Lower Leg Fracture – Basic AssessmentMarilyn Hughes - Core Case
Marilyn Hughes, Core CaseS c e n a r i o O v e r v i e wLower Leg Fracture – Basic AssessmentMarilyn Hughes – Core CaseTarget Groups:NursesEstimated Scenario time:15 minutesGuided Reflection time:15 minutesB r i e f S u m m a r yThis case presents a patient that has sustained an injury to her left lower leg with a resultantfracture. The student will be expected to perform a basic assessment including vital signs andpain scale, manage pain, and communicate findings to the Emergency Department charge nurse.Learning Technology by LaerdalSimulation in Nursing Education
Marilyn Hughes, Core CaseE d u c a t i o n a l R a t i o n a l eThis scenario is developed as one out of 20 Simulation in Nursing Education scenarios thataddress major learning objectives focused on core as well as complex nursing care concepts. Thesimulation scenarios are designed to encourage participants to assess and manage the patients,identify and prioritize patient problems, and perform key interventions for safe and effective patientcare. The learning objectives and case studies have been developed to provide a high degree offidelity within the simulations, address different levels of complexity, and facilitate the postsimulation debriefing. The scenarios are specifically developed for use with the SimMan simulatorand the SimMan Essential and SimMan 3G simulators utilizing Instructor Mode, Classic View.L e a r n i n g O b j e c t i v e sGeneral:Identifies the primary nursing diagnosisImplements patient safety measuresEvaluates patient assessment information including vitalsignsImplements therapeutic communicationImplements direct communication with multidisciplinary teammembersDemonstrates effective teamworkPrioritizes and implements Physician Orders appropriatelyScenario Specific:Recalls indications, contraindications, and potential adverse effects of prescribed medicationsImplements the “5 rights” of medication administration
Marilyn Hughes, Core CaseN u r s i n g D i a g n o s i sAcute pain related to recent injuryDefining characteristics:•Verbal report of pain•Observed evidence or trauma to left lower leg•Protective gestures and guarding•Expressive behavior (moaning, restlessness)Impaired physical mobility related to musculoskeletal impairmentDefining characteristics:•Limited ability to perform gross motor skills
Marilyn Hughes, Core CaseN C L E X - R NSafe and Effective Care EnvironmentManagement of Care•Collaboration with Interdisciplinary TeamHealth Promotion and Maintenance•Techniques of Physical AssessmentPsychosocial Integrity•Therapeutic CommunicationsPhysiologic IntegrityBasic Care and Comfort•Non-Pharmacological Comfort InterventionsReduction of Risk Potential•Changes/Abnormalities in Vital Signs•System Specific Assessment•Therapeutic ProceduresPhysiologic Adaptation•Alterations in Body SystemsLearning Technology by LaerdalSimulation in Nursing Education
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