Discuss 4 tasks you completed or tried to complete in simulation.

Patient had on the wrong arm band. Then the date of birth was incorrect after admissions brought the new armband and had to get it reprinted.
Gave PO meds. Did not administer atenolol because of an allergy to blood pressure medication. Attempted to get additional information from the Nurse Practitioner, did not have any information on the allergy. Did not administer acetaminophen because the cart was out. Contacted pharmacy to refill. Also, could not administer Digoxin because we were awaiting lab results to come back on digoxin levels. His levels upon arrival were at 2.1.
Administer 10 mEq of potassium and 40 mG of furosemide.
Patient desperately needed oxygen. He was ordered 02 via nasal cannula. 02 Sat were at dropping and got as low as 74%. Put the level at 6 and called for a face mask. Could not get an order to put the patient on a facemask or any other source to provide more o2. At the end of simulation we got the order for a face mask and 02 sat increased considerably.

What did you learn most about the situation you encountered.

Have patience!!!!  Apparently you can do things that are not ordered if you are attempting to contact the HCP or in an emergency situation. We were not sure how to handle that before.

What will you do differently during your next simulation?

React appropriately.  Worry about getting orders later if the patient is going downhill. I know now to do what is necessary to care for my patient.

What 3 things did you learn in the classroom that you put into your practice during simulation?

Perform hand hygiene before and after, Verify patient allergies (and 6 rights of medication), keep the patient safe (side rails up, call light within reach, etc.), Medications administration, Oxygen administration.