vSim-Kim_Johnson 5, 6단계

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"vSim-Kim_Johnson 5, 6단계"에 대한 내용입니다.

목차

Ⅰ. Documentation Assignments
1. Document your initial focused urinary assessment of Ms. Johnson.
2. Document Ms. Johnson’s straight catheterization procedure.
3. Record patient education provided for Ms. Johnson in the chart.
4. Referring to your feedback log, document the nursing care you provided to Ms. Johnson and her response.

Ⅱ. Guideline Reflection Questions
1. How did the simulated experience of Kim Johnson’s case make you feel?
2. Talk about what went well in the scenario.
3. Reflecting on Kim Johnson’s case, were there any actions you would do differently if you were to repeat the scenario? If so, how would your patient care change?
4. What priority problem(s) did you identify for Kim Johnson?
5. Identify safety hazards in Kim Johnson’s patient care situation.
6. Identify potential complications from using improper sterile technique during intermittent catheterization.
7. How would you would correct the nurse’s actions specific to the contamination of the sterile field?
8. Which federal and state programs offer benefits to support Kim Johnson’s care?
9. Describe how you would apply the knowledge and skills that you obtained in Kim Johnson’s case to an actual patient care situation.

본문내용

1. Document your initial focused urinary assessment of Ms. Johnson.
답) 어제 19시에 마지막 배변이 있었고 16시에 300mL의 투명한 노란색 소변을 보기 위해 카테터를 삽입했습니다. 5분 전 방광 스캔을 했을 때 측정된 소변량은 321mL였습니다. 전해질 검사 결과로 칼륨(4.1mEq/L), 나트륨(138mEq/L), 크레아티닌(0.8mg), 염화물(101mEq/L), 중탄산염(26mEq/L), BUN(혈액 요소 질소 검사)(12mg)로 모두 정상수치로 나왔습니다. 혈액 분석으로 Hb(12g), 적혈구 용적률(42%), 혈소판(285000), 백혈구(86000)로 정상적인 결과가 나왔습니다. 포도당은 88mg으로 당뇨의 위험은 없습니다. 환자의 활력징후 평가와 유치도뇨관 삽입을 수행하라는 권고를 받았습니다. 그 전에 방광 관리프로그램과 카테터 삽입 단계에 대한 환자 교육을 실시하였습니다.

2. Document Ms. Johnson’s straight catheterization procedure.
답) 먼저 손을 씻고 무균 장비의 포장을 뜯었습니다.

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