“and beyond” Sue Bradbury RN, MSN Clackamas Community College Nursing Faculty/Simulation Specialist

How to perform a comprehensive simulation session with only ONE Person?  Simulation Control Room: co-located in clinical lab area  2 dedicated Simulation rooms with PTZ cameras. One bedside monitor with screen shot to live stream display to students in debriefing room  30 scenarios performed over the 2 year nursing program/student

Equipment Organization is KEY  Use clear hanging shoe holders for frequently used items  Find a simple drawer sized container for medications if you don’t have access to a medication administration system [craft store]

Set-up prior to session [= 4 scenarios]  Use containers for each scenario change out: moulage, IV’s, equipment...  Velcro dots on arm bands for quick change and reuse  Use templates for armbands: Barcode makers can be found online  Simple reminder cards [in pencil] for each scenario

Clutter up the room  Newspapers, magazines, cards, books, commode, and a walker to make it realistic for a student to care for a patient in a small hospital room.

Phone calls made during scenarios  Use speaker phones in simulation area and debriefing room to capture the SBAR/R calls made in scenario.

Plan ahead  Develop a rubric to level scenarios and match up with clinical lab and theory content: closely match with new skills performed in clinical lab  Organize the scenarios to make change out less time consuming.  Put the messy cases last!! For example hemorrhages

Ask for help Find faculty/staff to act as family or friends in scenario Interested neighbor for maintaining HIPAA compliance Family asking difficult questions Communication techniques Oregon legal age issues in teenager scenarios

Pearls  If all fails, turn everything off and restart.  Wireless- watch for smart phones that are around your system; wireless manikins may change settings on their own…  Have a back-up plan: speaker phones, extra license, video camera

Any Questions just call me… Sue Bradbury