Clinical Simulation Guide in roles

1. MARICOPA COMMUNITY COLLEGE DISTRICT NURSING PROGRAM
GLENDALE COMMUNITY COLLEGE
SIMULATION LAB
STUDENT GUIDELINES
The idea of clinical simulation is to meet the needs of current and future nurses.
Simulation Laboratory is a great location to learn and try new skills, expand existing
knowledge, and practice care activities in a safe environment.
In Simulation Laboratory, we are attempting to set the stage and get past the
“technology”. Much time and effort is being spent on creating an environment as real as
possible, with charts, equipment, and experiences as close to a true hospital
environment as possible, and have Alex (Adult Learning Educational Experience)
respond like a true patient.
Our existing patient can talk, breathe, have a heartbeat, bowel sounds, and can have
all physiologic functions vary depending on the patient’s age and condition.
Your roles are generally to follow the nursing process of assessment, diagnosis,
planning, intervening, and evaluation of care for a patient in a short time frame. Each
scenario has a patient introduction, contact with the patient, and then time to debrief
about the care. Most times, the encounter is videotaped to help you review the actions
taken while you were here—something we really can’t do in other facilities.
Learning Objectives:
 Apply the nursing process/critical thinking in the care of an adult client
experiencing and adapting to complex, multi-system dysfunctions.
 Apply scientific, theoretical knowledge and advanced nursing skills to provide
safe and competent holistic nursing care of the medical-surgical client within
professional standards of practice.
Learning Outcomes:
 Prioritize critical nursing actions based on analysis of data from assessing the
patient, chart, and report given.
 Identify roles of the members of the team.
 Interpret the diagnostic information.
 Compare and contrast the various medications used for the patient.
 Demonstrate accurate documentation/communication of the nursing plan of care.
 Apply principles of holistic care in the nursing process to address patient care
needs.
 Demonstrate participation as a health care team member undergoing crisis
management of a critical patient.
 Demonstrate coordination of the health care team undergoing crisis management
of a critical patient.
 Evaluate and discuss patient care outcomes.
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2. Simulation Lab Rules
Simulation Lab is open by appointment only. Appointments are arranged through
the Sim Lab Coordinator and your instructor.
No food or drink is permitted in the Simulation Lab.
No markers, pens, adhesives, or adhesive removers are to be used on or near
the patients.
Students may place backpacks and books along the wall farthest from the
simulation equipment.
If students will be absent or tardy, please call Simulation Coordinator at
602.709.3427—this is a digital beeper, so please wait for the Coordinator to call
you back. If you do not receive a call within 1 hour, please page the Coordinator
again.
Student Behavior Standards
The Patient will be given the same consideration as any patient in a clinical
setting. This includes the principles of patient privacy, confidentiality, and safety.
The scenarios are not to be discussed outside of the simulation and
debriefing sessions. This is to protect the value of the experience for those who
will eventually take part in the clinical scenarios. If the student does so, it is
considered cheating and the student will face disciplinary action.
Students should approach the patient in the simulation setting using the same
dress and behavior standards required for all inpatient clinical settings, consistent
with the Nursing Student Handbook. This includes standards of dress,
communication, and preparedness for clinical experiences. (Including
stethoscopes, watches, hemastats, rulers, etc.
Levels of student interaction are determined by the facilitator and the student’s
level of progress in the Nursing Program. Activities not permitted by a student in
a clinical setting are similarly not permitted in the Simulation Lab without express
consent or direction of the instructor and Lab Coordinator.
Students are expected to perform at their highest ability at all times, in all
assigned roles.
Documents Used in the Sim Lab
Most of the documents used are adapted from local agencies. Your
instructor may have additional or different assignments related to the experience.
In general, all patients have a chart which includes a Face Sheet,
Resuscitation Status order sheet, Physical & History, Medical orders, Progress
notes, Lab and other diagnostic reports, Nursing Notes, Medication sheets
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3. (MAR), Pain assessment and General assessment sheets, Graphic sheet, and
Intake and Output.
Equipment Used
As much as possible, the same equipment is used for our patients as you
will encounter at any other agency. In some instances, data collection will be
changed because of the limitations of our patient. For instance, if you wished to
perform a neurological exam, some components (like deep tendon reflexes),
would be provided for you by the facilitator or lab coordinator, as our patient is
unable to respond to the stimulus. If you have a question, please feel free to ask
your instructor or the simulation coordinator.
Who is Who in the Simulation?
You will be assigned to a role during your experience at GCH. The following are
the most common roles in the scenarios.
1. Charge Nurse
You are responsible for overall organization of safe, quality patient care
delivery on your unit. You are a resource to all staff members and are
responsible for appropriate staff assignments and delegation of duties.
You are knowledgeable about all patients on your unit including condition
status, scheduled procedures, treatments and required facility policy and
procedure that may impact your decisions. You may serve as the gate-
keeper to facilitate communication and delivery of safe, efficient, and
appropriate care. You provide leadership and guidance for the health care
team members working with you and you take care of your staff as well as
your patients.
2. Primary and Collaborative Nurses
You are responsible for planning and overseeing implementation of safe,
quality, patient care for those patients assigned to you and the staff
assigned to assist you in that implementation. You communicate
significant patient events and any related issues to your charge nurse.
You provide guidance and leadership to the health care team members
working with you in your assigned area.
3. Recorder/Observer
You are a primary care giver to an assigned group of patients, however
you provide assistance to other nurses when the situation arises. For the
purpose of this sim lab, you will primarily be responsible for recording
patient event activities. You will chart assessments, interventions, and
outcomes on the appropriate documentation tool. You will perform other
duties as requested by the charge nurse or primary nurse.
4. Support Members
This is a versatile role, governed by the individual scenario. You may be a
physician, radiology technologist, respiratory therapist, nursing assistant,
spouse, friend, lab technician, nursing student, volunteer, EMT, whatever!
Be prepared to “walk” in that person’s shoes as you depict this role.
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4. 5. Special Guests
Although the preparation materials will script out the scenario, be prepared
for anything! You never know when a faculty member may make a special
guest appearance in a role you were not anticipating.
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