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(Skin Integrity, Providing Wound Care to a Patient with a Venous Stasis Ulcer-Josephine Morrow)

1. Complete the table below (1hr)

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Complete the table below on medications using a Drug eBookGraphical user interface, text, application  Description automatically generated

Drug NameIndicationsPharmacokineticsContraindications/PrecautionsNursing ImplicationsImplementationPatient/family teachingEvaluation
Albuterol/ipratropium inhaler
Zinc supplement

2. Complete the table below (1hr)

Complete the table below on lab values using the Lab and diagnostic ebook (example below).

Graphical user interface, text  Description automatically generated with medium confidence
Lab NameRationalNormal Ranges
Total Protein

You will hand in the worksheet at the end of the SIM day. This is why the due date is on the course calendar

Simulation: This is the rotation for the SIM day, keep as a reference for the SIM day

TimeSIM (Room1)Chart/EHR (Room2)Skills (Room3)Activity (Room4)
0900-0945Group AGroup DGroup BGroup C
0945-1030Group DGroup AGroup CGroup B
1030-1115Group CGroup BGroup DGroup A
1115-1200Group BGroup CGroup AGroup D
Group Debrief
1200-1230LUNCH(bring your lunch)
1230-1315Group AGroup DGroup BGroup C
1315-1400Group DGroup AGroup CGroup B
1400-1445Group CGroup BGroup DGroup A
1445-1530Group BGroup CGroup AGroup D
Group Debrief

Student Instructions/Worksheet for SIM Day

Room NumberActivity
Room 1-SIMCaring for Edith Jacobson
Room 2Morning session : Activity- look through patient chart-develop “nursing brains.” Fill out print-off and upload to drop box at the end of the day.Afternoon session : Activity-in small groups, develop an SBAR from the morning session-will discuss in group debrief-practice reading this with a partner. Fill out print off of SBAR and upload to dropbox at the end of the day
Room 3Morning session : Activity-Braden Scale- read the handout. Activity-Practice a sterile dressing change.Afternoon session: Activity-Perform focused Integumentary Assessment on a mannequin (check skin from head to toe). Activity-Chart findings in EHR.Integumentary AssessmentColor- general pigmentation, freckles, moles, birthmarks, pale, erythema, cyanosis, jaundiceTemperature-warm, equal bilaterally, hypothermia/hyperthermiaMoisture-diaphoresis, dehydrationTextureThickness-callusEdemaMobility and turgorVascularity or bruising- tattoos/variationsLesions:-color-elevation-pattern/shape-size-location and distribution on body-any exudate: note color/oderHair-color, texture, distribution, lesionsNails-shape/contour, consistency, color, capillary refill-Activity- EHR. Follow directions on how to chart in EHR.-EHR Tutor: (may need to use Chrome)-Go To ATI My ATI EHR Tutor Folder MD1 SIM Day 1 Integumentary AssessmentTo access this activity, you must “add a course” then enroll in the course by using the code below.
Room 4Morning session- Activity- View video: (20min.). After video discuss what you learned and how you will bring this new information with you into practice.com/watch/prevention-of-pressure-ulcers?account_id=40836&usage_group_id=57119″>https://video.alexanderstreet.com/watch/prevention-of-pressure-ulcers?account_id=40836&usage_group_id=57119New knowledge1.2.3.How you will bring this knowledge into practice1.2.3.Afternoon session- Develop a Quizlet game using the above information (patho map/medication and lab information). You and a partner will develop a total of 10 questions. Each question should have the correct answer WITH rationale . Be sure to use evidence-based information. This will be presented in a large group debrief. Place link to quizlet game here:-If you have additional time- Practice giving report to another nurse
If spare time is noted at any time throughout the day, students should complete the additional training resourcesAdditional Related Training Resources· Conducting a Comprehensive Skin Assessment — AHRQ Pressure Injury Prevention Program Training Webinar· Using Pressure Ulcer Risk Assessment Tools in Care Planning — AHRQ Pressure Injury Prevention Program Training Webinar· Risk Factors for Pressure Injuries: Going Beyond Validated Instruments — AHRQ Pressure Injury Prevention Program Implementation Sharing Webinar· Device-Related Pressure Injury — AHRQ Pressure Injury Prevention Program Implementation Sharing Webinar· The Power of Nutrition for Pressure Ulcer Prevention — AHRQ Pressure Injury Prevention Program Implementation Sharing Webinar· Putting the Nutrition Guidelines into Practice for Pressure Injury Prevention — AHRQ Pressure Injury Prevention Program Implementation Sharing Webinar· National Pressure Ulcer Advisory Panel’s (NPUAP’s) best practices for preventing device-related pressure injuries http://www.npuap.org/resources/educational-and-clinical-resources/best-practices-for-prevention-of-medical-device-related-pressure-injuries/OrATI Individual Quizzing(Fundamentals)

Post-SIM Activity

Nursing Care Plan

Article review: Please locate a peer reviewed articled published within the past 5 years that pertains to skin integrity issues. Include a one half-one page discussion of the article and how it relates to patient care.

Patient education: Complete in a narrative format exactly how you would educate a patient on wounds (pressure or vascular) this can include, but is not limited to- medication, possible complications associated with wounds, nutrition, activity. Include 4 narrated sentences.

Complete care plan: Using information from todays’s sim you will complete the care plan below. Make sure you are writing a problem nursing diagnosis. DO NOT USE “RISK FOR” as the start of your nursing diagnosis. I am looking for key words such as related to and as evidance by in your nursing diagnosis.

D-Nursing diagnosis:

A- AssessmentP- Planning (outcome-specific and measurable goal). This should be a SMART goalI-Interventions-(evidenced based). This needs to be working towards your goal. Placing the call light next to the bed is not an intervention,Rationale (why are you doing the intervention?)E- Evaluation

Outcome: Critical Thinking: Self-assessment:

Self-reflect on how your simulation experience correlates with what you learned in this week’s module. Objectives are located in the course under each module and are helpful in completing this section.

Outcome: Caring

Identify one example from your simulation day in which you observed, participated in, or provided some aspect of caring for the provision of psychosocial and/or cultural diversity needs. How did you inspire or make a difference in your patient’s life today?


(Don’t for get to put in-text citations within your worksheet)

Venous Insufficiency (define)

Risk Factors

Expected Findings



Nursing care


Client Educations

Medications (list only)


Interprofessional Care





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