Cheryl Feken Dixon RN MS Assistant Professor of Nursing Clinical Simulation Coordinator Tulsa Community College email@example.com Goal of the Session Describe 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/nu rse-charged-with-felony.shtml Joint Commission (National Patient Safety Goals) http://www.jointcommission.org/ http://www.jointcommission.org/patientsafety/national patientsafetygoals/ IOM http://www.iom.edu/ Hospital Education Department Malpractice cases/Nurse Lawyers Resources for Simulation Ideas Assess for unit needs or course needs Essential experiences needed Psychomotor skills Education Theory content Case studies often include history, Clinical experiences symptoms, lab values etc Care plans Journal articles Resources to Guide the Process International Association for Clinical Simulation Learning (INACSL) www.INACSL.com http://www.inacsl.org/2009Conference.pdf Society for Simulation in Health Care http://www.ssih.org/public/ Simulation Innovative Resource Center (SIRC) www.SSIR.com Resources to Guide the Process University of Miami http://academy.sonhs.miami.edu/content/view/43/126 Laerdal http://www.laerdal.com/default.asp http://www.laerdal.com/usa/flash/vitalsim/ Meti http://www.meti.com/index.html Designing the Scenario Determine Purpose Knowledge acquisition/skills proficiency/critical thinking evaluation Determine environment Flow of the simulation Participants Type of manikin Operation mode of manikin Equipment requirements Peer review/Revisions Essential Assessment/Diagnosis Identify what the participant needs to know Essential for developing Tool – writing the simulation Determine outcomes/learning objectives Level the experience appropriate for the participant Evaluate participant’s current skill sets Evaluate participant’s critical thinking (Novice/Advanced Beginner/Competent/Proficient/Expert) Plan Tool – writing simulation Why 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/Objectives What 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 client Pain management Pharmacologic and non- pharmacologic Critical Components Adequate preparation Demeanor of the individual running the simulation the simulation Debriefing at the conclusion of the experience Getting Started Writing and Programming a Scenario Live Demonstration Picking the Right Manikin for the Job Vital Sim Capabilities Variety of sounds with volume settings 0-9 Heart sounds - 8 normal, systolic & diastolic murmur, aortic stenosis, Austin flint murmur, friction rub, mitral valve prolapse, Heart Rhythm – 24 Breath sound- 8 L and/or R lung normal, course & fine crackles, pleural rub, pneumonia, rhonchi, stridor, wheezes, no sounds) Vital Sim Capabilities Bowel sounds - 4 Fetal heart sounds Vocal sounds - 7 Breathing rate 0-60 in increments of 2 BP - increments of 2 IV therapy Wound sets Vital Sim Capabilities Wounds Secretions Vital Sim Capabilities Broken Bones Ostomy Vital Sim Capabilities PEG Feedings Head Injury High Fidelity SimMan G3 istan http://www.laerdal.com http://www.meti.com/p /doc/33202760/SimMan roducts_ps_istan.htm -3G.html MetiMan SimMan http://www.meti.com/d http://www.laerdal.com ownloads/metiman_nur /doc/7320252/SimMan. se_031609.pdf html 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.
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