Nursing Simulation Scenario: Multicultural Simulation

Summary

Mr. Akka, admitted with hypertension, is scheduled for surgery. His condition stabilizes after a Foley catheter insertion. Nurse Nikki assesses his readiness for surgery, but his family's arrival complicates matters, leading to a discussion about consent. The family debates the necessity of the surgery, prompting a delay. Nurse Nikki communicates with Dr. Montgomery to reschedule Mr. Akka's OR time, allowing the family to reach a decision.

Takeaways

• 😷 Mr. Akka was admitted to the hospital due to an allergic reaction.
• 🏥 He has a history of hypertension with a blood pressure of 142 over 86.
• 💉 A Foley catheter was inserted and is functioning well.
• 👨‍⚕️ A doctor-patient discussion about surgery is planned for the day.
• 📝 Consent form and pre-op checklist need to be signed and completed.
• 🤔 Mr. Akka expresses no pain and seems to be in stable condition.
• 👩‍⚕️ Nurse Nikki introduces herself and begins the assessment of Mr. Akka.
• 👨‍👧‍👦 Family members arrive and express concerns about the surgery.
• 🗣️ There is a discussion about seeking a second opinion on the surgery.
• 🙏 Family members decide to pray for Mr. Akka's recovery.
• 📞 Nurse Nikki communicates with Dr. Montgomery about postponing the surgery due to the family's concerns.

Q & A

Who is Mr. Akka, and why was he admitted to the hospital?

Mr. Akka was admitted to the hospital after an allergic reaction to an incident involving pins. He also has a history of hypertension.

What is Mr. Akka’s current health condition based on the nurse’s report?

Mr. Akka's vital signs are stable, with a blood pressure of 142/86 and normal output from his Foley catheter. He is NPO (nothing by mouth), has no pain, and his skin is intact.

What surgical procedure is being planned for Mr. Akka?

The doctor discussed a TURP (Transurethral Resection of the Prostate) surgery, and the plan is to take him to the OR later in the day.

What additional steps need to be completed before Mr. Akka's surgery?

Mr. Akka needs to sign the consent form, and the pre-op checklist needs to be completed.

What languages does Mr. Akka speak, and was a language interpreter needed?

Mr. Akka speaks French and Italian, and it was confirmed that no language interpreter was needed.

How did Mr. Akka feel before and after the drainage tube was inserted?

Mr. Akka felt uncomfortable before the drainage tube was inserted but felt better afterward.

Did Mr. Akka express understanding of the surgery during the nurse's assessment?

Yes, Mr. Akka confirmed that the doctor explained the surgery and post-surgical care to him, and he understood what it was for.

What was the family's reaction to the surgery, and why did they express concerns?

Mr. Akka's daughter and brother expressed concerns about the surgery, suggesting that he get a second opinion and showing reluctance toward the procedure.

How did the nurse respond to the family’s concerns about the surgery?

The nurse suggested giving the family time to discuss the situation and offered to return later for the signature on the consent form.

What action did the nurse take regarding the OR schedule when Mr. Akka's family raised concerns?

The nurse called Dr. Montgomery and recommended moving someone else up in the OR schedule to allow Mr. Akka’s family more time to discuss the surgery.