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xNR 569 Emma's Sepsis Case Study

Chamberlain University Nursing NR 569 Differential Diagnosis in Acute Care Practicum Daniel Smith 15 pages
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3/31/25, 11:33 AM Emma, Sepsis from Infected Injection Site [SNA106US] | Oxford Medical Simulation - VR training for optimal patient care abscess Take wound culture Management https://www1.oms-app.com/vr_sessions/930813 2/13 Show rationale 01:24 Blood cultures You correctly ensured blood cultures were taken before antibiotics were given Show rationale Technical 01:33 Drug history You asked about Emma's social history and recreational drug use, identifying a background of recent heroin use Show rationale Communication Technical 01:50 IV fluids You correctly gave fluids to Emma. In this scenario, starting with 30mL/kg is recommended. Show rationale Technical Urine output You asked the nurse to measure urine output. This is important in sepsis as it allows optimal fluid replacement and ongoing management. Show rationale Teamwork Technical 04:16 Examine skin You examined Emma's leg wound, noting an obvious abscess with overlying cellulitis Show rationale Technical 04:25 What went well - important aspects Hand hygiene and PPE You correctly carried out hand hygiene and donned PPE to help prevent the spread of infection Show rationale Technical 00:27 You correctly informed your attending physician of an unwell patient Show rationale Teamwork Communication Non-technical 02:07 Urine dip You asked for a urine dip and culture Show rationale Technical 04:13 Cardiac exam You performed a cardiac exam and identified normal heart sounds Show rationale Technical 05:00 Lung exam You auscultated the lungs fields which were clear Show rationale 3/31/25, 11:33 AM Emma, Sepsis from Infected Injection Site [SNA106US] | Oxford Medical Simulation - VR training for optimal patient care 07:08 What went well - additional aspects Allocation of work You asked the nurse to help with taking blood tests, cultures or inserting IV access Show rationale Teamwork Communication 01:24 Efficient patient management You finished this scenario in under ten minutes. Provided you carried out the required clinical steps, this demonstrated efficient management Technical 02:53 Access guidelines You accessed the sepsis guidelines to help manage Emma's case Show rationale Technical https://www1.oms-app.com/vr_sessions/930813 12/13 Patient communication You reassured your patient about their condition and kept them updated on their care Show rationale Communication Non-technical 06:34 Phone surgeons You called the surgical team to highlight that your patient may require surgical intervention Show rationale Teamwork Communication Non-technical 06:49 100 % Completed in: 08mins 47secs

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