1. Dr. George Ball Simulation Center Student Orientation

2. Please watch the following video Example of Simulation

3. Simulation provides students the opportunity to: Enhance knowledge Practice & perfect skills Decrease anxiety Promote clinical judgment Promote critical thinking skills

4. Expectations in Simulation ● Introduce self to patient ● Proper hand hygiene ● Demonstrate initial assessment skills ● Active participation in scenarios and debriefing ● Communicate with the patient, family, team and faculty ● Utilize the six rights of medication administration ● Identify patient appropriately NO INK PENS ARE ALLOWED NEAR THE MANIKINS.

5. Requires: Professional Integrity Confidentiality statement –Clear expectations for attitudes and behavior of participants –Mutual respect between students is supported –Confidentiality regarding scenario and experience –Failure to maintain confidentiality may undermine the benefits and alter the experience –Similar learning experience for everyone Video agreement- you will sign this prior to Simulation

6. Human Patient Simulator (HPS) (aka: manikins) The student is expected to complete all aspects of normal physical assessment, regardless if the simulator itself provides this information For example: presence or absence of moisture; grips, and strength of upper and lower extremities– you will be expected to assess for these qualities, even though the HPS doesn’t actually sweat in all areas, or move his/her extremities. You may need to verbalize parts of the assessment.

7. Physical Assessment What will your HPS provide? Reactive pupils Speech (from instructor) Lung (visualize chest rise), breath sounds, heart sounds, bowel sounds Pulses (radial, femoral, carotid, dorsalis pedis and posterior tibial) BP, HR, RR, oxygen saturation, telemetry monitoring (if your HPS is on cardiac telemetry).

8. Skills IV access, prime & hang fluid, IV pump, IV push, IVPB, IO Foley insertion NGT insertion Position alignment using coulometer for xrays Defibrillation/pacing ECG recognition Advanced airway insertion/care Chest tube maintenance Medication administration Patient/provider safety Therapeutic communication

9. Preprogrammed thermometer will be used to take the patient’s temperature. Blood pressure readings will be displayed on patient monitor. However, could need to be refreshed by touching the screen.

10. Pulses You can feel radial, popliteal, femoral, carotid and distal pulses on the manikin.

11. Oxygen Oxygen flow meters will work. Connect the oxygen tubing to the flow meter and set the appropriate flow rate. The pulse ox must be on a finger for oxygen saturation to read on the monitor.

12. Defibrillation Manikin can take a live charge up to 360j Defibrillator will be set at 26j 3 lead EKG can be connected 12 lead EKG can be viewed on patient’s monitor

13. Labs/images can be printed off at nurses’ station or shown on patient’s monitor. The lab phone will work. Simply pick it up to call the operator to be connected to a department or page a provider.

14. Supplies Your supplies will be pulled for your scenario. If you need additional supplies you may utilize the carts behind the scene curtains. Linen is kept in the lower brown cabinets behind the nurses station. If there is a code you may utilize the code cart’s supplies.

15. Logistics Teams of 3-5 students participate in scenario Work as a team with different roles Students are expected to prepare the night before as you would prepare for the patients in the hospital or nursing home. Access Docucare for electronic record Other students observe from debriefing room

16. Logistics Students will find their assignment in the back of the front lobby on the white board and should report to their debriefing room prior to the scenario. Belongings should be keep in the lobby lockers. Student’s must provide their own locks. Students should not access the following areas of the Simulation Center: o Control Rooms o Administrative Areas o Faculty Lounge

17. Rapid Response Team (RRT) In some scenarios senior level students viewing simulation may respond as RRT Objective criteria for RRT –SaO2 <90% despite O2 after all interventions exhausted –SBP<90 and all interventions exhausted –SBP>180 and all interventions exhausted –HR >150 and all interventions exhausted –Unrelieved chest pain and all interventions exhausted –UOP <50cc/hr for past 4 hours and interventions exhausted –Students are“stuck”

18. Situation: The client’s name. What is going on with the client presently? Baseline assessment data. Background: client’s primary diagnosis, pertinent history, any circumstances that led to this situation Assessment: current abnormal assessment findings different from previous, lab Recommendations: any interventions, or steps needed in order to correct, time frame needed to occur, or “I’m not sure what to do next.” SBAR

19. Debriefing Debriefing session is the most important part Reflection is the conscious consideration of the meaning and implication of the action –Disclose feelings –Ask any question, there are no “dumb’ questions –Make connections –Review skills –Have a respectful discussion of clinical judgment in order to develop high quality, safe care that is holistic and includes cultural awareness.

20. Evaluation Students should complete the Simulation Evaluation Tool found by scanning the QR Code in the debriefing room Students will be asked to use their cell phones for this evaluation. If they do not have a smart phone a laptop maybe utilize from the Center.

21. Dress Code The uniform dress code includes the following: Perfume and after-shave should not be worn. All odors, including cigarette smoke, perspiration, and those associated with poor hygiene are potentially offensive to clients and should be avoided. Fingernails must be clean and no more than ¼ inch above the fingertips. No nail polish is to be worn in the clinical area. No acrylic nails are allowed for infection control purposes.

22. Cont. Dress Code Long hair should be arranged in a style that brings the hair away from the face and secured as to avoid contaminating patient care areas. (This includes both male and female students.) For men, facial hair should be clean shaven and or neatly trimmed. Students may wear a solid white crewneck T-shirt under the uniform top. This T-shirt should NOT hang out from under the uniform bottom or sleeves. White crew socks which cover the ankle may be worn with pants only. White hose, run free, must be worn with dresses. (Knee high hose are not acceptable with dresses.) No jewelry other than wedding band and a watch with a second hand are to be worn with the uniform.

23. Cont. Dress Code When in uniform, the student may have NO VISIBLE tattoos. All tattoos must be covered by the standard uniform. Since no jewelry may be worn other than a watch and wedding band, it should be noted that no earrings, rings in the nose, eyebrow, or any other part of the face will be allowed. NO bars or studs in the tongue will be allowed. Hinds photo ID’s are to be worn at all times with the uniform (above the waist) Students who are not compliant with the dress code may be sent home from the clinical setting and counted absent for the day. This includes simulation.

24. Questions? simulationcenter@hindscc.edu