Patient Introduction
Sabina Vasquez is a 5-year-old Hispanic girl admitted today from the emergency room with a diagnosis of pneumonia. She has a history of asthma and has had several episodes requiring use of an albuterol inhaler at home Sabina has had an upper airway infection for the past few days. Earlier today she developed a fever of 39°C (102.2°F), so her mother brought her to the emergency room. She was placed on oxygen via nasal cannula at 2 L/min. She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM. This improved her oxygen saturation to 94%. The chest x-ray revealed right lower lobe pneumonia with effusion. An intravenous infusion of D5 ½NS is infusing at 61 mL/hr. Sabina just got settled in bed, and her mother is at the bedside. ….(FYI both documentation and reflection , the queastion needs to ne answer directly .i will attached the documentation later when the prof give access….it should not be a general reflection) i will get access to the documentation in about 10hrs.
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Pediatric Case 4
Sabina Vasquez (Complex)
Guided Reflection Questions
Pediatric Case 4: Sabina Vasquez (Complex)
Guided Reflection Questions
Opening Questions
How did the simulated experience of Sabina Vasquez’s case make you feel?
Describe the actions you felt went well in this scenario.
Scenario Analysis Questions[footnoteRef:1] [1: The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: http://qsen.org/]
EBP List in order of priority your initial nursing actions for Sabina Vasquez based on physical findings and family interaction.
EBP What complications might Sabina Vasquez face if her symptoms are not recognized and if care is not initiated in a timely manner?
PCC What actions should be taken to ensure the delivery of appropriate information to Sabina Vasquez’s mother?
PCC Recognizing the acuity of the situation, how would you include Sabina Vasquez and her mother in the decision-making process?
S/QI Reflect on ways to improve safety and quality of care based on your experience with Sabina Vasquez’s case.
T&C/I What key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-recommendation (SBAR) format.
QI As you begin to think about discharge planning for Sabina Vasquez and her family, what teaching needs to be provided?
Concluding Questions
Reflecting on Sabina Vasquez’s case, were there any actions you would do differently? If so, what were these actions, and why would you do them differently?
Describe how you would apply the knowledge and skills obtained in Sabina Vasquez’s case to an actual patient care situation.
From vSim for Nursing | Pediatric. © Wolters Kluwer Health.
From vSim for Nursing | Pediatric. © Wolters Kluwer Health.
