Debriefing Worksheet Phase 1: Reaction Phase How are you feeling after this virtual simulation? This virtual simulation was extremely interactive and allowed for us to challenge our knowledge, critical thinking and observations with questions and answer explanations. What were your initial feelings when you receive the SBAR report? The SBAR report template looked intimidating at the beginning of the simulation. However, the opportunity for us to fill out an SBAR based on a case study was extremely helpful and allowed me to further understand the template and necessary patient transfer information. How do you feel about your clinical abilities pertaining to a newborn? I feel that this simulation furthered my knowledge on post- units and their patients and allowed me to feel more prepared for my clinical placement. What were your emotions when you received the call for help from the mother? (ie. Fear? Panic? Anxiety?) Anxiety definitely, respiratory issues, especially in newborns strike up frightening emotions. Phase 2: Description Phase What was Elijah’s birth story? Elijah a 39+1 week large for gestational age male neonate was born to a G2P1 32-yearold mother. Elijah’s APGAR scores were within normal range, Elijah was non vigorous at birth. What were your thoughts when you heard rapid delivery in report? Rapid delivery can carry various risk factors that will need to be monitored. Did Elijah have any other risk factors? High respiratory rate Recall what is a normal Heart Rate (HR) and Respiratory Rate (RR) for a newborn? HR: 70-190bpm RR: 30-60bpm How does the environmental scan improve patient care? The environmental scan allows us to ensure that all necessary equipment is within reach in case of emergencies. It also allows us to clear out unnecessary elements that could hinder on the care of the dyad. Phase 3: Analysis Phase The SBAR was used as a communication tool during the Transfer of Accountability (TOA) between two nurses.   Why do health care providers use tools like the TOA? To ensure that incoming staff has all the necessary information to provide the highest quality of care. Why did you/did you not choose to conduct vital signs on the Elijah while the mother was holding him? What in your assessment helped you identify a change in Elijah’s status?  How did your action help? Mild respiratory distress, extremely high respiratory rate. Our observation of Elijah and rapid identification of his status allowed Elijah to receive the care he required as soon as possible. What aspects do you think you managed well? What actions would you change/implement differently? I believe this simulation really allowed me to gain some virtual experience in postpartum care that will aid me in my clinical and help develop my critical thinking skills when it comes to maternity. I would like to further my knowledge on neonates and the within defined limit vital signs in order to identify abnormal results quicker.
