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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 Juvann Wolff, ARNP, M. N. Director of Center for Excellence in Nursing Education University of Washington School of Nursing
Needs assessment:Community partnersGaps in clinical opportunitiesWhat do the nurses need?High risk healthcareCommon threads
Community partners • Communication (SBAR, handoff, shift report)
“The Olden Days” • Patient care training at the bedside • Learning was “available” patient based
Gaps in clinical opportunitiesWhat do the nurses need? • Skills • Decision making opportunities • 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 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?
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)
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
Clinical experiences • OB • Pediatrics • High risk Medical/Surgical • Advanced Practice
Pulling it all together • The patient simulators are only part of the solution. The rest is up to us.