CLINICAL REPLACEMENT PACKAGE

CLINICAL REPLACEMENT PACKAGE STUDENT RESOURCES STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT This activity packet is intended to be used with your assigned virtual patient found in vSim. The Six Step learn flow in vSim is to be followed as instructed below. Once you have completed the Six Steps, in addition to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. LEARN FLOW - STEP ONE Finish the Suggested Readings, then complete the following four activities: Clinical Worksheet Plan of Care Concept Map Pharm4Fun Worksheet (one per medication) ISBAR Worksheet LEARN FLOW – STEP TWO Take the Pre-Simulation Quiz Student may take several times using the answer key to provide immediate remediation prior to the virtual simulation. Quiz is recorded as complete. LEARN FLOW – STEP THREE Launch the virtual simulation Suggest student complete the vSim Tutorial prior to launching Step Three. Each clinical experience in the simulation lasts a maximum of 30 minutes. Student is to complete the simulation as many times as it takes to meet an 80% benchmark. LEARN FLOW – STEP FOUR Complete the Post-Quiz The answer key is not visible to the student until after they have submitted the quiz. The quiz grade is recorded as a percentage LEARN FLOW – STEP FIVE Document The student documents the clinical events that occurred during the simulation using the information contained in step five. If using DocuCare, the instructor assigns the same vSim patient which can be found in DocuCare cases. LEARN FLOW – STEP SIX Reflection Questions Students are to complete the reflection questions and submit to instructor post clinical replacement (see syllabus for details). The quiz grade is recorded as a percentage This activity creates an opportunity for you to organize the nursing care required for the patient care presented in your assigned vSim. STUDENT LEARNING OUTCOMES At the end of this activity, student will be able to: 1. Describe pathological events associated with the patient’s disease process or condition. 2. Create a plan of care and prioritized nursing interventions based on patient care needs. 3. Identify anticipated diagnostic and physical assessment findings related to the identified condition or disease process. ASSIGNMENT 1. Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). 2. Review the information contained in the patient information. 3. Review the smart sense links associated with Nursing Care, Diagnostics, and Pharmacology found in the suggested reading area. 4. Create the following “concept map”. List the pathophysiology associated with the patient’s disease process or condition, the anticipated physical assessment findings, vital signs, diagnostics, specific nursing interventions, and other patient information associated with the patient situation. 5. Utilize the smart sense links throughout the vSim to complete the worksheet. 6. Submit your concept map for review. CONCEPT MAP WORKSHEET DESCRIBE MENTAL HEALTH DISORDER AFFECTING PATIENT (Include Neurobiology of Disorder) Schizophrenia is a long-term mental disorder of a type involving a breakdown in the relation between thought, emotion, and behavior, leading to faulty perception, inappropriate actions and feelings, withdrawal from reality and personal relationships into fantasy and delusion, and a sense of mental fragmentation. Dopaminergic, glutamatergic and GABAergic neurotransmitter systems are affected in schizophrenia and interactions between these receptors contribute to the pathophysiology of the disease. 2 INEFFECTIVE THERAPEUTIC COMMUNICATION TECHNIQUES PATIENT HISTORY (LEGAL, ASSAULT HX, ILLICIT DRUG ANTICIPATED COGNITIVE/BEHAVIORAL - Telling the pt. that he/she is sick and needs help. - False reassurance. - Making promises you can not fullfil. - David Carter - 28 Year old - Male - 10 yr history of schizophrenia - Active hallucinations and delusions. - Smoker 1 pack/day - Use of marijuana less than onceper day. - Patients with schizophrenia can display S&S diffently. They can have motor disturbances before exposure to antipsychotic agents. - It has been associated with left and mixed handedness, minor physical anomalies, and neurologic signs. - Extrapyramidal effects. ANTICIPATED NURSING INTERVENTIONS (NON- PHARMACOLOGICAL INTERVENTIONS, SAFETY, AND CLIENT EDUCATION - NO LESS THAN 2 FOR EACH CATEGORY) - EVALUATE THE PATIENT'S ABILITY TO CARRY OUT ACTIVITIES OF DAILY LIVING. - PROVIDE ASSISTANCE AS NECESSARY, ENCOURAGE THE PATIENT TO PARTICIPATE IN CARE AS MUCH AS POSSIBLE; IF NECESSARY, BREAK DOWN TASKS INTO SIMPLE STEPS THAT THE PATIENT CAN COMPLETE; AVOID PROMOTING DEPENDENCE. - MAINTAIN A SAFE ENVIRONMENT, MINIMIZING STIMULI. INSTITUTE SUICIDE PRECAUTIONS AND DEVELOP A SAFETY PLAN WITH THE PATIENT THAT INCLUDES A LIST OF APPROPRIATE COPING STRATEGIES AND SOURCES OF SUPPORT. - REMOVE ALL POTENTIALLY HARMFUL ITEMS FROM THE PATIENT'S ENVIRONMENT; OBSERVE FOR CHANGES IN BEHAVIOR THAT MAY SIGNAL AN INCREASING RISK FOR VIOLENCE, SUCH AS IRRITABILITY, INTIMIDATING BEHAVIOR, MOTOR RESTLESSNESS, LOUD SPEECH, OR OVERT THREATS. IMPLEMENT THE LEAST-RESTRICTIVE ENVIRONMENT FOR THE PATIENT. - OFFER SIMPLE AND MATTER-OF-FACT EXPLANATIONS FOR ENVIRONMENTAL SAFEGUARDS, DRUGS, AND POLICIES. - BUILD TRUST; BE HONEST AND DEPENDABLE. DON'T THREATEN, AND DON'T PROMISE WHAT YOU CAN'T FULFILL.