Simulation in Schools of Nursing Integrating Simulation into

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

Needs assessment: Community partners Gaps in clinical opportunities What do the nurses need? High risk healthcare Common threads

Community partners Ø Communication report) (SBAR, handoff, shift

“The Olden Days” Ø Patient care training at the bedside Ø Learning was “available” patient based

Gaps in clinical opportunities What do the nurses need? Ø Skills Ø Decision making opportunities Ø Team work

High Risk Acute care Psych Death Neonate

Common threads Safety Communications

Where do we start with these new rascal manikins? Start with looking at your own curriculum….

Simulation in education ØLearning objectives ØLook at curriculum and audience before you buy ØIs there a common objective that will be present in every scenario? ØWho will be doing the teaching? ØWhat is your space like? ØIs it worth the expense? Does this need to be taught using simulation?

Taskers Ø Arm (injections, IV starts) Ø Pelvis (peri care, urinary catheterization, pelvic exam Ø OB pelvis (FHT monitor, TOCO) Ø Head with removable ears Ø Head with fundoscopic options Ø Abdomen (ostomy) Ø Testes Ø Pelvis with prostate Ø Breast Ø Central line chests Ø Infant hips and legs (for ortolani maneuvers)

The learning environment Ø Simulated patient experiences can provide all students with “no risk” opportunities Ø Practicing procedures and skills on “live” patients may be of high risk Ø Using simulated patients will prevent students from learning only on those with “available” diagnoses

What are your learning objectives?

Clinical experiences Ø OB Ø Pediatrics Ø High risk Medical/Surgical Ø Advanced Practice

Pulling it all together Ø The patient simulators are only part of the solution. The rest is up to us.