(1) students will demonstrate the correct response to a medication error; (2) students will use appropriate communication skills when delivering peer feedback; (3) students will demonstrate leadership skills in difficult situations.
(1) Bedside day nurse (2) Charge nurse (3) Bedside night nurse
The scenario starts at the beginning of the shift as the bedside nurse is given instructions to hang an antibiotic ordered for the patient. When he/she arrives at the bedside they find an empty bag of a different antibiotic attached to the patient’s intravenous line. The antibiotic hanging was not ordered for the patient, has another patient’s name on it and the patient is allergic to the medication. The student is told to proceed as they would if this happened in the clinical environment.
(1) assess the patient for a reaction to the antibiotic and provide any necessary emergency interventions; (2) stop the antibiotic; (3) notify the physician and carry out any orders given; (4) notify the charge nurse; (5) complete an incident report; (6) follow up with the night nurse who hung the antibiotic found hanging at the bedside.
(2) Interprofessional communication
(1) students will recognize inappropriate communication; (2) students will use appropriate conflict management skills; (3) students will use resources appropriately.
(1) Bedside nurse (2) Charge nurse (3) Physicia (played by faculty) (4) Assistive personnel Patient family member
The scenario starts as the student playing the role of the nurse is directed to go to the bedside and begin discharge teaching for a patient who is waiting to go home. A physician comes in and is upset about the care related to a different patient and begins a confrontational verbal dialogue at the bedside. The student is again directed to handle the situation as they would if they were in the clinical environment.
(1) get the physician away from the bedside to continue the conversation; (2) use conflict management skills to resolve the situation; (3) get the charge nurse involved if situation continues; (4) conduct any necessary followup with the situation the physician was upset about.
