Clinical Excellence in Nursing: SCENS Simulation Program

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This comprehensive SCENS simulation program focuses on enhancing nursing skills in initiating intravenous accesses, administering antibiotic infusions, and effective patient communication. Covering essential topics like safe medication practices, adverse event reporting, and patient safety improvement, SCENS prepares nurses to deliver quality care while emphasizing protocols, equipment, patient education, and potential issues.


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  1. Simulations for Clinical Excellence in Nursing Services SCENS Welcome To

  2. SCENS

  3. Learning Objectives SCENS 1. Discuss the appropriate steps to initiate intravenous access with at saline lock 2. Demonstrate the steps required to initiate an intravenous antibiotic infusion 3. Discuss effective communication when caring for the patient receiving an intravenous antibiotic infusion

  4. Why? SCENS VHA Directive 1014: Safe Medication Injection Practices VHA Directive 1070: Adverse Drug Event Reporting and Monitoring VHA Directive 1164: Essential Medication Information Standards The VHA Handbook 1050.01: VHA National Patient Safety Improvement Handbook The Joint Commission: 2016 National Patient Safety Goals National Action Plan for Adverse Drug Event Prevention Infusion Nurses Society

  5. Preparation SCENS Verify orders Explain the procedure to the patient Supplies Inspect supplies Hand hygiene

  6. Initiating a Saline Lock SCENS Selection and preparation of the site Asepsis Technique Dressing Label

  7. Antibiotic Infusion SCENS Verify orders Explain procedure to the patient Inspect equipment Prepare the infusion Rights of medication administration Initiate infusion Patient education Adverse reactions

  8. Facility Specific SCENS Protocol Equipment/Supplies State licensure Scope of practice Certifications Accountability Documentation

  9. Priorities SCENS Safety Infection control Identify risk factors Identify patient allergies Anticipate any potential needs Provide patient education Priority interventions

  10. Potential Issues SCENS Psychosocial Coexisting problems Equipment or supplies Complications

  11. Summary SCENS 1. Discussed the appropriate steps to initiate intravenous access with at saline lock 2. Demonstrated the steps required to initiate an intravenous antibiotic infusion 3. Described effective communication when caring for the patient receiving an intravenous antibiotic infusion

  12. SCENS

  13. SCENS Infusion: IV Start and Antibiotic Donna Right Thirty four (34) year-old female requiring intravenous antibiotic infusion for the treatment of osteomyelitis of the right tibia positive for staphylococcus aureus after an open fracture due to a motor vehicle accident three months ago. Past Medical History: Twelve (12) year one pack per day history of smoking Motor vehicle accident three months ago Open fracture of the right tibia Osteomyelitis of the right tibia Past Surgical History: Right inguinal hernia repair Open reduction of a fracture of the right tibia three months ago Medications: Ipratropium bromide inhaler 2 puffs 3 times a day Multivitamin daily Allergies: Sulfa

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