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Vsim2.0 Maternity Amelia Sung Complex GRQ

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25 views3 pages

Vsim2.0 Maternity Amelia Sung Complex GRQ

Uploaded by

archwaysnursing
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Maternity Case 6: Amelia Sung (Complex)

Guided Reflection Questions

Opening Questions
How did the simulated experience of Amelia Sung’s case make you feel?
I felt good during the case. I would also say stressed, this was the first OB vsim we
have had and there were new things to perform and assess, and during these
assessments the baby started being delivered and I wasn’t sure whether to focus on
the delivery or the assessments still. Also, we have not gotten any of the maternity
information yet so I will admit I was a little bit lost. I was also excited though,
because this is the material I have been most excited to learn.

Describe the actions you felt went well in this scenario.


The actions I feel went well in the scenario was just following the list of orders
initially, it was mainly assessments that needed to be done, for example the vital
signs and the head to toe. Also, I believe the delivery went well, the pre quiz had
really helped me in understanding what needed to be done in this case, specifically
the step stool and applying suprapubic pressure.

Scenario Analysis Questions*


EBP What risk factors specific to shoulder dystocia were identified during
Amelia Sung’s case?
The risk factors were the mothers’ excessive weight gain, the prolonged
labor, and the positive turtle sign that happen while the baby was trying to be
delivered.

*
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 | Maternity. © Wolters Kluwer Health.


PCC/I Prioritize your nursing actions for Amelia Sung based on your
assessment.
My top priority would have been a vaginal examination, I had not gotten to it
yet before the provider showed up for delivery. Also maintaining adequate
oxygenation for the mother and monitoring the fetal heart rate are also top
priorities. The next top priority I would say is following the providers
instructions and putting the mother into McRoberts position and applying
suprapubic pressure.

EBP List the possible complications for Amelia Sung and her baby related
to the shoulder dystocia.
Potential problems for the baby could’ve included a broken clavicle, or
asphyxiation, a broken arm or possible nerve damage.

T&C List the interprofessional health care team that should be involved
in Amelia Sung’s case.
The nurse, the anesthesiologist, the NICU and the obstetrician would all be
important in the involvement of Amelia’s case

S/QI/I Consider what points might be included in a safety checklist for


shoulder dystocia.
The mothers condition, the fetal heart rate, the position of the fetus, and the
procedures that may need to be done should all be included in the safety
checklist.

Concluding Questions
Reflecting on Amelia Sung’s case, were there any actions you would do
differently? Explain.
Actions I would do differently is perform the vaginal exam before worrying about the
head to toe, I would probably do it right after vitals. I also would have been able to
call the provider sooner. Another thing I would do as soon as we were aware of the
shoulder dystocia was call the NICU

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


Describe how you would apply the knowledge and skills that you obtained
in Amelia Sung’s case to an actual patient care situation.
I will now have a little bit more knowledge and understanding of what to do during a
birth. Specifically, if a baby ever has a positive turtle sign, I will know what
procedures or actions are going to need to be taken. (McRobert’s position and
applying suprapubic pressure)

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

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