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Interprofessional Simulation Experience with Mr. Brody

Northern Kentucky University

My story is about an Interprofessional Education Simulation (IPE) at Northern Kentucky University's College of Health Professions' Sim Lab among Nursing, Radiologic Technology, and Respiratory Care students. The background began with Mr. Brody, a 67 year old white male, who was admitted for exacerbation of COPD. Nursing students entered and assessed him head to toe, noting his normal vital signs while on 2lpm oxygen via nasal cannula. The rad tech students entered to perform a daily chest x-ray. Nursing students continued to assess the patient, who asked for a breathing treatment. Upon the nursing student’s request, respiratory students entered and gave an aerosol nebulizer breathing treatment. Mr. Brody ended the treatment with a strong, forceful cough. After the cough, Mr. Brody's oxygen saturation dropped, he became more dyspneic, and he complained of pleuritic type pain. The respiratory student moved to the head of the bed and increased the oxygen to the nasal cannula, while reporting her actions out loud. The nursing student drew close to the head of bed and stated that the doctor only ordered 2-3 lpm of oxygen and wanted to call the doctor first. In response, the respiratory student told him that in an acute situation, the oxygen needed to be increased for this patient. Then, both students watched as Mr. Brody's oxygen continued to drop. The respiratory student then changed the nasal cannula to a nonrebreathing oxygen mask. The nursing student called the MD, who called a rapid response and ordered another portable chest x-ray to rule out a bleb rupture. The key impact from this IPE simulation was communication among the disciplines. Respecting one another's knowledge and roles was also demonstrated. This was a win-win outcome where the patient benefited from quick action by all team members. Team members benefited from increasing knowledge and awareness of one another's roles. Communication was key to safe, quality patient care! The interdisciplinary faculty met their goals of providing students with opportunities to learn and practice these core competencies in the sim lab.