Nursing Simulation Scenario: Physical Assessment

In this nursing simulation scenario, the RN performs a hospital admission physical assessment.
www.montgomerycollege.edu

[@treveanthomas4978]

People are criticizing ... to do this is nerve wrecking ... every sense of calmness and eloquence goes through the door once you step in the room . She’s good .. she did amazing ... despite the nerves .. it’s only natural .

[@caribaez5711]

Trevean Thomas you would never make people content. People are people.

[@preeti806]

U r right trevean

[@donmattaarci8766]

i would not say amazing but yes it is nerve wrecking. She just needs more practice. No one should be saying UM UM ..

[@tandicajarvis9207]

I’lll

[@tandicajarvis9207]

@@caribaez5711 lil

[@friendofbfandmw0002]

She did an amazing job. As a nursing faculty member, I would be impressed if I observed her doing this. Nursing studetns please note: because she says what she is doing, what she finds, and whether it is Ok, she showed the paitent that she is really competent, AND she reassured him. If I were observing her , I would KNOW that she has these skills nailed. Please follow her example. She is also very attentive to his needs, is confident, is organized, and used near perfect technique.

[@kelseyhodges3105]

Then I see why my instructors posted this video for us to review.

[@tammygouletschrader8785]

The nurse is really explaining everything in detail to her patient.

[@pcFOREVER89100]

Son: "I've seen a lot worse." *goes back to looking at magazine*

[@flowercg3741]

6:35

[@tutatehaja1777]

I remember having to do this in front of a panel of assessors, so nerve wracking. She did amazingly well

[@christinasimula1974]

She did an AMAZING JOB!! I can't imagine how nerve wracking this must of been for her knowing she is being recorded for a training/teaching video! However if this in fact a training video there are just a couple things they need to edit. The biggest is the patient's privacy, she should of closed the door or at the very least the curtain. Another is asking the patient if it is ok for his son to be in the room during the exam. Another is to ask the son to leave the room for just a moment just long enough to ask the patient if she may ask any questions in front of his son. If he says no then those questions are discussed then, after that she can invite the son back into the room to proceed with the exam and questions. Another is to raise up the patient's bed, this is only to protect herself from straining her back muscles. One question at a time for a patient this tired and on medication that has a side effect of drowsiness. It's to hard for a patient in pain and tired on top of the pain to focus on more than one question at a time. Small things like BP cuff left on the bed blah blah...... But AGAIN I will say this woman did a FANTASTIC job! She seems like such a sweet and caring woman who truly loves being a nurse and helping people suffering, hence whatever brought them to the ER. She is extremely thorough and takes her job very seriously. She doesn't rush through the exam like SO MANY nurses do!! I get it to many patients DEFINITELY NOT EVEN CLOSE TO ENOUGH NURSES!! AND LET ME GIVE A SHOUT OUT TO ALL NURSES EVERYWHERE, BECAUSE THEY DEFINITELY DO NOT GET THE RECOGNITION OR PRAISE THEY ARE DO!! NURSES run the ER, NURSES pretty much run every department they work in! Doctor's would be LOST without nurses and patients well lets not go there! NURSES bond with their patients, know their names etc....SO PLEASE CAN WE GIVE A HUGE SHOUT OUT TO ALL THE NURSES AROUND THE WORLD, KILLING IT EVERY SECOND OF THE DAY!!!!

[@mizzmeek69]

She did ask if it was okay for the son to be in the room though…

[@mayoannette]

I like the guy acting as the son. He looks very concerned lol .....

[@nicol3e597]

This is the coolest simulation I’ve seen! I love how interactive and how the dummy talks back to you! This helps making it so natural and realistic!!

[@eeeeemeeee9047]

These sim labs are absolutely amazing!!! The one at my school is the coolest. The mannequins do everything a human would...except actually be alive.

[@stevenpryer5880]

BENDROFLUMETHIAZIDE🔞🔞🔞🔞🔞 26 ST GEORGE'S SQUARE FOREST GATE EAST LONDON E7 PLASHET WARD LONDON 18th JANUARY 19thFEB

[@PC-me7pu]

She did a great job but the only thing I didnt like was that she was always leaning over. she should have at least brought the bed up to her height so that she does not hurt her back. Back pain are the number one things nurses suffer today. I hope others do not make this same mistake, other than that I really liked this video

[@romnickramirez7998]

it hurts my back just by looking at her

[@josieyao2318]

she did, she is just really tall

[@encyclopaedia641]

She probably forgot, amidst all of the things she's doing all the same time.

[@tenishadieujuste9197]

She,S doing good job...

[@cnmbfa]

Important point--we only have one back that has to last through a long career.

[@Desiangel222]

seems like a lovely nurse!

[@lovedog49507]

+Desi de Necochea Yes she is

[@spekeify]

Oh yeah very sympathetic

[@89Sassou]

that s the best assessment ive seen on KZbin so far!!

[@srimathiaug]

omg i wanna be like her she is awesome!

[@teresam458]

The mannequin Looks like Bruce Jenner lol

[@fredrickjoshua6503]

+teresita munoz Cant Stop laughing... LOL...

[@ameliarobinson5717]

lol lmbo stop it!!!!! ha ha!!!!!

[@amakaegbukwu979]

teresita munoz 😂😂😂

[@minazayani9859]

,, otros,

[@lolvideos3247]

😂😂

[@caribaez5711]

Wow. The mannequin has a voice. Pretty awesome! The girl seems like she be an awesome nurse. She seems very empathetic, caring, good listener, and attentive. Good.

[@HermanNucleosis]

This nurse is amazing

[@blessingeka]

She did soo good. My first day of clinical's is today and I am glad I watched this.

[@thenasakidscience7633]

Doctors and nurses are awesome they are just like your parents but they know more about the body !!! Iam thinking about being a doctor that works in the emergency room when I grow up !!!

[@MsJerkinbabe]

the NASA kid science hey, you can do it. I believe in you and you must work hard in school to achieve that! I believe you!!

[@dreamchild4659]

Great attitude!!! you can achieve anything you put your mind too! good luck on your amazing doctor journey! :)

[@ness5877]

im rooting for you kiddo!!! be the best dang er doctor you can be :)

[@78vrf]

the mannequin is so realistic. Love it

[@makrachbrahim7277]

Victoria Under wood

[@makrachbrahim7277]

jet'aime comme la fleur mais la pour un jour et toi pour tout les jours

[@traciejimenez2589]

I know that guy didn't reach over and hold the mannequins hand 😂

[@kretiauwimana5343]

He did, Look back

[@kayybabyy9190]

😂🤣😂🤣😂

[@locdlife2164]

@Tracie Jimenez 🤣🤣🤣

[@mariehip123]

LMFAOOOOO

[@catstang03]

bahahahahahahahahahaha

[@georgeobiarrey8195]

Good job. I love the way you are asking questions as you perform the assessment. I get nervous while doing assessment. Thank you so much for the video

[@MsLoz16]

Beautifully done

[@danbeseo5623]

Thank you so so so much to share these videos. I was so frustrated and I had no idea how to prepare for NCAS. You saved my day.

[@equinelove1357]

She seems so nice and a great nurse

[@jijicg4099]

Vx

[@feliciawyman3026]

10 yrs later we’re still watching Great job

[@elladawson8860]

What a good nurse

[@Aphrille]

Wow seems very realistic and spontaneous! love this!

[@SuperBerya]

Great video! I'm doing simulation activity this Monday , and this really helped. She's good!

[@ShannonSoSweeet]

I am taking notes... she did great!!!

[@d3adm1nd29]

Me up at 2am, brain: hey wanna learn how to do a physical assessment?

[@kyliecassinat5382]

Nurse was friendly and kind--just a few things: (1) Door is open, curtains not closed. (2) She often asked more than one question at once. For a patient as tired and worn out as this, one question at a time would be better. (3) Before starting the assessment at all should have made sure it was OK for son to be present, and warn him then that she will need to be exposing his chest/abdomen, etc, instead of having to constantly ask, "Is it ok if I...". Made for lots of extra words. Plus, since what she was doing was essential to the assessment, it really doesn't do any good to keep asking, "Can I just do this...Can I just do that..." You need to say something like: "I need to do this, so I'm going to lift up your arm...leg...etc."

[@jennyxyz]

Very thorough! Great video!

[@Psychedaboutnursing]

This was dope😍😍😍very informative and realistic!! I'm soo excited to do an assessment

[@classyandfabulous94]

Anyone else laugh when the mannequin closed his eyes?? So cool/realistic!

[@caribaez5711]

classyandfabulous94 noo

[@caribaez5711]

But it is cool xD

[@manitobasmartnurse5534]

I wish I had this much time and less distraction during mine, I did all this in just 10mins including head to toe examination with client crying out for pain, it was all just crazy!!!!

[@melodidavis9376]

She is doing a great job! I hope I am as calm during my sim lab tomorrow, lol.

[@joleneballentine3393]

Awesome job on this assessment! Saving for future reference.

[@kellyruddy6064]

She is good

[@K.Israel2263]

Great nurse!!

[@valeriea1191]

Thank you so much this is such a good simulation example 😊

[@theguapochannel]

This is a good simulation, actually almost like in a hospital. Although this is not a complete physical assessment. In hospitals complete physical assessment is almost none existent especially with the number of things that a nurse needs to do. This assessment lasted for 17 mins and 30 secs with a cooperative patient. In the real world it would be much harder. This is her first patient, and she has 4 more to go. If shes lucky, she can finish all her assessment in 1 hour and 25 mins, provided there are no unexpected complication, maybe more if there is. Lets not forget there are medications to be given, forms to fill out, blood to be drawn etc, maybe an admission or 2.

[@darleneeakle6124]

This is a nursing student. An experienced nurse can easily do a complete assessment in under 10 minutes. This should be done on every patient at the beginning of the shift. This gives the nurse a baseline if any changes occur during the shift.

[@realmofthemisunderstood166]

Good god, this training is fantastic!

[@spekeify]

So I think myself

[@romnickramirez7998]

raise the bed up wait for at least 1 minute before reinflating the BP cuff

[@youbilega6740]

Good one. I wish my school train us this way

[@spekeify]

You alright . They are doing it these days . keep improving always nothing stays static

[@biancad1503]

She did an amazing job!!!!!!!

[@oldblinddog1000]

I attended Montgomery College many years ago!

[@xXxXxJuStLoVexXxXx]

She did so great!!!

[@ambriashelton8998]

She did a GREAT JOB! Sim lab is nerve wracking and ending check off is even worse

[@nursemckenley5440]

Hi I am nurse mckenley and I think she have done a great job she is very successful in everything she have done love her 👍

[@bridgetnelligan8764]

great job!

[@ep643]

Uk NHS amazing they are so kind

[@tracydeniser.n.1432]

Great job.

[@laurisher9006]

She seems very experienced, she's a natural!

[@user-uz5cd2hj6g]

This is a great assessment video longer than the actual assessments done in a hospital, but it's thoroughly done and accurate. How would we use this video to apply the Caputis 5-step clinical judgment?...

[@leesauceda3772]

Well done!!!

[@rogerdotson2484]

WOW she is amazing i am in LPN school and so nervous

[@kellyruddy6064]

That looks really cool

[@jamesh5146]

Very professional. I noticed that being an observer, you notice things easier. Just like me, I noticed she forgot to put the bed up at a working level. I always notice I forget to do that

[@infinitegaming2884]

Nice clip. I learned a lot. Thanks. Nurse from Philippines here.

[@sscheinfe]

That patient looks TERRIFIED But excellent job by the Nurse. Very natural, I forgot she wasn't talking to an actual patient.

[@snowypetal1]

The breathing of the mannequin..*whhhoooo pssssh* Luke... I am your father...😂

[@queenlora2073]

This is really awesome 😍😍😍

[@preeti806]

It sounds so natural...👍

[@deninelynch9556]

Wow ya this would be nice. Last time I was in hospital and they switched shifts. It took her 3 hours to come to see me. Then another 6 to come back after that no matter how many times I asked for help

[@Sanctuarydreamer]

Goodness gracious! These simulation dolls are so advancers! Are they responding to the nurses or are the voices just automatic? Does anyone know? There talking and breathing and blinking! It's just so so cool!!

[@thekaichi5293]

+Dtksgirl ' There's a small speaker on the dolls mouth and the teacher is in another room "acting". You can regulate the pulse, blinking, heart/stomach/intestine noises and movement too. I'm not sure what kind of doll this is but in our school we have the simulation dolls in the simulation room where there are cameras, microphones etc so the teachers can follow what you are doing and respond.

[@Sanctuarydreamer]

The Kaichi That's amazing! I didn't know that!

[@spekeify]

Very good skills displayed . The patient was however unnecessarily exposed down below @ between 15:14 - 16:20 mins and could still have been well covered while checking for the dorsalis pedis pulses. capillary refill and warmth. Overall great video and acting combine . The best acting award goes to the Son. The Nurse was really great in that field as well seeing closing eyes of the patient and that was so cute well done.

[@Tessanay28]

she did really good only thing I noticed was she didn't provide privacy by closing the patients door and she exposed his bare chest, which could lower his body temp and make him uncomfortable overall.

[@eara8426]

🤣

[@tamarracharles3394]

She doing a great job

[@sharontamukathe1482]

very informative

[@HermanNucleosis]

The mannequin has only one nipple

[@atlundead8057]

🤣🤣😅

[@KAMLESHKUMAR-ly4gs]

very nice lecture

[@nasj7704]

very well done

[@kyliecassinat5382]

What was his BP???

[@sxyngel]

very good!! awesome nurse and mannequin and son ;)

[@ryleeshirley5077]

Very good video but now I'm just a student if the patients thier for excessive vomiting wouldn't you have the patient in folders position the nurse is good she's very thorough and gentle

[@missprimmy1]

Is there need for gloves if you are not in contact with blood or bodily fluids cause in UK we told not to wear gloves when doing vital signs

[@nataliedeyton6829]

Prim rozay always wear gloves

[@lilagrace688]

if you’re touching the patient, always wear gloves. Even though you’re hands are sterile, you never know what germs you could be bringing into contact with the patient. You can never go wrong with wearing gloves

[@cristianopedro4604]

I loved this girl. Very cute...

[@jennifer4312]

😓that looks difficult

[@cynthiaholiday2839]

Concise simulation

[@SeraphSonata9]

Nursing student here and a little confused. How does she get the BP using the cuff without the stethoscope?

[@kaciebrooke92]

I believe you can get the BP by feeling the radial pulse.

[@maiacalafat1]

She's doing the 2-step method. The 1st step is by inflating the cuff until the brachial pulse is obliterated (meaning brachial pulse no longer felt). Then, she reads the number on the dial. This reading is the systolic pressure. For this step, no sphygmomanometer is necessary. On the 2nd step, looking at the dial, she inflates the cuff 30 mmHg ABOVE the patient’s systolic pressure that she collected from the 1st reading. This time she uses the sphygmomanometer and will start to deflate the cuff while letting the sphygmomanometer drop at a rate of 2-3 mmHg per second. The 1st sound she hears is systolic (again). The moment she doesn't hear any sound is the diastolic BP. The rationale behind the 2-step method is that by inflating the cuff at ONLY 30 mmHg above the systolic pressure, the HCP does not subject the patient to unnecessary pain/ discomfort in the arm.

[@maryjay4636]

What a good son

[@lurch4199]

Great assessment, but am I the only one that noticed that the door was left open?

[@spekeify]

No your are not I also saw other privacy issues as well from 15:14 to 16:20 min

[@kyliecassinat5382]

Also! Her name tag kept touching the patient. Unless she cleans that between patients, it would be good to find a way to make sure the name tag isn't dangling so low that it can brush against all the patients, spreading germs between patients and to the nurse

[@caribaez5711]

Kylie N yea but sometimes the tag is much smaller. Maybe that is her school tag. Hospital tags in real world wouldn’t be like that. Otherwise. She seems pretty good haha

[@EHRdirector]

Post tibial assessment is incorrect

[@amywolfe1364]

Uhm... she was feeling for the posterior tibial artery on the outer aspect of the foot at 15:50 That is incorrect. The artery is located on the inside of the foot.

[@maryjobankard735]

You're right! That is incorrect.

[@amywolfe1364]

@@BayBay-tq3bt How is it bullying to state when someone is incorrect? If we never corrected wrong information because of over sensitive people, everyone would learn the wrong information.

[@rrjr637]

Bedrail 2 glove contamination too thermometer

[@siannu9576]

She is amazing 😉

[@carleenm3673]

Is it a requirement that all nurses do this in nursing school?

[@allysonreneau9523]

Yes , it is a requirement. It’s part of your ‘clinical hours’ and also very good practice.

[@kevinkhang9199]

Yes, in Australia, rn requires to do a head to toe assessment to pin point issues and creat a personalised care

[@caribaez5711]

Ofc. Why would you be in nursing school for?

[@caribaez5711]

Nurses are like the proofreaders of the medical doctors. They are a team and their goal is to make their ill patient feel better.

[@sheillajeptum2509]

she is doing great, I still didn't get why she needed gloves though? i thought you only need PEs when handling bodily fluid or something.

[@joshuarios1031]

Always wear gloves with patients, they may have undiagnosed contact precautions. Plus this patient is immunocompromised due to chemotherapy and you wouldn't want to transfer anything harmful to them.

[@kelseyhodges3105]

It’s a habit for me to immediately put gloves on when I enter the room. Too many times I’ve pulled back covers to help someone with something that normally not require gloves and find something wet on those sheets.

[@kellyruddy6064]

It did

[@tsindetane4936]

Never place the stethoscope over the scapula and always feel for C7. Posterior tibialis - inner not lateral. As a nursing student we lose points for that.

[@joshmitschke2393]

Is that mannequin breathing? Lol

[@oldblinddog1000]

Is the son a ventriloquist?

[@fikishahampton2428]

Lauren Jones The mannequin has a voice box a teacher or someone else uses a headset with a Microphone and speaks into it and speak for the mannequin it's really cool our teacher uses it

[@kimberlydavis8613]

I can’t tell if this was a genuine question, or a joke. Either way, it made me laugh.

[@taslimaishmael1598]

@@kimberlydavis8613 me too 😂😂😂

[@AnnaaDaniellee]

This made me laugh 😂

[@akubey3131]

I'm Student Of nurse.This Job is very hard but nice

[@MrsDogLover]

How's nursing school going?

[@Withered_Shadow]

She is wrongly checking his brachial artery, not on that side..

[@Sarakate601]

I thought it was supposed to be his son at first not his dad

[@craigk5505]

"It's like water..."

[@Marco-bf4uu]

Isnt this the doctors job?

[@AhsanNaderPhotography]

98.6 is the normal temperature ?????

[@SmileyRN06]

Yes. The normal average body temperature is 98.6.

[@PC-me7pu]

+AhsanNader I think they are using the unit Fahrenheit instead of degrees celcius.

[@dutchicanpete]

+AhsanNader Most people think of a "normal" body temperature as an oral temperature of 98.6°F (37°C). This is an average of normal body temperatures. Your temperature may actually be 1°F (0.6°C) or more above or below 98.6°F (37°C).

[@AhsanNaderPhotography]

ohhh ok

[@kellyruddy6064]

OK

[@adlisedieujuste4820]

She,s good

[@torietorie1480]

PATIENT'S SON IS VERY FUNNY