Linda Waterfall- vSim Steps

You checked scene safety. It was correct to check scene safety in order to maintain your own safety. • You introduced yourself. • You washed your hands. • You identified the patient. • You asked if the patient had any known allergies. • You performed medication reconciliation. • You asked the patient: Is it OK for your cousin to be here, while we talk? It was correct to let the patient give her consent for letting her cousin be a part of the interview. The patient said: Alice! Don't leave me! Nurse, she said she wanted some coffee. You answered: Mrs. Waterfall, I will stay with you if Alice wants to get some coffee. You used the therapeutic technique of offering self. • You assessed the respiration. • You checked the pulse oximetry. • You checked the radial pulse. • You measured the blood pressure. • You measured the temperature. • You auscultated the lung sounds. • You auscultated the heart sounds. • You checked the patient's skin. • You asked the patient: I would like to ask you a series of questions about how you are feeling to help me better understand how together we can start to plan your care. These are questions I ask all of the patients I see. May I ask you these questions? The patient said: All of this talking, it's just a waste of time. You answered: Do you feel that no one understands your feelings? You used the therapeutic technique of verbalizing the implied. • You supported the patient about medicine bundle. • You supported the patient in taking deep breaths. • You supported the patient's cousin about family relations. • You supported the patient about family far away. • You supported the patient about treatment. • You supported the patient about religous beliefs. • You asked the patient: Can you tell me a little bit more about what's going on with you today? It was appropriate to ask the patient what was going on with her to get an understanding of this. The patient said: I had a horrible morning! I could not find my bag, then I broke a glass, and I could not get in touch with my father. My life is falling apart! You answered: You must be feeling as if everything is out of your control. You used the therapeutic technique of translating to feelings. • You asked the patient: Over the past year, when did you feel your best? It was appropriate to ask the patient about when she felt her best. The patient said: You are trying to kill me by making me go through this surgery without it. All of you are out to get me. You want me to die! You answered: Ms. Waterfall, I am your nurse and I'm here to help you.