Swift River Virtual Clinicals Answers is a virtual simulation platform where practicing and student nurses can train themselves on how to handle different clinical scenarios in the hospital setting. The Swift River Virtual Clinicals Answers guide helps all visitors of the platform navigate all the sections on the website for an easy learning experience. The virtual hospital has provided a useful learning solution for a majority of nursing programs across the world that are embracing the advancement of technology in healthcare training.
The platform is no different from a real physical scenario in a hospital organization. However, due to the sophisticated nature of this technology, most practitioners and students alike find it challenging when navigating through the platform. Therefore, in this article, I will be covering the best way to handle the virtual clinical assessments on the Swift River Virtual Clinicals Answers platform.
The Swift River Virtual Clinicals Answers currently contains different sections, some of them resembling the departments in a hospital. It is regulated by nursing regulatory bodies in assessing the readiness in pre-licensure nursing programs as an alternative to the traditional clinical experience. It is a technique to amplify real experiences with guided ones that replicate the substantial aspects in the real world in a fully interactive manner.
The Swift River simulation has sections such as; med-pass, medical-surgical, obstetric triage, mental health, math refresher, pediatrics, and emergency room leadership. Soon to come are; medical-surgical manager, community health, health assessment, and nursing administration.
Swift River Virtual Clinicals Answers platform aims at improving the test taker’s skills in delegation, prioritization, and sequential thinking in different scenarios presented. It has a huge database of case studies from where the simulations come from. It was created by nurses for nurses to obtain clinical hours, improve clinical practice, build confidence and skill, and improve NCLEX predictor scores. Many nursing students, practitioners, and academicians have sung praises for this platform. From a nurse’s perspective, the platform is not very tech-savvy; however, different people have different skills when dealing with virtual simulation. How to handle the virtual clinical has become easier with time and I am here to explain why.
Each session gives a minimum number of scenarios that are needed for completion. There is also a minimum score needed and a minimum number of clinical hours to be achieved so as the task can be considered complete. The tasks are redo able for any number of times till all the necessary instructions are met and the task moves to the past assignments section. However, using this guide, many students have found it easier to finish the assignments without having to retry a couple of times.
Emergency Room Leadership
This part is for both ER student and staff nurses. Trainees are required to triage over 200 virtual patients with background sound distractors present. As the program starts, the waiting room and emergency rooms are empty and it starts at 0700hrs. The simulation runs for 24 hours in the emergency room. There are different cadres of nurses listed according to qualifications and the aim is to select the best suited to handle a problem in the ER. When you click the next event button, two or more patients are admitted and their shortened history or chief complaint is given. As each patient enters, you must read the description and assign an ESI level of acuity from 1 to 5.
You must start with the most critical patients first and assign them 1 or 2 accordingly. The next task is to assign a nurse qualified to handle that scenario. There are three cadres of nurses starting from the most qualified to deal with limb and life-threatening situations to the least experienced. The trainees are required to adjust staffing when necessary and move assigned nurses to other patients according to the highest level of acuity and the best available staff. The trainee then sends these patients to a proper room in the emergency room. The patients are sent to the Operating room, critical care, step-down, or discharge according to the ESL level of acuity assigned.
When you click the next event, another bunch of patients arrives. The same drill is followed and after some time, things get hectic. The emergency room becomes full. The low acuity patients have to be moved to the patient holding area to create room for admission of others. The occupied nurses in the trauma and OR can also be freed when the discharge option appears as shown below and they become available for delegation of new duties. The trainees can also appropriately divert patients when no other option exists. The students are assessed for their ability to properly sequential think with all actions.
As the simulation progresses, the end of the shift finally comes. All leadership decisions will be timed and overall actions as per simulation will be measured for accuracy. The time taken is indicated on the upper right corner. Students will achieve an overall through-put time at completion to demonstrate their timely ability to move patients rapidly through a busy emergency department setting. The statistics and final scores are shown on the final page. If the instructions were met, the task moves to the past assignments section.
In this session, you will be required to identify correctly the medications by classification in the Swift River nursing simulation. A drug index is provided for you for reference where you can type in the name of the drug or the class and all the options available according to preparation and dosage are provided. From your knowledge of pharmacology, these terms used in this session will not be difficult.
The simulation program for the Swift River med pass sessions starts from 0600 hours and ends at 2200hrs. The med pass answers are in the system and any incorrect answer is flagged immediately using red color. A correct answer is given the green light and the score remains 100 if no mistakes are made.
You will be required to identify the patients correctly from the biodata on the tablet and the patient in the room. This is done by checking whether the patient’s name, passport picture provided, date of birth, inpatient number, and other information match correctly on the tablet as in the room. If the information does not match, you will need to click the error button to show that you were keen and identified the error early enough before administering drugs.
Failure to correctly identify the patient leads to administering of wrong medications to wrong patients which happens in a real setup if care is not taken by the nurses. In the Swift River Virtual Clinicals Answers, you will be penalized some points which will mean that you will not achieve the indicated minimum score which is 100 for the med pass section.
Once the patients have been identified you will enter the room and click on the tab on the patient results. The laboratory results, vital signs results, and pain level need to pop first before proceeding to check the drugs. If this step is skipped, some drugs will decline because they cannot be administered without knowledge of lab results or pain levels.
You will also be required to demonstrate safety rights when administering both oral and injectable medications in the Swift River Virtual Clinicals Answers. Some of the medications have conditions when only they can be administered and it is important to note these before clicking the administer button.
For instance, for analgesics such as acetaminophen, they are only administered when the pain level is mild while morphine and tramadol are only given when the pain is moderate to severe. Therefore, checking for the pain every time you are administering medication is essential. Similarly, for diabetic patients, the level has to be checked first before giving the appropriate type of antidiabetic and the amount of drug to administer.
From this point, your knowledge of pharmacology is required. You will be needed to identify when to hold medication based patient assessment. Pain killers need to be held when there is no pain. Some antidiabetics such as insulin glargine must also be held when the patient is hypoglycemic as indicated in the laboratory report.
This is particularly important in training practical nurses who can assess the real patient and manage him or her wholesomely and not the textbook. Choosing the correct supply of medication from the pharmacy is essential as not all formulations are always available at any one time. A second witness needs to be called upon when administering insulin in diabetic patients.
The correct dosage amount needs to be calculated and given in correct divisions as per the preparation available. Some medications are incorrectly placed in the administration tray and identification is needed to mark the incorrect medication. Some patients are allergic to certain classes of medication. Patient information will indicate his or her allergies and this should be checked first before selecting the specific medication.
For instance, some asthmatic patients are allergic to beta-blockers for cardiovascular disorders. Therefore, administering some drugs such as propranolol may exacerbate their condition. You will be required to demonstrate progress in skills of medication administration through improvement in the time and accuracy of the simulation.
There are pop-up interruptions that need to be addressed immediately before proceeding. This presents the worst challenge as it is so easy to get an incorrect answer which will lead to failure to get the 100 percent score in the Swift River med pass assignment. The interruptions are essential to delegate duties to different cadres of nurses appropriately and according to their availability.
For instance, when a call light goes off in another room, a nursing assistant if available, the best answer is to assign him/her to go check on that patient. Similarly, a registered nurse or a licensed practiced nurse would be required to go check when the pop-up is from a patient who is complaining about feeling pain or headache.
Reproductive health is one of the key departments in a hospital. In Swift River Virtual Clinicals Answers, the basics for passing these obstetrics triage assignments are key. In this section, the simulator has 3 phases. The first phase is to identify 17 basic obstetric definitions according to the presented data. You will be given about 8-10 definition statements where you will be required to choose the condition or procedure from the list of 17.
Some of the terms include; contraction stress test, non-stress test, premature rupture of membranes, premature labor, placenta praevia, and abruptio placenta just to name a few. Minimal knowledge of obstetrics and gynecology is essential in the Swift River Virtual Clinicals Answers platform.
The second phase requires you to match terms to patient case scenarios. A detailed history of the patient is given that includes the gestation by date, chief complaints, and recent investigations such as ultrasound findings. You will be required to match the correct term from the drop-down that applies to the scenario.
For instance, Patricia Moore presents with lower back pain that comes in waves with other symptoms that she thought was a yeast infection. She is at 24 weeks and has not had antenatal care. The correct term for her condition is premature labor. Most of the common obstetric conditions are available at the Swift River Virtual Clinicals Answers.
The third phase is where you will be needed to assign presenting patients to the selected departments in the virtual nursing clinicals. The case studies will detail fully what the patient has presented with and the interventions done before. You will, therefore, triage the patient according to this information and assign the correct department to handle the case.
For instance, a patient who comes with an abruptio placenta and is deteriorating will need to be taken to the theatre for the cesarean section. Similarly, a gestational diabetes patient who has sugar levels under control can be sent for discharge while monitoring is done. A post-term pregnancy will be admitted to the labor and delivery unit for induction of labor.
You will be required to demonstrate progress in skills of obstetrics triage through improvement in time and accuracy of simulation. The scores are determined by the average process time, accurate dose calculation, and accurate triage of patients. An example of a score sheet as done by myself in the Swift River Virtual Clinicals Answers is shown in the picture below.
The Swift Rver pediatrics simulator is unique. It has 5 phases that include; assigning of acuities based on the preliminary assessment on the reported assessment. Different virtual patient case scenarios will be presented on the page and you as the acting nurse will need to select acuity from the drop-down menu as normal or increased according to that specific need whether educational, pain, health, psychological, or safety. The system will generate a report of whether the selected choices were correct and explain it.
The next step will assign appropriate rooms according to the level of acuity. The patient with the highest acuity is assigned a room first. The room number selected needs to be the correct one as in the patient name. If it does not match, you need to click the “mark as error” button before you proceed. This is done as alluded earlier in the medication administration section by checking the date of birth and the patient number.
Nursing diagnoses according to the patient report will be required of you in Swift River Virtual Clinicals Answers. All appropriate nursing concerns based on the history given are indicated by ticking them and leaving the others blank. The system then generates a report of whether the choices selected are true or not with an explanation. For instance, a patient who was just born a few hours ago has concerns such as the risk of impaired gas exchange and hypoglycemia. The next part will be picking patient care scenarios to attend to. The higher numbered acuities are at most risk and therefore need to be attended to first.
The next phase involves given patient scenarios where you will be required to arrange them in order of priority. You will be needed to prioritize pediatric nursing care needed for pediatric patients in the virtual simulation. You ought to demonstrate progress in caring for patients through improvement in the time and accuracy of simulation.
Delegation and prioritization skills are also important for the care here because of the call-light distractors in the Swift River pediatric simulation. If the patient needs help going to the washroom or would like to speak to the person who brings food, an appropriate and available member of staff such as a certified nursing assistant should be assigned as demonstrated in the picture above.
The correct arrangement of the actions to take according to the priority concern is the hallmark of this phase. In almost all scenarios, assessing the patient comes first and documentation of the report comes last. Always remember that some calls can only be made by the physician, therefore, this step should come first where necessary.
The last phase is the demonstration of safe medication administration for pediatric patients in the virtual clinical environment. The patient information including the medical diagnosis, pain level, lab works, and allergies are indicated before you proceed to the next step. You are required to fill the provided in the patients’ 24hr MAR by choosing the select button.
If the medication cannot be found or dose is outside the dosing parameters, selecting error would be appropriate. Simulation of narcotics loaded in the med cart for 24 hours is only meant to demonstrate medication calculation (not necessarily a health care institution protocol). The drugs can be searched either by category or system in the drug reference provided by Swift River Virtual Clinicals Answers.
The amount of medications to be placed is selected while paying attention to the route of administration, frequency, preparation form, and time of administration. Fluids and electrolytes are equally distributed throughout the 24 hours and administered per hour. These drugs after placing in the cart need to be administered in their correct times and dosages starting from 0600hrs to 2200hrs. a second witness should be available when administering antidiabetics. Some drugs such as antiemetics, analgesics, and antipyretics are only given when the condition at that time necessitates. Otherwise, they are held.
In this section in Swift River Virtual Clinicals Answers, you will form a preliminary assessment based on reported assessment data for med-surgical patients in the Swift River Virtual Clinicals Answers. You will also be needed to assign a correct nursing diagnosis for patients in a medical-surgical environment. Just like in pediatrics, you will need to prioritize the nursing care needed by the sequential arrangement of care in the virtual scenario.
Delegation and prioritization skills with the presence of call-light distractors in the simulation will be essential as described in the other parts of this article. Demonstration of progress in caring for these cases through the improvement of time and accuracy of the simulation will be required. The Med-Surg assignment in the Swift River Virtual Clinicals Answers is easy to navigate after you are done with pediatrics.
In Swift River Virtual Clinicals Answers, psychiatry is a core aspect of health. You will correctly identify 17 common psychiatric diagnoses. Then, you will correctly identify a psychiatric nursing diagnosis according to the presented assessment data. You will demonstrate knowledge of common medications for presented psychiatric nursing diagnoses.
This will include will demonstrating knowledge of common medications for presented psychiatric nursing diagnoses. The next phase will be about assessing levels of stress for a group of patients in a virtual clinical environment from highest to lowest. You will be required to demonstrate an understanding of appropriate interventions for identified stress levels of patients. Lastly, you will need to demonstrate progress in caring for psychiatric patients through improvement in time and accuracy of simulation.
The Swift River Virtual Clinicals Answers provides for training on the calculation of dosages for patients. In this section, you will accurately compute basic math problems related to medication administration. You will also demonstrate proper mechanics of medication administration in a virtual environment. Some calculations involve the calculation of total fluid intake in a patient.
These problems present the biggest challenge in the math refresher especially for students who did not grasp nutrition well in class. However, when you understand how to discern fluids from non-fluids from the list the assignment becomes a walk in the park.
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