Cheryl Feken Dixon RN MS Assistant Professor of Nursing Clinical Simulation Coordinator Tulsa Community College cfeken@tulsacc.edu 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/ 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 Department Malpractice cases/nurse Lawyers 1
Resources for Simula3on Ideas Assess for unit needs or course needs Essential experiences needed Psychomotor skills Education Theory content Case studies Clinical experiences Care plans Journal articles often include history, symptoms, lab values etc 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 2
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 Essen3al 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 3
Tool wri3ng simula3on 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 Iden3fy Outcomes/Objec3ves What do you want the participant to gain from this experience? Leveled appropriately Right mannequin Right equipment Recognize and manage postoperative complications Administer blood products utilizing hospital protocol 4
What knowledge does the participant need to bring to this simulation experience? Cogni3ve Skills Care of post op client Pain management Pharmacologic and nonpharmacologic Cri3cal Components Adequate preparation Demeanor of the individual running the simulation the simulation Debriefing at the conclusion of the experience GeFng Started 5
Wri$ng and Programming a Scenario Live Demonstration Picking the Right Manikin for the Job 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) 6
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 Wounds Secretions Broken Bones Ostomy 7
PEG Feedings Head Injury High Fidelity SimMan G3 http:// www.laerdal.com/doc/ 33202760/ SimMan 3G.html SimMan http:// www.laerdal.com/doc/ 7320252/SimMan.html istan http://www.meti.com/ products_ps_istan.htm MetiMan http://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. 8