Time: 9:30 AM – 4:30 PM

Title of learning activity: Clinical Simulation Reflection – Mrs. Ethel Matema

During this simulation, I encountered an 81-year-old patient, Mrs. Ethel Matema, who was admitted following a fall at home. She exhibited concerning signs, including confusion, drowsiness, and poor fluid intake. Her vital signs indicated a raised temperature (38.2°C), hypotension (BP 89/54mmHg), and dark, reduced urine output. Additionally, she was speaking to her deceased husband, which suggested possible delirium.

My first priority was to conduct a full assessment, recognising the possibility of a developing infection, likely a urinary tract infection (UTI), given her catheter, fever, and discoloured urine. I ensured infection control measures while obtaining a catheter specimen of urine (CSU) for analysis. Encouraging hydration was also essential due to her poor oral intake and history of low blood pressure.

After completing her NEWS2 assessment, I promptly escalated my concerns to my Practice Assessor using the SBAR handover framework, ensuring clear communication of her deteriorating condition. This experience reinforced the importance of early recognition of sepsis indicators, effective communication, and holistic patient care, particularly in elderly patients with frailty and cognitive changes.

Overall, this simulation helped me develop my clinical decision-making, prioritisation, and assessment skills, preparing me to respond effectively in real-life scenarios.