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Maternity Case 5: Fatime Sanogo

Guided Reflection Questions

Opening Questions
How did the simulated experience of Fatime Sanogo’s case make you feel?

I felt confident beginning the simulation but was unsure what difficulties I would face knowing that the
patient and I would have a language barrier.

Describe the actions you felt went well in this scenario.

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My assessments were performed in a structured and sequential fashion. I felt like I did well with knowing

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what to do next.

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Scenario Analysis Questions1

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EBP/I What risk factors did you identify in Fatime Sanogo’s case that could have led to postpartum
ou urc
hemorrhage?

Risk factors in Fatime’s case were that she had delivered her baby in the last 24 hours, the baby
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was 9 lbs., and lastly, she was given Oxytocin as an uterotonic.


aC s

EBP List the actions that should be initiated if administering oxytocin is ineffective.
vi y re

Decrease the bleeding and take measures to prevent shock. IV fluid bolus and communicating
with provider for additional medications.
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EBP What were the assessment findings in Fatime Sanogo’s case that indicated her condition was
ar stu

worsening?

She had a lowered blood pressure while having an elevated heart rate.
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PCC What communication techniques could be initiated to decrease the anxiety of Fatime Sanogo
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and her husband and provide care that is culturally sensitive?

Remaining calm and collected while educating the patient and her family of what is happening,
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why it’s occurring and what steps are being taken to rectify the medical emergency. Lastly,
providing support to the patient and family.

1 The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN)
competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP),
Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: http://qsen.org/

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T&C How important do you feel it is to include Fatime Sanogo’s husband as a member of the health
care team? Why?

Culturally, the male is the head of the family and should be involved in the decision making
process.

Concluding Questions
Reflecting on Fatime Sanogo’s case, were there any actions you would do differently? Explain.

I would have assessed her bladder status earlier.

Describe how you would apply the knowledge and skills that you obtained in Fatime Sanogo’s case to an
actual patient care situation.

In this vsim I think the assessment and communication with the provider were key factors in successfully
taking care of Fatime. Being aware of a patient’s status changing and effectively communicating to the

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provider would be essential in an actual patient care situation.

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eH w
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ou urc
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aC s
vi y re
ed d
ar stu
is
Th
sh

This study source was downloaded by 100000824860083 from CourseHero.com on 04-30-2021 04:08:14 GMT -05:00

https://www.coursehero.com/file/50561916/Fatime-Sanogo-Guided-Reflectiondocx/
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