Simulation for ACC

The second PPE item you will don is _____ and then will don ___________

- The mask The protective eye protection

What is required prior to donning PPE? Select all that apply.

-Alcohol-based hand rub removes transient microorganisms and decontaminates the hands prior to donning PPE. In healthcare settings, a 70-90% concentration is preferred. -Nails should be short to prevent piercing the gloves.

What are the benefits of performing alcohol-based hand rub when hands are not visibly soiled? Select all that apply. -More effective than soap and water when hands are not visibly soiled -Removes all bacteria and viruses -Takes less time -Less drying to hands

-Takes less time -Less drying to hands

Why is it important for you to perform hand hygiene prior to leaving an isolated area? (Select all that apply)

-To reduce the risk of contaminating the surrounding environment. .-To reduce the risk of contaminating visitors and other clients. -To reduce the risk of contaminating fellow health care professionals. -To reduce the risk of contaminating yourself.

What is the appropiate flow and water temperature when washing your hands?

A medium flow and warm water

What is required before you perform hand hygiene? Select all that apply Assess hands for visible soil Rings should not have jewels or stones Remove bracelets Fingernails shoud be short

Assess hands for visible soil Fingernails shoud be short Remove bracelets

Which of the following infections should you use handwashing with soap and water? C. DIFF HEP A VIRUS PNEUMONIA MRSA

C. DIFF

How should you dry your hands? Dry your hands thoroughly Wrists to finger tips in one direction In a circular motion covering all areas of the hands and wrists Lightly pat and allow hands to air dry

Dry your hands thoroughly

You should use a dry, clean paper towel when turning off the faucet T/F

FALSE

Case Study 2 A 10 year old client has been admitted to a clinic with the influenza virus and has a fever, persistent productive cough, and a runny nose. The client is lethargic and has not ate since yesterday morning due to nausea. 1. Which client symptoms increase the risk of spreading the infection to the healthcare staff and other clients at the clinic?

Fever. Body fluids: persistent productive cough and runny nose.

Treatment Nurse

Gather supplies Perform procedures Provides patient teaching

Medication Nurse

Gathers the medications Performs the three medication checks Performs the rights of medication administration Administers medication

Which PPE item should you remove first?

Gloves Remove your first glove by pinching the outside of the glove, below the wrist with one hand and slowly peel away turning the glove inside out. With your non-gloved hand, remove the second glove by reaching under the glove and slowly peel away; then discard.

Gloves can provide complete protection of microorganisms.

Gloves can help decrease transmission of microorganisms and hand contamination, but do not provide complete protection.

Case Study 2 A 10 year old client has been admitted to a clinic with the influenza virus and has a fever, persistent productive cough, and a runny nose. The client is lethargic and has not ate since yesterday morning due to nausea. 2. What personal protective equipment (PPE) would you wear while providing care?

Gloves due to body fluids. Gown to protect uniform from productive cough and body fluids. Mask should be worn within 2 meters of the client due to body fluids and productive cough. Note: It is also important to cleanse equipment and area that comes into contact with the client and surrounding environment (i.e. stethoscope, vital sign machine, meal trays, table, surrounding area that is frequently touched).

How do you correctly put on the gloves when donning PPE?

Gloves fit over cuff of gown. Your gloves should fit over the cuff of the gown. Your gloves should fit properly; not too tight or too loose, to help prevent the risk of contamination.

When is an alcohol-based hand rub contraindicated?

If you know or suspect the client has been exposed to Clostridium Difficile (C.Diff), then you need to use soap and water because alcohol-based waterless antiseptic is not as effective on C.Diff spores.

Use of alcohol-based waterless antiseptic is encouraged for which types of clients?

Immunosuppressed clients

SIM day

On your scheduled sim days you work in a group to provide care for patients.

Order Nurse

Opens up the patient chart Helps verify patient MRN Reads the orders, labs, MAR, and diagnostics out loud as needed Charts

After you have discarded your gown, you would then _____________ and then __________________ and then ___________

Perform hand hygiene remove your protection eye wear remove your mask

Case Study 1 A healthcare student is assigned to a client who is on isolation precautions and needs assistance with hygiene and elimination. The client is 47 years old, diagnosed with clostridium difficile (C.Diff.) and wears an adult brief due to incontinence of stool. The client has requested assistance with bathing and changing their brief. 2. What infection prevention education should be shared with the client and their family?

Perform hand hygiene using antimicrobial soap and water due to C.Diff. diagnose. Wear appropriate personal protective equipment (PPE) as outline by the facility. Maintain hygiene practice to decrease the risk of spreading infections to visitors.

What should you do if your hands touch the sink while you are washing your hands? Apply more friction during procedure Repeat the procedure Continue to wash your hands Add more soap to your hands

Repeat the procedure

Assessment Nurse

Responsible for entry and exit measures Obtains current vital signs Performs a focused assessment based on the patient's chief complaint Communicates findings to the team Directs action of the team if necessary, i.e., if the patient complains of pain, this nurse may ask the orders nurse to check on pain medication and medication nurse to administer it.

Clinical situations

Simulation allows clinical situations to be replicated n a realistic environment without the possibility of harming patients.

A technique, not a technology.

Simulation is not the manikin; it is the method that allows you to think on your feet as a nurse.

Case Study 2 A 10 year old client has been admitted to a clinic with the influenza virus and has a fever, persistent productive cough, and a runny nose. The client is lethargic and has not ate since yesterday morning due to nausea. 3. What teaching strategies should be implemented with the client and family to help control and eliminate the infection and potential reservoirs where pathogens can live?

Teach client to turn away from others when coughing and sneezing, and to cover the nose and mouth with a tissue or arm. Then to discard the used tissue and wash hands. Bathe client frequently to wash away dry mucous from cough or runny nose. Change and wash client's clothing to help eliminate infection. Place clothes in a separate linen bag to avoid cross contamination. Clean surrounding enviroment (i.e. bedside table, toys, water bottle, etc) before and after being touched by client.

Case Study 1 A healthcare student is assigned to a client who is on isolation precautions and needs assistance with hygiene and elimination. The client is 47 years old, diagnosed with clostridium difficile (C.Diff.) and wears an adult brief due to incontinence of stool. The client has requested assistance with bathing and changing their brief. 3. The client is on isolation precautions, how may this impact the client?

The client may feel neglected due to the limited interaction with others. This may cause mixed emotions from the client, for example, feeling lonely, depressed or angry. It is important to provide optimal, holistic care and continue to assess client's physical, psychosocial, and emotional well-being

Observer Nurse

The observer role may be assigned to observe everything or one-to-one each hands-on role Takes notes Helps guide the debriefing based on their observations.

What is a SIM worksheet sheet?

The worksheet is designed to help you develop clinical judgment and make the most of your sim experience. Some of the content is listed below.

Debriefing

This is a facilitated activity where your team reflects, review, discuss and improve.

Pre-breifing

This is the work done before you have your sim day and may include worksheets, computer-based scenarios, and additional actions.

Your hands and forearms should be lower than your elbows when performing hand hygiene routine. T/F

True

Case Study 1 A healthcare student is assigned to a client who is on isolation precautions and needs assistance with hygiene and elimination. The client is 47 years old, diagnosed with clostridium difficile (C.Diff.) and wears an adult brief due to incontinence of stool. The client has requested assistance with bathing and changing their brief. 1. What infection prevention and control practices should be incorporated to decrease the risk of spreading infection when providing care?

Use correct handwashing techniques before and after entering the room. Wear gloves and gown when changing the client's brief. Change gloves between procedures. Hand hygiene with antimicrobial soap and water after removing gloves.

Complications and risk

What can you do? Are there any orders, assessment data, or interventions you should obtain or implement? Know what actions should be taken to reduce potential complications.

Pathophysiology

What is occurring to the patient because of the disease process? Identifying this helps you form your nursing responsibilities.

Assessment Data

Which findings are unexpected, concerning, or require follow-up? Having the ability to collect and assess these cues is essential to clinical decision-making.

Place the following Hand Hygiene techniques in the correct order: scrub hands dryhands check for visible soil wet hands apply soap

check for visible soil wet hands apply soap scrub hands dryhands

It is important to remove all the soap from your wrists and hands; keeping your hands up and your elbows down to rinse away the microorganisms. T/F

false

Dry your hands from ____________ to __________

finger tips wrists

The _____________ is the first PPE item you don.

gown

What is the next step after you remove your gloves?

remove gown! Be careful not to touch the contaminated side of the gown with your uniform or hands. Remember to roll your gown inwards and away from you to decrease risk of contamination.

What are the benefits to wearing gloves?

​​​​​​Reduce transmission of pathogens