NR 305 Discussion: Debriefing of the Week 2 iHuman Wellness Assignment

Sample Answer for A Sample Answer For the Assignment: Included After Question

Purpose

The purpose of this debriefing is to re-examine the experience completing the Week 2 iHuman wellness assessment assignment while engaging in dialogue with faculty and peers. In the debriefings, students:

  • Reflect on the simulation activity
  • Share what went well and consider alternative actions
  • Engage in meaningful dialogue with classmates
  • Express opinions clearly and logically, in a professional manner

A Sample Answer For the Assignment: NR 305 Discussion: Debriefing of the Week 2 iHuman Wellness Assignment

Title: NR 305 Discussion: Debriefing of the Week 2 iHuman Wellness Assignment

Luciana Gonzalez and I did start off well until I started asking questions. Being an A type personality and being provided by the program all those questions, I assumed better to ask it all. So, as I am questioning my patient the answer I receive is “I’m not answering anymore”. Confused I thought I asked improperly so asked it again. Luciana in no uncertain terms said, ” I’m not answering that question, you ask too many questions and cut me right off”. How rude I thought. I even told all my coworkers that the computer yelled at me. We all got a chuckle.

So, I started my second round, thinking to myself (only being allowed 120 questions), I have all the answers to these, so I’ll continue where I left off. Big mistake, at the end evaluation I was docked points, apparently, I missed pertinent questions with information as per the program I needed, but I had those necessary answers already, according to me. The computer did not answer me back. I will not make the same mistake again. I’ve learned from that experience to ask the major questions and expand according to answers provided by the patient. 

The only other issue was the constant breathing. I don’t know if that bothered anyone else, but it was quite interrupting to me. Quess I could have put the volume down but was afraid too just in case Luciana went into respiratory arrest. As a computer program it was far better than taking the NRP exam. That simulation scenario only gives you 2 minutes to drag everything over to assess a newborn baby. This program does allow you the time to count the heart rate, check BP’s, assess appropriately without a limited time frame. Which is critical and more to realism. But once you leave that page you cannot go back to it, so you must take the time to write all the information down before going forward or backward. In a non-emergent situation in real life, it can be done, and is a crucial part in a health care physical.

Realistically it does give the student a basic understanding as to what to look for in a full health assessment. And as to deviations like Luciana and UTI, the specific questions and possible findings you would obtain. Such as the bacterium E.coli, what is looks like, how you come by the germ, rationale, and treatment. The EHR was a challenge. If I missed a lab value, I was not able to go back to retrieve it. In real life situations labs are easily obtainable and can be printed and placed in a chart for a doctor to see. And any abnormal critical reading would also be called to the nurse from the laboratory department giving their name and obtaining yours to ensure immediate acknowledge so that a PCP can be notified, and treatments can be instituted immediately.

The SBAR part of the assessment was well done. I felt upon writing the assessment down you were able to point out the necessary elements such as labs, vital signs, pain. Analyze and recommend any treatments needed so the patient can reach their optimum state of well-being.  

Although the first attempt seems a little overwhelming, I found the iHuman assignment to be very helpful and user-friendly. I tried to imagine what I would do/say in a real-life scenario and taking the time to find something similar to those specific questions in the simulation did take some time. I think the overall concept feels realistic and will get easier to navigate with each assessment. Although I missed several important questions on my first attempt, I did leave the scenario feeling confident in my assessment skills and planning.

In a similar scenario, I would know to ask more patient-specific questions and remember the important comprehensive questions to ask during an assessment. I was surprised by how accurate and precise the overall system was. For example, I did not listen to bowel sounds for at least 8 seconds in all quadrants and had pumped the blood pressure cuff too high. This definitely made the scenario feel more realistic.

Overall, the experience reinforced the importance of being thorough and accurate during your nursing assessment. Remembering to ask not only comprehensive health history questions but also focused, patient-specific questions about current findings. I think the expected accuracy of the assignment will only continue to sharpen your skills as a nurse.

In last week’s assessment of Luciana Gonzalez, I felt like moving through the whole simulation was fairly easy and the system is set up to kind of help you out along the way. I felt most confident going through the labs and looking for abnormalities there and then later applying those findings to the physical assessment and past medical history findings. I feel that the scenario was as realistic as it could be. It is hard to really interact with a computer patient – the rapport building between caregiver and patient kind of goes out the window – but overall, it was not that bad. I still felt as if I was talking to and helping a real patient.

One of the things that I struggled with the first time I tried the assessment was that I asked way too many assessment questions, and then got lost in the assignment in terms of trying to hit all the key areas. I should have just focused more on the patient and why she was there or what needed to be treated. When I have a patient like this, I will make sure to take the time to concentrate on the patient and their needs. It is easy for nurses to get bogged down in all the things we must do daily for our patients and then we miss the opportunity to connect with the people we are caring for.

iHuman is a great program teaching us valuable assessment skills, but there were a couple of things that did not really surprise me in the feedback – they were just things that I did not think about, I guess is a good way to put it. For example, I was dinged a few times for not asking questions that I did not think applied to this assessment and for asking questions that I did think were relevant. I was also given feedback on how to properly take blood pressure and check for pulses, which made me giggle because these are things that I do daily. However, it is hard to translate some physical things into a simulation.

I learned that I do not have to ask so many questions in order to figure out the information I need to treat a patient. When I hear that we must do a comprehensive assessment in my brain I think along the lines of okay I need to know everything that has ever transpired for them health-wise. When this is not the case at all. I need to learn to just step back and ask relevant questions that will focus on the health issues at hand. This will also help me in building rapport with my patients as well because I will not be taking up so much of their time and will be handling the issues they want to be treated in a timely manner.

    I do not have any questions about last week’s scenario. It was pretty straightforward.