I will give a quick overview of the VSim we were supposed to do/attempt and I will go into detail of the VSim its self for this reflective journal. Our patient is a 54-year-old man named Carl Shapiro. Carl arrived to the emergency department (ED) at 13:30 having complaints of angina, diaphoresis, and shortness of breath. The physician had Carl treated with two doses of sublingual nitroglycerin and a dose of aspirin in the ED. The nurse started an IV infusion of normal saline running at a rate of 25 mL/hour. In the VSim the doctor wanted the nurse to call as soon as the ordered labs returned with results; they were pending in the beginning of the VSim. Carl is on 4 Liters of oxygen with a saturation reading at 97%, so they decided to transfer
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The other interventions/assessments I did include the following: auscultating the lungs, asking if he is in pain, looked for normal breathing, attached the oximeter (left on for continuous monitoring), checked the radial pulse, obtained the blood pressure, temperature, attached a 3-lead ECG monitor (continuous), palpated the carotid pulse, assessed the IV, and obtained an X-ray of the chest. Once Carl got back from the X-ray things started to go downhill, he developed new onset of chest pain. Before I knew it, he went into ventricular fibrillation. I immediately activated the code team, laid the supine, and started CPR at a ratio of 30:2. The next steps were to turn on the defibrillator, attach the pads, stop the CPR (analyzing rate), AED then messaged shock needed, yell/warn stand clear, delivered shock, resumed CPR, patient showed signs of spontaneous circulation, and then Carl started to breathe spontaneously again. The last step to the VSim that I implemented was stopping CPR and assisting with the code team when they arrived and handed-off my …show more content…
Therefore, it is extremely important for us nursing students to educate ourselves on the rapid treatment responses to a patient experiencing angina and has an acute myocardial infarction. The first time I did the VSim I saved his life, but I stopped CPR too soon, so I got a 0%. On my next attempt, I followed all the steps, except one step (asking the patient to describe their pain), other than that, I got a 95%. I was very proud of myself and I felt confident with the skills I performed in the VSim. I feel like I know what to do in the case of an emergency and I’m glad our school provides us with virtual simulations before we enter the real-world and must encounter with a coded patient in real-life
The other interventions/assessments I did include the following: auscultating the lungs, asking if he is in pain, looked for normal breathing, attached the oximeter (left on for continuous monitoring), checked the radial pulse, obtained the blood pressure, temperature, attached a 3-lead ECG monitor (continuous), palpated the carotid pulse, assessed the IV, and obtained an X-ray of the chest. Once Carl got back from the X-ray things started to go downhill, he developed new onset of chest pain. Before I knew it, he went into ventricular fibrillation. I immediately activated the code team, laid the supine, and started CPR at a ratio of 30:2. The next steps were to turn on the defibrillator, attach the pads, stop the CPR (analyzing rate), AED then messaged shock needed, yell/warn stand clear, delivered shock, resumed CPR, patient showed signs of spontaneous circulation, and then Carl started to breathe spontaneously again. The last step to the VSim that I implemented was stopping CPR and assisting with the code team when they arrived and handed-off my …show more content…
Therefore, it is extremely important for us nursing students to educate ourselves on the rapid treatment responses to a patient experiencing angina and has an acute myocardial infarction. The first time I did the VSim I saved his life, but I stopped CPR too soon, so I got a 0%. On my next attempt, I followed all the steps, except one step (asking the patient to describe their pain), other than that, I got a 95%. I was very proud of myself and I felt confident with the skills I performed in the VSim. I feel like I know what to do in the case of an emergency and I’m glad our school provides us with virtual simulations before we enter the real-world and must encounter with a coded patient in real-life