Maternity Case 9: Fatime Sanogo (Core)
Guided Reflection Questions
Opening Questions
How did the simulated experience of Fatime Sanogo’s case make you feel?
I was concerned that she was bleeding, had a full bladder, and her fundus
was not firming up after massaging it. Luckily, after administering oxytocin, her
fundus started to firm when I palpated it.
Scenario Analysis Questions*
EBP
What risk factors did you identify in Fatime Sanogo’s case related to
postpartum hemorrhage?
The risk factors that I identified in the patient’s case related to PP
hemorrhage was that she had a prolonged 2nd stage of labor, her baby was
9lbs, she was induced, and had a laceration.
EBP
List in order of priority your initial nursing actions based on your assessment
of Fatime Sanogo and her family.
My priority of my nursing actions based on my assessment was to
control her bleeding by first calling the provider and letting him know what is
going on, then I needed to administer the oxytocin PP, massage the fundus
until it is firm, checking her lochia, and re-assess and evaluate the patient
after administering the medication.
EBP
List potential problems for Fatime Sanogo if her symptoms are not
recognized in a timely manner.
The Scenario Analysis Questions are correlated to the Quality and Safety Education for
Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration
(T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and
Informatics (I). Find more information at: http://qsen.org/
*
From vSim for Nursing | Maternity. © Wolters Kluwer Health.
Maternity Case 9
Fatime Sanogo (Core)
Debriefing Guide
If her symptoms were not recognized in a timely manner, she could
have bled out and lose too much blood. This could also lead to shock and
ultimately, death.
PCC
What communication techniques could be initiated to decrease the anxiety of
Fatime Sanogo and the support person and provide care that is culturally
sensitive?
Some of the communication techniques that could be initated to
decrease anxiety is to first make sure if her culture is appropriate to provide
therapeutic touch, and if not, empathizing with the patient and letting the
patient and family know what is going on and what we are going doing to
prevent hemorrhage. Keeping the patient informed would ease their anxiety
but still being honest.
Concluding Questions
Reflecting on Fatime Sanogo’s case, were there any actions you would do
differently? Explain.
Describe how you would apply the knowledge and skills that you obtained in Fatime
Sanogo’s case to an actual patient care situation.
Reflecting on F.S.’s case, I would do the same interventions and
communication towards an actual patient. I would give her more communication
since the simulation didn’t have enough options to provide caring behaviors too.
Going through the simulation, I learned that I need to have the patient lay supine
to properly assess the fundus. And I would re-assess and evaluate the patient after
administering medication too. Also, I didn’t need to do all the extra actions that
were unnecessary for the situation.
From vSim for Nursing | Maternity. © Wolters Kluwer Health.