### CJSim™ Reflection Assignment

**Client Selected:** Jolene Sigmund (Pathophysiology Unit)

**Reflection**

This week’s assignment involved a thorough examination of a clinical scenario within the CJSim™ environment, focusing on Jolene Sigmund, a patient in the Pathophysiology Unit who required the use of a nasogastric (NG) tube. This simulation provided an immersive opportunity to apply theoretical knowledge to a practical situation, enhancing my understanding of the complexities involved in caring for patients with gastrointestinal issues.

**New Information Learned**

During this simulation, I learned several key aspects about the use of NG tubes, including the indications for their insertion, proper techniques for insertion and management, and potential complications. The simulation highlighted the importance of verifying NG tube placement through methods such as pH testing and X-ray confirmation. Additionally, I gained insights into the care protocols for patients with NG tubes, including monitoring for signs of complications like aspiration, infection, or tube displacement. The experience reinforced the significance of patient education and communication, ensuring that patients understand the purpose and process of NG tube insertion and the associated care requirements.

**Impact on Future Behavior as a Healthcare Professional**

This experience has underscored the critical role of clinical judgment in patient care. Moving forward, I will be more vigilant in assessing the need for NG tubes and ensuring meticulous care during their use. The simulation also emphasized the importance of adhering to evidence-based practices and maintaining a high standard of patient safety. I plan to incorporate these lessons into my clinical practice by consistently validating tube placement, closely monitoring patients, and providing comprehensive education to both patients and their families about NG tube care. This will enhance my ability to deliver safe, effective, and patient-centered care.

**Logical Reflective Flow**

The CJSim™ assignment allowed me to bridge the gap between theoretical knowledge and clinical practice. By working through the case of Jolene Sigmund, I was able to see firsthand the challenges and considerations involved in the use of NG tubes. This reflection has helped me consolidate my learning and has given me a clearer understanding of how to apply these skills in real-world scenarios. As I continue my nursing education and move into professional practice, the lessons learned from this assignment will be invaluable in enhancing my clinical judgment and improving patient outcomes.

### References

– Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2023). Fundamentals of nursing (11th ed.). Elsevier.
– Pagana, K. D., Pagana, T. J., & Pagana, T. H. (2021). Mosby’s® Diagnostic and Laboratory Test Reference, (15th ed.). Mosby.
– Vallerand, A. H., & Sanoski, C. A. (2022). Davis’s drug guide for nurses (18th ed.). F. A. Davis.

CJSim™ Reflection Assignment Guidelines

Purpose

This assignment is designed to support continued learning, developing critical thinking, and promoting clinical judgment skills throughout the pre-licensure BSN students’ education. The assignment will be completed based on the course in which the student is enrolled.

Program outcomes: This assignment enables the student to meet the following outcomes:

1. Provides individualized comprehensive care based on theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities, from entry to the healthcare system through long-term planning.

2. Demonstrates leadership and collaboration with consumers and other healthcare providers in providing care and/or delegating responsibilities for health promotion, illness prevention, health restoration, health maintenance, and rehabilitative activities.

4. Integrates clinical judgment in professional decision making and implementation of the nursing process.

8. Incorporates evidence-based practice in the provision of professional nursing care to individuals, families, aggregates, and communities.

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 80 points

Preparing the assignment:

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

1) Students will use the CJSim™ Unit Census document (found in the CJSim™ Access in Canvas) to identify the assigned client. CJSim™ Assignments per course:

a. For students who are in NR 228: Nutrition, complete only the client below:

· Client: Jenna Batch (Surgical Care Unit)

b. For students who are in NR 283: Pathophysiology, complete one of the following clients:

· Client: Jake Abbott (Fundamentals Unit)

· Client: Josie Brennan (Fundamentals Unit)

· Client: Jolene Sigmund (Pathophysiology Unit)

· The use of a nasogastric (NG) tube is mentioned during the Jolene Sigmund CJSim™. An NG tube is inserted through the nose into the stomach and can be used to decompress the stomach by removing gastric contents and/or administer medications.

2) Students will care for the CJSim™ client as if they are caring for a living, breathing client. This includes a thorough review of the electronic health record (EHR).

3) Students need to meet two criteria for each CJSim™ interaction:

a. Score at least 85% on each attempt.

b. Spend at least 15 minutes on each interaction.

Note: CJSim™ does not have a timer, please ensure you set a timer and have the screenshot with the 15 minutes per attempt.

4) Students may retake CJSim™ cases until the two criteria are met.

5) Resources available to support successful completion of this assignment include:

a. The BSN Program Library Guide, available using a link on the left navigation bar in Canvas, includes diagnosis and pharmacology resources, as well as the Made Incredibly Easy books.

b. Textbooks from courses taken before, or concurrent with, this course, including

· Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2023). Fundamentals of nursing (11th ed.). Elsevier.

· Pagana, K. D., Pagana, T. J., & Pagana, T. H. (2021). Mosby’s® Diagnostic and Laboratory Test Reference, (15th ed.). Mosby.

· Vallerand, A. H., & Sanoski, C. A. (2022). Davis’s drug guide for nurses (18th ed.). F. A. Davis.

6) Submits screenshot of completed CJSim™ in the assignment dropbox. Screenshot needs to include student name, CJSim™ case title, date/time of completion, grade received on the CJSim™, and total time spent in the CJSim™. See sample below:

7) Students may be required to complete specific or additional CJSim™ cases as deemed necessary by faculty.

8) Completes reflective journal

a. 150 word minimum reflection.

b. Summarizes new information learned by completing this assignment.

c. Reflects on how the new knowledge will impact future behavior as a healthcare professional.

d. Logical reflective flow which follows standard grammatical rules with minimal (1-2) misspellings and APA where applicable.

9) Detailed criteria are listed in the Grading Rubric.

CJSim™ Reflection Assignment Guidelines

NR-123: Practical/Vocational Nursing I

Application Assignment Guidelines

Grading Rubric

Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

Required Criteria

(Points possible/% of total points available)

Satisfactory Level of Performance
Unsatisfactory Level of Performance

CJSim™(s)

(50 points/62.5%)

50 points
0 points

Required Criteria

1. Selects and completes the CJSim™(s) based on the client and course.

2. CJSim™ Reflection: Enhancing Clinical Judgment in Nursing Practice appeared first on Destiny Papers.

CJSim™ Reflection Assignment Guidelines

Purpose

Preparing the assignment:

CJSim™ Reflection Assignment Guidelines

CJSim™ Reflection Assignment Guidelines

NR-123: Practical/Vocational Nursing I

Application Assignment Guidelines

Grading Rubric

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