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Rapid Response to Revive Simulation: The Show Must Go On! (1090-004285)
CE Hours: 0.25 Session Type: SimVentors Cost: $0.00
Description:
In crisis mode, triumph prevailed over failure in response to revive a dead-on-arrival clinical simulation experience for undergraduate nursing students. By combining readily available resources, a rapid response team of dedicated simulation educators responded within a very short time-frame to avert the impending death of simulation. The primary function of this innovative instructional method was to address the need for more interactive, engaging simulation through an online platform. In response to the COVID 19 crisis, a team of simulation nurse educators converted simulation to an online format using the Laerdal LEAPP software virtual patient platform. On opening day, simulation educators experienced various technical glitches and the entire day of simulation seemed dead on arrival. Faculty were allowed on site, so they combined forces to develop an innovative approach in less than one hour. Resources used in normal, daily operations such as mannequin simulators and software programs were started as usual. A virtual camera view was not available through the on-site AV equipment. One faculty simply strapped an iPad on another faculty member’s chest with CoFlex bandage material with the mantra of “the show must go on”. Then with Zoom technology, the learners and virtual nurse at the bedside were united to complete an interactive and engaging simulation session. The nurse at the bedside could hear and follow learner direction through Zoom on the iPad while learners directed the nurse’s actions. The learners made clinical decisions themselves. A second faculty member remained in the control room and operated the simulator. The learners were able to view the patient from the nurse perspective while visualizing all aspects of patient care in real time. As the scenario progressed a predetermined hand signal was created to let learners know when to unmute their microphones and direct the virtual nurse on what actions to take next. The scenarios were lengthier to facilitate, but the live action aspect was well worth the time. Learners traveled with the nurse down the hallway to the medication room and were able to visualize Pyxis access, removal of medication, and documentation in the electronic health record. The rapid response to this crisis worked well in spite of the lack of time for more deliberate planning. Learners are not limited to a finite number of decision pathways as with recorded videos or other online simulation approaches when using this virtual nurse method. In response to this virtual nurse approach, one learner stated, “I like how this method does not limit me to only 3-4 options for nursing actions like other programs and multiple-choice questions do. Life is not a multiple-choice test. You have to decide what the best course of action is for your patient out of many options that you have to think of in the heat of the moment.”