Nursing Simulation Scenario: Managing Incivility

Summary

In a bustling hospital environment, two nurses, Raina and Jasine, navigate the challenges of managing high patient acuity amid staffing shortages. Raina expresses frustration over new nurses’ work ethics and the impact on patient satisfaction, while Jasine opens up about feeling disrespected when asking for help. The conversation highlights the critical need for support and effective communication among staff, emphasizing their shared commitment to patient care despite personal and professional stressors. Their dialogue showcases the complexities of nursing work and the importance of collaboration in delivering quality care.

Takeaways

• 😀 Patient Michael Harez is a 64-year-old with multiple health issues, including type 2 diabetes and a stage two sacral wound.
• 😀 He is allergic to penicillin and lives with his wife, who has Alzheimer's.
• 😀 Michael is currently being treated with an amiodarone drip and requires careful monitoring.
• 😀 His blood sugar was elevated before breakfast, leading to an administration of insulin.
• 😀 He is unable to ambulate independently and has not had a bowel movement in two days.
• 😀 There are staffing challenges, with two nurses calling out, creating a high-pressure environment in the unit.
• 😀 Patient satisfaction scores are declining, indicating a need for improved care and support.
• 😀 A new admission from the ED adds to the workload and stress for the nursing staff.
• 😀 Communication and support among staff are essential for managing patient care effectively.
• 😀 Personal challenges, such as one nurse's family issues, impact their ability to perform under pressure.

Q & A

What is the primary concern for Michael Harez's care?

The primary concern is managing his high acuity condition, including his type 2 diabetes and stage two wound on his left sacrum.

What recent treatment has Michael Harez been receiving?

He is actively receiving titration of his amiodarone drip and has been administered insulin due to high blood sugar.

What does Michael Harez's history reveal about his living situation?

He is married and lives at home with his wife, who has Alzheimer’s, indicating he has a caregiver support system despite his health challenges.

What challenges are the nursing staff facing in this scenario?

The nursing staff are dealing with staffing shortages, increased patient loads, and the need to precept new nurses, leading to feelings of stress and overwhelm.

How does Nurse A express the need for teamwork?

Nurse A communicates that they need help with their patients and emphasizes the importance of mutual support to provide better patient care.

What was the initial reaction of Nurse B when asked for help?

Nurse B felt overwhelmed and expressed frustration about new nurses not wanting to work hard, indicating a lack of support within the team.

What is the significance of the call Nurse B received about their mother?

It adds to Nurse B's stress, as they are juggling personal issues while trying to manage a demanding workload.

How did Nurse A respond to Nurse B's feelings of being demeaned?

Nurse A acknowledged Nurse B's feelings and expressed a desire for improved communication and support, aiming to strengthen their working relationship.

What does the situation reveal about patient satisfaction scores?

The high patient load and lack of experienced staff are contributing to lower patient satisfaction scores, highlighting the need for better support and staffing.

Why is effective communication emphasized in the nursing environment?

Effective communication is essential for fostering teamwork, addressing individual concerns, and ultimately ensuring better care for patients amidst challenging circumstances.