NR 224 Standardized Simulation


Student Instructions for Standardized Simulation

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NR 224 Maria Hernandez



The following information is to be used in guiding your preparation and participation in the scenario for this course. This document will provide applicable course outcomes in preparation for your simulation.



Maria Hernandez is an 80-year-old Hispanic female. She is widowed and lives alone in a senior housing apartment. Her two children live out of state. She spends most days watching television, rarely leaving her apartment. Mrs. Hernandez was admitted for surgical debridement of a non-healing sacral ulcer, which has been present for several months.



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 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 future needs.


Documentation Nurse (1):


The documentation nurse is responsible for recording of all patient event activities during the simulation with the exception of 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 clarifying the details. Additionally, you will be part of the interdisciplinary team and will contribute observational assessment findings to include but not limited to changes in vital signs, alerts, psychosocial needs, and anticipated care.


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-medication related 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:


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.




The NR224 standardized simulation enables the student to meet the following priority course outcomes:

  • CO 1. Differentiate between the components and apply the principles of the nursing process in the learning laboratory setting using simulated patient care scenarios (PO 1)
  • CO 3. Demonstrate communication skills necessary for interaction with other health team members and for providing basic nursing care in a simulated environment (PO 3)
  • CO 8. Explain the rationale for selected nursing interventions based upon current nursing literature (PO 8)


**Although this scenario can address multiple course outcomes, faculty and students should focus on the course outcomes listed above**





The standardized simulation will be conducted during Units/Weeks 6-8 to ensure students are prepared to meet the objectives. Simulation will be performed during the lab component of this course. Medication administration will not be completed during this scenario.




  • Pre-brief: 10-12 minutes
  • Run Time: 20-25 minutes
  • Debrief: 40-50 minutes



In order to prepare for the simulation, you should complete your assigned reading for the course. In addition, you should be prepared to complete and document a thorough nursing assessment along with completing the following skills:


  • Vital signs
  • Infection control
  • Pressure ulcer & wound healing
  • Client rights

Please keep in mind you will also be required to recognize a variety of signs and symptoms linked to abnormalities in these skills.


Therefore, in order to prepare for the simulation, you are required to complete the pre-briefing questions below and submit to the faculty facilitating the simulation prior to the start of pre-briefing. If you do not complete the pre-briefing questions below and submit to faculty facilitating the simulation prior to the start of pre-briefing, you will not be permitted to participate in the simulation.


  1. What are some non-pharmacological measures that can be used for pain relief in care for this patient?
  2. What vital signs could be indicative of complications for this patient?
  3. Based on what you’ve learned about the nursing process, describe one applicable nursing diagnosis, treatments, and nursing considerations for this


**Immediately following the completion of debriefing, you will complete the evaluation of the simulation within Learning Space**


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