Scenario #1Wash handsReassure pt.Interviewing pt. Complete physicalNotify charge nurseScenario #2Use therapeuticSeek clarificationReassure Mr. JonesAdminister prescribedOffer UAPScenario #3Assess Mr. JonesAssist Mr. JonesProvide personalRemind Mr. JonesObtain a sitterScenario #4Notify HCPAdminister nebulizerReassess respiratoryEncourage Mr. JonesDocumentScenario #5Talk with Mr. JonesCall Mr. Jones's childrenAsk Mr. JonesDiscuss optionsNotify the social worker

Scenario #1Place on respiratory isolationAsk Mr. UObtain blood culturesStart IVCollect sputum cultureScenario#2Wash hand, don PPEExplain to the visitorRespiratory assessmentExplain to Mr. UPlace signage on doorScenario #3Ask pt. what he knowsAsk pt. what his mother's Educate pt.Evaluate effectivenessReport findingsScenario #4Pt. teachingContact respiratory therapyChest x-rayWestern blotBronchoscopyScenario #5Elevate HOBInitiate O2 at 4LReassess VSReevaluate amount of blood lostContact HCP

Scenario #1Wash handsAssess respiratoryDo not disturbReduce stimuliDocumentScenario #2Wash handsAssess Ms. Horton'sMedicateAttempt deescalationDocumentScenario #3Gather suppliesWash handsExplain procedureProvide morphinePerform dressingScenario #4Educate Ms. HortonReinforce past Educate family regarding activeEducate family regarding interventionDocumentScenario #5Assess Ms. Horton'sUse therapeuticAssist Ms. HortonEscort pt.Provide report

Scenario #1Assess airwayEnsure continuousAdminister oxygenProvide morphineReassess pt's VSScenario #2Assess for the abruptInitiate IV heparinGive ASAObserve for bleedingMonitor aPTTScenario #3Provide emotionalAssess MR. Martinez's willingnessProvide introductoryReport Mr. Martinez's DocumentScenario #4TroponinCPKCK-MBSerum PotassiumSerum SodiumScenario #5Clarify Promote openExplain to Mr. and Mrs.Discuss physicalProvide information

Scenario #1Offer pt. a urinalPerform post-opAssist pt.Tell pt.Ensure side railsScenario #2Assess large dressing siteAdminister pain medsAssess dressing supplyAssess pt's needDocumentScenario #3Restart new IVAdminister nausea medAssess for contraindicationsWeight the pt.Take VS & provide pt. teachingScenario #4Complete full assessmentApply clean dressingEncourage pt.Continue to encourageDocument & informScenario #5Assess pt's concernsTeach pt.Make referralConsult social servicesHave pt. verbalize

Acute painImpaired mobility, risk forFluid & electrolyte imbalance, risk forInfection

Scenario#1Wash handsExplain to RogerObtain & verifyInitiate IVOrient pt.Scenario #2Orient RogerTake VSObserve & markAssess painFluid statusScenario #3Head-to-toeReinforce dressingNotify surgeonNotify charge nurseInstruct pt.Scenario #4Take VSKeep Mr. ClintonReinforce dressingInitiate secondaryWitness signingScenario #5Initiate head-to-toeCheck operativeAssess for painReview new ordersEncourage Mr. Clinton

Scenario #1Assess I&OConstruct dietary consultAcquire daily weightEvaluate outcomeScenario #2Full assessmentCheck I&OTeach pt. about safetyDocumentScenario #3Wash/glove handsProvide emesis basinVS assessmentAdminister antiemeticEvaluate medicationScenario #4VS assessmentAssessment of bowelAdminister protocolDocument resultsInclude pt. conditionScenario #5Inform & educate spouseEvaluate/modifyAssess foodDocument

Scenario #1Explain to pt.Medicate pt.Initiate IVPut an arm bandAsk pt.Scenario #2Explain to Mrs. WhitmoreInform pt. Explain to pt.Reassure pt.Ask Mrs. WhitmoreScenario #3Contact charge nurseContact hospital liaisonInform pt.Inform admitting physicianDocumentScenario #4Ask pt.Administer EpoetinPt. teachingAdminister diluted ironReassess pt.Scenario #5Remind surgeon & staffNotify HIPAANotify charge nurseSuggestIntroduce hospital liaison

Scenario #1Have pt.Wash handsUse therapeuticGuide her backSet her upScenario #2InitiateO2Scenario #3Contact RTObtaintelemetryAsk PCTDon PPEAssist RTScenario #4Call rapid responseContinue to assistGive SBARCall for crash cartEnsure documentationScenario #5Encourage the HCPOffer to contactContact assisted livingNotify HCPAssist w/ intubation

Scenario #1Check pedal cap refillEducate pt.Evaluate understandingAdjust crutchesAssist pt. OOBScenario #2Wash & gloveVS assessmentAdminister anit-pyreticsVerify call lightDocument resultsScenario #3Inspect cast siteAssess toe movementNotify Dr.Document resultsScenario #4Assess painElevate extremityEducate pt.Notify lead nurse/DrRetrieve cast removal toolScenario #5Use therapeuticNotify lead nurse/DrConsult social servicesEvaluation pt.Document consults

Scenario #1Establish responsivenessCall for codeCheck for breathingBegin continuousWhen help arrivesScenario #2Assist with airwayAssist with applyingEstablish large IVProvide pt. hxProvide medical hxScenario #3Check timeEstablish when the cardiacBegin list of medicationsDocument rhythmRemind CODEScenario #4Ensure cardio padsCharge the monitorAnnounce to CODEAnnounce, "CLEAREnsure no oneScenario #5Give 1mg atropineReassess its VSRepeat 1mg atropinePrepare for externalDocument and accompany