Sherman “Red” Yoder, Part 3

Guided Reflection Questions

Opening Questions

How did the simulated experience of Red Yoder’s case make you feel?

I felt pretty good about the simulation. When we start a new unit, it always takes a minute to get used

to the options available, and where the controls are. A few of the desired actions were difficult to find,

and there were a few I didn’t find. I am going to run through the simulation again,so that the next Vsim

is a little smoother.

What nursing actions did you feel were appropriate within this scenario?

Education was key in this simulation. There were a lot of teaching points for this patient and his family.

Educating the patient on medication routine as well as wound management and diabetes education,

were all required. That is a lot of information for a patient in one sitting. So managing the delivery of

that information is important, so that the patient continues to listen. Especially a patient preparing for

discharge, they may not be listening as closely due to preoccupation of wanting to leave.

Scenario Analysis Questions*

PCC/ What information should be included in the hand-off communication to the home health nurse

T&C about Red Yoder and his family for a successful transition from acute care to the home

environment?

Making the new caregiver information about the current wound, information about staging, how

deep, the care regimen ordered as well as education given to the patient and the status of

their ability to care for this wound. Diabetes management will be a topic that needs discussed

with continuing care. Giving the home health care professional about the trend of

hospitalizations regarding diabetes management, education and skill of the patient for insulin

administration. Sharing the baseline vital signs is important as well as sharing what family’s

participation will be like for this patient, who is getting involved, and if there was a schedule

discussed.

S/QI Forthe following Safety/Quality Improvement measures, what nursing actionsshould be taken

during Red Yoder’s case?

Safety/Quality Improvement Measures Nursing Actions/Teaching

Medication administration Insulin – needs to have demonstration for the

patient as well as an opportunity for the patient

to teach-back. Diabetes management is

important for this patient, and making sure they

know to administer at the same time every

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