Notes on Interprofessional Simulation Exercise

Introduction

• The video depicts a simulation exercise involving students in an interprofessional setting.
• Viewers are reminded to be professional as they observe their fellow students.
• The aim is to help students improve their performance as colleagues.

Initial Patient Interaction

• Patient Name: Mr. Evans
• Medical Student: Sydney will be taking care of the patient.
• Patient's Complaint: Left shoulder pain due to a fall caused by tripping over his dog.

Patient Examination

• Medical Team Introductions:
  • Francis, Pharmacist
  • Corey, Pharmacist
  • Pat, Nurse
• Team ensures patient's comfort and prepares to listen to Mr. Evans' heart.
• Patient's wife, Jamie, is invited into the room.

Symptoms and Allergies

• Symptoms:
  • Nausea
  • Dizzy
  • Chest discomfort and trouble breathing
• Allergies:
  • Penicillin
  • Sulfa drugs
  • Iodine

Current Medications

• Aspirin
• Baby aspirin
• Velcore
• Nicotine for high blood pressure

Emergency Assessment and Management

• Symptoms: Heart rate is elevated, patient feels anxious.
• Initial Action: Start patient on oxygen using a nasal cannula.
• Medications Administered:
  • Morphine for discomfort
  • Decision to administer nitroglycerin

Critical Incident

• Patient's heart rate increases significantly.
• Decision to perform defibrillation.
  • Explanation to patient and family about the procedure.
• Procedure: Shock administered, heart rate begins to normalize.

Resuscitation Efforts

• Patient goes into asystole.
• Begin chest compressions and use of ambu bag.
• Team Roles:
  • Set up a timekeeper
  • Check for pulse periodically

Outcome

• Successful resuscitation, patient regains pulse.
• Patient regains consciousness; team verifies patient responsiveness.

Conclusion

• Simulation highlights the importance of interprofessional collaboration.
• Emphasizes the need for clear communication and quick decision-making in emergency situations.