Analyzing Clinical Risks: Role Play Scenarios in Healthcare Simulation

This assignment presents a series of role-play scenarios designed to assess and manage clinical risks within a healthcare setting. The scenarios cover various situations, including managing a patient with Type 1 diabetes experiencing seizures, addressing complications during venipuncture such as vein damage and hematoma formation, handling potential burns from using hot water to locate veins, and dealing with nerve damage during venipuncture in a pregnant patient. Each scenario requires identifying potential clinical risks, recognizing adverse reactions and complications, outlining appropriate responses, and providing necessary first aid interventions. The document emphasizes the importance of following organizational protocols and providing immediate and effective care to ensure patient safety and minimize potential long-term damage. This assignment underscores the critical thinking and practical skills necessary for healthcare professionals in managing and mitigating clinical risks in diverse patient care scenarios. Desklib offers a platform to access similar solved assignments and past papers for students.

ASSESSMENT TASK 4 -
ROLE PLAY SCENARIO

TABLE OF CONTENTS
Scenario 1........................................................................................................................................3
Scenario 2........................................................................................................................................4
Scenario 3........................................................................................................................................5
Scenario 4........................................................................................................................................5
REFERENCES................................................................................................................................7

Scenario 1
Clinical risks- There are many clinical risks during treating Peter who was 28 years old as was
suffering from Type 1 diabetes. The blood test was done and even the patient also checked the
insulin level in his body. According to the test reports, appropriate treatment should be given at
that time because if anything happens to him then it can cause physical risks. In this case, the
clinical risks can be fainting, seizures, falls and grazes along with the need of diabetic
emergency.
Adverse reactions- There can be unexpected or dangerous reaction to the drugs. This can be
evaluated from the scenario that there are various adverse reactions such as feeling dizzy and
light headed, paleness in his face along with altered conscious state in him. There can also be
adverse reactions such as fainting and falling to the ground (Lindenmaier and et.al., 2018). This
also resulted in the seizures. If the person falls due to unconsciousness then he can also have
sustained a graze to his left knee. These complications require first aid otherwise can lead to
issues for long term. Seizures are basically uncontrolled electrical disturbance in the brain which
occurs suddenly due to interruption in the normal connections between never cells in the brain.
The main reason behind this is the low or high sugar of Peter.
Complications- Complications of type 1 diabetes are many including damage to heart and blood
vessel, nerve, kidney, eye, foot, skin and mouth, pregnancy etc. According to the scenario of Mr.
Peter, the complications when he was leaving after having the blood test include the nerve
damage due to which seizures can be produced. This can also cause numbness and pain. This can
also lead to damage in feet and legs due to which he fell to the ground ( DiMeglio, Evans-Molina
and Oram, 2018). This also led to graze to the left knee. The healthcare settings where the blood
test was done must provide appropriate treatments at that time. First aid here can be for the falls
and grazes due to which his knee was affected. Diabetic emergency needs to be considered and
treated accordingly.
First aid response- First aid is necessary because the reports of the person did not come and
there was a need for the urgent treatment for falls, grazes and seizures because if not treated at
appropriate time can lead to life-long injuries and damage. The tight clothing of the person must
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be loosened around the neck for aiding the breathing (Hanberger and et.al., 2021). The person in
the pathology collection clinic must stay with them and also talk to them calmly.
Scenario 2
Assessed and recognised potential clinical risks- This can be evident from the scenario that
Steven has difficult veins from both the arms and he was 36 years old. The doctors do not feel
many complications in left cubical fossa but also they found basilica vein deep in the same. By
following the organisation protocols, the needle was inserted to reach the vein. There can be
many risks here such as vein damage or blood vessels damage etc. The abnormal symptoms were
seen such as purple discoloration on the skin and also as the needle was taken out the red blood
spurts out. This clearly shown that something bad happened while inserting the needle in the
veins of Steven.
Identified adverse reactions and complications: The complications in this case can be many as
if there is a damage of capillaries, then this can also lead to bruises. This is basically occurred at
the site where the needle is inserted due to breaking of small blood vessels and capillaries and
bleeding occurs under the skin which further leads to skin discolouration of Steven.
Response to the adverse reactions: The practitioners at the SCEI pathology collection clinic
must respond immediately to the discolouration of skin and red blood spurting. They must use
the cold pack for making the patient feel comfort and also they must ensure that they use the cold
pack for more than 10 minutes in every 3 hours accordingly (Sonoda and et.al., 2020). They also
need to ensure that warmth is used such as heating pas after 48 hours so that the pain can be
relieved and also it can promote healing.
First Aid: First Aid needs to be provided in the cases where discolouration occurs because small
amount of bleeding is considered to be normal but in case of discolouration of skin and that also
in purple colour needs to be addressed by the doctors in the pathology collection clinic. Firm
pressure needs to be applied at the site where the needle is inserted and removed (Abitbol and
Palmert, 2021). The bandage also needs to be kept after the drawing of blood for a few hours.
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Scenario 3
Potential clinical risks: There are many risks associated with the process of filling glove with
hit water for making the veins accessible and superficial. This is normal that when the patient do
not eat or drink properly before getting the tests, then this becomes harder to find the veins (Hunt
and et.al., 2020). This is also evident that the body needs to be warm fir increasing the blood
flow, dilating veins so that they can be easier to find.
Adverse reactions and complications: There can be adverse reactions of this method of
hydrating the body because if the glove is not packed properly then this lead to leakage of that
much hot water then this can lead to superficial burns on the arms of the patient where the glove
is placed (Payne and et.al., 2019). These burns need to be immediately addressed and treated
because this can have long lasting damage over the whole body.
Response to the adverse reactions and complications: The scalding of hot water causes lot of
pain as well as damage to the skin. These can be dangerous as this destroys the affected cells and
tissues. The body can also go in shock which can make these burns life threatening. The first
response must be to run the cool water instead of cold one for about 10 minutes and the loosely
covering the area with non adhesive bandage or sterile one.
First aid: During the process of healing, the affected area needs to be protected from friction or
pressure. The counter pain relievers can also be used for reducing pain as well as inflammation.
Scenario 4
Recognised potential clinical risks: This can be examined from the scenario that Commie was
22 weeks pregnant. Her venepuncture needs to be done according to the organisational protocol,
the needle was inserted but the vein was missed (McCann and et.al., 2017). The vein was
inserted deeper in order to find the vein. But unfortunately, she was feeling much pain and not
only this; she was also getting sensation of electric shocks. She also lost sensation in thumb
because of clipping her median never.
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Adverse reactions and complications: The complication includes sharp shooting pain down or
up the arm. The severity of the pain also changes according to the changes in severity. The
electric shock feeling can also be felt which travels down the site of venepuncture (Jordan,
2020). The gap in the nerve can occur which can cause no longer transmitting the signals
because it is not possible for the signals to jump through never gap.
Response to adverse reactions: This issue can be treated by the help of compression, applying
ice and also keeping the arm elevated. Carpel tunnel surgery can also be done on immediate
basis in order to minimize the symptoms.
First aid: First aid needs to be given. Over the counter medication is necessary for reducing
inflammation. The non inflammatory drugs can be used such as ibuprofen. Another alternative is
to wear a brace or splint (Bratina and et.al., 2018).
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REFERENCES
Books and Journals
Abitbol, L. and Palmert, M.R., 2021. When low blood sugars cause high anxiety: Fear of
hypoglycemia among parents of youth with type 1 diabetes mellitus. Canadian Journal
of Diabetes. 45(5). pp.403-410.
Bratina, N. and et.al., 2018. Management and support of children and adolescents with type 1
diabetes in school. Pediatr Diabetes. 19(27). pp.287-301.
DiMeglio, L.A., Evans-Molina, C. and Oram, R.A., 2018. Type 1 diabetes. The Lancet.
391(10138). pp.2449-2462.
Hanberger, L. and et.al., 2021. Needle-Related Pain, Affective Reactions, Fear, and Emotional
Coping in Children and Adolescents With Type 1 Diabetes: A Cross-Sectional
Study. Pain Management Nursing.
Hunt, J.A. and et.al., 2020. Development and validation of a feline medial saphenous
venipuncture model and rubric. Journal of veterinary medical education. 47(3). pp.333-
341.
Jordan, S.E., 2020. The lacertus syndrome of the elbow in throwing athletes. Clinics in Sports
Medicine. 39(3). pp.589-596.
Lindenmaier, T.J. and et.al., 2018. The effect of an e-learning module on health sciences
students’ venipuncture skill development. Canadian Journal of Respiratory Therapy:
CJRT= Revue canadienne de la therapie respiratoire: RCTR. 54(1). p.12.
McCann, C.J. and et.al., 2017. Transplantation of enteric nervous system stem cells rescues nitric
oxide synthase deficient mouse colon. Nature communications. 8(1). pp.1-11.
Payne, S.C. and et.al., 2019. Anti-inflammatory effects of abdominal vagus nerve stimulation on
experimental intestinal inflammation. Frontiers in neuroscience. 13. p.418.
Sonoda, M. and et.al., 2020. Evaluation of Venipuncture Techniques Based on Measurements of
Haptic Sense and Finger Motion. Advanced Biomedical Engineering. 9. pp.197-201.
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