Cheryl Feken Dixon RN MS Assistant Professor of Nursing Clinical Simulation Coordinator Tulsa Community College [email protected].

Cheryl Feken Dixon RN MSAssistant Professor of Nursing

Clinical Simulation CoordinatorTulsa Community College

[email protected]

Goal of the SessionDescribe resources available for identifying

simulations applicable to the facility or educational needs

Discuss resources that facilitate the process for simulation writing

Identify tools needed for simulation writing

Develop a simulation

Resources Risk Management Team

http://www.medlaw.com/healthlaw/HOSPITAL/6_2/nurse-charged-with-felony.shtml

Joint Commission (National Patient Safety Goals)http://www.jointcommission.org/http://www.jointcommission.org/patientsafety/

nationalpatientsafetygoals/ IOM

http://www.iom.edu/ Hospital Education DepartmentMalpractice cases/Nurse Lawyers

Resources for Simulation IdeasAssess for unit needs or

course needsEssential experiences

neededPsychomotor skillsEducation

Theory contentCase studiesClinical experiences

Care plansJournal articles

often include history,

symptoms, lab values etc

Resources to Guide the ProcessInternational Association for Clinical Simulation

Learning (INACSL)www.INACSL.comhttp://www.inacsl.org/2009Conference.pdf

Society for Simulation in Health Carehttp://www.ssih.org/public/

Simulation Innovative Resource Center (SIRC)www.SSIR.com

Resources to Guide the ProcessUniversity of Miami

http://academy.sonhs.miami.edu/content/view/43/126

Laerdal http://www.laerdal.com/default.asphttp://www.laerdal.com/usa/flash/vitalsim/

Meti http://www.meti.com/index.html

Designing the ScenarioDetermine Purpose

Knowledge acquisition/skills proficiency/critical thinking evaluation

Determine environmentFlow of the simulationParticipantsType of manikinOperation mode of manikinEquipment requirementsPeer review/Revisions

EssentialAssessment/Diagnosis

Identify what the participant needs to knowEssential for developing

Tool – writing the simulationDetermine outcomes/learning objectives

Level the experience appropriate for the participantEvaluate participant’s current skill setsEvaluate participant’s critical thinking

(Novice/Advanced Beginner/Competent/Proficient/Expert)

Plan

Tool – writing simulationWhy use a tool

Organize thoughts Outcome objectives & cognitive skills

Identify needs – for the mannequin, props for the room etc Guide the set up Guide the participant preparation

Scenario Planning Tool Simulation in Nursing Education

From Conceptualization to Evaluation INACSL list-serve Simulation User Network

http://simulation.laerdal.com

Identify Outcomes/ObjectivesWhat do you want the

participant to gain from this experience?

Leveled appropriately Right mannequin Right equipment

Recognize and manage post-operative complications

Administer blood products utilizing hospital protocol

Cognitive Skills What knowledge

does the participant need to bring to this simulation experience?

Care of post-op clientPain management

Pharmacologic and non-pharmacologic

Critical ComponentsAdequate

preparationDemeanor of the

individual running the simulation the simulation

Debriefing at the conclusion of the experience

Getting Started

Writing and Programming a ScenarioLive Demonstration

Picking the Right Manikin for the Job

Vital Sim CapabilitiesVariety of sounds with volume settings 0-9Heart sounds - 8

normal, systolic & diastolic murmur, aortic stenosis, Austin flint murmur, friction rub, mitral valve prolapse,

Heart Rhythm – 24Breath sound- 8

L and/or R lung normal, course & fine crackles, pleural rub,

pneumonia, rhonchi, stridor, wheezes, no sounds)

Vital Sim CapabilitiesBowel sounds - 4Fetal heart soundsVocal sounds - 7Breathing rate 0-60 in increments of 2BP - increments of 2IV therapyWound sets

Vital Sim CapabilitiesWounds

Secretions

Vital Sim CapabilitiesOstomyBroken Bones

Vital Sim CapabilitiesPEG

FeedingsHead Injury

High FidelitySimMan G3

http://www.laerdal.com/doc/33202760/SimMan-3G.html

SimManhttp://

www.laerdal.com/doc/7320252/SimMan.html

istanhttp://

www.meti.com/products_ps_istan.htm

MetiManhttp://

www.meti.com/downloads/metiman_nurse_031609.pdf

References Bremner, M., Aduddell, K, Bennett, D. VanGeest, J. The use of human patient

simulators: best practices with Novice nursing students. Nurse Educator. 2006; 31(4): 170-174.

Jeffries, R. A framework for designing implementing, and evaluating simulations used in teaching strategies in nursing. Nursing Education Perspectives. 2005; 26(2):96-103.

Lamontagne, C., McColgan, J., Fugiel, L., Woshinsky, D., Hanrahan, R. Clinical simulation in nursing education. 2008; 4(1)

Seropian, M., Brown, K., Gavilanes, J., Driggers, B. An approach to simulation program development. Journal of Nursing Education. 2004; 43(4) : 170-174.