Istan 9/19/2016 (Simulation)

1. Discuss 4 tasks you completed or tried to complete in simulation lab. I completed the vitals and the beginning of the assessment, the assessment was split into 3 different parts for us all to participate in. We each attempted to get a prescription order for an antibiotic. I placed a foley catheter. We all participated in getting Istan back into bed. I collected the urine specimen. We all participated in getting the room cleaned up after urine was spilled everywhere and changing bed linens.
 2. What did you learn most about the situation(s) you encountered in simulation lab? I learned where to get the correct labels, for a CBC, etc. and who I would call when Istan dies and is a DNR.
  3. What will you do differently during your next simulation experience? Try not to be so intimidated by being watched and try to think things through about what I was taught to do in each situation.
 4. While watching your peers’ simulation experience, what are 3 things you learned? That communication is key, never keep information from one another because everything is important for your coworkers to know, it's important to work together and prioritize.
  5. What 3 things did you learn in the classroom (didactic) that you put into practice during your simulation experience?  Once Istan was dying we tried to wake her up, sit her up, check pulses, put oxygen on, checked capillary refill, breath sounds. We tried to stay on top of the tasks we were given and to get them done in a reasonable amount of time and prioritize to what was most important.

Istan day 9/19/2016 (simulation)

My group for istan wound up going second after lunch. She was a 90 y.o female with urinary retention secondary to dehydration due to her doctor prescribing her an antihistamine with an anticholinergic on top of that! For the most part I think we all felt well prepared, until we walked into the door. Istan was on the floor with urine everywhere do to her urinary incontinence and catheter falling out, she said she was getting up because the nurses weren't coming when she pressed the call light or her "air horn." I lifted on her left while Nicole got her right side and Addie lifted her legs. While we were trying to transfer her to the bed the bed was not locked, so I went around to the other side and locked them. While Addie and Nicole cleaned up and prepared to change bed linens, I started to get vitals and the assessment. I found that the wrong arm band was on her so we called for a new one. We divided the assessment up into parts for each of us. After we did that Addie started to the blood draw for CBC, Nicole was trying to get the order for antibiotic, and I was preparing to insert a catheter. After searching everywhere for labels we eventually learned at the end of the day that labels could be obtained at the "nurses station." While preparing to insert the catheter, I accidentally threw the saline away instead of the lubricant. Nicole and I attempted to do some "team work" while not trying to contaminate the sterile field... but we did! We were given the run around with trying to get the order for the antibiotic, but all in all I think we did good with having individual skills and with getting them done in a reasonable amount of time. Unfortunately, as the end of the day came it was just istan's "time to go" and I think we were all very confused as to who we would call and what we would do being that she was a DNR. I ran to get oxygen, and then a while after that the simulation was over. At the end of the day I learned about what we would have done in those situations, along with many other things! Sometimes it is a lot to take in and remember, but it is a privilege to have the instructors that we do to guide us through this crazy thing called nursing school!