1. COLLABORATION AS BEST PRACTICES IN SIMULATION
TERRY ROSS, RN, MS, WOCN
OHSU SCHOOL OF NURSING, KLAMATH FALLS

2. THE SITE OHSU School of Nursing Oregon Institute of Technology
Sky Lakes Medical Center
Cascade East Family Practice

3. THE PROCESS Identify the learning outcomes Identify the “need”
Identify the stakeholders
OHSU Senior Nursing Students
OIT Respiratory Junior Students
Cascade East (AHEC)Residents
Klamath County Fire Department
Identify the learning outcomes
Identify the resources

4. THE LEARNING OUTCOMES
1. To recognize the contributions and strengths that each health care provider brings to the team in a very high stress situation
2. To understand how essential good communication and collaboration is necessary to provide optimal patient care.

5. Assigned Reading Orientation to the SIM theater Mock Code Skills Lab
THE PREPARATION
Assigned Reading
Orientation to the SIM theater
Mock Code Skills Lab

6. MOCK CODE SKILLS LAB
Starting the Day

7. MOCK CODE SKILL STATIONS
AIRWAY MANAGEMENT
NAME THAT RHYTHM AND
EKG PLACEMENT

8. CRASH CART SCAVENGER HUNT CPR

9. AED AND PAD PLACEMENT
DEFIBRILATION WITH THE ZOLL
AND JOULES CALCULATION

10. RECORD THAT CODE EMERGENCY DRUGS

11. 9. Code Team Roles

12. MOCK CODE SKILLS DEBRIEFING and afternoon SIMULATION PREPARATION

13. THE PERFORMERS 2 respiratory students at head of bed (green uniforms)
4 nursing students (blue uniforms)
2 in charge of CPR
1 recording
1 giving meds
2 residents in street clothes
2 nursing faculty as facilitators

14. THE PERFORMANCE
8 year old female with a history of asthma was found on the playground of her elementary school unresponsive and not breathing.
The SIM begins with the team awaiting patient’s arrival from EMS Transport
Start the Simulation

15. THE EVALUATION
What we saw

16. What we heard 40 out of 45 participants returned a written evaluation
“I think all disciplines learned from one another and we were able to establish the different roles. I would like to continue working with the other disciplines.” Nursing Student
“I thought working with the nurses was very helpful, because we were able to collaborate and assist each other in learning.” Respiratory Student

17. “This was effective at working with the three disciplines
“This was effective at working with the three disciplines. This was a very realistic representation. The recreation of the ambiance is excellent.” Resident

18. “Thank you”
“doing this sort of activity again would be great and helpful to everyone involved.”
“I would love to have this type of practice more often”
“Thanks. Please contact us if you want resident in the future”
“Keep doing this”
“I really liked having the input from the residents and MD’s during the debriefing.”
“It was a good experience I wish we could do this more often with other disciplines.”
“I’m very impressed with the interdisciplinary collaboration! An awesome idea plus the articles we read to prepare spoke highly of practicing simulations with interdisciplinary teams.”

19. THE FUTURE We will do more Figure out the economics Mentor disciplines
Writing simulations
Producing simulations
Preparing students
Debriefing strategies
Involve more disciplines