Pediatric Case 1: Jackson Weber

Pediatric Case 1: Jackson Weber Guided Reflection Questions Opening Questions How did the simulated experience of Jackson Weber’s case make you feel? Describe the actions you felt went well in this scenario. This simulation made me feel alert and focused especially when I was expecting a seziure. I wanted to make the child and his family feel safe. Scenario Analysis Questions* EBP/S What priority problem did you identify for Jackson Weber? I recognized the signs of a seizure and ensured he got oxygen and removed hazardous items from his bed. I made sure to communicate to the doctor and family while reassuring the child. EBP What complications might Jackson Weber face if safety precautions are not taken during the seizure activity and if treatment is not implemented after the seizure? Without safety measures he could get a brain injury, hypoxia, aspiration, and prolonged seizure, which can cause permanent brain damage or even brain death. PCC What should the nurse teach Jackson Weber’s regarding the ongoing care of his condition? The nurse should educate the patient on importance adherence and recognizing auras and to call 911 on the onset of a seizure for the family members witnessing it. PCC/S What seizure precautions should be taken by the nurse in anticipation of and at the onset of Jackson Weber’s seizure? How might such precautions vary from hospital to hospital? * The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: http://qsen.org/ From vSim for Nursing | Maternity and Pediatric. © Wolters Kluwer Health. Precuastions should be having suction and O2 nearby, padding on the rails to avoid head trauma, making sure patient is on the side-lying position, and making sure a code blue is called. PCC/S Describe strategies to empower Jackson Weber and his caregiver in the management of his seizures. We can provide education that is at the level of understanding for both Jackson and his caregiver. Offering seizure plans and contacting support groups. T&C List potential team members in Jackson Weber’s care. (Explain your answer.) Ped neurologist, RN, pharmacist, social worker, school nurse, and PCP. All these interdisciplinary teams help manage both in-hospital seizures and outside seizures. T&C/I What key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-recommendation (SBAR) format. S: Jackson Weber a pediatric patient, recently have a tonic-clonic seizure. B: History of epilepsy, seizure lasted about 2 minds, and now is stable A: Vital stables, groans to questions, oxygen given and seizure precautions in place R: Continue monitoring, administer antiepileptics, ensure caregivers are educated on discharge instructions. Concluding Questions Reflecting on Jackson Weber’s case, were there any actions you would do differently? If so, what were these actions, and why would you do them differently? Describe how you would apply the knowledge and skills you obtained in Jackson Weber’s case to an actual patient care situation. I would have ensured that seizure pads were applied to all bed rails sooner and documented. I would have stayed alert for signs of seizures and reacted in a quicker manner. This case reinforced the importance of teamwork and being proactive in known seizure patients. From vSim for Nursing | Maternity and Pediatric. © Wolters Kluwer Health.