Scenario writing 101
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Scenario Writing 101. Cheryl Feken Dixon RN MS Assistant Professor of Nursing Clinical Simulation Coordinator Tulsa Community College [email protected] Goal of the Session. Describe resources available for identifying simulations applicable to the facility or educational needs

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Scenario Writing 101

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Scenario Writing 101

Cheryl Feken Dixon RN MS

Assistant Professor of Nursing

Clinical Simulation Coordinator

Tulsa Community College

[email protected]


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


Resources for Simulation 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


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

      • 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.


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