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doc16658 skills-lab-manual-2022.pdf
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"text": "POLICY AND PROCEDURE MANUAL\nSCHOOL OF NURSING\nSIMULATION & CLINICAL SKILLS LABORATORY\n2022-2023"
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"text": "\\\nRevised 08/2022"
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"text": "Introduction.....4\nDefinitions.....4\nGoals.....5\nLaboratory Location.....5\nHours of Operation.....5\nContact Information.....5\nStudents\nStudent Orientation.....6\nScheduling.....6\nStudent Dress Code.....6\nProfessionalism.....6\nGeneral Use Guidelines.....6\nScheduling.....8\nOpen Laboratory.....8\nFaculty\nEducation and Professional Development.....9\nDress Code.....9\nScheduling.....9\nSkills Competencies.....10\nFaculty Preparedness.....11\nFacilitation.....12\nEvaluation-Assessment.....12\nReal-Time Recording.....12\nQuality Improvement.....12\nDebriefing.....13\nSafety Guidelines\nNeedles & Sharps Safety.....13\nInfection Control.....14\nElectrical Safety.....15\nErgonomic Safety.....16",
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"text": "The faculty and staff of the school of nursing and health sciences (SON) strive to provide a safe and effective environment in which students can practice and learn essential clinical care skills. This policy and procedure manual has been developed to provide guidance in the utilization and maintenance of the Virtual, Simulation & Clinical Skills Laboratory (VSL) by both students and faculty."
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"text": "The primary goal for the VSL is to provide a safe, clean, orderly, and supervised environment in which students can attain a basic level of competency in performing course and program required clinical nursing skills. The VSL coordinator is responsible for enforcing the guidelines outlined in this policy."
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"text": "Simulation is: A technique that creates a situation or environment to allow persons to experience a representation of a real event for the purpose of practice, learning, evaluation, testing, or to gain understanding of systems or human actions. It is an educational technique that replaces or amplifies real experiences with guided experiences that evoke or replicate substantial aspects of the real world in a fully interactive manner (Agency for Healthcare Research and Quality (AHRQ), 2020). A pedagogy using one or more typologies to promote, improve, or validate a participant's progression from novice to expert using method for implementing a model over time. (INACSL, 2013)."
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"text": "Pre-briefing: An activity immediately preceding the start of a simulation activity where the participants receive essential information about the simulation scenario, such as background information, vital signs, instructions, or guidelines. Included in this is also the information and guidelines given to faculty or simulated patients participating in a scenario to allow them to fully prepare for interactions with the participants (AHRQ, 2020)."
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"text": "Evaluation: Measures quality and productivity against a standard of performance. Evaluation may be formative, summative, high stakes, or related to the simulation program or process (AHRQ, 2020)."
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"text": "The VSL is located on the second floor of the Betty White Building. The VSL designated rooms are 200, 202 and 207. These rooms contain high level, state of the art manikins and equipment that must be maintained and protected."
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"text": "Cell phones, personal electronic devices, and approved nursing skills manuals may be utilized for reference while performing skills during practice or at the discretion and direction of VSL personnel and/or course faculty. If using social media, using device for personal communication without leaving the lab, or using device for any other non-lab related activity, device will be removed from lab area and student may be asked to leave the lab if behavior continues."
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"text": "All users of the VSL must sign-in and sign-out with date and time."
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"text": "Do not remove manikin parts or attempt to remove or disconnect electronic equipment. Seek assistance with the use of all manikins."
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"text": "All participants must have on file a signed and dated Authorization Release for Photography and Video form. By signing this release, the student hereby grants the irrevocable right and permission to use photographs and/or video recordings of said student on University and other websites and in"
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"text": "publications, promotional flyers, educational materials, derivative works, or for any other similar purpose without compensation to the student."
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"text": "Students are to act as if they are in a real patient situation keeping in mind safety and infection and HIPAA regulations.",
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"text": "Students are to remain confidential and professional regarding the performance of other students during and after simulation experiences.",
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"text": "Students are to come prepared for simulation including having the necessary materials including stethoscope, paper and pen/pencil.",
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"text": "Faculty responsibilities: In the event that scheduled lab time must be rescheduled by VSL personnel, the students shall be notified, if possible, via electronic mail as soon as possible. Every effort shall be made to find a reasonable reschedule accommodation.",
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"text": "Education and training of new simulation equipment will be arranged by the VSL personnel. When VSL personnel become aware of simulation professional development opportunities, these will be disseminated to all SON faculty for attendance consideration."
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"text": "All Uses of the VSL spaces are scheduled on a first-come, first-served basis. This includes faculty demonstrations, student free practice, skills competence testing, hands-on simulation session, and the use of the technology center or conference room for special testing needs. Courses that include an imbedded simulation"
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"text": "Faculty requests for use of the simulation rooms, technology center and/or conference room must be submitted to VSL coordinator via email at least 1 week in advance of activity.",
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"text": "Scheduling conflicts shall be resolved by VSL personnel.",
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"text": "Faculty should forward notice of scheduled laboratory time cancellation to the VSL coordinator at least 1 day in advance or as soon as possible.",
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"text": "Students sent to the VSL from a clinical rotation for remediation must either present documentation from clinical personnel to VSL personnel. Faculty shall make every attempt to communicate remediation objectives to VSL personnel prior to the student's arrival."
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"text": "Sim-Lab SCA Days- Skills Competency Assessment (SCA) days will be scheduled during the first two weeks of each semester or prior to off-site practicum and mentored experiences. SCA days are intensive skills learning and review days totaling 12 hours that must be completed before students will be allowed to attend clinical or off-site practicum. Skills cannot be performed in real-time at any off-site clinical affiliate facilities, until the identified skills have been performed and validated in the VSL by either course faculty or appropriate VSL personnel. If not in attendance student must comply with the lab rescheduling portion of this manual.",
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"text": "Sim-Lab Clinical Lab Training- Each clinical rotation has a set number of contact hours required in the lab. These may be scheduled by faculty or may",
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"text": "require students to sign-up for available hours that will be posted and based on lab faculty availability. Failure to attend or complete the required amount of hours in the lab will result in disciplinary action as described in SON and could negatively impact a student's ability to complete the clinical component of their class."
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"text": "Failure to attend any faculty scheduled skills practices and/or competency assessments will result in student's inability to attend clinical and will result in an incomplete in the clinical component of the class. Missing clinical due to noncompliance will result in an unexcused absence which may impact the student's progression in the program."
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"text": "Faculty are responsible for determining and setting deadline dates for competency return demonstrations for all students. Initial return demonstrations are faculty guided and must be scheduled with VSL personnel."
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"text": "All students scheduled for competency assessments must demonstrate to the faculty and/or VSL personnel that all pre-assessment preparation and practice have been completed prior to performance assessment."
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"text": "It is expected that all SON faculty will participate in the preparation of their own (course/specialty specific) simulation scenarios. Faculty may seek assistance from the VSL Coordinator prior to any simulation event as well as request VSL assistance with the simulation event"
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"text": "Scenario writing - Faculty may write their own scenarios for a simulation experience. It is expected that faculty will seek assistance from VSL personnel if they are unsure how to develop or implement scenarios for a simulation experience (including ideas for scenarios and using the simulation software)."
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"text": "Technology - If faculty are unsure of how to use the technology (monitors, debriefing videos, etc.), it is expected the faculty will seek assistance from the VSL personnel prior to the day of the scheduled simulation experience."
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"text": "Faculty are expected to continually assess their students for adherence to professionalism standards regardless of the purpose of the simulation. Faculty should make students aware of simulation experience requirements and whether they will be evaluated on selected skills, knowledge, competencies, etc. Faculty should not use the real-time viewing of simulation and evaluation experiences of any student or student cohort as a teaching-learning strategy for other students (e.g., viewing in debriefing room).",
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"text": "Students may be required to evaluate their simulation experience after a simulation day and/or after selected learning activities. These data are used to identify areas of opportunity to improve our VSL and simulation program.",
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"text": "Faculty feedback is solicited to ensure scenarios are realistic and align with current practice. The Creighton Competency Evaluation Instrument© (Todd, Hawkins, Hercinger, Manz, Tracy, & Iverson, 2014) is used to evaluate student competency and scenario design. In addition, the scenario objectives are evaluated for relevancy to course objectives, simulation goals, and program outcomes. Finally, faculty facilitation of simulation scenarios and debriefings are monitored for quality assurance and quality improvement to identify areas for improvement and faculty development.",
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"text": "Debriefing is arguably the most important component of a simulation experience. It is a process of re-examining the simulation experience for the purpose of moving toward assimilation and accommodation of learning to future situations (AQRH 2020). To encourage participants' reflective thinking and provide feedback about their performance, while various aspects of the completed simulation are discussed (AQRH 2020). The debriefing is learner centered and uses reflection to promote"
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"text": "learning. The debriefing session is not for lecturing. The role of the faculty leading the debriefing is to guide students through the reflective process of debriefing in a structured manner. The aim is to reflect on and make sense of the experience, improve understanding and clinical reasoning, and relate the learning to future experiences (Driefuerst, 2015)."
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"text": "Debriefing for Meaningful Learning (DML) is an evidence-based debriefing method for use in both the simulation and clinical settings. The DML is rooted in Socratic questioning and guided reflection. Socratic questioning is a method of asking questions, so students may reveal answers to problems. The phases of DML include: engage, explore, explain, elaborate, evaluate, and extend."
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"text": "Recapping of needles is discouraged. One hand recapping can be used if student is participating in repetitive practice session. Needle must be discarded in sharps container at end of each individual's practice session.",
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"text": "Most needles and syringes are safety needle or syringes."
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"text": "Most gloves used in the lab are latex free. Gloves are donated in limited supply and some may not be latex free."
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"text": "All lab supplies are for practice on manikins only, no human use."
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"text": "Sample medicines and fluids are commercial products prepared for student use and are inert substances of water, salt, sugar or food coloring. No active chemicals are used."
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Page 16
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"text": "Faculty, staff, and students are responsible for reporting frayed electrical cords, cracked plugs, missing outlet covers, or any electrical equipment problems immediately to the lab manager. Work orders will be placed by SON personnel to ensure problem is repaired.",
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"text": "Cangelosi, P.R., Dinkins, C. & Sorrell, J.M. (2018). Socratic pedagogy: An ancient approach serves as a new catalyst for teaching critical thinking. Retrieved from http://www.nursinglibrary.org/vhl/bitstream/10755/604215/1 (Dinkins C s22341 1.pdf)"
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"text": "Dreifuerst, K. T. (2015). Getting started with Debriefing for Meaningful Learning. Clinical Simulation in Nursing, 1 (5), 268-275. doi:10.1016/j.ecns.2015.01.005"
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"text": "Lioce L. (Ed.), Lopreiato J. (Founding Ed.), Downing D., Chang T.P., Robertson J.M., Anderson M., Diaz D.A., and Spain A.E. (Assoc. Eds.) and the Terminology and Concepts Working Group (2020), Healthcare Simulation Dictionary –Second Edition. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. AHRQ Publication No. 20-0019. DOI: https://doi.org/10.23970/simulationv2.",
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"text": "Manz, J., Tracy, M., & Iverson, L. (2014). Creighton Competency Evaluation Instrument. Retrieved from https://nursing.creighton.edu/academics/competency-evaluationinstrument"
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"text": "National League for Nursing Board of Governors (2015). Debriefing across the Curriculum. Retrieved from www.nln.org/docs/default-source/uploadedfiles/professional-development-programs/nln-vision-debriefing-across-the-curriculum.pdf",
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