1. GOOD MEWS, BAD MEWS Using simulated learning to increase confidence and decision making skills when managing medical emergencies – third year nursing students Learning & Teaching Conference 8 2011: parallel session 24 Paul Marshall Kevin Stevenson School of Healthcare

2. Learning & Teaching Conference 2011 GOOD MEWS, BAD MEWS Session outcomes: Briefly discuss simulation as a way to enhance decision making Discussion of three simulated case scenarios and organisation of session (Managing Medical Emergencies) Consider the use of the ABCDE approach as a clinical assessment method and the use of MEWS scoring Delegates complete MEWS scoring based on a case example Summary of student evaluations of the Managing Medical Emergencies simulation sessions

3. Learning & Teaching Conference 2011 GOOD MEWS, BAD MEWS Simulation as a learning approach

4. Learning & Teaching Conference 2011 GOOD MEWS, BAD MEWS MEWS scoring tool Airway Breathing Circulation Disability Exposure

5. Learning & Teaching Conference 2011 GOOD MEWS, BAD MEWS Three scenarios: Managing Medical Emergencies Acute chest pain (acute coronary syndrome) Acute respiratory difficulty Acute post-operative complication - bleeding ABCDE LUTube - University of Leeds Cardiac arrest http://lutube.lee ds.ac.uk/hcspm /videos/4222

6. Learning & Teaching Conference 2011 GOOD MEWS, BAD MEWS Scenario example: Post-operative patient following abdominal surgery (see hand out) In groups of two or three read the patient scenario and using the Modified Early Warning Scoring System (MEWS) decide on the score you would give On warding - Following deterioration - 1 14

7. Learning & Teaching Conference 2011 GOOD MEWS, BAD MEWS MEWS scoring - following deterioration:

8. Learning & Teaching Conference 2011 GOOD MEWS, BAD MEWS Student evaluations (pre-session n = 68): P < 0.001

9. Learning & Teaching Conference 2011 GOOD MEWS, BAD MEWS Student evaluation (cont): Responses 3-5 indicate students perceived the session increased their skills highly

10. Learning & Teaching Conference 2011 GOOD MEWS, BAD MEWS Qualitative statements: Enhanced my knowledge & skills I feel more confident to spot problems before they occur Made me realise that I do know a lot more than I thought I feel more confident to handle emergency situations I do feel more confident and find simulation is a positive way to learn and develop skills

11. Learning & Teaching Conference 2011 GOOD MEWS, BAD MEWS Thank you for listening & participating Any questions