Simulation in Schools of Simulation in Schools of Nursing: Integrating Nursing: Integrating

Simulation into Nursing Simulation into Nursing CurriculumCurriculum

Juvann Wolff, ARNP, M. N.Juvann Wolff, ARNP, M. N.Director of Center for Excellence in Nursing Director of Center for Excellence in Nursing

EducationEducationUniversity of WashingtonUniversity of Washington

School of NursingSchool of Nursing

Needs assessment:

Community partnersGaps in clinical opportunitiesWhat do the nurses need?

High risk healthcareCommon threads

Community partners

Communication (SBAR, handoff, shift report)

““The Olden Days”The Olden Days”

Patient care training at Patient care training at the bedsidethe bedside

Learning was Learning was “available” patient “available” patient basedbased

Gaps in clinical opportunitiesWhat 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 educationLearning objectivesLook at curriculum and audience before

you buyIs 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?

TaskersArm (injections, IV starts)Pelvis (peri care, urinary catheterization, pelvic

examOB pelvis (FHT monitor, TOCO)Head with removable earsHead with fundoscopic optionsAbdomen (ostomy)TestesPelvis with prostateBreast Central line chestsInfant hips and legs (for ortolani maneuvers)

The learning environmentThe learning environment

Simulated patient experiences can provide Simulated patient experiences can provide all students with “no risk” opportunitiesall students with “no risk” opportunities

Practicing procedures and skills on “live” Practicing procedures and skills on “live” patients may be of high riskpatients may be of high risk

Using simulated patients will prevent Using simulated patients will prevent students from learning only on those with students from learning only on those with “available” diagnoses “available” diagnoses

What are your learning What are your learning objectives?objectives?

Clinical experiencesClinical experiences

OBOB PediatricsPediatrics High risk Medical/SurgicalHigh risk Medical/Surgical Advanced PracticeAdvanced Practice

Pulling it all togetherPulling it all together

The patient simulators are only part of the The patient simulators are only part of the solution. The rest is up to us.solution. The rest is up to us.