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Situation: In your groups discuss patients you have all cared for and then decide on a patient you would like to write a care plan for.

Background: Give your patient a name, and a background.

Assessment: What is your patient's medical history, and presenting symptoms? What are their vital signs?

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Student nurse first day in clinical placement

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Situation: You are a third-year nursing student about to start your last placement as a student nurse.
Background: You are working a long day in a hospital ward.
Assessment: You are feeling excited and nervous about finishing your course and entering the NMC register.
Recommendation: You are working on a ward with your practice supervisor you have a small caseload of four patients with varying needs.
Decision: How would you deal with the following patients?  Be prepared to feedback to the larger group

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We will now dedicate the remaining time to a debriefing session

How did you reflect on your decision-making processes based on the Padlet content?

Were there any “aha” moments or realisations?

Link to Practice:

How will you apply the insights gained from the Padlet to real-world decision-making scenarios?

What practical strategies or tools can be derived from the Padlet content?

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1. What specific patient safety incident occurred in Valerie’s case?

2. How did the mix-up with another patient impact Valerie’s health?

3. What challenges did Valerie face when trying to get information about the medication she received?

4. What steps could healthcare professionals take to prevent similar incidents in the future?

5. (a) How can effective communication improve patient safety?

(b) How do patient identification protocols improve patient safety?

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Certainly! Here are some questions related to the video "Responding to patient safety incidents - Valerie's story" that you can use for discussion or assessment with year 3 nursing students:  1. **What specific patient safety incident occurred in Valerie's case?** 2. **How did the mix-up with another patient impact Valerie's health?** 3. **What challenges did Valerie face when trying to get information about the medication she received?** 4. **What steps could healthcare professionals take to prevent similar incidents in the future?** 5. **How can effective communication and patient identification protocols improve patient safety?**  Feel free to adapt or expand upon these questions based on your teaching objectives! 😊  You can find the video on the NHS England YouTube channel [here](https://www.youtube.com/watch?v=Dyw8Sf_Z9XA) ¹.¹  Source: Conversation with Copilot, 22/07/2024 (1) Responding to patient safety incidents - Valerie's story. https://www.youtube.com/watch?v=Dyw8Sf_Z9XA. (

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Responding to patient safety incidents - Valerie's story

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Lesson Goal
To gain knowledge and understanding of decision-making. Using scenario-based learning work in groups through a scenario.

Outcomes

1.  Students will discuss what constitutes decision making
2. Working through scenarios using decision-making tools
3. Explore how decisions are made

4. Participate in peer discussions and self-reflection.

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Please complete Evaluation for today's session

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Group 1 - Feedback Answer question 1 & 4

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Group 1 - Feedback Answer question 1 & 4

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Group 2 - Feedback Answer question 2 & 5a

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Group 2 - Feedback Answer question 2 & 5a

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Scenario: Jason

Background: Jason, a 14-year-old boy, was found wandering in a local park. Concerned onlookers reported him to the police. When questioned, Jason couldn’t explain why he wasn’t at school or why he was in the park. The police discovered he had a knife and scissors in his possession. Jason’s parents had noticed behavioral issues at home, including restlessness and night time wandering. They sought help from the GP, who referred Jason to the crisis intervention team.

Setting: Accident & Emergency (A+E)

Characters:

1. Nurse Emma: Experienced A+E nurse

2. Jason: 14-year-old patient

3. Dr. Patel: Psychiatrist on call

4. Mrs. Adams: Jason’s mother

Scene:

You are a student nurse working with your practice supervisor Nurse Emma is on duty in A&E when the police bring in Jason.

Nurse Emma (thinking): “Another crisis intervention case. Let’s assess Jason thoroughly.”

1. Assessment:

Nurse Emma approaches Jason, who appears anxious and agitated.

She introduces herself and establishes rapport.

Jason’s vital signs are taken: BP 130/80 mmHg, HR 100 bpm, RR 18 breaths/min, temp 37°C.

Height: 176 cm, Weight: 92 kg (BMI 29.7).

What else should be considered in the assessment?

What safety measures should be considered?

Reflection (Nurse Emma): How does Jason’s case highlight the importance of thorough assessment, safety precautions, and collaboration?

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Patient Name: Frank

* Age: 84

* Date of Admission: two days ago

* Diagnosis: Total Hip Replacement (THR) following arthritic hip

* Surgical Procedure: Elective THR under general anaesthesia

* Current Status: Post-operative day 1

Vital Signs:

* Temperature: 37

* Pulse: 80

* Blood Pressure: 100/70

* Respiratory Rate: 16

* Oxygen Saturation: 95%

* Pain Score (Numerical Rating Scale, 0-10): 4

Presenting Complaint:

Frank, a 1-day post-operative patient following a total hip replacement, is experiencing pain and is reluctant to mobilise. His son is due to pick him up later this afternoon. Frank had his catheter removed this morning and is now complaining of pain.

History of Presenting Complaint:

Frank presented to his general practitioner with joint pain, reduced mobility, and function, which was impacting his activities of daily living. He was diagnosed with arthritis of the hip and underwent elective total hip replacement surgery to improve his function and quality of life.

Past Medical History:

* Hypertension

* Chronic Obstructive Pulmonary Disease (COPD) with type 2 respiratory failure

* Depression

* BMI = 31.5 kg/m2

What is your Nursing Goal?

List your task.

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Patient Name: Abigail

* Age: 32

* Diagnosis: Depression, suicidal ideation

* Current Status: Under home care with crisis resolution and home treatment team

Vital Signs:

* Temperature: 37.2°C (98.6°F)

* Pulse: 100 beats per minute

* Blood Pressure: 120/80 mmHg

* Respiratory Rate: 20 breaths per minute

* Oxygen Saturation: 98%

* Pain Score (Numerical Rating Scale, 0-10): N/A

Scenario:

Abigail is a 32-year-old woman who has been referred to the crisis resolution and home treatment team due to concerns about her suicidal ideation, depressive symptoms, and inability to relate to others. She is currently under home care with daily visits from the team to monitor her mood and medication.

During the morning visit, Nurse Jacob assesses Abigail's mood and asks about moments when she felt less bad. Abigail mentions that she gets comfort from having her first cup of tea, which is a momentary reprieve. Nurse Jacob suggests finding ways to create similar moments throughout the day.

Brian, Abigail's husband, joins the conversation and mentions that Abigail seems more cheerful when her sister visits. Nurse Jacob asks if this is due to happen today, and Abigail confirms that her sister usually visits but doesn't think it will make a difference.

Nurse Patricia joins the conversation and discusses the possibility of hospitalisation with Abigail and Brian. Abigail expresses concerns about leaving her three-month-old daughter, Matilda, but Nurse Patricia assures them that hospital staff will take good care of Matilda and Brian can visit daily.

List your Nursing Goal:

List your task

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Group 3 - Feedback Answer question 3 & 5b

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Group 3 - Feedback Answer question 3 & 5b

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Patient experience Valarie's story Feedback from Verona

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Patient experience Valarie's story Feedback from Verona