How did the simulated experience of Sabina Vasquez’s case make you feel?
I felt very confident going into the simulation. I am now more familiar with what priority assessment to
perform based on the patient’s symptoms
Guided Reflection Questions
Opening Questions
How did the simulated experience of Sabina Vasquez’s case make you feel?
m
I felt very confident going into the simulation. I am now more familiar with what priority assessment to
er as
perform based on the patient’s symptoms.
co
eH w
Describe the actions you felt went well in this scenario.
o.
rs e
What I feel went well was that I was able to flow through the simulation easier. I was not wondering
ou urc
what to do and when to do it
o
Scenario Analysis Questions1
aC s
EBP List in order of priority your initial nursing actions for Sabina Vasquez based on physical findings
vi y re
and family interaction.
After a proper introduction, hand hygiene, ID the patient and family member. I began with a
ed d
respiratory assessment because Sabina stated she couldn’t breathe. I assessed the lungs, vital
signs, pain scale, skin. I administered medication, I checked the IV site and administered
ar stu
piggyback infusion, I administered stat Albuterol nebulizer to help with the opening of the
airway. I educated the patient and family member.
is
EBP What complications might Sabina Vasquez face if her symptoms are not recognized and if care is
Th
not initiated in a timely manner?
Pneumonia made Sabina’s airway much more restricted, which prone her to have the
increased number of asthma episodes. If it went unnoticed Sabina’s bronchospasm could
sh
progress and become severe, leading to status asthmaticus. Sabina’s lungs are not fully
functional since we know that the X-ray showed right lower lobe pneumonia effusion.
Additionally bronchospasm, mucus plugging, and edema in the peripheral airways from
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/
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