Interprofessional Simulation Scenario #1

Scenario Description

Mr John Peters is a 59 year old first nation’s male who lives with his wife, one child, two
grandchildren and his elderly parents in a remote area of a native reserve. He has been
admitted to hospital for investigation of increasing shortness of breath. The students will
be expected to perform appropriate assessment, communicate with one another and
initiate appropriate treatment.
Learning objectives

1. Demonstrates a focused respiratory assessment. 3. Demonstrates therapeutic communication skills with patient and family 4. Communicates with the interprofessional team 5. Collaborates with the interprofessional team on interventions Fidelity
Equipment attached to the mannequin
Black wig
Hospital gown
In bed lying on side

Equipment Available in the room
Patient Id band
Oxygen flow meter
Oxygen mask with rebreather
Oxygen mask with nebulizer
Saline lock
Incentive spirometer
BP cuff
SP02 monitor

Glyburide 5 mgm tid po
Metformin 500 mgm bid po
Theodur 300 mgm bid po
Ventolin 2 nebs q4 h PRN
Atrovent 1 neb q4 h PRN
02 2litres/min NP prn to keep sats > 92%
Documentation forms
Physician orders
Flow sheet
Graphic record
Progress notes
Number of participants
One occupational therapist
One respiratory therapist
One nurse
One family member
One observer
Social history

Mr. Peters has been receiving long term disability and lives on a remote area of the
reserve. He uses firewood for heating.
Medical History

Weight 85 kg
Height 175 cm
He has a past history of smoking (20 years ago), has COPD (CO2 retainer) and type 2
diabetes. As a child he had an appendectomy and tonsillectomy.
Proposed treatment outline
OT Wash hands
Introduce self
Indentify patient
Discuss energy conservation
Notices deteriorating condition
Calls nurse
Nurse introduces self to OT and patient

Nurse repositions patient
Obtain BP, pulse, respiratory rate, temp, SPO2
Assess breathing
Applies oxygen
Checks physician orders
Asks OT for details
Calls RT
RT gets information from nurse and OT
Focused respiratory assessment
Adjusts oxygen delivery
Administers ventolin
Chest assessment post ventolin
Nurse calls physician for further orders
Report to student nurse and OT

It is Mr. Peters fourth day of admission. The OT has been called in to speak to the
patients about energy conservation. Mr. Peters continues to be short of breath on exertion
and his vital signs have been stable.

Check SP02 Apply oxygen Focused respiratory assessment Provides support to daughter and patient Asks for details from OT RT does chest assessment Adjusts oxygen delivery Administers ventolin Chest assessment post ventolin physician Receives orders for chest xray and ABG Debriefing/Guided reflection Questions
1. How did you feel throughout the simulation experience? 2. Describe the objectives you were able to achieve? 3. What were the key assessments and interventions that you observed? 4. Were you satisfied with your ability to work through the simulation? 5. What did the group do well? 6. How could the group have handled the situation differently? 7. Did you understand the roles of the different professionals? 8. Did you notice any similarities or differences with your own role? 9. Were you satisfied with your ability to communicate with the client and his 10. Were you satisfied with your ability to communicate with other team members? 11. Did you work together as a team why or why not? 12. Is there anything else you would like to discuss?

Source: http://www.ipe.uwo.ca/Administration/Interprofessional%20simulation%20scenario-1.pdf

Microsoft word - 2012_kieg.doc

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