Pediatric Case 4: Sabina Vasquez (Complex) : Guided Reflection Questions

Pediatric Case 4: Sabina Vasquez (Complex)
Guided Reflection Questions

Opening Questions
How did the simulated experience of Sabina Vasquez’s case make you feel?
When first doing my initial assessment of Sabina Vasquez, I was nervous because was very sick
with a high fever and couldn’t breath as soon as the stimulation started. I was not sure of what to
do. I did not know if I had to start right away with a norebreather mask or should I get the
consent and other important information before I begin the procedure. But towards the middle of
the assessment I started to get more confident in my techniques when dealing with a patient with
asthma.
Describe the actions you felt went well in this scenario.
In this scenario, all of my nursing care went as planned. I knew I had to gain consent before
providing any care to the young patient. I also understood the importance of doing my
assessment before determining if she needed some of her medications. For example, after
assessing her temperature, I knew that her fever of 102 degrees Fahrenheit required the
prescribed 240-mg dose of acetaminophen. I knew she required albuterol and Cefuroxime.
Applying oxygen to her and giving her albuterol were a must for her.
Scenario Analysis Questions1

EBP List in order of priority your initial nursing actions for Sabina Vasquez based on physical
findings and family interaction.
I performed hand hygiene, I obtained legal consent, asked about known allergies. I
checked her raspatory breathing rate as well as pulse. I attached a pulse oximeter and a
automatic blood pressure cuff to get an update on her blood pressure constantly. I
provided patient education and teaching to the family member.
EBP What complications might Sabina Vasquez face if her symptoms are not recognized and
if care is not initiated in a timely manner?
There are several complications that Sabina might face if her symptoms are not
recognized and care isn’t initiated in a timely manner, such as decreased oxygen
saturation, respiratory distress, further infection such as sepsis, and even death
PCC What actions should be taken to ensure the delivery of appropriate information to Sabina
Vasquez’s mother?
1
The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN)
competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice
(EBP), Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: http://qsen.org/
From vSim for Nursing | Pediatric. © Wolters Kluwer Health.

Pediatric Case 4
Sabina Vasquez (Complex)
To ensure the delivery of appropriate information to Sabina Vasquez’s mother, I might

want to consider utilizing an interpreter to aid in communication. In addition to this, I
should provide copies of written materials in both English and Spanish for the family. I
would also want Sabina’s mother to reteach or demonstrate some of the information I
provided her with just so I am positive she understands what to do in certain situations
PCC Recognizing the acuity of the situation, how would you include Sabina Vasquez and her
mother in the decision-making process?
I would want to comfort Sabina by making her take part of the care for her ownself. I
would do this by providing her with options of beverages when taking the oral
medications. This would give feel of empowerment and calm the child when taking her
medication. Giving her choices might make her feel more in control of the situation. In
regards to her mother, I would include her in the decision-making process by educating
her on the asthma action plan and having her reteach me on what she would do if an
asthmatic episode were to occur.
S/QI Reflect on ways to improve safety and quality of care based on your experience with
Sabina Vasquez’s case.
Important teaching points should include striving to increase safety in and around the
home. These suggestions might include reducing carpet as much as possible in the house.
Hard floors need to be mopped regularly to help avoid buildup of dust and allergens. The
family needs to try and reduce or remove the number of pets in the house. Smoking in the
house needs to immediately reduced, or hopefully removed.
T&C/I What key elements would you include in the handoff report for this patient? Consider the
situation-background-assessment-recommendation (SBAR) format.
I would make sure to give the information that would help the nurse coming on shift to
provide the best care for Sabrina. This would include a detailed history of the patient’s
current situation, along with her previous asthma history. I would make sure to lay out all
the interventions performed up to this point, and finally go over other interventions that
can help Sabina in her current state.

Pediatric Case 4
Sabina Vasquez (Complex)
QI As you begin to think about discharge planning for Sabina Vasquez and her family, what
teaching needs to be provided?
Remove any possible asthma triggers in the house such rugs, if you have a pet just do
constant vacuuming and cleaning. Remove all pollen/ dirt in the house. Do a frequent check
up with the allergist and pulmonologist. Use the asthma inhaler to help her with acute
episodes.
Concluding Questions
Reflecting on Sabina Vasquez’s case, were there any actions you would do differently? If so,
what were these actions, and why would you do them differently?
Describe how you would apply the knowledge and skills obtained in Sabina Vasquez’s case to an
actual patient care situation.
There is nothing I would do differently in terms of actions that I preformed for Sabrina.
I would of gotten a language interpreter right away in a real life scenario only because I would
want to make sure her mother would understand the nursing education that I am trying to teach
her about Sabrina’s current status.

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Pediatric Case 4: Sabina Vasquez (Complex)

Guided Reflection Questions

Scenario Analysis Questions1

From vSim for Nursing | Pediatric. © Wolters Kluwer Health.

To ensure the delivery of appropriate information to Sabina Vasquez’s mother, I might

From vSim for Nursing | Pediatric. © Wolters Kluwer Health.

From vSim for Nursing | Pediatric. © Wolters Kluwer Health.

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