NR305-10247: Health Assessment for the Practicing RN #7

Week 7: Discussion: Debriefing of Week 6 iHuman Mental Health Assessment (Graded)

Purpose

The purpose of this debriefing is to re-examine the experience completing the Week 6 iHuman Mental Health Assessment assignment while engaging in dialogue with faculty and peers. In the debriefings, students:

  • Reflect on the simulation activity
  • Share what went well and consider alternative actions
  • Engage in meaningful dialogue with classmates
  • Express opinions clearly and logically, in a professional manner

Course Outcomes

This assignment enables the student to meet the following course outcomes:

  • CO 2: Differentiate between normal and abnormal health assessment findings. (PO 4)
  • CO 3: Describe physical, psychosocial, cultural, and spiritual influences on an individual’s health status. (PO 1)
  • CO 4: Demonstrate effective communication skills during health assessment and documentation. (PO 3)

Due Date

  • During the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week):

    • Posts in the discussion at least two times, and
    • Posts in the discussion on two different days

Total Points Possible

50 points

Directions

  • Debriefing is an activity that involves thinking critically about your own experiences related to the virtual simulation you completed. In debriefings students:
    • Demonstrate understanding of concepts for the week
    • Engage in meaningful dialogue with classmates and/or instructor
    • Express opinions clearly and logically, in a professional manner
  • Use the rubric on this page as you compose your answers.
  • Scholarly sources are NOT required for this debriefing
  • Best Practices include:
    • Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.
    • Enter the debriefing often during the week to read and learn from posts.
    • Select different classmates for your reply each week.

 Debriefing

Use the following format to reflect on the Week 6 iHuman Mental Health Assessment. This was the Amka Oxendine case.

  • Paragraph One: What went well for you in the simulation? Provide examples of when you felt knowledgeable and confident in your skills. Do you feel the scenario was realistic? Why or why not?
  • Paragraph Two: What would you do differently next time if you were caring for a patient similar to Ms. Oxendine? Describe at least one area you identified where improvements could be made, specific to Ms. Oxendine’s assessment. Were you surprised by any of the feedback you were provided by iHuman? If yes, please explain.
  • Paragraph Three: What did you learn from this simulation that you could apply to nursing practice? Or, what did this simulation reinforce that you found valuable? Do you have any questions related to the scenario?

Grading

To view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric. See Syllabus for Grading Rubric Definitions.

SAMPLE SOLUTION

During the simulation, I did well identifying the allergic reaction that the patient was having in response to the NAC. I also made sure to do a full skin assessment and found the patient’s self-harm scars on her thighs. I also made sure to check if the patient still had an active suicide plan because a history of SI automatically indicates the patient may attempt it again. I don’t have very much experience with acetaminophen overdose so it is difficult for me to say if the physiological portions of the simulation were accurate. I know that acetylcysteine is typically given for this and that it can cause bronchospasm, but I have never had to give it for this purpose.

One place I can improve is by remembering to perform a cardiac assessment, which is what I forgot to do the first time around. I was so focused on the GI, neuro, and psych assessments that I forgot to consider that the acetaminophen may have damaged several of her body systems.

One interesting thing that I learned in this simulation is the method by which acetylcysteine is given in the case of acetaminophen overdose. I have given acetylcysteine before in nebulized form (typically known as MucoMyst) in order to help thoracic patients clear their secretions better. I was taught that MucoMyst can cause bronchospasm but I always assumed that this only applied to the nebulized form. I was surprised to albuterol available prn for bronchospasm even though the drug was in IV form. I also found it very interesting that you CANNOT stop a NAC infusion from running even though the patient was likely having an allergic reaction to the drug. Were I the primary RN, I would have placed a second IV just in case the erythema causes the IV to lose patency.