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Advanced Clinical Simulation: Patient Management and Delegation Strategies NUR 447 SentinelU Master Report

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This Master Report, submitted for Arizona College NUR 447 (2026), provides a comprehensive analysis of clinical leadership scenarios conducted within the SentinelU simulation environment. It evaluates critical decision-making processes in patient prioritization, nursing team coordination, and effective delegation techniques, highlighting best practices for baccalaureate nursing leadership.

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margarita white

Arizona College




Patient Management & Delegation: Master Report
Level # Progress Time Level Acuity Scheduling/ Prioritization Level
Spent Attempts Delegation Score

Level 1 100% 33 mins 1 9.5/10 N/A N/A 9.5/10

Level 2 100% 35 mins 1 9/10 30/30 N/A 39/40

Level 3 100% 40 mins 1 9/10 25/30 N/A 34/40

Level 4 100% 1 hr 24 mins 1 10/10 25/30 5/10 40/50

Level 5a 100% 38 mins 1 9/10 25/30 10/10 44/50

Level 5b 100% 26 mins 1 8/10 15/30 10/10 33/50

Level 5c 100% 15 mins 1 10/10 25/30 8/10 43/50

Complete 4 hrs 31
Totals 64.5/70 145/180 33/40 242.5/290
d mins




Friday, November 18, 2022 3:26:42 AM Page 1 of 16

,margarita white

Arizona College



Patient Management & Delegation: Level 5a Report
Level # Progress Time Level Acuity Scheduling/ Prioritization Level
Spent Attempts Delegation Score

Level 5a 100% 38 mins 1 9/10 25/30 10/10 44/50



Badges Earned:
Prioritization Master Nurse Nora Pro Nurse Randy Pro
When prioritizing your nurses' When prioritizing Nurse Nora's When prioritizing Nurse Randy's
patients provide each of them patients provide her with the patients provide him with the
with the correct priority order on correct priority order on your first correct priority order on your first
your first attempt for each nurse. attempt. attempt.
Nurse April Pro
When prioritizing Nurse April's
patients provide her with the
correct priority order on your first
attempt.


Acuity:
Section Retries: 1 Progress: 100% Score: 9/10
Patient ID/Name Acuity Status Score Rationale
Assigned

patient requires extenive care haveing respiratory issues
Guidance: acute HF exacerbation with fluid overload and respiratory
Patient 1/ Robert Johnson Medium Correct 1
compromise. Receiving IV Lasix, digoxin and potassium supplements,
Requires continuous cardiac and fluid monitoring.
requires inpatient care then transfer to skilled nursing facility for PT
Guidance: post-op Lt hip arthroplasty x 6 hr, receiving IV morphine with
Patient 2/ Ethel Briggs Medium Correct 1
moderate pain relief. A&O x 3 but drowsy, needs assistance with transfer.
Reports nausea and anorexia, receiving ondansetron.

Friday, November 18, 2022 3:26:42 AM Page 2 of 16

, margarita white

Arizona College



Patient Management & Delegation: Level 5a Report (continued)
Patient ID/Name Acuity Status Score Rationale
Assigned

needs continous inpatient care for iv antibiotics. and cardiac monitoring
Guidance: The patient's urine culture is + for E. coli, receiving IV
Patient 3/ Wilma Hampton Low Incorrect 0.5 antibiotics and fluids. Continue monitoring fluid/electrolyte and cardiac
status. Requires close supervision d/t confusion and weakness. High fall
risk.
requires inpatient monitoring for mental health
Guidance: The patient has a 5 yr hx of BPD and recently discontinued her
medications. She was brought to the ED with signs of a manic episode
Patient 4/ Emily Johnson High Correct 1
and abnormal electrolyte values. Begin therapy with lithium, in-patient
treatment for monitoring electrolytes and lithium levels. Very distractible,
pacing, requires close supervision.
patient requires inpatient care or TBI
Guidance: The patient is post op surgical repair of Lf tibia fracture, and
Patient 5/ Robbie Ellis High Correct 1
MTBI following a MVC. Currently disoriented, difficult to arouse, pain 9/10,
high fall risk. Remain inpatient for continued observation.
physicain to assess for discharge, ECH WNL
Guidance: Pt reports 5 episodes of chest pain, 7/10, radiating to Lf arm,
Patient 6/ Jose Garcia Low Correct 1 during exercise, stops with rest, lasting 5 to 10 min. Currently pain free.
ECG WNL, Physician to assess for discharge today. New prescription for
SL nitroglycerin, carvedilol. Needs to follow up with PCP in 1 week.
requires inpatient care for burns
Guidance: The patient sustained a partial-thickness burn to the Rt LE,
Patient 7/ Johnny James Medium Correct 1
needs continued in-patient treatment for IV fluids, dressing changes and
antibiotics. VS and electrolytes WNL.
patient being assessed for discharge today, will require follow up with
oncologist.
Patient 8/ Midge Myerson Low Correct 1 Guidance: The patient is 3 days post-op TAH, good pain relief, IV catheter
discontinued, voiding, dressing clean dry and intact. Will follow up with
surgeon and oncologist x 1 week.
patient requiering antibiotic
Patient 9/ Jack Shephard Low Correct 1 Guidance: The patient sustained a laceration to the Lt hand, is receiving
PO antibiotics and anti-inflammatory agent, cultures pending. AOX3.


Friday, November 18, 2022 3:26:42 AM Page 3 of 16

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March 7, 2026
Number of pages
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Written in
2025/2026
Type
Case
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Individual student
Grade
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