My adult health (Patho) clinical preceptor is making each of us go to a simulation experience at the nursing school
, rather than the hospital, on a given Monday this semester. It just so happens that my Sim Lab experience is scheduled for the Monday that's 2 days from today.
Normally, when we go to the hospital on Mondays, we do prep work the day before on Sunday. We'll go to the hospital on Sunday, look up the patient's admitting diagnosis, history, and meds, and write all of that down on a client status report (CSR) form. Then we go home and look up the meds and diagnoses. That way, we sorta-kinda have an idea on what to do and what to really look at (i.e., assess) when we treat the patient ourselves on Monday.
However, with this SIM lab patient we obviously aren't going to get to go in the Sunday before (that is, tomorrow) to look up stuff on the mannequin. It's an unpleasant surprise that awaits us on Monday
The only "hint" that our nursing preceptor told us was that this SIM lab patient would have some sort of mental status change. The reason why she's making each of us go to the SIM lab and do this is because we may not be in a situation in this hospital this semester where our (real-life) patient has a mental status change.
But how am I supposed to know what to do if I don't know what the patient's diagnosis is?
If I could theoretically go in "the night before" and see on the SIM lab's patient charts "Admitting Dx: STROKE", then obviously I'd go home, look up "STROKE" in my med-surg textbook, and see what the nursing interventions are.
But with this SIM lab, it could be anything! What if it's a pulmonary embolism? Or a heart attack? Or a DVT? I didn't memorize the interventions for EVERY life-threatening condition out there! How am I supposed to respond to the SIM Man's status change?