Five Practices of Exemplary Leadership

 

 

SCENARIO OVERVIEW:
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.
STUDENT ROLES DURING SIMULATION:
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.

 

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