SCENARIO OVERVIEW:
Susan Weil, who has a history of hypertension and osteoporosis, sustained a fall at a neighbor’s home. This
occurred on Tuesday afternoon and was admitted to the emergency department. The client complains of
severe right hip pain and explained hip was injured due to a fall from a neighbor’s porch. An X-ray
confirmed a right subcapital hip fracture and required the client to be admitted to the medical-surgical
unit for hemiarthroplasty. The surgery and postoperative recovery period have been uneventful except
for moderate blood loss and a blood transfusion. The scenario takes place on the telemetry unit on
Wednesday at 1045, where the client suddenly complains ofshortness of breath and chest pain.
STUDENT ROLES DURING SIMULATION:
During pre-briefing, you will be assigned one of these roles according to the description below to participate in
the simulation as a nurse.
Charge Nurse (1):
The charge nurse is responsible for the overall organization of safe, quality patient care. You are the team leader
and serve as a resource to all interdisciplinary members and are responsible for the appropriate delegation of
duties. You will serve as the point person for communication and can anticipate speaking with the physician or
other primary care provider, ancillary support services, and others directly involved with the care being
provided. You must be knowledgeable about the patient’s condition and able to dictate orders obtained and
assist with implementation if needed. Additionally, be prepared to prioritize care and anticipate futureneeds.
Medication Nurse (1):
The medication nurse is responsible for all actions and documentation related to the safe administration of
medications. You will identify and correct any medication errors related to prescribing or distribution. This may
include speaking with the physician or primary care provider. Prior to administering medication, you will assure
the “Rights of Medication Administration.” You must be knowledgeable regarding the action and expected effects
of the medications being administered and are responsible for monitoring and reporting any adverse reactions or
unforeseen consequences of administration. Part of your role includes verifying medication calculations with a
colleague and identifying any incompatible drug combinations.
Documentation Nurse (1):
The documentation nurse is responsible for the recording of all patient event activities during the simulation
except for medication administration. You are responsible for documenting assessments, interventions, and
outcomes on the designated tool (paper or electronic). Be prepared to read back and verify your
documentation when requested and/or clarify the details. Additionally, you will be part of the
interdisciplinary team and will contribute observational assessment findings including but not limited to
changes in vital signs, alerts, psychosocial needs, and anticipated care.
NR341/342 Susan Weil Student Instructions
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Revised 9.12.2022 2
Student Instructions for Standardized Simulation
NR341/342 Susan Weil
Assessment Nurse (1):
The assessment nurse is responsible for overseeing a comprehensive assessment of the patient. This includes
but is not limited to obtaining vital signs, head-to-toe assessment of all systems, and psych/social assessment of
the patient. You will be prioritizing care, executing independent interventions, collaborating with
interdisciplinary team members, anticipating the needs of the patient/family, and re-assessing or continually
monitoring the patient for any changes in condition. You are responsible for implementing all non-medicationrelated interventions, verbalizing your findings to the team, and recommending any actions/interventions
required. Additionally, you will be providing appropriate education to the patient and family/significant others.
Observer Nurse: (Max of 6)
The observer is a non-participant role and will not communicate directly with the simulation team. The
observer nurse will view the simulation in the briefing room through Learning Space as it is occurring. There
may be multiple observer nurses in each scenario. The observer nurse will be given an observation guide to
complete during the simulation. The data you collect will help the team during the debriefing process and
facilitate an open and active discussion regarding the simulation experience. You will be an active participant in
the debriefing and will be encouraged to share your observations and thoughts. Please keep in mind that your
observations should be conveyed in a respectful, educational manner. The goal is to work together as
colleagues in providing safe and effective care.

. Describe the clinical manifestations that are representative of an ST-segment elevation myocardial
infarction (STEMI) and Non-ST-segment elevation myocardial infarction (NSTEMI) event.

2. Define electrocardiogram (ECG) and cardiac biomarkers that correlate with a STEMI event.
3. Identify the actions, side effects, and nursing interventionsrequired for administering the
   following medications and treatments: Aspirin, Nitroglycerin, Morphine, Heparin, Oxygen.