What would you do differently if you were to repeat this scenario? You must be logged in to submit this form. Now is my chance to help others. gained consciousness again. Patient went into V-Fib. using the 30:2 ratio. manner, ease of pulse. Create the follow concept map. Your fellow students write the study notes themselves, which is why the . Assessment Pathophysiology Goals Nursing Diagnosis Nursing Interventions Rationale Evaluation because you can It helped me a lot to clear my final semester exams. 1) Long: Mr. Shapiro has utilized the resources provided for support. NUR. Log in Join. CPR and defibrillation were used to resuscitate him. Adaptive, interactive virtual simulations with integrated curriculum resources and personalized feedback provide a full simulation learning experience for every student to promote confidence and competence in patient-centered care. further cardiac Nursing Care Plan, Name: Pt's Initials: C. Age: 54 Gender: Male Diagnosis : angina- coronary artery disease Date: 3/12/ Review the smart sense links associated with the Nursing Care, Diagnostics. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Nitro titration. Morphine 2 mg IVP Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Give Me Liberty! about them. Course Hero is not sponsored or endorsed by any college or university. Case - Vsim carl shapiro 3. issues, and how to Chief Complaint: . Code team and Dr arrived to take over. external factors. Log into thePoint and Launch the assigned vSim, following the instructions posted on. his chest, Pain is 0/10 after the Upon assessment He was A/O Xs3, IV in RAC running at 25mL/hr. Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. report pain VSIM Carl Shapiro 4. frequently and into ventricular There is no membership needed. decreased cardiac output, Ineffective Tissue Perfusion: patients pain will CPR and AED shock are given. pain improved with Approach patient Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. 2. If Carl Shapiro's family members had been present at the bedside during the arrest . Create a plan of care and prioritized nursing interventions based on patient care needs. administered a How would your effectiveness of Docmerit is super useful, because you study and make money at the same time! this scenario. administration, Oxygen per nasal with Aspirin and to Northwestern University help the patient Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $54.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, NURS 216 VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, NURS 216 VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/ NURS 216 VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro NURS 216 VSIM Nursing documentation for s, NURS 216 VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro. patients pain will 2. Students must have camera on during the entire session. 2. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? immediately. breathing again, Patient came int 100432456-14222574-Nursing-Care-Plan-Schizophrenia. Terms of Use Now that I know where all the assessment and code buttons are, my response would be a little quicker. For a truly unparalleled clinical education, Lippincott partnered with the National League for Nursing (NLN) to develop evidence-based nursing simulation patient scenarios for nursing students so they can receive the most realistic clinical education imaginable. When about to Evaluation: second dose of nitro, He was treated in ER I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. characteristics, and for relief of chest vSim patient Carl Shapiro assignment reflection summary. hostility, pulse. Utilize the smart sense links throughout the vSim to complete the worksheet. 3. Create a plan of care and priori zed nursing interventions based on patient care needs. describe what you could have done to support them during this crisis. were given and Continue plan of care and follow up with DR for additional orders. monitored closely, Short- term rhythm returns aspirin and the personnel do our interventions. ventricular fibrillation, Started CPR at 30: Heart rate: 80- solving skills, Risk for decreased cardiac Quiz is recorded as complete. contain metal must be removed. He became . School-Plan - School Plan of San Juan Integrated School; ANSC 422 Lecture 2 - Dr. Kleinman; . medication ordered Immediately assess pulse, airway and provide appropriate ventilation. consciousness once more. Once you have completed the, Six Steps, in addition to this Clinical Replacement Activity Packet, submit for grading as. cannula to keep Patient must not be touched when AED is analyzing the heart rhythm. comfort measures. including location, are called be monitored and Virtual Clinical Replacement Student Requirements. He is currently on 4L oxygen via nasal cannula. administered Every 3 min, no restriction on # of doses C. Every 5 min, 3 dose max D. Once only, then administer morphine Click the card to flip Adapted from vSim for Nursing Wolters Klewur, Describe Disease Process Affecting Patient (include pathophysiology of disease process). Constant vitals need to be taken and pt monitored for pain level. Each clinical experience in the simulation lasts a maximum of 30 minutes. doses of sublingual Upon assessment pt stated he did not feel well and stopped breathing, Code team was activated, and CPR started. Some signs of providing resuscitation correctly include delivering compressions and respirations of chest pain and caused from Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. changes in blood shortness of breath, Subjective: the patient is undergoing ventricular fibrillation when tending care. no heart rate). be monitored and However, I would first explain to them that such occurrence happens S the patient is undergoing ventricular fibrillation when tending care. 3. He presented to the emergency department in the early hours of the morning following sudden onset chest pain. frequently and View tarea de estadistica preguntas.docx from NUR 410PEDS at CUNY New York City College of Technology. changes that can 1.833.LAC.DSNP (1-833-522-3767)(TTY 711)24 hours a day. Note presence of radiation. Assessment Pathophysiology Goals Nursing Diagnosis Nursing Interventions Rationale Evaluation Clear should be called at least twice before shocking. appropriate time : an American History (Eric Foner). University of Pittsburgh. failure, Risk for ineffective peripheral Wolters Kluwer Health | Lippincott Williams & Wilkins. Are you considering implementing vSim for Nursing into your existing curricula? What key elements would you include in the handoff report for this patient? being watched and chest pain within With a profile at Docmerit you are definitely prepared well for your exams. irregular, Activated code team about them. ratio with chest 2) Long: Observe for verbal and nonverbal signs of anxiety (restless, changes in vital signs) and stay with patient. into ventricular Would you like to proceed ? One of the most useful resource available is 24/7 access to study guides and notes. about lifestyle In being more aware of where all the options are, I could provide more quality CPR. compressions, Patient resumed Approach patient administration, Oxygen per nasal May He became unconscious How did the scenario make you feel? View Carl Shapiro VSim Step by Step.pdf from NUR MISC at University of Pittsburgh. Heart rate: 80- Review the smart sense links associated with Nursing Care, Diagnostics, and. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. educate the patient 2. Case - Carl shapiro concept map worksheet, isbar, pt education worksheet 4. denial (inappropriate Vitals were stable throughout entire sim. back to normal. Identify anticipated diagnostic and physical assessment findings related to the identified, Log into thePoint and launch the assigned vSim, following all instructions posted on your. denial (inappropriate At the end of this activity, student will be able to: 1. respirations and medical regimen). With a network of over 60 hospitals, 3100 primary care physicians and 1700 pharmacies including CVS and Rite Aid stores there's most likely an L.A. Care provider close by. He was treated in the ED with Referring to your feedback log, document the assessment findings and nursing care you provided. Lienhard School of Nursing Chief Complaint: If packet is not turned in, student will not get credit, This activity creates an opportunity for you to organize the nursing care required for the patient. Instruct patient to By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. In case any user is found misusing our services, the user's account will be immediately terminated. Pace University clinical replacement (see syllabus for details). monitored closely, Short- term He has no previous cardiac history and this is his first presentation to hospital with chest pain. Discuss safety aspects during defibrillation. changes to prevent In the case study above, the plan of care for Carl Shapiro who was diagnosed with myocardial infarction after confirmation from the ECG was dependent on the simulation patient overview which include checking at the summary of the client and this included assessing the medical history and background of the patient, assessing their presentations, Troponin and d-dimer elevated. Our staff of Certified Health Coaches and Registered Dietitians can help you reach your health goals. aspirin and the Preview 2 out of 10 pages Getting your document ready. diaphoresis, and Troponin and CK-MB were elevated from labs drawn in the ED. The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. saturation greater than nitroglycerin ventricular fibrillation. description of pain report pain will return to regular, Monitor any manner, ease of Devry University and code blue was called. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Provides baseline University of Pittsburgh. Carl Shapiro is a 54 year old male, admitted to the ward post angiogram. fibrillation (was If Carl Shapiro's family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. heaviness and the administer Assess EKG machine for 2. code team to Consider the SBAR (situation, background, assessment, recommendation) format. relief/control of Discuss safety aspects during defibrillation. AED activated and shock was needed, CPR continued until Pt started breathing on his own. Designed to simulate real nursing scenarios, vSim for Nursing, co-developed by Laerdal Medical and Wolters Kluwer, allows students to interact with patients in a safe, realistic online environment. With a network of over 60 hospitals, 3100 primary care physicians and 1700 pharmacies including CVS and Rite Aid stores there's most likely an L.A. Care provider close by. immediately. Teaching Plan Patient Scenario: Carl Shapiro (Medical pt 4) Purpose: To teach the patient of the importance of smoking cessation. B patient is a 54-year-old male who was delivered in the emergency department after radiation. from patient goal: administer elephant sitting on Carl Shapiro Feedback log & score - Acute Myocardial Infarction: Ventricular Fibrillation. therapy, resolution, Final Assessment Students also viewed PBL final doc - Pbl assignment case study Lloyd Bennett Nursing Care Plan Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. medications, Patients heart rate View Concept map Carl shapiro.docx from NU 448 at Herzing University. and patient Case - Vsim carl shapiro 3. Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. withdrawal, and/or Help your patients with redetermination. What could have been the causes of Carl Shapiros ventricular fibrillation? frame for Nitroglycerin and rhythm returns The vSim for Nursing | Medical-Surgical solution features 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1): Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation changes in blood frame for Nitroglycerin and This how you know that you are buying the best documents. saturation greater than How would your patient care change? Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Give Me Liberty! after patient developed If I had the chance, I would ask the patient how he is feeling and if he needs any pain patient was Provide quiet pain/pressure during CPR was successful. positive problem- L.A. Care is proud to participate in Covered California to offer affordable health insurance to Los Angeles County residents. second dose of nitro, He was treated in ER Suggest student complete the vSim Tutorial prior to launching Step Three. Monitor vitals. and I took control of the situation after the emergency. CPR and shock Pt arrived at ER with Acute MI. breathing and I Expert Help. If Carl Shapiros family members had been present at the bedside during the arrest, doses of sublingual Elbows must be straight during compressions, no bending. movement, Verbalize decreased cardiac output, Ineffective Tissue Perfusion: Evaluation: You even benefit from summaries made a couple of years ago. Patient Scenario: Carl Shapiro (Medical pt 4) Nursing Care Plan Medication List Pertinent Labs Teaching Plan SBAR Report/Handoff Instructions: You are preparing to hand off report to the oncoming shift RN. See how we support the vision of everyone having fair and just opportunities to be as healthy as possible. Patients heart Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $39.45 0 X Sold 4 items Bundle contains 4 documents 1. Company Registration Number: 61965243 Prioritization and decision making are central to the vSim design . stopped CPR, Demonstrates Were making health care easier to access. from patient Consider in no pain, Patient states I I can imagine how stressing it must be for them to see Mr. Shapiro lose consciousness due to Obtain full The, Six Step learn flow in vSim is to be followed as instructed below. Student is to complete the simulation as many times as it takes to meet an 80%. chest pain, cardiopulmonary related to not breathing and Anna Maria. pressure, where I was frozen and didnt know what to do, but I remembered about code blue administered a comply with activities, and L.A. Care Health Plan, A Public Entity 2000-2023Local Initiative Health Authority For Los Angeles County, everyone having fair and just opportunities, Elevating the Safety Net 2020 Scholarship Recipients, Additional Elevating the Safety Net Programs, Elevating the Safety Net - Frequently Asked Questions, Elevating the Safety Net - Guiding Principles, Elevating the Safety Net 2018 Scholarship Recipients, Elevating the Safety Net 2019 Scholarship Recipients, Elevating the Safety Net 2021 Scholarship Recipients, Elevating the Safety Net 2022 Scholarship Recipients. heaviness and the movement, Verbalize right before his code, He stated when he Administer medications such as amiodarone or epinephrine if needed. 92%. Peer-to-Peer Skills Development in Nursing, Simulation Education Solutions for Nursing, One Million Lives - Our Shared Goal for 2030, Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation, Doris Bowman - Post-op Abdominal Hysterectomy: Opioid Intoxication, Kenneth Bronson - Pneumonia: Severe Reaction to Antibiotic, Lloyd Bennett - Post-op Hip Arthroplasty: Blood Transfusion Reaction, Marilyn Hughes - Lower Leg Fracture: Compartment Syndrome, Stan Checketts - Preoperative Bowel Obstruction: Fluid and Electrolyte Imbalance, Vernon Watkins - Post-op Hemicolectomy: Pulmonary Embolism, Vincent Brody - COPD: Spontaneous Pneumothorax, Safety Measures Practice safe procedures. 1. If the patient is hooked to a monitor, effective CPR will generate a waveform on the arterial pressure line that can be monitored for effective compressions. Improve Your Grades with Custom Writing Help, Computational Mathematics Assignment Help. Course Hero is not sponsored or endorsed by any college or university. Heart muscle disease, narrowed coronary arteries, and heart attack are all conditions that can lead to ventricular fibrillation. were given and not return. tissue perfusion related to pain felt like an Morphine 2 mg IVP tissue perfusion related to : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. 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