After yesterday’s pediatric simulation, I learned a lot about checking for signs of child abuse as well as dealing with patient’s family members in an effective way. For my simulation, my partner Kate and I were set up to deal with a young mother whose child had clearly suffered through some sort of child abuse. While assessing the child, Kate and I had clearly missed some major points on the baby mannequin. For example, we had noticed that the child had clearly only been able to move one arm, while the other arm lay entirely dormant, but we had neglected to find major bruising behind the child’s left ear, right thigh, and over the child’s entire butt. As the simulation progressed, I went to call the doctor for a consult, as well as social services, but neglected the fact that I left Kate in a vulnerable position for the mother to corner her. While we we debriefed with the other girls, they had pointed out dumb mistakes Kate and I made, and not only was it incredibly aggravating, but it made me feel incompetent because everything we had missed was basic assessments or safety for nurses. Similarly with the other group, Kate and I had pointed out the different bits that they had missed during their simulations, which we had also thought were basic parts of textbook care. Moral of the story, we find it easy to critique others on their care, but when it comes down to it, we’re all still learning and trying to nail down the basics of care for our patients. Despite the fact that a majority of us would prefer to be in clinical dealing with real patients, these simulation labs are an effective way for us to learn how to deal with our patients in more dramatic scenarios than what we may experience in clinical. Â
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