Simulation in Schools of Nursing: Integrating Simulation into Nursing Curriculum Juvann Wolff, ARNP, M. N. Director of Center for Excellence in Nursing Education University of Washington School of Nursing

Needs assessment: Community partners Gaps in clinical opportunities What do the nurses need? High risk healthcare Common threads

Community partners Communication (SBAR, handoff, shift report)

The Olden Days Patient care training at the bedside Patient care training at the bedside Learning was available patient based Learning was available patient based

Gaps in clinical opportunities What do the nurses need? Skills Decision making opportunities Team work

High Risk Acute care Psych Death Neonate

Common threads Safety Communications

Where do we start with these new rascal manikins? Start with looking at your own curriculum….

Simulation in education Learning objectives Look at curriculum and audience before you buy Is there a common objective that will be present in every scenario? Who will be doing the teaching? What is your space like? Is it worth the expense? Does this need to be taught using simulation?

Taskers Arm (injections, IV starts) Pelvis (peri care, urinary catheterization, pelvic exam OB pelvis (FHT monitor, TOCO) Head with removable ears Head with fundoscopic options Abdomen (ostomy) Testes Pelvis with prostate Breast Central line chests Infant hips and legs (for ortolani maneuvers)

The learning environment Simulated patient experiences can provide all students with no risk opportunities Simulated patient experiences can provide all students with no risk opportunities Practicing procedures and skills on live patients may be of high risk Practicing procedures and skills on live patients may be of high risk Using simulated patients will prevent students from learning only on those with available diagnoses Using simulated patients will prevent students from learning only on those with available diagnoses

What are your learning objectives?

Clinical experiences OB OB Pediatrics Pediatrics High risk Medical/Surgical High risk Medical/Surgical Advanced Practice Advanced Practice

Pulling it all together The patient simulators are only part of the solution. The rest is up to us. The patient simulators are only part of the solution. The rest is up to us.