Table Mapping Specific Competencies by Scenario
Simulation
Scenario
ALL
Patient-Centered
Care
Assess & respond to
a change in patient
condition/ re-evaluate
after intervention
Teamwork /
Collaboration
Participate in RN
shift-to-shift
handoff
Notify MD of S/S
Incorporate patient/
family input in
treatment plan;
Intervene when
conflict or need for pt
ed is noted
Postop PE
Acute sob, HR
Anxious family
Evidence-based Practice
Safety
Informatics
Read current guidelines and
other high-quality information
sources and respond to the
discussion questions assigned
prior to scenario
Perform patient –
environmental scan at
hand-off
Obtain/document
patient info using an
electronic health record
Implement 6 rights for
safe med admin
Access PDA hospital
intranet as reference
resources
Continuous passive motion
(CPM) s/p knee surgery
Prepare and administer
Perform math
heparin loading dose and calculation r/t heparin
infusion
admin
Delegates /seek
help as needed
Receive verbal
orders, critical lab
results over phone
Assert self when
MD is not hearing
your concern
Anticoagulation post PE
Pt Ed:
anticoagulation
therapy
Neutropenic Fever
Fever, rigors
Anxious family
Follow hospital policy
for high alert med admin
Talk to MD about
hand washing
prior to patient
contact
Pt Ed: neutropenic
precautions
Putting Evidence in Practice
Administer first -dose
(PEP) to prevent
antibiotics per hospital
complications r/t cancer
policy
treatment: (ONS)
http://www.ons.org/outcomes/
Best practices r/t treating
fever in neutropenic patients
Acute renal failure
Delirium in an
elderly patient
Acute renal failure
secondary to heart
failure
Acute confusion
Discuss ways to
advocate for
elderly patients
Confusion Assessment
Method (CAM)
Discover environmental
hazards during fall risk
assessment
Look up lab test
directory before
drawing PTT
Perform math
calculation r/t IVF
bolus
Follow hospital policy
r/t central line care
QI
Simulation
Scenario
Acute
hypoglycemia
Alcohol
withdrawal
Homelessness
Patient-Centered
Care
S/S hypoglycemia
& acute alcohol
withdrawal
Discuss options for a
patient who wants to
drink alcohol
COPD
Hypoxemia
Pneumonia
Visitor requesting
patient info
Discuss options for a
patient who wants a
cigarette while
receiving oxygen
therapy
Teamwork /
Collaboration
Receive a hurried
and incomplete
report from
previous shift RN
Advocate for
discharge planning
that acknowledges
a concern about
compliance r/t
homelessness
Receive a hurried
and incomplete
report from
previous shift RN
Communicate
follow-up about
IV error with
colleagues
Evidence-based Practice
Safety
Informatics
Follow hospital guidelines for
treating acute hypoglycemia
Follow hospital
guidelines when
obtaining critical low
reading for POC glucose
Access current lab data
Discover wrong IV fluid
and oxygen flow meter
turned off during safety
scan
HIPAA
Use organizational error
reporting system to
document an error
Access hospital
resources r/t tobacco
cessation
Initiate Clinical Institute
Withdrawal Assessment
(CIWA) protocol
Use of blood glucose
monitoring machine
Homelessness and DM
Global initiative for chronic
obstructive lung disease
(GOLD) standard
http://www.goldcopd.com/
Obtain and assess
results of CXR
QI