Transcript Sim”sational Revelations - Allied Health & Nursing Home

“Sim”sational
Revelations
Darlene Copley, MSN, APRN, BC
Sue Herm, RN, MSN, BC
Kim Scott, RN, MSN
St. Cloud State University
Department of Nursing Science
Objectives
• Discuss the benefits of simulation
technology as a clinical evaluation tool
• Apply concepts learned to improve the
way you teach and evaluate your
students in the clinical setting
Simulation Defined
Simulation is an event or situation
made to resemble clinical practice
as closely as possible
Simulation as a Clinical
Evaluation Method
Benefits
• Allows for mistakes in
controlled environment
• Able to evaluate students’
nursing judgment
• Promotes objective evaluation of
cognitive (critical thinking) and
psychomotor skills
Development of Scenario
and Evaluation Tool
Purpose
• Increases efficiency
• Decreases duplication
• Decreases final exam load
• Decreases subjectivity
Development of Scenario
and Evaluation Tool
Faculty from two clinical courses
combine forces!
• Elements of evaluation
– general
– specific
• Critical elements
» Evaluation rubric adapted from University of
Memphis Loewenberg School of Nursing
Development of Scenario
and Evaluation Tool
• Patient/Sim Man settings
• Create patient chart
• Expectations communicated
to students
• Test-out logistics
Debriefing
Allows students to:
• express feelings
• receive support from classmates
• provide feedback
Final Clinical Evaluation
Revelations about Clinical
Teaching and Evaluation
• Discredited assumptions
• Revealed weaknesses at
fundamental level
• Exposed flaws in traditional
evaluation tool
Assumptions/Flaws in Traditional
Evaluation Tool Revealed
Medication Administration
Nursing 310
Clinical Competency Evaluation Tool
Student_________________ Instructor______________Date____
4=
Consistently meets evaluation standard
3=
Usually meets evaluation standard
2=
Sometimes meets evaluation standard
1=
Seldom meets evaluation standard
0=
One or more serious incidents
Student must earn a score of “3” or greater by final evaluation to pass.
Course Objective 1: Utilize knowledge and skill from the arts, sciences,
humanities, informatics, and nursing sciences to assess and
manage adults in acute disharmony
Demonstrates the ability to correlate theoretical nursing concepts
to clinical learning experiences.
3
Able to discuss how the clinical situation demonstrates a theory concept
from the classroom.
3
Transfer knowledge from one clinical experience to other clinical
experiences.
3
Demonstrates the ability to administer medications in a safe,
efficient, and effective manner.
4
Comments: Jane always has medication cards prepared, able to answer
questions related to meds when quizzed, uses 6 rights when
administering meds consistently
Met
X
___
_____
_____
_____
_____
X
_____
_____
_____
_____
Not Met
_____ Check MD orders for scheduled
and PRN medications
X
_____ Utilize correct professional judgment
in decisions regarding medication
X Contact physician as necessary for
_____
consultation on client condition and
medication administration
X
_____Hold antihypertensive medication
_____Provide rationale for holding
X
medication
_____Administer meds utilizing six rights
(right med, client, dose, time, route,
documentation)
_____Provide
rationale for Tylenol
X
administration
_____Select
appropriate pain medication
X
given client’s situation
X
_____Provide
rationale for selection of
pain medication
Teaching in the Clinical Setting
• Changing clinical teaching
• Student prompts
Insights Gained by Students
and Faculty
•
•
•
•
•
Positive learning experience
Improved self-confidence
Greater learning by application
Need to “think differently”
Need to “think on feet”
Questions?