Table 3 Example of Developed Scenario Contents by Developing Scenario Learning

Effective communication before antibiotic skin test

■ (Washing hands. Confirming the patient’s prescription and preparing the item)

■ Nurse: Hello, my name is OOO. (Washing hands) What is your name?

■ Patient: This is △△△.

■ Nurse: (Checking the patient’s bracelet and medication label) 123,456 △△△ has been confirmed. Have you ever taken antibiotics in the past?

■ Patient: Yes. I had a very bad cold and was hospitalized.

■ Nurse: Alright. Have you ever had side effects such as skin rash, itching, heat, and chest tightness after taking antibiotics?

■ Patient: Itchy and red marks around the arm; penicillin or something is not good for me.

■ Nurse: Yes. I know. From now onward, as there is a risk of infection through surgery, antibiotics will be administered. First, to determine if there is a hypersensitivity reaction to antibiotics before administration, we will start with a skin test.

· Hand hygiene

· Patient identification

· Problem assessment

· Select related core skills

Perform the intradermal injection accurately

■ Nurse: (Choose an injection site and take a comfortable position and wash hands) I will do a skin test on your right arm. It will sting slightly (draw the injection site boundary after intradermal injection, and write the date, time, and drug name).

■ Patient: Ah ~ ~ Ah ~ ~ It hurts.

■ Nurse: Were you very sick? I’ll check the skin reaction in 15 minutes. Do not touch or rub the area drawn with the ballpoint pen (Washing hands after organizing).

·Performing core skills

· Proceed with the correct procedure

Solve problems through verbal and non-verbal communication

■ Nurse: (After 15 minutes) Show me the area marked with the ballpoint pen (check the degree of redness and swelling). There is a possibility that the test will be positive. Have you ever touched the injection site? Let’s check again.

■ Patient: Why are you doing it again? Isn’t it strange that it’s an antibiotic or something? You said I was allergic. Shouldn’t you find out more before giving an injection?

■ Nurse: Yes. You’re right. As this can happen, I asked you a question before the reaction test, but there is a point after which I am not supposed to check again without consulting the doctor. I’ll check for itching or hives. Are you feeling out of breath?

■ Patient: Did someone else’s injections go wrong?

■ Nurse: You haven’t been on antibiotics yet. As I explained at the beginning, the antibiotic was not administered because the reaction test was performed before the antibiotic injection. So don’t worry too much. We asked you several troublesome questions to protect your safety. Thank you for answering the question, although it is difficult. Do you have any more questions?

· Problem-solving

· Determining whether the situation is to be reported to the doctor