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Simulation in Schools of Nursing: Integrating Simulation into Nursing Curriculum. Juvann Wolff, ARNP, M. N. Director of Center for Excellence in Nursing Education University of Washington School of Nursing.

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Simulation in schools of nursing integrating simulation into nursing curriculum l.jpg

Simulation in Schools of Nursing: Integrating Simulation into Nursing Curriculum

Juvann Wolff, ARNP, M. N.

Director of Center for Excellence in Nursing Education

University of Washington

School of Nursing


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Needs assessment:Community partnersGaps in clinical opportunitiesWhat do the nurses need?High risk healthcareCommon threads


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Community partners

  • Communication (SBAR, handoff, shift report)


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“The Olden Days”

  • Patient care training at the bedside

  • Learning was “available” patient based


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Gaps in clinical opportunitiesWhat do the nurses need?

  • Skills

  • Decision making opportunities

  • Team work


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High Risk

Acute care

Psych

Death

Neonate


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Common threads

Safety

Communications


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Where do we start with these new rascal manikins?

Start with looking at your own curriculum….


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Simulation in education

Learning objectives

Look at curriculum and audience before you buy

Is there a common objective that will be present in every scenario?

Who will be doing the teaching?

What is your space like?

Is it worth the expense? Does this need to be taught using simulation?


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Taskers

Arm (injections, IV starts)

Pelvis (peri care, urinary catheterization, pelvic exam

OB pelvis (FHT monitor, TOCO)

Head with removable ears

Head with fundoscopic options

Abdomen (ostomy)

Testes

Pelvis with prostate

Breast

Central line chests

Infant hips and legs (for ortolani maneuvers)


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The learning environment

  • Simulated patient experiences can provide all students with “no risk” opportunities

  • Practicing procedures and skills on “live” patients may be of high risk

  • Using simulated patients will prevent students from learning only on those with “available” diagnoses


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What are your learning objectives?


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Clinical experiences

  • OB

  • Pediatrics

  • High risk Medical/Surgical

  • Advanced Practice


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Pulling it all together

  • The patient simulators are only part of the solution. The rest is up to us.


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