Apr 21, 2022
Good Morning Morgan, Today is March 15th, 2032
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Good Morning Morgan, Today is March 15th, 2032
“Dead and Dying. Dead and Dying. Dead and Dying.” It’s a little after one in the morning as I mumble the words to myself. I’ve said them a million times in my life, but now they’re different. Weighted.
Twelve hours ago, I was told to practice those words. It was after a simulation. A ninety something year old women was our patient- post op looking bad, unconscious, aroused only by pain, with no chance of recovery. Th family visited. She coded ,our attempts at resuscitation unsuccessful. We had to tell the family.
We reviewed footage of our ‘ performance’ with several nurses and doctors. “Good head to toe, good report, you need to get better at being clear, leave the family in the room for the code.” We had skirted around telling the family. Over explaining and flowery words ran rampant.
Terminal. Declining. Failing. Frail.
Nobody wants to get the devastating news of a dead loved one, but nobody wants to give it either. Dr. H told us to be more direct.
Dead. Dying. No chance of recovery.
When does it get easier, how do you find the words? Practice.
Why leave the family in the room? In a hopeless case hearing their loved ones ribs crack from CPR and seeing us push drugs, and shock the lifeless body might be enough to sway the family toward a more humane DNR.
I’m unsettled by both answers. It’s late and I can’t stop thinking about it. It wasn’t even real, but it will be. I hope I’m strong enough for that day. The next time I need to talk to a family like that- It won’t be actors worried about a plastic patient with vitals, and to be quote honest- I still don’t know how to feel about that.
“Dr. Yu... Morgan... we’re ready.”
(cough)
“Did you see what they had in the cafeteria this morning? Crepes.“
“Just press the red button.”
“The red button starts the test.”
“Do you see those little boxes? Wonderful.”
“Uh Morgan, You won’t need that.”
‘”huh”
“Is it warm in here?”
“Morgan, we can see you there.”
(sigh)
“Uh... Morgan. I'll have to ask you not to block the doors, please. Thanks.“
“Whenever you're ready, Morgan.“
“Wow... I’m impressed.”
“You know what I’d probably do the same thing.”
“Not your problem right?”
“You seem excited today, good.
“Hey. Morgan. Wake up. You're burning daylight. I sent the helicopter to pick you up. It's just a few tests. Don't forget to wear your suit. See you soon. Oh ... listen. I uh ... it's really great you decided to come aboard. We're going to shake things up, Morgan. Like old times.
Tactical Combat Casualty Care (TCCC) are guidelines for providing immediate medical care for life-threatening injuries on the battlefield.
Tactical Combat Casualty Care (TCCC) are guidelines for providing immediate medical care for life-threatening injuries on the battlefield.
How Simulation-based Learning is Revolutionizing Nursing Education
Nurses are the heart of healthcare. With that in mind, it is intriguing to discuss the benefits of a simulation-led approach to nursing education.
Through the inclusion of role-playing, devices, trained persons, trainers, environments, and lifelike manikins, promoting learning and eliminating risk for the trained and the novice alike, simulation-led learning creates the perfect opportunity for learners to acquire necessary nursing skills in a safe environment. This also offers the added advantage of building critical decision-making skills by simulating various real-life scenarios. Affected slightly by the level of fidelity, simulation-based learning for nursing education can have a range of benefits.
Hands-on Learning
While it is detailed and complete, theoretical learning can quickly become boring for a group of learners eager to become skilled professionals. Simulation-based learning solves this problem. Not only does it provide learners a way to learn specific skills by actually practicing them, it lets them do so in a safe environment.
Immediate Feedback
A multitude of simulators is designed to provide real-time feedback for the learner’s performance (often through a screen or through lifelike response to stimuli). This feedback can then be used to further improve a learner’s prowess in specific skills. And it all happens in a safe environment, successfully avoiding the risk of causing harm or inconvenience to real patients. Additionally, people learn better when they aren’t afraid of making mistakes.
Learning through Repetitive Practice
Practice makes perfect. Besides, with something as important as nursing, repeated practice builds skill, instills confidence, clarifies the fundamentals, and prepares the learner for stepping into a real clinical setting.
Building of Important Skills Simulation allows learners the opportunity to practice caring for patients in ways that they cannot in the real-life hospital setting. Through several studies, it has been found that simulation-based learning for nursing education has a positive impact on knowledge acquisition, psychomotor skills, self-efficacy, satisfaction, confidence, critical thinking skills, and communication skills. It does all that within a safety net.
From mass casualty and wound care to mental health and end-of-life care, nursing skills education benefits from the adoption of a simulation-based approach to learning.
Benefits of a Simulation-Based Approach to Nursing Education
Teaching nursing skills through simulation involves a lot of role-playing and playing out realistic scenarios using actors and manikins. A student can pretend to be a patient, a nurse, a healthcare assistant, a manager, a student, a doctor, or even an angry relative. Imagine that as a student, you are pretending to be a nurse tending to three patients and receiving a call from the relatives of one of them. Think about what skills you would take home from that experience. No matter what scenario plays out, the result is improved patient care skills for everyone involved in the scenario. Simulation-based training is effective at bringing on the following changes in learners:
The ability to think on their feet
Refined communication and management skills
Acute decision-making skills
Confidence in their nursing abilities
The ability to work under pressure
Improved knowledge of nursing skills
Visibly improved technical skills
Stronger leadership skills
Developed self-confidence and attitude/aptitude for nursing
Students are exposed to rare clinical situations
Students are able to practice clinical reasoning skills
Other Miscellaneous Benefits
Other than the obvious benefits to the learning process and the learner, there are some other benefits to the nursing education system as a whole:
Enhanced patient safety and quality
Learners can manage patients without posing risk to actual humans
Controlled and safe learning environment
Structured feedback
Faster time to competence
Fills the gap in faculty/clinical site resources
Additionally, simulation-based nursing-skills training avoids inefficiency due to the following during training:
Feeling awkward for getting in the way of nurses’ work
Getting flustered by an unexpected situation or care instruction
Experiencing difficulty in adapting to training because many parts were not covered in school
It can safely be said that a simulation-based approach to nursing skills training lays the foundation for a student-centred learning paradigm. So owing to the array of benefits that it brings with itself, simulation-led training has secured its place in nursing skills training as an indispensable asset. And with further advancements in the technology, it may open up newer horizons of learning in nursing and other aspects of healthcare.
Simulators from SEM Trainers
If you’re looking to purchase medical simulators for the purpose of nursing skills training, your search ends here, because SEM Trainers is the #1 provider of premium-quality simulation products sourced from Germany, USA, Japan, and Europe.
Nurses are the heart of healthcare. With that in mind, it is intriguing to discuss the benefits of a simulation-led approach to nursing education.
