Nursing Simulation Scenario: Unwitnessed Fall

This video is one in a series of nursing simulation scenarios created to educate nursing students and refresh new practicing nurses about situations they could encounter in practice in a simulated context. Complete information about this scenario, from set-up to debriefing questions, can be found at www.montgomeryc...
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[@nghandihede5928]

There were several concerns regarding that assessment. #1 Was she was in a skilled care facility or hospital? #2 if in a skilled care facility and the "resident" said that she was in pain when they attempted to move her, they should have stopped their attempt and asked her to tell them where the pain was located as pain is always an indicator of a "possible fracture" when a fall is indicated. if so they would call 911 and let the paraments move her as to not cause any further possible injury. #3 the lights should have been turned OFF when the student nurse did her pupil assessment to correctly "gauge pupil size". #4 they didn't use a gait, which they should have when getting her off the floor. Never attempt getting a resident up off of the floor by lifting them up with your hands under their arm pits, which can result in injury to the resident and the person doing the lifting. #5 when she said that her head hurt, they should have checked her head for bruising, hematoma, bleeding b4 getting her up. There was probably more concerns that could have been listed but I didn't continue viewing.

[@lauraclyman4238]

What should we do should we call 911. In a hospital?

[@anca4ever414]

She fell because she was dizzy...check blood pressure when standing and lying. Might be postural. Thank you for the video.

[@KJJ18]

They didn’t even do ROM before they get him up😩

[@melodidavis9376]

Why is she shaking her like she doesn't know if she is awake? That seems like it could cause more injury if she hurt her head or neck.

[@tawitamaibintebure2009]

i like watching this educational video. thanks

[@lindaleelaw5277]

They are they moving an injured person. How did she fall. Why Is all this is necessary .she wasnt wearing an alarm. They allowed her too much independence. Based on her illness and age. Uts 2020. Small alarms to start with .

[@Fr3nzY_17]

So can you sit them up even if theres an injury of the spine?

[@jeneview5446]

They should’ve done a passive range of motion check to assess for broken joints,xxx

[@anca4ever414]

Check skull, spine, limbs if simetric and with normal power,, check for rotation a.s.o.

[@Fr3nzY_17]

Dr. Young Blood hahaha

[@lindaleelaw5277]

Adukt kid arw the biggest block to seniors get early testing. 1. They ket their parent decide, letting symptoms grow. Adults kids are afraid of getting cut out of the will.

[@datushyness5350]

Omg this patient can play movie she acted real loll

[@flowercg3741]

Yeh I even thought it was real lolllll

[@GABRIELJACMEL]

Shit is real on the floor

[@seaturtlepoppy7679]

I clicked on this thinking it would be something else but I am still leaving a comment: I had to take my grandmother to the hospital and after ascertaining that I lived with her the twit of a nurse asked her - in front of me - if she felt safe at home 🙄

[@meekshellz1919]

Seaturtle Poppy 🤣🤣🤣🤣

[@jaldkajoi7862]

its a required question to ask every patient without discrimination for abuse screening. She was probably running through the drop down menu of questions routinely for the screening.

[@seaturtlepoppy7679]

@@jaldkajoi7862 - if I was abusing her, she probably would have lied because I was there. I know it’s required to ask but I should not have been sitting right there.

[@debbiegeorge5718]

Wow if nursing students don't v take advantage of these videos they are crazy. These are fantastic learning tools. I would have loved them when I was a student. I'm so jealous I wish I had these to watch . They are so precise and detailed. Great job.

[@freeurmind2871]

Shouldn’t you start Neuro Checks since the fall is “unwitnessed” & the pt. hit her head?? Q15 min, Q 30 min, q 1 hr. etc. How about LOC & ROM checks?

[@becky4642]

One fall is like 8 hours of charting! So glad I'm retired! :-)

[@BA-nw5rm]

الي جاي من طرف منال لايك

[@nora9d]

😭😭😭😭😭 خبللله

[@carolinemikkelsen8516]

Dizziness on standing/rising makes me think orthostatic hypotension. I’d love to see more follow up vitals

[@ashleymanney450]

I like that they put her in an awkward position, and not just lying flat on the ground a convenient position.

[@jenstorychannel5251]

Laid on the side help prevent breathing obstruction.

[@GABRIELJACMEL]

Reasses vitals ekg stat and do a glucose check

[@josephineyip5318]

what was the time of the event? I think I'm deaf cause I only heard Nurse Messam say 5 minutes before she called Dr. Youngblood.

[@Raptor717]

Lol grabs the hand sanitizer right away.

[@smalvarado2631]

🤣

[@GABRIELJACMEL]

Of course must file an incident report

[@heidih3048]

She's alery and oriented x 3? I didn't see/ anyone ask her any questions to determine LOC.

[@letsusbreakitdown3222]

Good job calling the doctor, maybe a little sooner with calling the doctor to get those orders going, good job asking for pain to rule out cspine injuries, what about Blood thinners?, why did she fall and get dizzy orthostatic, diabetic, EKG maybe?, medical hx? someone should be looking through her chart or someone familiar with this patient should be answering questions, overall a good video and common sense answers a lot of these questions. good job!

[@danie2445]

"should I call 911" dkm

[@takenote8613]

Why on earth would you assist a person up before ruling out hip fracture. It was unwitnessed.

[@RXF904BhM]

We already know that the lady is in pain. 0 on pain scales signifies no pain, therefore she will be rating her pain as 1 or above anyway. I think we could let her off.

[@emoniwashington4100]

Patients who have a high fall risk should not get out of the bed without assistance, such as a call button

[@vivianasuncion6338]

non skid socks is inverted. smh

[@HarshveerSingh-z3z]

Helo

[@Gremlin4296]

Where was the gait belt??? -A trained nurse's aid

[@LAorBust2011]

Excellent video. Very informative.

[@wabisabi810]

The guy just walked over the patient to get to the other side.😅

[@brittaneywills4148]

but no one made sure she was able to use the bathroom! lol

[@rrichford]

I thank the real professionals who know what they are doing. My mother died from being dropped from a Hoyer Lift, suffered internal bleeding, broken ribs at 95. Do you think that was witnessed. Please read court cases for explanations of accidents which are covered up. The hospital or institution is either understaffed or untrained with equipment.

[@jaymorgan.]

Sorry to hear that. Falling from a Hoyer lift definitely should have been witnessed since it requires two person transfers. I also had a nursing home cover up my mother’s injuries.

[@arleighdudar7592]

One of few filmed scenarios available to observe! Thank you

[@ashleymanney450]

Shouldn't they have used a lifter to get her off the floor if she's so dizzy?

[@bellaocchiazzurri]

they should Ashley!

[@carolinemikkelsen8516]

I’d think at least a gait belt

[@heidih3048]

yes, at my facility, that is the policy

[@janetslater129]

"Should we call 911?" lol.

[@michelleduncan95]

She called the doctor and gave information that she did not obtain herself.

[@kaitlintropper2061]

Michelle Duncan teamwork. We do that where I work.

[@rasmudjito]

VERY GOOD

[@fatmatajalloh164]

fatmata jalloh

[@MarilynSStoner]

Really nice work here Marilyn Stoner

[@sherinebeckford6304]

The Fall socks will saver her!

[@montysingh6363]

Yoo

[@chuoisu]

it's actually on a scale from 0-10 for pain not 1-10. :)

[@amadichimaeze483]

she is having pain so zero is out because zero is no pain

[@melsue1026]

Ours is 1-10

[@datushyness5350]

This scenario is exactly like they do in the hospital 🏥 very good guys

[@violetcovert9186]

Great video.

[@datushyness5350]

I think I’m going to learn here enjoying that video already

[@aaronjames3228]

What?

[@honeysmusic6650]

If nurse does not know what to do and does not remember she needs to excuse herself and observe the doctor arrived and find another nurse to replace her and advise the students.

[@OurDailyBlogofCatherine]

I believe all patients without relatives by their hospital bed side, should not be leave alone in their room by nurses. One nurse should be there to guide and watch over 24/7 until relatives come over to take care of them. We Filipinos, always have relatives watching over our sick family member in the hospital. No one leaves our sick loved one. At least one to stay by the sick 24/7. In a case of going to the bathroom, we are there to guide our sick loved one when nurses and doctor are away. However, if a person is living alone and no relatives or family to support them, a nurse or care giver should not leave a sick person alone in the room. So something like this won't get to happen. If something bad happened to this sick person, hospital can be sued for negligence. Consider the fact that this sick lady won't get worst from a fall, you guys are or will be in big trouble.