Integrating High Fidelity Simulation into Clinical Orientations INTEGRIS Baptist Medical Center Nursing Education & Research

Objectives: Describe methods for assessing learner needs. Discuss the elements of developing a simulation plan for orientation. Discuss how to incorporate simulation into dept-based orientation. Evaluate outcomes of an Orientation Simulation Strategy.

Establishing the Need to Change! Impact Evaluation –critical thinking issues –early recognition issues Course Evaluations –Too much information... –Some speakers & topics are boring.... –Prefer hands-on.... Simulation Survey Results –98% of participants indicated strong interest in attending programs that incorporated simulation. –98% of participants indicated that the using clinical simulation in education programs would enhance their learning experience and improve critical thinking.

Simulation Survey: I would be interested in attending programs to enhance my clinical knowledge, critical thinking and clinical skills using clinical simulation. Using simulation mannequins will enhance my learning experience and help me to improve both critical thinking and clinical skills. Participating in continuing education activities that use clinical simulation will assist me to provide safe, high quality patient care – especially when learning new skills/procedures and protocols. The simulation manikins provided a more realistic clinical training experience than traditional mannequins. The simulation manikins would be easy to use and transport for in- service education and dept-based competency validation. I would use a hospital-based simulation lab to teach skills and scenarios to healthcare providers and /or students that I am orienting and/or precepting. How often would you utilize a hospital simulation lab for your own development or to assist with other healthcare provider’s development? Scale: 5 Strongly Agree 4 Agree 3 Neutral 2 Disagree 1 Strongly Disagree

First Evidence (and if that fails...), Then Learning Theory D ale’s Cone of Learning & Kolb’s Learning Styles)

Simulation Strategy: Define Your Goals Increase Learning Retention –Adoption of learned skills and integration of new concepts into clinical practice. Improve Critical Thinking Skills –Increase early identification of a DUC (Determining Underlying Conditions). –Reduce failures to rescue. Increase Learner Satisfaction –Improved program evaluations.

Developing & Implementing the Simulation Plan When & What ? Nurse Residency Seminars Nurse Externship Program Clinical Emergency Courses Adult & Pediatric Advanced Life Support Courses Nursing Department Orientations Clinical Debriefings Medical Staff Continuing Education

Developing & Implementing the Simulation Plan Where? Physical spacePhysical space –Dedication simulation room –Patient room –Storage Manikins & EquipmentManikins & Equipment –Low, Mid & High Fidelity manikins –Video, headwalls, sink, monitors, crash carts, beds, medical supplies

Developing & Implementing the Simulation Plan Who?: Identify your simulation coordinator & champion! Identify your technical support expert Identify your facilitators Provide education.... and more education... and then some more education!

Developing & Implementing the Simulation Plan How?: Purchased scenarios versus developing your own scenarios. Consider when you will use simulation and what objectives you want the participant to accomplish. Consider your human and financial resources.

Evaluating the Simulation Plan Lessons Learned: Start small, think big! Identify & secure necessary resources – equipment, technical support, facilitator... Provide the necessary training....and then more training! Seek opportunities to partner. Create a wish list. Educate your Leaders, your Board & your Foundation!. Measure & share your results.