resolved. Brief
admission to acute adult psychiatric unit for three days with acute anxiety/panic attack after she
learned about the infant’s congenital anomaly (cleft lip/palate). Diagnosed with PTSD. Some
anemia this pregnancy requiring iron supplement.
History of Present Illness: Uncomplicated term delivery of female infant with cleft lip &
palate; normal blood loss.
Social History: Recent discharge from military service that included deployment to combat
zones in Iraq. College student studying construction management. Stable monogamous
relationship with boyfriend Eric.
Primary Medical Diagnosis: Normal spontaneous vaginal delivery at 40 weeks gestation.
Surgeries/Procedures & Dates: None
Jenny Brown – Simulation #3
© National League for Nursing, 2015
1
, Nursing Diagnoses: Alteration in comfort r/t childbirth; knowledge deficits regarding self-care,
breast feeding, newborn care, and care of infant with cleft lip & palate; anxiety r/t ability to be a
good mother and care for newborn with cleft lip/palate
Psychomotor Skills Required Prior to Simulation
Postpartum and newborn assessment (including physical exam and attention to
development milestones for mother and infant)
Cognitive Activities Required Prior to Simulation
[i.e. independent reading (R), video review (V), computer simulations (CS), lecture (L)]
Read introductory monologues for Jenny and Eric for background information (R)
Read chapter in maternity text related to focused postpartum assessment (including
appropriate physical, mental, and developmental milestones) and breast feeding (R)
Read chapter in pediatric text or combined maternal-child textbook about newborn
assessment and care to an infant with a cleft lip and palate (R)
Review of elements of therapeutic communication, effective patient-centered education,
and discharge teaching (R)
Become familiar with questions and scoring of Edinburgh Postnatal Depression Scale (R)
(http://www.fresno.ucsf.edu/pediatrics/downloads/edinburghscale.pdf)
Simulation Learning Objectives
General Objectives
1. Practice standard precautions throughout the exam.
2. Employ effective strategies to reduce risk of harm to the client.
3. Assume the role of team leader or member.
4. Perform focused physical and psychosocial assessments noting abnormal findings.
5. Recognize changes in patient symptoms and/or signs of patient compromise.
6. Perform priority nursing actions based on clinical data.
7. Reassess/monitor patient status following nursing interventions.
8. Perform within scope of practice.
9. Demonstrate knowledge of legal and ethical obligations.
10.Communicate with client in a manner that illustrates caring for his/her overall well-
being.
11.Communicate appropriately with physician and/or other healthcare team members in a
timely, organized, patient-specific manner.
Jenny Brown – Simulation #3
© National League for Nursing, 2015
2
