Weekly Reflections
Doris Bowman
1. How did the scenario make you feel?
- After using the simulation a few times, I am learning steps to deal help certain emergent
situations. Although I am not perfect, I am learning more each time.
2. What further intervention would have been required if naloxone hydrochloride (Narcan) had not
been effective in this case?
- Code management
3. Discuss readiness for discharge from PACU criteria.
- Adequate gas exchange, Response to verbal stimulation (able to answer questions),
adequate perfusion of all vital organs, patient is without vomiting or retching, adequate fluid
balance, pain levels should also be under control
4. What key elements would you include in the handoff report for this patient? Consider the SBAR
(situation, background, assessment, recommendation) format.
- 39-year-old female who underwent a total abdominal hysterectomy with bilateral salpingo-
oopherectomy with general anesthesia VS: HR 109 BP 151/91 Resp 21 SpO2 93 Temp 99. 2
mg of morphine given, patient showed signs of adverse reactions, code called and manual
ventilation started, Narcan given to reverse effects of morphine, patient stabilized and
continual monitoring of patient provided
5. What further complications could have occurred if the respiratory depression had not resolved?
- Can lead to respiratory acidosis then respiratory arrest
6. If Doris Bowman’s family members had been present during the scenario, describe how you
would support them when her condition deteriorated.
- I would have someone take them out of them room and explain what is going and let them
know we are doing everything in our power to take care of her
7. What would you do differently if you were to repeat this scenario? How would your patient care
change?
- I would of out a higher dosage of oxygen on her.
Doris Bowman
1. How did the scenario make you feel?
- After using the simulation a few times, I am learning steps to deal help certain emergent
situations. Although I am not perfect, I am learning more each time.
2. What further intervention would have been required if naloxone hydrochloride (Narcan) had not
been effective in this case?
- Code management
3. Discuss readiness for discharge from PACU criteria.
- Adequate gas exchange, Response to verbal stimulation (able to answer questions),
adequate perfusion of all vital organs, patient is without vomiting or retching, adequate fluid
balance, pain levels should also be under control
4. What key elements would you include in the handoff report for this patient? Consider the SBAR
(situation, background, assessment, recommendation) format.
- 39-year-old female who underwent a total abdominal hysterectomy with bilateral salpingo-
oopherectomy with general anesthesia VS: HR 109 BP 151/91 Resp 21 SpO2 93 Temp 99. 2
mg of morphine given, patient showed signs of adverse reactions, code called and manual
ventilation started, Narcan given to reverse effects of morphine, patient stabilized and
continual monitoring of patient provided
5. What further complications could have occurred if the respiratory depression had not resolved?
- Can lead to respiratory acidosis then respiratory arrest
6. If Doris Bowman’s family members had been present during the scenario, describe how you
would support them when her condition deteriorated.
- I would have someone take them out of them room and explain what is going and let them
know we are doing everything in our power to take care of her
7. What would you do differently if you were to repeat this scenario? How would your patient care
change?
- I would of out a higher dosage of oxygen on her.
