Discussion: Internal fixation (ORIF)

Discussion: Internal fixation (ORIF)

Marilyn Hughes is a 45-year-old female who suffered a left mid-shaft tibia-fibula fracture when she slipped on icy stairs this morning. She was taken to surgery for an open reduction with internal fixation (ORIF). She returned from surgery at 1:45 p.m. with a below-the-knee ace/splint dressing. Vital signs have been stable, and neurovascular checks have been within normal range. She has an IV of Lactated Ringer’s infusing at 75 mL/hour and is tolerating liquids well without nausea. Her diet could probably be advanced to regular dinner this evening. A family member has been with her at the bedside throughout the day. She began complaining of pain shortly after returning from surgery and was given morphine 6 mg IV at 2:15 p.m. She is now on every-30-minute postoperative vital signs. Last vital signs were BP: 130/82, HR: 88, RR: 16

At the end of this ac�vity, student will be able to:

1. Describe pathological events associated with the pa�ent’s disease process or condi�on.

2. Create a plan of care and priori�zed nursing interven�ons based on pa�ent care needs.

3. Iden�fy an�cipated diagnos�c and physical assessment findings related to the iden�fied condition or disease process.

1. Log into thePoint and launch the assigned vSim, following all instruc�ons posted on your learning management system (LMS).

2. Review the informa�on contained in the pa�ent informa�on.

3. Review the smart sense links associated with Nursing Care, Diagnos�cs, and Pharmacology found in the suggested reading area.

4. Create the following “concept map”. List the pathophysiology associated with the pa�ent’s disease process or condi�on, the an�cipated physical assessment findings, vital signs, diagnos�cs, specific nursing interven�ons, and other pa�ent informa�on associated with the pa�ent situa�on. Discussion: Internal fixation (ORIF)

5. U�lize the smart sense links throughout the vSim to complete the worksheet.

6. Submit your concept map for review.

CONCEPT MAP/ PLAN OF CARE EST. TIME: 30 MINUTES

DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS)

CONCEPT MAP WORKSHEET

DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS)

PATIENT INFORMATION ANTICIPATED PHYSICAL FINDINGS

ANTICIPATED NURSING INTERVENTIONS

IS AR EST TIME MIN

This SBAR ac�vity assists you in building the skill of communica�ng per�nent informa�on when caring for a pa�ent. Appropriate ac�ons you should do to complete this ac�vity include finding appropriate data to provide a thorough SBAR report.

STUDENT LEARNING OUTCOMES

At the end of this ac�vity, student will be able to: 1. Iden�fy per�nent data from the pa�ent informa�on area of the vSim suggested reading sec�on. 2. Communicate per�nent informa�on for a pa�ent using ISBAR.

ASSIGNMENT

1. Log into thePoint and launch the assigned vSim, following all instruc�ons posted on your learning management system (LMS).

2. Review the informa�on contained in the pa�ent informa�on area of the suggested reading sec�on. 3. Review the smart sense links found within the Nursing Care, Diagnos�cs and Pharmacology areas of the

suggested reading. 4. Navigate and fill out the data in the following document using the pa�ent informa�on provided in the

suggested reading area. 5. Submit for review.

INTRODUCTION

vSim ISBAR ACTIVITY

Your name, posi�on (RN), unit you are working on

SITUATION

Pa�ent’s name, age, specific reason for visit

BACKGROUND

Pa�ent’s primary diagnosis, date of admission, current orders for pa�ent Discussion: Internal fixation (ORIF)

ASSESSMENT

Current per�nent assessment data using head to toe approach, per�nent diagnos�cs, vital signs

RECOMMENDATION

Any orders or recommenda�ons you may have for this pa�ent

STUDENT WORKSHEET

PHARM-4-FUN EST. TIME: 30 MIN (PER MEDICATION)

This ac�vity provides you with the opportunity to create per�nent pa�ent educa�on on the pharmacological agents associated with the vSim ac�vity. You will u�lize this worksheet for each drug listed under the pharmacology are of the suggested reading sec�on.

STUDENT LEARNING OUTCOMES

At the end of this ac�vity, student will be able to:

1. Explain purpose for taking the iden�fied pharmacological agents. 2. Discuss per�nent pa�ent educa�on related to all the listed pharmacological agent.

ASSIGNMENT

1. Log into thePoint and launch the assigned vSim, following all instruc�ons posted on your learning management system (LMS).

2. Review the informa�on contained in the pa�ent informa�on. 3. Review the smart sense links associated with the Pharmacological agents found in the suggested

reading area. 4. Use the smart sense link to complete the following “pa�ent educa�on” worksheet for each

pharmacological agent listed in Discussion: Internal fixation (ORIF)