Rural Simcenter Scenario Template

Rural SimCenter Scenario Template

Scenario Name: Learner Preparation Exercise: Review: (Insert skills or reading students should review) High Fidelity Low Fidelity Static Model  Target Group: Student Professional  Level: Advanced Intermediate Beginner  Learning Objectives:   Primary Objectives: 1. 2. 3. 4. 5. Insert Scenario Summary (Basic overview of Case)

Secondary Objectives: 1. Total Time Duration: 2. Set-up 3. Preparation 4. Simulation 5. Debrief

Revised 7/14 Rural SimCenter Scenario Template Initial Subjective Data: Background Information:

Past Hi s t o r y:

Presenting History :

Set-up Notes: What is needed for the patient (simulator/actor) and Supplies what is needed for the patient room?

IV Set Up Setting: Saline Lock IV IV Pump Second IV Fluid Type: ICU Emergency Medical Infusion Rate: Out-Patient Other ______Tubing:

Monitor Setup: Medications Primary ECG Secondary ECG Med Dispense

Respiratory Rate B/P SPO2 Medication List Other Settings 1.

3. Moulage:

Revised 7/14 Rural SimCenter Scenario Template 4.

Patient Actors Requested:

 Age

 Gender

 Clothing

 Relationship to Patient

Paperwork* Equipment:

Nasal Cannula O2 Mask Non-Rebreather Physician Orders Chart Lab Reports

PPE (goggles, gloves, etc) Penlight Crash Cart

*Attach Reports to the file EMR Thermometer Accucheck NG Tube

Suction Chest Tube Other Facilitator Notes:

Please Describe Additional Equipment Needs

Revised 7/14 Scenario Progression: Admission Information

Initial State: Frame 1 Initial Patient History

Vital Signs Body System Assessment Patient Finding  Cardiac Rhythm: Neurological/Sensory  Pulse: Cardiac  Respiratory Rate: Pulmonary  Breathing Pattern Musculoskeletal  Chest Rise Gastrointestinal  Blood Pressure: Genitourinary  SPO2 Skin/Wound  General Conditions to be in place for Scenario: Vocal Complaint

 Correct Action Move to Frame: Initial Lab/Diagnostics

Wrong Action Move to Frame:

No Action Move to Frame:

Facilitator Notes: Revised 7/14 Initial State: Frame 2 Change in Patient Condition

 Correct Action Move to Frame: New Lab Reports

Facilitator Notes:

Revised 7/14 Initial State: Frame 3 Initial Patient History

 Correct Action Move to Frame: Initial Lab/Diagnostics

Facilitator Notes:

Revised 7/14 Initial State: Frame 4 Change in Patient Condition

Vital Signs Body System Assessment Patient Finding  Cardiac Rhythm: Neurological/Sensory  Pulse: Cardiac  Respiratory Rate: Pulmonary  Breathing Pattern Musculoskeletal  Chest Rise Gastrointestinal  Blood Pressure: Genitourinary  SPO2 Skin/Wound  General Conditions to be in Vocal Complaint place for Scenario:

Facilitator Notes:

Vital Signs Body System Assessment Patient Finding  Cardiac Rhythm: Neurological/Sensory  Pulse: Cardiac  Respiratory Rate: Pulmonary  Breathing Pattern Musculoskeletal  Chest Rise Gastrointestinal  Blood Pressure: Genitourinary  SPO2 Skin/Wound  General Conditions to be in Vocal Complaint place for Scenario:

Facilitator Notes:

Revised 7/14 Scenario Progression Algorithm: Copy and use images to create your algorithm

Revised 7/14 Revised 7/14 RURAL SIMCENTER MEDICATION ADMINISTRATION RECORD

NAME: ROOM # DOB: PHYSICIAN: GENDER: PATIENT NOTES & COMMENTS: PT. ID # ALLERGIES:

Medication Order Scheduled Time Time Administered Nurse Initials Comments

Revised 7/14 RURAL SIMCENTER

PHYSICIAN’S ORDERS

PATIENT CHART Name:

GENDER: ALLERGIES: PRIMARY PHYSICIAN:

PATIENT ID:

Case Details:

Shift Report:

Patient Actors Roles:

Suggested Dialogue for each Actor

Key Points to emphasize:

Suggested Character Development:

DEBRIEFING Points Instructors should developed a structured debriefing and develop questions related to: 1. Objectives 2. Teamwork a. Who was the leader? b. What were the roles c. Distribute workload d. Did the team have a shared mental model? e. Mutual Performance Monitoring? f. Communicate often enough? 3. CRM Principles: How did the team do? a. Communicate effectively—Establish a shared mental model b. Anticipate and plan c. Call for Help early d. Use all available resources e. Use resources wisely—People and equipment f. Avoid fixation errors g. Use good leadership h. Be a good follower i. Mutual Respect j. Adjust strategies under stress k. Avoid and manage conflict 4. Patient Safety 5. Patient Teaching 6. Systems Errors 7. Scope of Practice Tips for Debriefing 1. Learner focused 2. Allow enough time for learning (2-3 times the scenario length) 3. Focus on the process not the individual 4. Keep the debriefing positive