POLICY NO. 34. STEPHEN F. AUSTIN UNIVERSITY School of Nursing. SUBJECT: Simulation Center PAGE 1 of 1 REVISED OR REVIEWED 11/2009

Transcription

1 STEPHEN F. AUSTIN UNIVERSITY School of Nursing POLICY NO. 34 REVISED OR REVIEWED DATE 11/2009 SUBJECT: Simulation Center PAGE 1 of 1 Signature Director Approved Date December 15, 2009 POLICY STANDARD POLICY MISSION STATEMENT OF THE SIMULATION CENTER Encourage experiential learning by the incorporation of all learning styles to enhance clinical skill development, encourage leadership opportunities in the clinical setting, and establish ongoing collaboration with area interdisciplinary health care entities and educational institutions. Goals and Objectives of the Simulation Center Promote data collection and research for ongoing growth and validation of simulation as an effective teaching strategy. Improve health outcomes for client safety. Enhance clinical learning and performance for nursing students and rural healthcare professionals. Provide guidance and leadership to facilitate ongoing use and development of simulation technologies and simulation research. How simulation is used to meet goals? Provide core simulations encompassing current health needs of clients. Provide complex simulations allowing full student participation and action. Provide learning in a setting to encourage confidence to the learner and reduce risk to the client. Establish remediation practices to promote improved learning and retention of students Encourage interdisciplinary collaboration for use of simulation in multiple healthcare environments. Integrate simulation as a balanced and adjunctive clinical learning environment in nursing education. Research Interests: Pre and Post simulation survey of students to determine confidence in care of client with a specific acute problem. Post graduation survey to ascertain increased capabilities of student performance related to simulation participation while in nursing school.

2 Evaluation of simulation as a method of teaching related to improving test scores on exams and standardized nursing assessments. Broadening research data related to pediatric simulation due to limited research in this area. Qualitative research of simulation as a tool to aid students in dealing with nonfavorable outcomes (i.e.: fetal death and failed resuscitation). Use of simulation in remediation of at risk students to improve student performance in the clinical area and in academic performance. PROCEDURE SIMULATION LAB SUPERVISION Students, other healthcare learners, and facility users may only be in the Simulation Lab with a member of Stephen F. Austin State University School of Nursing (SFASU SON) faculty or staff. Simulation Lab personnel or designee will be supervising use of the lab equipment and mannequins. Neither equipment nor mannequins will be removed from the Simulation Lab without written permission from Simulation Lab personnel or faculty designee from SFASU SON and the borrower completing the Simulation Lab Sign-Out Form. Return of Lab equipment and mannequins will be signed-in by Simulation Lab personnel and evaluated for proper performance and condition prior to the borrower leaving the Lab to ensure equipment and mannequins are in working order. Reverse side of the Simulation Lab Sign-Out Form will be completed. SIMULATION LAB GENERAL GUIDELINES All Simulation Lab Areas: Care of equipment and use of products Many items in the Lab are reusable (i.e.: n/g tubes, n/g flush kits, IV bags and tubing, etc). Please see Lab personnel before discarding items. Lab equipment should only be operated by personnel who have received training. All participants should wash their hands before touching any simulator. Ink will permanently stain the manikin skin. Ink pens or permanent markers are NOT ALLOWED IN THE LAB. These should not be used on any simulator. Use a pencil for any documentation/note taking on paper and charting. Do not write notes on gloves as this will transfer to the manikin. DO NOT USE IODINE/BETADINE ON ANY SIMULATOR/MANIKIN. Do not use food color in fluids placed on the manikin. Ask Lab personnel for non-staining ways to use color on or inside the manikin. DO NOT USE FOOD COLOR ON THE MANIKIN. DO NOT USE STAINING MEDICATIONS ON/IN THE MANIKIN. Photocopied papers are not to be placed on, under, or near the manikin to prevent ink transer. Printed materials needed at the bedside should be in a sheet protector or be laminated for use during simulation.

3 The manikin chest must be kept dry. Use care when simulation involves fluid (blood, urine, etc). Do not spill fluids over any component inside the manikin torso as this could damage the manikin and present possible hazard to the operator. Do not introduce any fluids except manikin airway lubricant in small amounts into the manikin esophagus or trachea. Fluids, make-up, moulage, etc are available in the lab for use to improve realism of any simulation. Ask Lab Personnel for assistance in locating or creating any needed items for use in simulation. Do not place any fluid/make-up/moulage/marking on the manikin skin without FIRST VERIFYING USE OF ITEMS WITH THE SIMULATION LAB PERSONNEL. Certain items will permanently stain or damage the manikin skin. Students are expected to bring all necessary equipment needed for the simulation. All other items should not be brought into the lab. Use of transparent dressings (such as Tegaderm ) are preferred instead of tape to secure IV s. Use of paper tape is preferred over clear or silk tape. Do not use cloth tape. Control Room Simulation Lab personnel in the control room may have beverages in closed containers. Every effort should be made to keep these liquids away from computers and peripheral devices. Only course faculty and Simulation Lab personnel are permitted in the control room during simulations. Tours may be scheduled as needed with the Simulation Lab personnel. Computers in the control room shoud ONLY be used to operate simulators and project audiovisual debriefing. Do NOT use these computers for internet access. No software should be loaded on the control room computers without Simulation Lab and IT approval due to the risk of incompatibility with other required simulation and projection software. No food, open drinks, nor gum is allowed in the control room. Lab Etiquette No lab equipment/manikins are to be removed from any lab without permission of Lab personnel and completion of Simulation Lab Sign-out Form. Students must follow the School of Nursing Clinical Dress Code. Cellular phones and similar electronic devices should be in the off position while in the Simulation Lab to reduce the risk of interference with simulators and other medical equipment. Food, drink, and gum are not allowed in the Labs. Facility users are expected to leave the Lab clean and in order. Please dispose of trash, place linen in provided bins, and turn off all medical gases when the simulation is completed. Manikins are to be clean and free of any body fluids/dressings/medical equipment when the simulation is completed. Please see Simulation Lab personnel for items to be in the manikin room/area or attached to the manikin when the simulation is completed.

4 Facility users will follow standard precautions. Sharps are to be disposed of in the appropriate containers. Anyone sustaining a needle/sharp injury will immediately report to Simulation Lab personnel. Maintenance/Troubleshooting Facility users should report any damage to equipment or operating problems to Simulation Lab personnel as soon as discovered. Do not attempt to repair a malfunctioning simulator. Ask for assistance from Lab personnel. General Cleaning of Manikins and Equipment Ask Lab personnel for assistance for any cleaning assistance with a stained or difficult to clean manikin. General rule of thumb: If you would not use a cleaning product on the interior or exterior of your car, DO NOT use it on the manikin. Do not immerse the manikin in water/fluid. Do not dismantle/take apart a manikin unless trained. Ask for assistance from Lab personnel. Do not throw-away/discard any pieces or parts of a manikin even if thought to be broken or disposable. Use mild liquid dish soap and washcloths to clean all external areas on the manikin. This works well and is economical. Use mild dish soap to clean washable items such as urinary bladder and stomach. Dry with towel and leave open to air to further dry. Do not use anything with acetone to clean the manikin. This will remove the outer clear coat on the skin and any painting (eyebrows, hair) etc. Use Clorox wipes to clean the manikin if soap and water are not available. These wipes DO NOT contain bleach. Do not use bleach on the manikin skin. Isopropyl alcohol may be used on a washcloth or 4X4 to clean the manikin. Use of orange/citrus cleaners not containing acetone or petroleum products is to be used to remove tape residue or sticky residue. Ask Lab personnel for assistance for any cleaning assistance with a stained or difficult to clean manikin. SIMULATION LAB GENERAL GUIDELINES SPECIFIC PROCEDURES Manikin Lubricant Do not introduce any fluids (except approved manikin airway lubricant in small amounts to lubricate the airway) into the esophagus or trachea of the manikin. Prior to using airway adjuncts, spray the inside of the pharynx, nostrils, and all airway management devices to be inserted with a liberal amount of the provided airway lubricant. Do not use KY or other water soluble lubricant. This dries and forms an obstruction in the manikin.

5 Use a small amount of clear liquid dish soap as lubricant for urinary catheter insertion, vaginal exam, and n/g tube insertion. Use water as the cleaning agent for any procedure. Do not use iodine/betadine agents as these permanently stain the manikin. Defibrillation Should be performed on the debibrillation connectors only. If performed over one or more of the ECG connectors, high voltages may be present on the remaining connectors during the shock. To prevent overheating, do not provide more than three defibrillator discharges (maximum 360J) in a sequence. Do not exceed an average of two discharges per minute during the session. The manikin must not be in contact with electrically conducting surfaces or objects during defibrillation. A flame supporting atmosphere, such as high content of oxygen, should be avoided during defibrillation. To prevent chest skin electrode pitting, do not apply conductive gel or conductive defibrillation pads intended for patient use. Endotracheal Intubation ET tube size should be 7 or 7.5. A malleable stylette should be used. Do not extend the stylette beyond the end of the ET tube. Laryngeal Mask Airway (LMA) LMA size 4.0 should be used. The simulator operator must activate a feature of the manikin during the procedure to ensure the device seals properly. Please discuss this procedure with Simulation Lab Staff if you plan to use an LMA on the manikin. Intravenous Access and Drug Administration Use 22 gauge or smaller IV needles. 24 gauge is recommended. This will prolong the use of the IV arm. Do not use Iodine to prep the site. This will cause permanent staining. If using IV fluids or medication in the IV arm, the arm should be completely drained at the end of the session. Intramuscular/Subcutaneous Injections Use 22 gauge or smaller needle to prolong life of injection pad and skin. Use the insert pads. These are foam-filled and can be injected with fluid. The pad should be removed, squeezed out, and allowed to air dry immediately following the session. Needle Decompression Use 22 gauge needle to prolong the life of the chest skin and bladders. Urinary Catheterization Use a 14 french catheter or smaller to preserve the integrity of the manikin.

6 SIMULATION LAB DRESS CODE In order to enhance the professional development of the professional nurse s role and to increase the realism of any simulation, it is important for students to dress appropriately. Adherence to the following guidelines is required: Students will wear approved SFASU School of Nursing uniform worn in their current course performing the simulation including the SFASU School of Nursing nametag. Students will wear closed toe shoes and hair pulled back. Students will have the following items in their pocket: o Scissors o Kelly clamp o Pen light o Stethoscope o Pencil o Measuring tape o Other required clinical items as usually carried for the course performing the simulation. o Notepad or paper to make notes. Students will wear limited jewelry: o Watch with second hand o Only one ring on each hand. o Only one set of stud earrings. No other visible body piercing allowed. o No visible tatoos. *****NO FOOD, GUM, OR DRINKS ARE ALLOWED IN THE LAB***** FORMS (may be printed from SON website ( Simulation Lab Reservation Form (Form 34A) Simulation Confidentiality Agreement (Form 34B) Consent Form for Video/Audio Recording (Form 34B) Simulation Template (Form 34C)

7