QUESTIONS TO BE ASKED OF ADN STUDENTS

BY PRECEPTOR/COACHES/INSTRUCTOR

TO DEVELOP SKILLS

Adapted from PBDS “Yellow Card”

CRITICAL THINKING

>>Synthesize data/Problem label

• Ask student…for patients assigned:

- What complications could occur?

- What clinical data would lead you to believe this complication is/would occur?

>>Management

• Communication with MD/Anticipate MD orders

Give multiple opportunities to simulate calling the physicians.

Before calling, ask student the following questions:

- What data would you give the physician?

- What orders will you hope/expect to get from the physician?

- Why are these orders needed?

· Independent nursing actions:

Ask student…for patients assigned:

- What nursing actions do you need to take and why?

>>Rationales to support actions

· Ask student…for patients assigned:

- Why are these particular interventions relevant for this patient?

>>Urgency

· Ask student…for patients assigned:

- What clinical data would indicate the patient needs immediate intervention/why?

If action(s)/intervention(s) taken by the student are irrelevant/have caused or have potential for harm –

ASK: What makes your action unacceptable/undesirable?

What action should have been taken?

>>Interpersonal (IPR)

· Discuss incidents describing either negative or positive outcomes. Include:

- who was involved?

- the issues or conflict

- the intended or desired outcome; IPR strategy used

- results of the strategy

- if negative outcome, discuss alternative strategies or responses

>>Medications

- When would you question giving medication?

- How do you know it’s effective?

- What would you do to prevent/address side/adverse effects of medication?

- What would you teach the patient regarding medication?

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