At SUNY Ulster, we have created a critical thinking arena for Nursing students to practice the chain of decisions they need to make in critical care scenarios. This presentation explains our process to create a medical facility and where we hope to take this facility...for all of SUNY to use.

1. It takes a village to create a hospital in Lisa Schulte & Robin Stevens. Nursing Program . SUNY Ulster Hope Windle . Instructional Designer . SUNY Ulster Sherry Chisamore . Director of Distance Learning . SUNY Ulster Jim Greenberg . Director Teaching, Learning and Technology Center . SUNY Oneonta Dan Plows . Student Intern . SUNY Oneonta

2. Audience Survey Show of hands Who is familiar with 2nd Life? Who has an avatar in 2nd Life? Who is teaching in 2nd Life or other virtual worlds? Who is doing Nursing Education in 2nd Life? Who is building in 2nd Life?

3. AGENDA Nursing Education’s need Our Process to incorporate 2nd Life into curriculum Cost of $ and Time Building Roadblocks Training, Teaching & Learning Next Steps Your questions

4. Need for - Alternative to traditional lecture style classroom- Increased Hands-on learning experience Limited available clinical sites

5. The increasing complexity and widespread use of technology in healthcare has greatly increased the importance of teaching technology skills in the classroom.

6. Tacoma County Community College

7. Duke University

8. Duke University

9. Glasgow University

11. Institute a forward-thinking transformation that will enhance student success and improve overall retention rates.

12. Provide additional educational opportunities for students to practice critical thinking skills beyond the clinical setting.

13. Incorporates NLN Core Competency of "Facilitator of Learning“

15. People involved and role

16. Project Nursing Student Experience Building in 2nd Life Curriculum Development Faculty training Technology support Land access Training To use 2nd Life Student training

17. Time on Task Mini grant (5 hours) Professor Training (40 hours) Getting land (5 hours) Building hospital with SUNY Oneonta land and student intern builder (Dan?) Building field hospital, bots, video (180 hours) Re-Building the hospital on SUNY Oneonta island (Dan?) Set up training and support for students in student labs, on LMS ( 20 hours ) Creating the case study (10 hours) Train the students (2 hours per group) Students doing the case study(2 hours)

18. Where went and what learned to do. Place to study on their own. Screen shot of the student Orientation.

20. Working with John Miller, RN

21. Build avatars

23. Teleport

24. Learn rules of 2nd Life

25. Communicate

26. Landmarks

27. Create and save and open Notecards

28. Use and build Inventory

29. Become Members of Nursing Group

30. Give them scrubs, stethoscope, name tag

31. Took 2 hours

34. (red bag). One regular.

35. Medication cart

36. IV line

37. IV fluid

38. Med Room

39. Clean utility

40. Shelves for supplies

41. IV fluids

42. Gloves

43. IV tubing

44. Dressings

45. IV stat kits

46. IV angiocatheter

61. Hospital disappeared NLNAC visit is upon us!!

63. Found the medical supplies and equipment to use

64. Created a Disaster Relief scenario

66. Scrubs Gloves Stethoscopes

69. Case Study: Disaster Relief OBJECTIVES: Second Life provides nursing students an opportunity to: -practice in a safe environment to enhance learning -allow students to practice skills -apply critical thinking in a clinical setting outside of the hospital -network with peers and professionals -be exposed to a disaster response clinical scenario -have real time interaction with their professor and themselves - Introduce and reinforce quality improvement measures OUTCOMES: - Students will gain confidence in critical thinking - Students will demonstrate an increased level of critical thinking - Students will be better prepared to handle a wide variety of real-life patient scenarios - Students will be able to identify various quality improvement measures -first time NCLEX pass scores will increase

71. LESSON PLAN 15 minutes :: Set up, Pairing, Instructor Intro 60 minutes :: Do case study30 minutes :: Review with group & instructor

85. Were we successful?

87. Training roadblocks…

88. Making the most of the tool

89. Incorporating the tool into the curriculum

90. Considering where the teaching would occur?

91. In a hospital setting ? Or on field trips

93. Student Feedback Initial how-to trainings were confusing Implemented clearly stated outcomes, reviewed whole site and process before any student got an avatar After case study, positive feedback

94. Moving forward Best Practices When we train students Start with clear objectives and outcomes Video clip of what doing in case study Presenter show the Ulster location in 2nd life See where we would go Learn how to use an avatar Next steps, use for group projects …

95. Ulster offerings Orientation With scrubs, stethocope, shoes, notecards Disaster Relief scenario (first year students) Maternity scenario (second year students) Cardio scenario (second year students) Unforeseen offering, online place to work in study groups or teams

96. Second Life Educational Template Case study for critical thinking skills Starting spot with Bot hand off of notecards Notecards of steps, with a decision tree Movement through space to spread the students Feedback from instructor

98. SUNY Oneonta

99. Schools who want to use medical facilities

100. Schools who would like a webinar or in person presentation to stimulate interest

102. Tour of hospital & field tent Fly over hospital Walk into Tent A & B Show Bea modeling the student avatar with the scrubs, stethoscope, name tag Students were named their first name and the 2nd life last name Student/Instructor assess patient and obtaining patient data, click on notecard, read scenario and answer appropriately. Goal to move through all 10 notecards Click on case 7 Blood flow rate Tara is the faculty with the lab coat