You have just completed the assignment about prioritization. Let’s take

You have just completed the assignment about prioritization. Let’s take some time to debrief you on what you’ve done so far. First, you’ll have the opportunity to identify and discuss thoughts and feelings about the assignment. Next, we will consider how the models and processes you’ve read about in the Procedure Manual apply to the events of the assignment. Finally, we’ll work through ways you can integrate what you’ve learned with future clinical practice. This debriefing activity does not impact your scoring in this assignment, and you can speak freely about your experiences. You can expect this activity to take 30-45 minutes. Understood. Let’s get started. Great. For this beginning portion of the debrief, I will ask you about your perceptions and thoughts of the simulation and your performance in it. You can expect to spend 3-5 minutes on each question in this section of the debrief. How do you feel about your performance in this assignment? I have overall positive feelings about my performance. I’m happy to hear you’ve had a positive experience so far. Could you explain how the assignment went well for you? Answer Preceptor Diana’s question here. it has helped achieve the goal Thank you for sharing that with me. Even though both Arun and Omar were in distress, you were required to prioritize the needs of one over the other. How did this make you feel? I had mixed or neutral feelings about the choice I had to make in the Delivery of Care activity. You had to make a complex choice in choosing which patients to prioritize, so I understand having complex feelings about the issue. What part of the decision do you feel strongest about? You can discuss your feelings about the medical consequences of your decisions, reactions from your peers or leaders, or any other part of the activity that may have affected your perception of it. Answer Preceptor Diana’s question here. nothing that much Now that we’ve discussed your perception of the simulation and your performance, I’m going to ask you some questions about applying the models and processes you used in the simulation. You can expect to spend 3-5 minutes on each question in this section of the debrief. Explain how you applied the “Maslow’s Hierarchy of Needs” model when prioritizing Arun’s care. it was great You correctly chose to prioritize drawing Arun’s blood over treating his nausea. Explain your rationale for this decision. Answer Preceptor Diana’s question here. it was the best option Review your conversation with Dr. Martinez. Your answer: Mr. Patel came in this morning with gastroenteritis and dehydration. He’s been unable to retain food or fluids for the last two days. After initial assessment, he was put on 0.9 normal saline and ondansetron. He has Diabetes Mellitus II. He normally takes a glipizide-metformin combination pill, but he’s been off it since his symptoms began. Martinez: I remember him. Wow, he’s been off his medications for a while. I’m glad you contacted me. You selected the correct response. How does your response balance your scope of practice as a nurse with the need to fully communicate your patient’s situation? making it constant and understand the patient Next, we will work to apply the processes, models, and knowledge covered in the simulation to new scenarios and your future clinical practice. You can expect to spend 3-5 minutes on each question in this section of the debrief. What is the model or process that you learned about in this assignment that you think will help you the most in becoming a better nurse? Answer Preceptor Diana’s question here. maslow theory How will you incorporate this model into your clinical practice? keep using it more often What process or model do you most want further instruction on before applying it in the clinical setting? Answer Preceptor Diana’s question here. none Thank you. Next, what are three things you can do to understand this model or process better? embrace, exercise and practice Thank you for talking through that with me. Do you feel that completing this debrief has helped you to better understand the lessons of this assignment? Answer Preceptor Diana’s question here. yes Why do you feel that way about the debrief? because i gained more skills Excellent. We have completed the debrief. Proceed to see the results page for this assignment. Answer Preceptor Diana’s question here. Select the best option for presenting the Situation component of your SBAR report to Dr. Martinez. Offer a brief summary of the situation about which you are calling. Dr. Martinez, this is (your name) on the Med/Surg floor at Shadow General. I’m caring for Mr. Patel in room 201. I’m calling about the results of Mr. Patel’s metabolic panel, which indicate severe hyperglycemia. You scored 1.0 out of 1 The correct answer is: Dr. Martinez, this is (your name) on the Med/Surg floor at Shadow General. I’m caring for Mr. Patel in room 201. I’m calling about the results of Mr. Patel’s metabolic panel, which indicate severe hyperglycemia. Martinez: Thanks for calling me. Why is this the most appropriate report of the situation? You include identifying information and give the reason for your call. You scored 1.0 out of 1 The correct answer is: You include identifying information and give the reason for your call. Select the best option for presenting the Background of your SBAR report. Describe the background leading up to the patient’s current condition. Mr. Patel came in this morning with gastroenteritis and dehydration. He’s been unable to retain food or fluids for the last two days. After initial assessment, he was put on 0.9 normal saline and ondansetron. He has Diabetes Mellitus II. He normally takes a glipizide-metformin combination pill, but he’s been off it since his symptoms began. You scored 1.0 out of 1 The correct answer is: Mr. Patel came in this morning with gastroenteritis and dehydration. He’s been unable to retain food or fluids for the last two days. After initial assessment, he was put on 0.9 normal saline and ondansetron. He has Diabetes Mellitus II. He normally takes a glipizide-metformin combination pill, but he’s been off it since his symptoms began. Martinez: I remember him. Wow, he’s been off his medications for a while. I’m glad you contacted me. Why is this the most appropriate report of the background? You offer a thorough summary of the factors which have led to the patient’s current condition. You scored 1.0 out of 1 The correct answer is: You offer a thorough summary of the factors which have led to the patient’s current condition. Select the best option for presenting the Assessment of your SBAR report. Remember to include significant observations and lab readings. Mr. Patel’s current blood glucose is 750 mg/dL, with a potassium level of 3.7, and he’s suffering confusion. I’m worried about his hyperglycemia. You scored 1.0 out of 1 The correct answer is: Mr. Patel’s current blood glucose is 750 mg/dL, with a potassium level of 3.7, and he’s suffering confusion. I’m worried about his hyperglycemia. Martinez: I don’t blame you; that blood glucose is sky high. Why is this the most appropriate delivery of your assessment? You give the provider the information they will need to issue new orders for patient treatment. You scored 1.0 out of 1 The correct answer is: You give the provider the information they will need to issue new orders for patient treatment. Select the best option for presenting the Recommendation of your SBAR report. Suggest a course of action to the provider. I believe that Mr. Patel requires more aggressive treatment for his elevated blood glucose. I think he needs to be put on insulin. What new treatments would you like to order? You scored 1.0 out of 1 The correct answer is: I believe that Mr. Patel requires more aggressive treatment for his elevated blood glucose. I think he needs to be put on insulin. What new treatments would you like to order? Martinez: I agree. Let’s keep him on 0.9% normal saline IV at 100 ml/hour until his glucose level is below 300 mg/dL. We also want to give him a bolus of regular insulin IV of 0.1 unit/kg followed by a regular insulin IV infusion at 0.1 units/kg/hr. Continue to check blood glucose every hour until below 200. Why is this the most appropriate delivery of your recommendation? You suggest a course of action grounded in the available evidence and prompt the provider to issue new orders for your patient. You scored 1.0 out of 1 The correct answer is: You suggest a course of action grounded in the available evidence and prompt the provider to issue new orders for your patient. Martinez: Is there anything else I should know? Follow-Up: Report the effectiveness of Mr. Patel’s nausea medication. Mr. Patel is not responding to his nausea medication. He’s being given 4 mg of ondansetron every eight hours, and it’s almost time for his second dose. When asked, he rated his nausea as a 9 or 10 out of 10. I recommend an order be put in for a different medication. You scored 1.0 out of 1 The correct answer is: Mr. Patel is not responding to his nausea medication. He’s being given 4 mg of ondansetron every eight hours, and it’s almost time for his second dose. When asked, he rated his nausea as a 9 or 10 out of 10. I recommend an order be put in for a different medication. Martinez: Let’s up his dose to 8 mg ondansetron for now, but keep an eye on him. [AUDIO COMING SOON] Why is this the most appropriate way to talk to the provider about the effectiveness of Mr. Patel’s nausea medication? You explain the patient’s situation, offer background information, assess his condition, and prompt a response from the provider. You scored 1.0 out of 1 The correct answer is: You explain the patient’s situation, offer background information, assess his condition, and prompt a response from the provider. Arun Patel when prioritizing patients , it is important to ask yourself if not prioritizing a patient could have a negative impact on their well being. while all patient needs to meet in a timely manner, any patient with immediate requirments should be attended to first in order to maxmize efficient and positive delivery care Model Response When prioritizing patients, it is important to ask yourself if not prioritizing a patient could have a negative impact on their well-being. While all patient needs will be met in a timely manner, any patients with immediate requirements should be attended to first in order to maximize efficient and positive delivery of care. —————————————————————————————————————- Please explain: Simulation Self-Reflection Modified from: Bajaj, K., Meguerdichian, M., Thoma, B., Huang, S., Eppich, W., & Cheng, A. (2018). The PEARLS healthcare debriefing tool. Academic Medicine, 93(2), 336. 1. What is your initial reaction after completing this scenario? 2. Share a short summary of the client and diagnosis from the scenario you just completed. 3. Are you satisfied with your ability to care for the client? Why or why not? 4. What did you do well and what could have been handled differently? Be specific. 5. What did you learn today? What are your key takeaways from this experience?

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