Pharmacology Scenario 7: Jermaine Jones Guided Reflection

How did the simulated experience of Jermaine Jones’s case make you feel?

-Worried that I may not know what all the patient truly took which may prevent me from properly caring for him.

Talk about what went well in the scenario.

-The patient didn’t code or go into respiratory distress

Reflecting on Jermaine Jones’s case, were there any actions you would do differently if you were to repeat this scenario? If so, how would your patient care change?

-Offer more supportive resources to him and his wife, well mostly his wife, until he sobers up some more.

Scenario Analysis Questions^[1]

PCC What priority problem(s) did you identify for Jermaine Jones?

-Altered mental status, risk for fall, risk for injury, and risk of aspiration

PCC What potential problems could arise due to combination of alcohol with SSRI’s and benzodiazepines?

-CNS depression: dizziness, drowsiness, confusion, impaired coordination

PCC/S Discuss the importance of support from his family in Jermaine Jones’s care.

-Patient confused, under the influence, and more than likely will be a poor historian. His wife was also receiving education and instructions so she may help patient remember and also implement them in the home.

PCC/S Identify potential patient safety issues related to altered mental status due to the combination of alcohol with SSRI’s and benzodiazepines.

-Can cause hallucinations, seizures, lack of coordination putting patient at a safety risk.

S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote.

-Flumazenil is the antidote used with benzodiazepine overdose. This medicine should only be used in someone known to not be an abuser of benzodiazepines because it can cause extreme benzo withdrawl and possibly seizures.

T&C What other interprofessional team members should be involved in Jermaine Jones’s care?

-MD, MSW, psych

Concluding Questions

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

I can apply this knowledge to caring for patients with underlying mental health problems and more easily recognize adverse effects of medication interaction.

[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/