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Development and Implementation of Hybrid Medical/Surgical Simulation Clinical Experiences in an A.D.N. Program. Christina C. Olson RN, MSN Pamela Gonzales RN, MSN. Today’s Nursing Education Challenges. Increased demand for nurses Shortages in clinical sites Shortages of nursing faculty
Christina C. Olson RN, MSN
Pamela Gonzales RN, MSN
Increased demand for nurses
Shortages in clinical sites
Shortages of nursing faculty
Lack of facilities for classroom and lab instruction space.
Increased patient acuity.
“the art and science of recreating clinical scenarios in artificial setting.” Jeffries, 2005
a strategy, not technology, to mirror , anticipate or amplify real situations with guided experiences in a fully interactive way.”
Blending tradition with simulation
Varying learning opportunities
Encouraging critical thinking
Creating a safe environment
Providing opportunities not always available – like the RN role
Audio/visual equipment training
Med./Surg. course faculty member.
BSN Clinical Teaching Assistant – also a graduate nursing student.
Develop scenario templates from nursing clinical knowledge and experience.
Tailor clinical situations/diagnoses to content theory taught in co-requisite clinical, typical diagnoses found in clinical area and incorporate competencies specific to course leveling.
Write new or adapt existing scenario products (such as NLN or Elsevier).
Develop scenario template..described in greater detail later.
Develop daily student clinical grading tool based on clinical course tool but adapted to simulation experiences.
Develop daily student clinical worksheets also based on those used in clinical setting.
Develop clinical rotation schedule for the 15 student groups.
Develop virtual patient medical records needed for each scenario, in keeping with adult medical/surgical, hospital records.
Loading all student course tools on accessible Blackboard Vista learning modules.
Currently 195 students in Simulation
Scenarios run from 1.0 to 2 hours in length
Debriefing run from 1.5 to 2.5 hours in length
Check Pre-work and grading criteria pertaining to role of “Member of the Profession.”
Run Simulation scenario either trended or spontaneous-script based
REQUIRED SKILLS AND EQUIPMENT
Hard patient medical record, computerized charting available and Blackboard Vista module specific to complete pre-work for scenario assigned.
Documentation now required of students in every scenario.
SAN ANTONIO HOSPITAL Laboratory Report
DRAWN DATE: TODAY TIME: 15 MIN AGO
DATE: today TIME: 15 minutes ago
Test: chest PA/Lateral Findings: Atelectasis RUL