SIMS Medical Academy?br> Exploring simulation with the expectation of improved patient care.
Building a patient scenario is considerably easier than most people think. You already know the competencies you want your students to master. They can be found in your syllabus, lab manuals, and clinical setting. There is no need to start with a blank page. Take what you already do and bring it home to your campus simulation set-up.
scenario may be seen as a "series of events limited by time."
Patient events are more than
single task training.
There are several approaches to
building a patient scenario.
Outline what happened with this "dose miscalculation" patient. Sometimes it helps to close your eyes and run through the images of what happened. As you see those events, jot down some key points. Think of all the things that are supposed to happen and what actually happened. We will assume the patient was not harmed. Take your notes and go see one of your simulation patients. Walk through what happened in the clinical setting. Think about and jot down what it would take to duplicate what happened. Include supplies and equipment. It really helps to talk out loud to another person while you do this. Maybe they can take notes for you. Now, identify the competencies where things went wrong. You have a patient scenario....in this case, a re-enactment of a clinical experience. Yes, you do need to clean up your notes, but all the "stuff" you need is there. This method is essentially a "debriefing" of the clinical experience put to paper, a process you do all the time with student evaluation and documentation.
Method 2: begins with the
competencies you want a student to learn or demonstrate, but you can
still draw upon your clinical experiences. We will keep with the
drug dose idea for comparison. First decide if this is more a
learning experience or a demonstration experience. If this is a learning
experience, you will want to lengthen the time to account for
"teaching moments." Next decide if you want to keep this
basic with no complications at all. Happy patient, no relatives,
perfect site, jovial doctor, all equipment at hand and no worries.
If you go this route, you are actually constructing a patient
event. Good. List all the competencies that are contained
within a single dose administration in order of appearance. Repeat
competencies as need. Next to each competency, list what it will
take to provide the correct environment for the student to learn or
perform that particular competency. People, patient status,
None of this is perfect, but it will get you started on creating a great patient event, then a series of events to form an enriching patient scenario.
Got suggestions? Let me hear from you. See below.
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