1. www.FletcherAllen.org 1 Using Simulation to Focus on Patient Safety during Orientation Bev Partington MSN, RN-BC Shelly Barton BSN, RN-BC

2. www.FletcherAllen.org 2 Objectives  At the completion of this presentation, the learner will be able to:  Differentiate between role playing and simulation.  Identify 2 opportunities for active learning.

3. www.FletcherAllen.org 3 Role Play vs. Simulation  Recognizing the difference  Determining the time and place for each  Applying theory to practice  Identifying the topic to begin with

4. www.FletcherAllen.org 4 Experiential Learning  During Central Nursing Orientation  Selected the longest lecture – Restraints and Falls  From lecture to discussion  Hands on practice  Role playing by the instructor  A star is born – Carly

5. www.FletcherAllen.org 5 Simulation  Focus – Patient Safety  Goal – To provide a simulated FAHC patient admission that will allow new hires to practice patient safety and communication skills in a controlled setting

6. www.FletcherAllen.org 6 Simulation Objectives  Demonstrate basic patient safety  Document fall risk assessment  Implement safety measures  Seek additional resources as needed

7. www.FletcherAllen.org 7 Simulation Roles  Primary nurse – New hire  Charge nurse – Unit educator  Checklist/Debriefing – Bev  Patient – Shelly

8. www.FletcherAllen.org 8 Debriefing  Where the learning becomes a reality  Formal approach to debriefing:  Deactivate  Understanding  Explore  Discussion and Teaching  Summarize

9. www.FletcherAllen.org 9 Findings  Learner satisfaction ratings have increased consistently from “3” to “4-5” on Likert scale of 1-5 with 5 being the best  Comments include “memorable”, “interactive”, and “outstanding”  Example of an unintended finding

10. www.FletcherAllen.org 10 Clinical Relevance  Patient Safety is the focus of our many accrediting agencies  Research shows that simulation provides a safe setting for novice nurses to practice the application of nursing skills

11. www.FletcherAllen.org 11 Conclusions  Data needs to be collected for a longer period of time to determine the impact of simulation on patient safety at FAHC