Simulation – Critical Analysis – Coronary Artery Disease – Angioplasty – Mr. Harry Nursing Case Study Assessment Answer

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Mr. Harry Nursing Case Study Assessment Answer
Task:
1. Review the Mr. Harry Bright case study including the videos that set the context, the simulation pre-reading and the patient related documentation.
2. Review your knowledge and skills relating to:
a. Nursing Care implications: Coronary Artery Disease, Angioplasty (PTCI), Chest Pain, Stroke.
b. Processes for patient assessment
c. ISBAR framework for effective communication
d. Vital sign monitoring
e. IVT and infusion management
f. BGL monitoring
g. Clinical reasoning and decision-making
3. Participate in Clinical Simulation and debrief.
4. Reflect on your clinical simulation experience and write your response to the following two questions:
Question 1: 
Assessment is a key component of nursing practice, required for planning and provision of patient and family-centered care. The Nursing and Midwifery Board of Australia (NMBA) in the national competency standard for registered nurses states that “The registered nurse assesses, plans, implements and evaluates nursing care in collaboration with individuals and the multidisciplinary health care team so as to achieve goals and health outcomes.” The simulation scenario involved Mr. Bright who had just undergone an angioplasty.
A potential problem related to this procedure includes ischaemic stroke You are required to find five (5) contemporary, valid research journal articles (no older than 7 years) relating to the care of the patient undergoing angioplasty. Read the articles focusing on the assessment elements of care required post-procedure.
Reflecting on the simulation, you are required to identify CORRECT nursing assessment performed on Mr. Bright relating
to the problem stated above. Justify your discussion using evidence from your researched articles.

Reflecting on the simulation, you are now required to identify those elements of nursing assessment that were NOT performed on Mr. Bright relating to the problem stated above. Justify your discussion using evidence from your researched articles.

Question 2:
National Safety and Quality Health Service Standards for Clinical Handover recommend that communication of patient information should be conducted in a standardised format using a structured process in order to transfer relevant patient information. In the simulation, ISBAR was the structured format used to communicate patient information.

Reflect on the simulation at the point in time when Mr. Bright complained of chest pain. Using the ISBAR format, dot points your structured verbal handover to the doctor advising of the patient’s chest pain. (You will need to access the patient’s clinical documentation available on Blackboard to complete all areas of ISBAR). As chest pain is an emergency situation, the information provided in ISBAR needs to be concise.

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