Medical Simulation Room Orientation | 2020 скачать в хорошем качестве

Medical Simulation Room Orientation | 2020

Welcome to your simulation room. Today you will be the doctor taking care of a patient in a simulated clinical environment. All the resources typically available in the hospital will be available here. This is your patient. Your patient will blink, breathe, have pulses, and talk to you. You can perform most of the physical examination as you will normally do on the patient. You can listen to the breath sounds, heart sounds and can feel for pulses including radial and dorsalis pedis pulses. You can also palpate the abdomen and auscultate for bowel sounds. The HEENT exam is limited but you can check for a pupillary reaction to light and look inside the oral cavity by opening the mouth to visualize the teeth, tongue, and back of the throat. On the monitor, all the vital signs needed for the scenario will be shown, like heart rate and rhythm, noninvasive blood pressure, pulse oximetry. Invasive blood pressure, central blood pressure, and pulmonary artery pressures. If vital signs are not seen on the monitor, they can be made available to you if needed by asking for them. The noninvasive blood pressure is set to cycle every 3-5 minutes. You need to press the NIBP button on the monitor to recycle a stat blood pressure. The wall board is functional and has an oxygen supply for the patient that can be adjusted, as well as suction which can be adjusted for variable pressure needed, The wall board also contains plugs for the mannequin which should not be removed. The bed has the same functionality as a hospital bed. You can move the bed, or adjust the angle of the head or change the angle of the legs up or down by pressing the buttons on the sides. The head portion of the bed can come out when taking care of the airway. This can be accomplished by pulling straight up on the headboard. Brakes can be unlocked if you need to move the bed for any reason, but should only be moved enough to allow for someone to position themselves at the head of the airway. Be careful not to pull the cords from the wall plugs. The defibrillator is a live device as you may have seen during cardiac arrests in the hospital and should take all the precautions as you would in clinical settings to prevent injuries. The defibrillator has functions of cardioversion, selecting joules as needed and pacing for symptomatic bradycardia by selecting currents and rate and defibrillation. Remember safety first if you have to use it. Please make sure everyone is clear prior to implementing any electrical therapy. The code cart is available for use but there is no need to open the medications. If a medication is needed, simply pull out the medication and put it on top of the cart to show that you gave it. The cart contains all the necessary supplies needed to run the code. This will include IV fluids, airway management, resuscitation medications, intraosseous catheter. However, many of these and all other supplies needed for simulation will be provided separately, depending on the scenario. This includes airway supplies, IV fluid, blood products, chest tubes, and more. Results from lab tests, CXR, ECG, or CT scan will be provided either on the monitor or on paper. A point of ultrasound is available if needed. Stickers mark the spot ultrasound views that can be obtained. Place the probe over the stickers to obtain the necessary views. Not all views will be needed for a scenario, so you will need to choose which ones you need. If stickers are not on the mannequin, video clips or still shots of the ultrasound images will be available. The phone can be used to communicate with consultants, family members, and others as needed. If you need to call someone, verbalize out loud the need to speak with someone or tell a nurse if they are in the room. When they call back, all you need to do is push the speaker button to talk so that everyone can hear the conversation. Do not pick the handset as this will only allow you to hear the conversation. The sink and hand sanitizer stations are there to clean your hands before and after any patient interactions. Be sure to utilize appropriate personal protective equipment, or PPE, for all patient encounters, especially if they have potential infectious etiologies. In summary, you are the doctor for this patient. Do what you think is appropriate and best for the patient and ask when you are uncertain. You will be clearly notified that the case is completed when you hear the words “case is over”. Good luck with your simulated clinical encounter! Videography and Editing: https://www.cdiofficial.com/