Virtual Clinical Excursions 2.0 to Accompany Thelan's Critical Care Nursing: Diagnosis and Management / Edition 4

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Overview

Dynamic and engaging, Virtual Clinical Excursions is a workbook and CD-ROM package that guides users through a multi-floor virtual hospital featuring highly complex and diverse patients. Complementing core textbook reading assignments in Urden: Thelan's Critical Care Nursing: Diagnosis and Management, 4th Edition, lessons in the workbook provide a perfect opportunity for users to practice what they are learning in the text in a realistic clinical environment. The multi-floor hospital also has built in testing with immediate feedback of clinical knowledge with NCLEX-RN type questions.

• Explores how to care for clients' most basic needs — addressing activity and immobility, nutrition, oxygenation, and elimination, as well as special needs.
• Features an Intensive Care Unit with:
- James Story, a patient admitted for renal failure
- James Franklin, who has undergone a carotid endarterectomy
• Includes a guided tutorial which shows students how to work with a patient in a virtual hospital · collect patient data from various sources (reports, charts, medication administration record, short video clips and audio clips of nurse-patient interactions) · record patient data · listen to a report and itemize a patient's problems and high-priority concerns · sometimes administer medication · and more.
• Emphasizes the importance of patient care — from nursing assessment, diagnosis, and planning, to implementation and evaluation.
• Requires students to document client-nurse interactions — retrieving clinical data, maintaining quality and continuity of care, tracking client outcomes, and meeting current practice standards.

Produced in conjunction with the Virtual Clinical Excursions CD-ROM authors: Jay Shiro Tashiro, PhD, RN; Ellen Sullins, PhD; Gina Long, RN, DNSc

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Editorial Reviews

Doody's Review Service
Reviewer: Martha M. Kennedy, RN PhD CCRN ACN(Johns Hopkins University School of Nursing)
Description: This is an interactive tool designed to bring clinical scenarios to life for, and develop critical thinking in, students of critical care nursing. The student is provided with a workbook and dual CD-ROM set for installation on a Macintosh or PC system.
Purpose: The format of this publication is unique, because it is meant to bring the practical experiences usually found only at the bedside to the computers and desks of students of critical care. This voyeuristic approach allows the student to learn in a safe environment where they can repeatedly examine and learn from the patient portrayals. Unfortunately, I was unable to fully explore the degree to which the authors meet this objective as I was unable to get the CD-ROM based scenarios to run consistently or completely.
Audience: A review of the content and questions listed in the workbook leads me to believe that the beginning critical care nurse or senior nursing student would benefit from this program. The questions related to patient scenarios are comprehensive and will encourage critical thinking and analysis.
Features: This workbook covers selected basics of a systems-based review of critical illness (cardiovascular, pulmonary, neurologic, renal, gastrointestinal, and endocrine systems). The workbook also includes special populations, such as the high risk obstetric patient, perianesthesia management, multisystem organ dysfunction, transplant patients, and burn patients. Workbook questions are focused on areas important to the provision of quality care and should lead students and new nurses towards the desired level of practice at the bedside. Clinical reviews at the end of patient scenarios are available for assessments of student learning. The program is designed to create a virtual hospital, complete with hospital entry, nursing station, computers, and interaction with a preceptor. Although the computer system I used to review this product is new and fast, I was unable to observe all components of the CD-ROM, which includes video streaming, high resolution graphics, and high-quality sound. The program either froze and would shut down completely, or content would simply not appear as expected and described in the workbook. This difficulty continued even after following the detailed instructions provided by the authors. What was visible and functional was very crisp and clear. The patient and nurse interaction observed during an assessment was clear and representative of current practice. The patient centered content is very comprehensive (EPR, Kardex, MAR, doctor's notes, nurse's notes, intake and output recording, care plans, physical examinations, and more). This very thoroughness might be the downfall of the program, as the delays encountered while trying to move between screens and content were very frustrating and broke the rhythm of learning. If the student is not computer-savvy, the product would be intimidating and underused, even with instructions provided throughout the workbook.
Assessment: Although I did not have the book upon which this publication is based (Thelan's Critical Care Nursing: Diagnosis and Management, 4th Edition (Mosby, 2002)), I expect the product could stand alone and/or serve to accompany any basic critical care textbook. The interactive approach is very valuable, as long as the student is able to navigate the system and is able to get to all components easily and smoothly.

2 Stars from Doody
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Product Details

  • ISBN-13: 9780323018807
  • Publisher: Elsevier Health Sciences
  • Publication date: 1/5/2004
  • Edition number: 4
  • Pages: 208
  • Product dimensions: 8.52 (w) x 10.86 (h) x 0.60 (d)

Table of Contents

Getting Started
Getting Set Up
Quick Tour and Reference Guide
Detailed Tour
Lesson 1 – James Franklin
Exercise 1.1: Patient Family Education (Chapter 4)
Exercise 1.2: Psychosocial Alterations (Chapter 5)
Exercise 1.3: Sleep Alterations (Chapter 6)
Exercise 1.4: Nutritional Alteration and Management (Chapter 7)
Exercise 1.5: Pain and Pain Management (Chapter 8)
Exercise 1.6: Perianesthesia Management (Chapter 12)
Exercise 1.7: Cardiovascular Anatomy and Physiology (Chapter 13)
Exercise 1.8: Cardiovascular Clinical Assessment (Chapter 14)
Exercise 1.9: Cardiovascular Diagnostic Procedures (Chapter 15)
Exercise 1.10: Cardiovascular Disorders (Chapter 16)
Exercise 1.11: Cardiovascular Therapeutic Management (Chapter 17)
Exercise 1.12: Pulmonary Anatomy and Physiology (Chapter 18)
Exercise 1.13: Pulmonary Clinical Assessment (Chapter 19)
Exercise 1.14: Neurologic Anatomy and Physiology (Chapter 23)
Exercise 1.15: Neurologic Clinical Assessment (Chapter 24)
Exercise 1.16: Neurologic Diagnostic Procedures (Chapter 25)
Exercise 1.17: Neurologic Disorders (Chapter 26)
Exercise 1.18: Neurologic Therapeutic Management (Chapter 27)
Exercise 1.19: Renal Anatomy and Physiology (Chapter 28)
Exercise 1.20: Endocrine Anatomy and Physiology (Chapter 34)
Exercise 1.21: Endocrine Clinical Assessment and Diagnostic Procedures (Chapter 35)
Lesson 2 – Tom Handy
Exercise 2.1: Pain and Pain Management (Chapter 8)
Exercise 2.2: Pulmonary Diagnostic Procedures (Chapter 20)
Exercise 2.3: Pulmonary Disorders (Chapter 21)
Exercise 2.4: Pulmonary Therapeutic Management (Chapter 22)
Lesson 3 – Paul Jungerson
Exercise 3.1: Patient Family Education (Chapter 4)
Exercise 3.2: Psychosocial Alterations (Chapter 5)
Exercise 3.3: Nutritional Alteration and Management (Chapter 7)
Exercise 3.4: Pain and Pain Management (Chapter 8)
Exercise 3.5: Perianesthesia Management (Chapter 12)
Exercise 3.6: Gastrointestinal Anatomy and Physiology (Chapter 31)
Exercise 3.7: Gastrointestinal Clinical Assessment and Diagnostic Procedures (Chapter 32)
Exercise 3.8: Gastrointestinal Disorders and Therapeutic Management (Chapter 33)
Lesson 4 – Julia Parker
Exercise 4.1: Patient Family Education (Chapter 4)
Exercise 4.2: Psychosocial Alterations (Chapter 5)
Exercise 4.3: Sleep Alterations (Chapter 6)
Exercise 4.4: Nutritional Alteration and Management (Chapter 7)
Exercise 4.5: Cardiovascular Anatomy and Physiology (Chapter 13)
Exercise 4.6: Cardiovascular Clinical Assessment (Chapter 14)
Exercise 4.7: Cardiovascular Diagnostic Procedures (Chapter 15)
Exercise 4.8: Cardiovascular Disorders (Chapter 16)
Exercise 4.9: Cardiovascular Therapeutic Management (Chapter 17)
Exercise 4.10: Pulmonary Anatomy and Physiology (Chapter 18)
Exercise 4.11: Pulmonary Clinical Assessment (Chapter 19)
Exercise 4.12: Pulmonary Disorders (Chapter 21)
Exercise 4.13: Pulmonary Therapeutic Management (Chapter 22)
Exercise 4.14: Neurologic Anatomy and Physiology (Chapter 23)
Exercise 4.15: Neurologic Clinical Assessment (Chapter 24)
Exercise 4.16: Endocrine Anatomy and Physiology (Chapter 34)
Exercise 4.17: Endocrine Clinical Assessment and Diagnostic Procedures (Chapter 35)
Exercise 4.18: Shock (Chapter 38)
Lesson 5 – James Story
Exercise 5.1: Patient Family Education (Chapter 4)
Exercise 5.2: Psychosocial Alterations (Chapter 5)
Exercise 5.3: Sleep Alterations (Chapter 6)
Exercise 5.4: Nutritional Alteration and Management (Chapter 7)
Exercise 5.5: Pain and Pain Management (Chapter 8)
Exercise 5.6: Renal Anatomy and Physiology (Chapter 28)
Exercise 5.7: Renal Clinical Assessment and Diagnostic Procedures (Chapter 24)
Exercise 5.8: Renal Disorders and Therapeutic Management (Chapter 30)
Exercise 5.9: Endocrine Anatomy and Physiology (Chapter34)
Exercise 5.10: Endocrine Clinical Assessment and Diagnostic Procedures (Chapter 35)
Exercise 5.11: Endocrine Disorders and Therapeutic Management (Chapter 36)
Exercise 5.12: Systemic Inflammatory Response Syndrome and Multiple Organ Dysfunction Syndrome (Chapter 34)
Lesson 6 – Elizabeth Washington
Exercise 6.1: Psychosocial Alterations (Chapter 5)
Exercise 6.2: Pain and Pain Management (Chapter 8)
Exercise 6.3: Perianesthesia Management (Chapter 12)
Exercise 6.4: Pulmonary Diagnostic Procedures (Chapter 20)
Exercise 6.5: Pulmonary Therapeutic Management (Chapter 22)
Exercise 6.6: Neurologic Anatomy and Physiology (Chapter 23)
Exercise 6.7: Neurologic Clinical Assessment (Chapter 24)
Exercise 6.8: Neurologic Diagnostic Procedures (Chapter 25)
Exercise 6.9: Neurologic Disorders (Chapter 26)
Exercise 6.10: Neurologic Therapeutic Management (Chapter 27)
Exercise 6.11: Renal Anatomy and Physiology (Chapter 28)
Exercise 6.12: Endocrine Anatomy and Physiology (Chapter 34)
Exercise 6.13: Endocrine Clinical Assessment and Diagnostic Procedures (Chapter 35)
Exercise 6.14: Trauma (Chapter 37)
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