Unfolding Case Study: Assessment, Communication, and Protection Related to COVID-19

This three-part unfolding case study focuses on assessment, communication, and protection related to COVID-19. The case study emphasizes the need to recognize, interpret, intervene, and evaluate information and actions alongside other members of the health care team in rapidly evolving, complex care situations. The case study is presented in an interactive presentation. Each presentation is accompanied by a supporting document to assist educators with planning how the case study can be used.

 

Part 1:

Rose, a 67-year-old woman, is admitted to the hospital with diabetic acidosis. Her initial COVID-19 screen is negative. While in hospital, Rose begins to develop symptoms consistent with COVID-19.

Click here to begin Part 1.

Click here to open the supporting document for Part 1.

 

Part 2:

Rose has tested positive for COVID-19. She is transferred to the COVID-19 unit, where her condition begins to deteriorate.

Click here to begin Part 2.

Click here to open the supporting document for Part 2.

 

Part 3:

Rose’s condition continues to worsen. She is transferred to the Intensive Care Unit where the nurse and respiratory therapist collaborate in applying a 100% O2 non-rebreather mask.

Click here to begin Part 3.

Click here to open the supporting document for Part 3.

Learning Outcomes:

Upon completing the three case studies, learners will:

  • Recognize possible COVID-19 clinical manifestations.
  • Assess the patient according to a suspected and confirmed COVID-19 risk.
  • Apply independent and collective protective interventions in the context of a suspected and confirmed COVID-19 patient.
  • Apply surveillance and general assessment in the context of a confirmed COVID-19 patient with difficulty breathing.

Acknowledgements:

The Canadian Association of Schools of Nursing (CASN) is incredibly grateful to the team of nurse educators and clinicians who partnered to develop this COVID-19 resource. CASN would like to extend special thanks to Dr. Anik Dubé for leading the team and Chad L. Doucet for adapting and designing the case studies.

Authors:

Myriam Breau, MSN, PhD(c), RN Professor, School of Nursing, Université de Moncton
Ivy Greta Cawley, RN Cardiology Nursing, University of Ottawa Heart Institute
Chad L. Doucet, BScN, MSN, RN Clinical Instructor, Université de Moncton, Shippagan Campus
Academic Advisor, New Brunswick Critical Care Nursing Program
Anik Dubé, PhD, RN Professor, School of Nursing, Université de Moncton
Suzie Durocher-Hendriks, BA, BSc, MEd, RN Adjunct professor, School of Nursing, Université de Moncton
 Benoît Morin, BScN, RN, CC(C) Clinical instructor, Simulation Laboratory Coordinator, School of Nursing, Université de Moncton
Debbie Sheppard-LeMoine, PhD, RN Associate Professor, School of Nursing, St. Francis Xavier University
Jenna Vardy, RN, BScN, CCNC(c) Tutorial and SIM Lab Instructor, School of Nursing, Dalhousie University
Critical Care Nurse, Nova Scotia Health Authority
Cynthia Baker, RN, PhD Executive Director, Canadian Association of Schools of Nursing