{
    "document_id": 16658,
    "filename": "skills-lab-manual-2022.pdf",
    "engine": "paddleocr_vl",
    "source_run_id": 16770,
    "generated_at": "2026-11-05T03:29:54+00:00",
    "page_count": 29,
    "counts_by_type": {
        "figure": 3,
        "footer": 27,
        "form_field": 44,
        "header": 1,
        "heading": 65,
        "link": 5,
        "list": 27,
        "list_item": 149,
        "table": 4,
        "table_cell": 28,
        "text": 62,
        "title": 2
    },
    "timings": {
        "total_ms": 1649,
        "structure_ms": 1225,
        "text_layer_ms": 56,
        "build_ms": 36
    },
    "pages": [
        {
            "document_id": 16658,
            "page": 1,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 5,
            "counts_by_type": {
                "figure": 2,
                "heading": 1,
                "text": 2
            },
            "build_ms": 2,
            "items": [
                {
                    "id": "p1.1",
                    "order": 1,
                    "type": "figure",
                    "bbox": {
                        "l": 83.9,
                        "t": 708.45,
                        "r": 533.9,
                        "b": 472.95
                    },
                    "text": "",
                    "attrs": {
                        "source": "pdf_image"
                    },
                    "reading_order": 0
                },
                {
                    "id": "p1.2",
                    "order": 2,
                    "type": "figure",
                    "bbox": {
                        "l": 225.6,
                        "t": 684.48,
                        "r": 395.28,
                        "b": 558.96
                    },
                    "text": "",
                    "attrs": {
                        "block_label": "image"
                    },
                    "reading_order": 1
                },
                {
                    "id": "p1.3",
                    "order": 3,
                    "type": "heading",
                    "bbox": {
                        "l": 174.72,
                        "t": 544.8,
                        "r": 444.96,
                        "b": 494.16
                    },
                    "text": "KENTUCKY STATE\nUNIVERSITY",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 2
                },
                {
                    "id": "p1.4",
                    "order": 4,
                    "type": "text",
                    "bbox": {
                        "l": 113.76,
                        "t": 386.4,
                        "r": 507.84,
                        "b": 258.72
                    },
                    "text": "POLICY AND PROCEDURE MANUAL\nSCHOOL OF NURSING\nSIMULATION & CLINICAL SKILLS LABORATORY\n2022-2023",
                    "reading_order": 3
                },
                {
                    "id": "p1.5",
                    "order": 5,
                    "type": "text",
                    "bbox": {
                        "l": 468.72,
                        "t": 134.4,
                        "r": 541.2,
                        "b": 108.72
                    },
                    "text": "\\\nRevised 08/2022",
                    "reading_order": 4
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 2,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 4,
            "counts_by_type": {
                "footer": 1,
                "form_field": 1,
                "heading": 1,
                "text": 1
            },
            "build_ms": 1,
            "items": [
                {
                    "id": "p2.1",
                    "order": 1,
                    "type": "heading",
                    "bbox": {
                        "l": 258,
                        "t": 707.52,
                        "r": 354.72,
                        "b": 692.4
                    },
                    "text": "Table of Contents",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 0
                },
                {
                    "id": "p2.2",
                    "order": 2,
                    "type": "text",
                    "bbox": {
                        "l": 78,
                        "t": 687.12,
                        "r": 509.52,
                        "b": 90.24
                    },
                    "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",
                    "attrs": {
                        "block_label": "content"
                    },
                    "children": [
                        {
                            "id": "p2.2.1",
                            "order": 3,
                            "type": "form_field",
                            "bbox": {
                                "l": 119.66,
                                "t": 285.53,
                                "r": 505.5086,
                                "b": 272.57
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "text",
                                "label": "Facilitation 12",
                                "source": "blank_line",
                                "label_source": "parent_text",
                                "label_ref": "p2.2"
                            },
                            "reading_order": 0
                        }
                    ],
                    "reading_order": 1
                },
                {
                    "id": "p2.3",
                    "order": 4,
                    "type": "footer",
                    "bbox": {
                        "l": 305.04,
                        "t": 47.52,
                        "r": 312.96,
                        "b": 38.16
                    },
                    "text": "2",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 2
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 3,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 2,
            "counts_by_type": {
                "footer": 1,
                "text": 1
            },
            "build_ms": 0,
            "items": [
                {
                    "id": "p3.1",
                    "order": 1,
                    "type": "text",
                    "bbox": {
                        "l": 74.64,
                        "t": 706.56,
                        "r": 476.16,
                        "b": 601.44
                    },
                    "text": "Emergency\nProcedures.....16\nChemical Biological.....16\nReferences\nAppendix\nSimulation Design Template",
                    "attrs": {
                        "block_label": "content"
                    },
                    "reading_order": 0
                },
                {
                    "id": "p3.2",
                    "order": 2,
                    "type": "footer",
                    "bbox": {
                        "l": 305.28,
                        "t": 47.52,
                        "r": 312.72,
                        "b": 38.16
                    },
                    "text": "3",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 1
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 4,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 11,
            "counts_by_type": {
                "footer": 1,
                "heading": 2,
                "list": 1,
                "list_item": 2,
                "text": 5
            },
            "build_ms": 1,
            "items": [
                {
                    "id": "p4.1",
                    "order": 1,
                    "type": "heading",
                    "bbox": {
                        "l": 82.08,
                        "t": 706.56,
                        "r": 152.4,
                        "b": 692.64
                    },
                    "text": "Introduction",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 0
                },
                {
                    "id": "p4.2",
                    "order": 2,
                    "type": "text",
                    "bbox": {
                        "l": 79.2,
                        "t": 684.96,
                        "r": 531.84,
                        "b": 599.52
                    },
                    "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.",
                    "reading_order": 1
                },
                {
                    "id": "p4.3",
                    "order": 3,
                    "type": "list",
                    "bbox": {
                        "l": 98.64,
                        "t": 597.16,
                        "r": 534.96,
                        "b": 526.08
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 2
                    },
                    "children": [
                        {
                            "id": "p4.3.1",
                            "order": 4,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.88,
                                "t": 597.16,
                                "r": 534.48,
                                "b": 563.52
                            },
                            "text": "Faculty, clinical instructors and facilitators are to review the Policy and Procedure Manual prior to use of the VSL.",
                            "marker": "-",
                            "reading_order": 0
                        },
                        {
                            "id": "p4.3.2",
                            "order": 5,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.64,
                                "t": 559.84,
                                "r": 534.96,
                                "b": 526.08
                            },
                            "text": "Students are oriented by VSL personnel and/or faculty to applicable policies and procedures before their first experience in the VSL; and. as needed.",
                            "marker": "-",
                            "reading_order": 1
                        }
                    ],
                    "reading_order": 2
                },
                {
                    "id": "p4.4",
                    "order": 6,
                    "type": "text",
                    "bbox": {
                        "l": 79.2,
                        "t": 522.24,
                        "r": 528.72,
                        "b": 453.6
                    },
                    "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.",
                    "reading_order": 3
                },
                {
                    "id": "p4.5",
                    "order": 7,
                    "type": "heading",
                    "bbox": {
                        "l": 81.84,
                        "t": 437.76,
                        "r": 418.32,
                        "b": 423.12
                    },
                    "text": "Definitions (Agency for Healthcare Research and Quality, 2020)",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 4
                },
                {
                    "id": "p4.6",
                    "order": 8,
                    "type": "text",
                    "bbox": {
                        "l": 97.2,
                        "t": 416.88,
                        "r": 525.12,
                        "b": 277.68
                    },
                    "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).",
                    "reading_order": 5
                },
                {
                    "id": "p4.7",
                    "order": 9,
                    "type": "text",
                    "bbox": {
                        "l": 98.64,
                        "t": 270.24,
                        "r": 541.2,
                        "b": 165.6
                    },
                    "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).",
                    "reading_order": 6
                },
                {
                    "id": "p4.8",
                    "order": 10,
                    "type": "text",
                    "bbox": {
                        "l": 98.64,
                        "t": 161.04,
                        "r": 522.72,
                        "b": 110.4
                    },
                    "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).",
                    "reading_order": 7
                },
                {
                    "id": "p4.9",
                    "order": 11,
                    "type": "footer",
                    "bbox": {
                        "l": 305.28,
                        "t": 47.04,
                        "r": 312.72,
                        "b": 38.4
                    },
                    "text": "4",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 8
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 5,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 18,
            "counts_by_type": {
                "footer": 1,
                "heading": 2,
                "list": 2,
                "list_item": 11,
                "text": 2
            },
            "build_ms": 2,
            "items": [
                {
                    "id": "p5.1",
                    "order": 1,
                    "type": "text",
                    "bbox": {
                        "l": 98.88,
                        "t": 706.8,
                        "r": 523.2,
                        "b": 601.68
                    },
                    "text": "Debriefing: To conduct a session after a simulation event where educators/instructors/facilitators and learners re-examine the simulation experience for the purpose of moving toward assimilation and accommodation of learning to future situations. To encourage participants' reflective thinking and provide feedback about their performance, while various aspects of the completed simulation are discussed (AHRQ, 2020)",
                    "reading_order": 0
                },
                {
                    "id": "p5.2",
                    "order": 2,
                    "type": "heading",
                    "bbox": {
                        "l": 82.56,
                        "t": 576.48,
                        "r": 116.64,
                        "b": 562.56
                    },
                    "text": "Goals",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 1
                },
                {
                    "id": "p5.3",
                    "order": 3,
                    "type": "text",
                    "bbox": {
                        "l": 96.72,
                        "t": 555.84,
                        "r": 351.6,
                        "b": 541.44
                    },
                    "text": "Experiences in the VSL will prepare students to:",
                    "reading_order": 2
                },
                {
                    "id": "p5.4",
                    "order": 4,
                    "type": "list",
                    "bbox": {
                        "l": 97.44,
                        "t": 534.13,
                        "r": 533.32016,
                        "b": 385.44
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 6
                    },
                    "children": [
                        {
                            "id": "p5.4.1",
                            "order": 5,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.4,
                                "t": 534.13,
                                "r": 515.28,
                                "b": 518.16
                            },
                            "text": "Adapt care to meet the needs of a variety of patients in a range of settings.",
                            "reading_order": 0
                        },
                        {
                            "id": "p5.4.2",
                            "order": 6,
                            "type": "list_item",
                            "bbox": {
                                "l": 119.3,
                                "t": 513.6700000000001,
                                "r": 533.32016,
                                "b": 500.71
                            },
                            "text": "Utilize available resources and standard practices to provide safe patient care.",
                            "marker": "•",
                            "reading_order": 1
                        },
                        {
                            "id": "p5.4.3",
                            "order": 7,
                            "type": "list_item",
                            "bbox": {
                                "l": 126.02,
                                "t": 495.67,
                                "r": 533.05472,
                                "b": 482.71
                            },
                            "text": "Communicate in a professional manner with patients, family members, and the healthcare team.",
                            "marker": "•",
                            "reading_order": 2
                        },
                        {
                            "id": "p5.4.4",
                            "order": 8,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.4,
                                "t": 458.17,
                                "r": 446.4,
                                "b": 442.56
                            },
                            "text": "Collaborate with inter- and intra-professional team members.",
                            "marker": "•",
                            "reading_order": 3
                        },
                        {
                            "id": "p5.4.5",
                            "order": 9,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.4,
                                "t": 437.29,
                                "r": 521.76,
                                "b": 421.44
                            },
                            "text": "Demonstrate clinical competency through repeated and deliberate practice.",
                            "reading_order": 4
                        },
                        {
                            "id": "p5.4.6",
                            "order": 10,
                            "type": "list_item",
                            "bbox": {
                                "l": 97.44,
                                "t": 419.05,
                                "r": 532.8,
                                "b": 385.44
                            },
                            "text": "Integrate theory and practice to prioritize and implement evidence-based care. Use reflection as a strategy to self-analyze skills performance competence.",
                            "reading_order": 5
                        }
                    ],
                    "reading_order": 3
                },
                {
                    "id": "p5.5",
                    "order": 11,
                    "type": "heading",
                    "bbox": {
                        "l": 83.52,
                        "t": 381.36,
                        "r": 193.2,
                        "b": 367.44
                    },
                    "text": "Laboratory Location",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 4
                },
                {
                    "id": "p5.6",
                    "order": 12,
                    "type": "list",
                    "bbox": {
                        "l": 98.4,
                        "t": 359.39,
                        "r": 535.68,
                        "b": 127.92
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 5
                    },
                    "children": [
                        {
                            "id": "p5.6.1",
                            "order": 13,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.4,
                                "t": 359.39,
                                "r": 534.96,
                                "b": 307.68
                            },
                            "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.",
                            "reading_order": 0
                        },
                        {
                            "id": "p5.6.2",
                            "order": 14,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.88,
                                "t": 305.87,
                                "r": 535.2,
                                "b": 254.4
                            },
                            "text": "In the VSL students will have access to 8 Diana newborn mannequins, three medium fidelity mannequins (Nursing Anne) and four high fidelity manikins (SimMan, SimMan 3G, SimBoy, and SimMom).",
                            "reading_order": 1
                        },
                        {
                            "id": "p5.6.3",
                            "order": 15,
                            "type": "list_item",
                            "bbox": {
                                "l": 99.36,
                                "t": 251.87,
                                "r": 405.6,
                                "b": 235.68
                            },
                            "text": "RM 207 contains generator supported headwall units.",
                            "marker": "•",
                            "reading_order": 2
                        },
                        {
                            "id": "p5.6.4",
                            "order": 16,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.88,
                                "t": 233.63,
                                "r": 535.2,
                                "b": 182.16
                            },
                            "text": "A fully loaded code cart, Baxter and Alaris IV pumps, medication supply stations, several supply carts, and cabinets containing supplemental equipment are also available for use.",
                            "marker": "-",
                            "reading_order": 3
                        },
                        {
                            "id": "p5.6.5",
                            "order": 17,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.64,
                                "t": 179.60000000000002,
                                "r": 535.68,
                                "b": 127.92
                            },
                            "text": "Select skills training equipment such as IV training arms, head and eye models, Breast self-exam models, and wound management trainers, are maintained and managed for use as needed.",
                            "marker": "-",
                            "reading_order": 4
                        }
                    ],
                    "reading_order": 5
                },
                {
                    "id": "p5.7",
                    "order": 18,
                    "type": "footer",
                    "bbox": {
                        "l": 305.04,
                        "t": 47.04,
                        "r": 312.48,
                        "b": 37.92
                    },
                    "text": "5",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 6
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 6,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 15,
            "counts_by_type": {
                "footer": 1,
                "heading": 5,
                "list": 1,
                "list_item": 4,
                "text": 4
            },
            "build_ms": 1,
            "items": [
                {
                    "id": "p6.1",
                    "order": 1,
                    "type": "heading",
                    "bbox": {
                        "l": 83.52,
                        "t": 688.56,
                        "r": 189.12,
                        "b": 674.16
                    },
                    "text": "Hours of Operation",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 0
                },
                {
                    "id": "p6.2",
                    "order": 2,
                    "type": "text",
                    "bbox": {
                        "l": 82.08,
                        "t": 666.48,
                        "r": 513.84,
                        "b": 615.36
                    },
                    "text": "The VSL is typically staffed to accommodate the needs of the nursing programs and students. Hours of operation are variable and will be posted at the start of each academic semester (i.e., fall and spring).",
                    "reading_order": 1
                },
                {
                    "id": "p6.3",
                    "order": 3,
                    "type": "heading",
                    "bbox": {
                        "l": 279.6,
                        "t": 575.76,
                        "r": 331.44,
                        "b": 562.56
                    },
                    "text": "Students",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 2
                },
                {
                    "id": "p6.4",
                    "order": 4,
                    "type": "heading",
                    "bbox": {
                        "l": 82.08,
                        "t": 549.84,
                        "r": 191.76,
                        "b": 536.4
                    },
                    "text": "Student Orientation",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 3
                },
                {
                    "id": "p6.5",
                    "order": 5,
                    "type": "text",
                    "bbox": {
                        "l": 80.16,
                        "t": 528,
                        "r": 524.88,
                        "b": 441.36
                    },
                    "text": "At the beginning of each academic semester VSE personnel will provide a general student orientation as needed. Prior to each simulation event, VSL personnel or course faculty will provide students with an orientation to the simulation learning environment, purpose and use of equipment, and explanation of roles and/or expectations.",
                    "reading_order": 4
                },
                {
                    "id": "p6.6",
                    "order": 6,
                    "type": "heading",
                    "bbox": {
                        "l": 82.08,
                        "t": 427.44,
                        "r": 190.08,
                        "b": 413.52
                    },
                    "text": "Student Dress Code",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 5
                },
                {
                    "id": "p6.7",
                    "order": 7,
                    "type": "list",
                    "bbox": {
                        "l": 98.4,
                        "t": 407.29,
                        "r": 533.04,
                        "b": 244.56
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 4
                    },
                    "children": [
                        {
                            "id": "p6.7.1",
                            "order": 8,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.64,
                                "t": 407.29,
                                "r": 532.32,
                                "b": 373.68
                            },
                            "text": "Those working in or using the VSL are expected to present a professional image at all times while in the lab.",
                            "reading_order": 0
                        },
                        {
                            "id": "p6.7.2",
                            "order": 9,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.64,
                                "t": 371.27,
                                "r": 532.56,
                                "b": 319.2
                            },
                            "text": "Students participating in planned simulation activities or clinical makeup must arrive in full SON program approved uniform in accordance with the requirements of the dress code as outlined in SON policy.",
                            "marker": "-",
                            "reading_order": 1
                        },
                        {
                            "id": "p6.7.3",
                            "order": 10,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.88,
                                "t": 315.95,
                                "r": 533.04,
                                "b": 264.48
                            },
                            "text": "Students participating in unplanned simulation (e.g., self-scheduled practice, open lab practice) and are not in approved uniform may practice in the lab at the discretion of SON faculty.",
                            "marker": "-",
                            "reading_order": 2
                        },
                        {
                            "id": "p6.7.4",
                            "order": 11,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.4,
                                "t": 260.27,
                                "r": 519.84,
                                "b": 244.56
                            },
                            "text": "Students who are not appropriately attired will not be allowed into the VSL.",
                            "reading_order": 3
                        }
                    ],
                    "reading_order": 6
                },
                {
                    "id": "p6.8",
                    "order": 12,
                    "type": "heading",
                    "bbox": {
                        "l": 82.32,
                        "t": 230.4,
                        "r": 168.72,
                        "b": 216
                    },
                    "text": "Professionalism",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 7
                },
                {
                    "id": "p6.9",
                    "order": 13,
                    "type": "text",
                    "bbox": {
                        "l": 80.88,
                        "t": 208.32,
                        "r": 529.68,
                        "b": 121.44
                    },
                    "text": "Students are expected to act in a professional manner at all times while in the VSL or the debriefing room for pre-briefing, monitoring, or debriefing. Student learners should exercise the highest level of integrity, ethics, objectivity and mutual respect in their behaviors while in the VSL. The VSL personnel reserve the right to suspend privileges of use for misconduct or misbehavior at any time.",
                    "reading_order": 8
                },
                {
                    "id": "p6.10",
                    "order": 14,
                    "type": "text",
                    "bbox": {
                        "l": 81.84,
                        "t": 118.56,
                        "r": 534.96,
                        "b": 85.2
                    },
                    "text": "Suspension may impact the student's ability to meet course objectives and thus, suspension may influence academic progression in the program.",
                    "reading_order": 9
                },
                {
                    "id": "p6.11",
                    "order": 15,
                    "type": "footer",
                    "bbox": {
                        "l": 305.04,
                        "t": 47.28,
                        "r": 312.72,
                        "b": 37.92
                    },
                    "text": "6",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 10
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 7,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 19,
            "counts_by_type": {
                "footer": 1,
                "heading": 1,
                "list": 2,
                "list_item": 15
            },
            "build_ms": 2,
            "items": [
                {
                    "id": "p7.1",
                    "order": 1,
                    "type": "heading",
                    "bbox": {
                        "l": 82.56,
                        "t": 706.8,
                        "r": 209.76,
                        "b": 692.88
                    },
                    "text": "General Use Guidelines",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 0
                },
                {
                    "id": "p7.2",
                    "order": 2,
                    "type": "list",
                    "bbox": {
                        "l": 98.4,
                        "t": 687.04,
                        "r": 533.76,
                        "b": 489.12
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 5
                    },
                    "children": [
                        {
                            "id": "p7.2.1",
                            "order": 3,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.4,
                                "t": 687.04,
                                "r": 382.8,
                                "b": 671.52
                            },
                            "text": "Absolutely NO food or drink permitted in the VSL.",
                            "marker": "•",
                            "reading_order": 0
                        },
                        {
                            "id": "p7.2.2",
                            "order": 4,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.88,
                                "t": 668.92,
                                "r": 383.04,
                                "b": 653.04
                            },
                            "text": "Absolutely NO children in the VSL lab at any time.",
                            "marker": "•",
                            "reading_order": 1
                        },
                        {
                            "id": "p7.2.3",
                            "order": 5,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.88,
                                "t": 650.8,
                                "r": 532.32,
                                "b": 618
                            },
                            "text": "Absolutely NO animals allowed in the VSL, with the exception of approved service animal, which are allowed in the VSL as needed.",
                            "marker": "-",
                            "reading_order": 2
                        },
                        {
                            "id": "p7.2.4",
                            "order": 6,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.88,
                                "t": 615.16,
                                "r": 533.76,
                                "b": 510
                            },
                            "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.",
                            "reading_order": 3
                        },
                        {
                            "id": "p7.2.5",
                            "order": 7,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.88,
                                "t": 505.33,
                                "r": 464.16,
                                "b": 489.12
                            },
                            "text": "All users of the VSL must sign-in and sign-out with date and time.",
                            "reading_order": 4
                        }
                    ],
                    "reading_order": 1
                },
                {
                    "id": "p7.3",
                    "order": 8,
                    "type": "list",
                    "bbox": {
                        "l": 98.4,
                        "t": 484.08,
                        "r": 534,
                        "b": 88.8
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 10
                    },
                    "children": [
                        {
                            "id": "p7.3.1",
                            "order": 9,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.4,
                                "t": 484.08,
                                "r": 534,
                                "b": 451.92
                            },
                            "text": "All users of the VSL are expected to leave the VSL clean, orderly, and ready for use by the next individual.",
                            "reading_order": 0
                        },
                        {
                            "id": "p7.3.2",
                            "order": 10,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.64,
                                "t": 449.53,
                                "r": 532.08,
                                "b": 415.68
                            },
                            "text": "Supplies and equipment are not to be moved from one VSL room to another without permission from VSL personnel.",
                            "marker": "•",
                            "reading_order": 1
                        },
                        {
                            "id": "p7.3.3",
                            "order": 11,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.64,
                                "t": 409.33,
                                "r": 532.32,
                                "b": 374.88
                            },
                            "text": "Do not remove manikin parts or attempt to remove or disconnect electronic equipment. Seek assistance with the use of all manikins.",
                            "reading_order": 2
                        },
                        {
                            "id": "p7.3.4",
                            "order": 12,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.4,
                                "t": 369.71,
                                "r": 532.56,
                                "b": 332.88
                            },
                            "text": "Do not use betadine, ink, marking pins, or any chemical solutions on the manikins.",
                            "reading_order": 3
                        },
                        {
                            "id": "p7.3.5",
                            "order": 13,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.4,
                                "t": 326.75,
                                "r": 532.08,
                                "b": 293.52
                            },
                            "text": "Clearly labeled manikin lubricant and alcohol wipes are the only solutions to be used on the manikins.",
                            "reading_order": 4
                        },
                        {
                            "id": "p7.3.6",
                            "order": 14,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.4,
                                "t": 290.75,
                                "r": 532.32,
                                "b": 257.28
                            },
                            "text": "Immediately report any problems, or malfunctioning equipment to VSL personnel.",
                            "marker": "-",
                            "reading_order": 5
                        },
                        {
                            "id": "p7.3.7",
                            "order": 15,
                            "type": "list_item",
                            "bbox": {
                                "l": 99.12,
                                "t": 253.19000000000005,
                                "r": 327.6,
                                "b": 237.36
                            },
                            "text": "No sitting on beds located in VSL areas.",
                            "reading_order": 6
                        },
                        {
                            "id": "p7.3.8",
                            "order": 16,
                            "type": "list_item",
                            "bbox": {
                                "l": 99.12,
                                "t": 233.02999999999997,
                                "r": 531.84,
                                "b": 199.2
                            },
                            "text": "The VSL is not a study area. The technology center and the conference room (when available) may be used as study areas.",
                            "reading_order": 7
                        },
                        {
                            "id": "p7.3.9",
                            "order": 17,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.88,
                                "t": 196.88,
                                "r": 532.8,
                                "b": 163.92
                            },
                            "text": "Dedicated skills manuals and reference materials in the VSL are not to be removed.",
                            "marker": "•",
                            "reading_order": 8
                        },
                        {
                            "id": "p7.3.10",
                            "order": 18,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.64,
                                "t": 158.60000000000002,
                                "r": 533.76,
                                "b": 88.8
                            },
                            "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",
                            "reading_order": 9
                        }
                    ],
                    "reading_order": 2
                },
                {
                    "id": "p7.4",
                    "order": 19,
                    "type": "footer",
                    "bbox": {
                        "l": 305.76,
                        "t": 47.28,
                        "r": 312.72,
                        "b": 38.16
                    },
                    "text": "7",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 3
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 8,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 18,
            "counts_by_type": {
                "footer": 1,
                "heading": 1,
                "list": 2,
                "list_item": 13,
                "text": 1
            },
            "build_ms": 2,
            "items": [
                {
                    "id": "p8.1",
                    "order": 1,
                    "type": "text",
                    "bbox": {
                        "l": 116.16,
                        "t": 706.56,
                        "r": 532.08,
                        "b": 673.92
                    },
                    "text": "publications, promotional flyers, educational materials, derivative works, or for any other similar purpose without compensation to the student.",
                    "reading_order": 0
                },
                {
                    "id": "p8.2",
                    "order": 2,
                    "type": "list",
                    "bbox": {
                        "l": 98.4,
                        "t": 671.6800000000001,
                        "r": 532.8,
                        "b": 374.64
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 7
                    },
                    "children": [
                        {
                            "id": "p8.2.1",
                            "order": 3,
                            "type": "list_item",
                            "bbox": {
                                "l": 99.6,
                                "t": 671.6800000000001,
                                "r": 532.8,
                                "b": 619.44
                            },
                            "text": "VSL personnel will not make copies of course handouts. Each student is expected to bring necessary and appropriate resource materials with them to the VSL (e.g., text, skills manual course PowerPoints, course handouts).",
                            "marker": "-",
                            "reading_order": 0
                        },
                        {
                            "id": "p8.2.2",
                            "order": 4,
                            "type": "list_item",
                            "bbox": {
                                "l": 99.12,
                                "t": 617.6800000000001,
                                "r": 532.32,
                                "b": 583.92
                            },
                            "text": "Students are only allowed to use the high-fidelity manikins while accompanied by trained faculty or VSL personnel.",
                            "marker": "-",
                            "reading_order": 1
                        },
                        {
                            "id": "p8.2.3",
                            "order": 5,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.88,
                                "t": 581.44,
                                "r": 532.32,
                                "b": 540.72
                            },
                            "text": "At no time are any supplies or equipment in the VSL to be used for human treatment.",
                            "reading_order": 2
                        },
                        {
                            "id": "p8.2.4",
                            "order": 6,
                            "type": "list_item",
                            "bbox": {
                                "l": 99.12,
                                "t": 531.85,
                                "r": 532.8,
                                "b": 492.72
                            },
                            "text": "Students with latex allergies or sensitivities of any kind, should make this known to VSL personnel.",
                            "marker": "-",
                            "reading_order": 3
                        },
                        {
                            "id": "p8.2.5",
                            "order": 7,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.88,
                                "t": 486.25,
                                "r": 532.56,
                                "b": 452.16
                            },
                            "text": "Students are to act as if they are in a real patient situation keeping in mind safety and infection and HIPAA regulations.",
                            "marker": "-",
                            "reading_order": 4
                        },
                        {
                            "id": "p8.2.6",
                            "order": 8,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.64,
                                "t": 449.05,
                                "r": 532.08,
                                "b": 414.72
                            },
                            "text": "Students are to remain confidential and professional regarding the performance of other students during and after simulation experiences.",
                            "marker": "-",
                            "reading_order": 5
                        },
                        {
                            "id": "p8.2.7",
                            "order": 9,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.4,
                                "t": 413.05,
                                "r": 532.56,
                                "b": 374.64
                            },
                            "text": "Students are to come prepared for simulation including having the necessary materials including stethoscope, paper and pen/pencil.",
                            "marker": "-",
                            "reading_order": 6
                        }
                    ],
                    "reading_order": 1
                },
                {
                    "id": "p8.3",
                    "order": 10,
                    "type": "heading",
                    "bbox": {
                        "l": 79.68,
                        "t": 367.2,
                        "r": 286.32,
                        "b": 352.56
                    },
                    "text": "Additional considerations for students",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 2
                },
                {
                    "id": "p8.4",
                    "order": 11,
                    "type": "list",
                    "bbox": {
                        "l": 98.88,
                        "t": 347.39,
                        "r": 533.04,
                        "b": 90.72
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 6
                    },
                    "children": [
                        {
                            "id": "p8.4.1",
                            "order": 12,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.88,
                                "t": 347.39,
                                "r": 532.8,
                                "b": 296.16
                            },
                            "text": "Students are not allowed to touch the high-fidelity simulators, associated computer lap top or peripherals unless assisted by trained staff or faculty. No exceptions.",
                            "marker": "-",
                            "reading_order": 0
                        },
                        {
                            "id": "p8.4.2",
                            "order": 13,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.88,
                                "t": 291.83,
                                "r": 532.08,
                                "b": 257.52
                            },
                            "text": "Students will be held responsible for damage to or misuse of equipment that results from failure to follow lab policy or procedure.",
                            "marker": "-",
                            "reading_order": 1
                        },
                        {
                            "id": "p8.4.3",
                            "order": 14,
                            "type": "list_item",
                            "bbox": {
                                "l": 99.12,
                                "t": 254.51,
                                "r": 533.04,
                                "b": 202.8
                            },
                            "text": "Students may be expected to work in small groups and assist each other in performing and evaluating skills. This helps to foster teamwork, self-evaluation, and beginning teaching skills.",
                            "marker": "-",
                            "reading_order": 2
                        },
                        {
                            "id": "p8.4.4",
                            "order": 15,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.88,
                                "t": 197.76,
                                "r": 525.12,
                                "b": 147.12
                            },
                            "text": "Students are responsible for completing pre-lab study and coming to lab with appropriate materials and preparation for actual practice based on approved standards of care.",
                            "marker": "•",
                            "reading_order": 3
                        },
                        {
                            "id": "p8.4.5",
                            "order": 16,
                            "type": "list_item",
                            "bbox": {
                                "l": 102.72,
                                "t": 141.84,
                                "r": 444.24,
                                "b": 126.24
                            },
                            "text": "Students must be prepared to accept coaching and direction.",
                            "reading_order": 4
                        },
                        {
                            "id": "p8.4.6",
                            "order": 17,
                            "type": "list_item",
                            "bbox": {
                                "l": 99.36,
                                "t": 123.91999999999996,
                                "r": 532.56,
                                "b": 90.72
                            },
                            "text": "Disruptive or inappropriate behavior will result in student being asked to vacate the lab.",
                            "reading_order": 5
                        }
                    ],
                    "reading_order": 3
                },
                {
                    "id": "p8.5",
                    "order": 18,
                    "type": "footer",
                    "bbox": {
                        "l": 305.28,
                        "t": 47.52,
                        "r": 312.48,
                        "b": 38.16
                    },
                    "text": "8",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 4
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 9,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 15,
            "counts_by_type": {
                "footer": 1,
                "heading": 5,
                "list": 1,
                "list_item": 5,
                "text": 3
            },
            "build_ms": 1,
            "items": [
                {
                    "id": "p9.1",
                    "order": 1,
                    "type": "heading",
                    "bbox": {
                        "l": 82.8,
                        "t": 706.8,
                        "r": 269.04,
                        "b": 692.64
                    },
                    "text": "Scheduling-Rescheduling Lab Time",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 0
                },
                {
                    "id": "p9.2",
                    "order": 2,
                    "type": "list",
                    "bbox": {
                        "l": 129.12,
                        "t": 687.1648,
                        "r": 541.2,
                        "b": 398.88
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 5
                    },
                    "children": [
                        {
                            "id": "p9.2.1",
                            "order": 3,
                            "type": "list_item",
                            "bbox": {
                                "l": 129.84,
                                "t": 687.1648,
                                "r": 532.08,
                                "b": 616.8
                            },
                            "text": "Student responsibilities: If student is unable to attend lab hours, contact faculty by email or phone to inform them that you will not be in lab. Students without university excused absence or 24 hour emailed notice are subject to disciplinary action as described in the SON handbook.",
                            "marker": "-",
                            "reading_order": 0
                        },
                        {
                            "id": "p9.2.2",
                            "order": 4,
                            "type": "list_item",
                            "bbox": {
                                "l": 130.08,
                                "t": 614.8048,
                                "r": 528.24,
                                "b": 580.56
                            },
                            "text": "For any excused absence, rescheduling of lab hours must be completed within a 1-week time frame.",
                            "reading_order": 1
                        },
                        {
                            "id": "p9.2.3",
                            "order": 5,
                            "type": "list_item",
                            "bbox": {
                                "l": 129.84,
                                "t": 578.3248,
                                "r": 525.84,
                                "b": 508.08
                            },
                            "text": "Entry to the lab more than 15 minutes after scheduled time may result in loss of hours and students are potentially subject to disciplinary action as described in the SON handbook. Also leaving early before completion of activities and debriefing may result in loss of hours.",
                            "marker": "-",
                            "reading_order": 2
                        },
                        {
                            "id": "p9.2.4",
                            "order": 6,
                            "type": "list_item",
                            "bbox": {
                                "l": 129.84,
                                "t": 505.9348,
                                "r": 541.2,
                                "b": 471.6
                            },
                            "text": "Students are responsible for rescheduling, making-up, and managing all hours. It is student responsibility to contact faculty to reschedule hours.",
                            "marker": "-",
                            "reading_order": 3
                        },
                        {
                            "id": "p9.2.5",
                            "order": 7,
                            "type": "list_item",
                            "bbox": {
                                "l": 129.12,
                                "t": 469.3348,
                                "r": 534,
                                "b": 398.88
                            },
                            "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.",
                            "marker": "-",
                            "reading_order": 4
                        }
                    ],
                    "reading_order": 1
                },
                {
                    "id": "p9.3",
                    "order": 8,
                    "type": "heading",
                    "bbox": {
                        "l": 250.32,
                        "t": 373.92,
                        "r": 364.32,
                        "b": 360.24
                    },
                    "text": "Faculty Expectations",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 2
                },
                {
                    "id": "p9.4",
                    "order": 9,
                    "type": "heading",
                    "bbox": {
                        "l": 82.56,
                        "t": 356.16,
                        "r": 304.32,
                        "b": 341.76
                    },
                    "text": "Education and Professional Development",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 3
                },
                {
                    "id": "p9.5",
                    "order": 10,
                    "type": "text",
                    "bbox": {
                        "l": 81.12,
                        "t": 331.68,
                        "r": 530.16,
                        "b": 262.8
                    },
                    "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.",
                    "reading_order": 4
                },
                {
                    "id": "p9.6",
                    "order": 11,
                    "type": "heading",
                    "bbox": {
                        "l": 82.32,
                        "t": 246.72,
                        "r": 145.68,
                        "b": 232.56
                    },
                    "text": "Dress Code",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 5
                },
                {
                    "id": "p9.7",
                    "order": 12,
                    "type": "text",
                    "bbox": {
                        "l": 81.6,
                        "t": 227.04,
                        "r": 540,
                        "b": 211.68
                    },
                    "text": "VSL personnel are always expected to present a professional appearance for their role.",
                    "reading_order": 6
                },
                {
                    "id": "p9.8",
                    "order": 13,
                    "type": "heading",
                    "bbox": {
                        "l": 82.32,
                        "t": 202.8,
                        "r": 268.8,
                        "b": 187.92
                    },
                    "text": "Scheduling-Rescheduling Lab Time",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 7
                },
                {
                    "id": "p9.9",
                    "order": 14,
                    "type": "text",
                    "bbox": {
                        "l": 78.96,
                        "t": 182.64,
                        "r": 510.72,
                        "b": 113.76
                    },
                    "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",
                    "reading_order": 8
                },
                {
                    "id": "p9.10",
                    "order": 15,
                    "type": "footer",
                    "bbox": {
                        "l": 304.8,
                        "t": 47.52,
                        "r": 312.72,
                        "b": 38.4
                    },
                    "text": "9",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 9
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 10,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 14,
            "counts_by_type": {
                "footer": 1,
                "heading": 1,
                "list": 2,
                "list_item": 7,
                "text": 3
            },
            "build_ms": 1,
            "items": [
                {
                    "id": "p10.1",
                    "order": 1,
                    "type": "text",
                    "bbox": {
                        "l": 78.96,
                        "t": 705.84,
                        "r": 468,
                        "b": 674.4
                    },
                    "text": "component to meet program and student learning outcomes will receive preferential scheduling.",
                    "reading_order": 0
                },
                {
                    "id": "p10.2",
                    "order": 2,
                    "type": "text",
                    "bbox": {
                        "l": 82.56,
                        "t": 670.08,
                        "r": 527.04,
                        "b": 584.64
                    },
                    "text": "Faculty are expected to be flexible with their proposed simulation schedules. If scheduling conflicts arise, the determination of and arrangement for simulation use will be decided by VSL personnel. Scheduling conflicts may be managed in a variety of ways, including but not limited to dividing the use of the simulators and denial of VSL Use.",
                    "reading_order": 1
                },
                {
                    "id": "p10.3",
                    "order": 3,
                    "type": "list",
                    "bbox": {
                        "l": 104.16,
                        "t": 578.3248,
                        "r": 533.28,
                        "b": 432.96
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 4
                    },
                    "children": [
                        {
                            "id": "p10.3.1",
                            "order": 4,
                            "type": "list_item",
                            "bbox": {
                                "l": 104.64,
                                "t": 578.3248,
                                "r": 533.28,
                                "b": 532.8
                            },
                            "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.",
                            "marker": "-",
                            "reading_order": 0
                        },
                        {
                            "id": "p10.3.2",
                            "order": 5,
                            "type": "list_item",
                            "bbox": {
                                "l": 104.4,
                                "t": 528.0147999999999,
                                "r": 417.36,
                                "b": 511.2
                            },
                            "text": "Scheduling conflicts shall be resolved by VSL personnel.",
                            "marker": "•",
                            "reading_order": 1
                        },
                        {
                            "id": "p10.3.3",
                            "order": 6,
                            "type": "list_item",
                            "bbox": {
                                "l": 104.4,
                                "t": 505.2148,
                                "r": 533.04,
                                "b": 470.64
                            },
                            "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.",
                            "marker": "-",
                            "reading_order": 2
                        },
                        {
                            "id": "p10.3.4",
                            "order": 7,
                            "type": "list_item",
                            "bbox": {
                                "l": 104.16,
                                "t": 467.2948,
                                "r": 533.04,
                                "b": 432.96
                            },
                            "text": "Faculty should not send students to the tab unless scheduled with VSL personnel.",
                            "marker": "-",
                            "reading_order": 3
                        }
                    ],
                    "reading_order": 2
                },
                {
                    "id": "p10.4",
                    "order": 8,
                    "type": "text",
                    "bbox": {
                        "l": 146.64,
                        "t": 424.8,
                        "r": 533.76,
                        "b": 356.16
                    },
                    "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.",
                    "reading_order": 3
                },
                {
                    "id": "p10.5",
                    "order": 9,
                    "type": "list_item",
                    "bbox": {
                        "l": 103.92,
                        "t": 350.9948,
                        "r": 510.24,
                        "b": 334.08
                    },
                    "text": "Confidentiality regarding VSL performance of others shall be maintained.",
                    "reading_order": 4
                },
                {
                    "id": "p10.6",
                    "order": 10,
                    "type": "heading",
                    "bbox": {
                        "l": 84.48,
                        "t": 319.2,
                        "r": 192.24,
                        "b": 304.56
                    },
                    "text": "Skills Competencies",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 5
                },
                {
                    "id": "p10.7",
                    "order": 11,
                    "type": "list",
                    "bbox": {
                        "l": 102.24,
                        "t": 297.4748,
                        "r": 534.48,
                        "b": 99.84
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 2
                    },
                    "children": [
                        {
                            "id": "p10.7.1",
                            "order": 12,
                            "type": "list_item",
                            "bbox": {
                                "l": 102.24,
                                "t": 297.4748,
                                "r": 534.24,
                                "b": 137.28
                            },
                            "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.",
                            "marker": "-",
                            "reading_order": 0
                        },
                        {
                            "id": "p10.7.2",
                            "order": 13,
                            "type": "list_item",
                            "bbox": {
                                "l": 104.4,
                                "t": 135.20479999999998,
                                "r": 534.48,
                                "b": 99.84
                            },
                            "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",
                            "marker": "-",
                            "reading_order": 1
                        }
                    ],
                    "reading_order": 6
                },
                {
                    "id": "p10.8",
                    "order": 14,
                    "type": "footer",
                    "bbox": {
                        "l": 303.36,
                        "t": 47.28,
                        "r": 315.6,
                        "b": 37.92
                    },
                    "text": "10",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 7
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 11,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 12,
            "counts_by_type": {
                "footer": 1,
                "heading": 1,
                "list": 2,
                "list_item": 5,
                "text": 3
            },
            "build_ms": 1,
            "items": [
                {
                    "id": "p11.1",
                    "order": 1,
                    "type": "text",
                    "bbox": {
                        "l": 121.68,
                        "t": 706.56,
                        "r": 534,
                        "b": 620.16
                    },
                    "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.",
                    "reading_order": 0
                },
                {
                    "id": "p11.2",
                    "order": 2,
                    "type": "list",
                    "bbox": {
                        "l": 102.24,
                        "t": 616.4848,
                        "r": 534.24,
                        "b": 399.6
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 3
                    },
                    "children": [
                        {
                            "id": "p11.2.1",
                            "order": 3,
                            "type": "list_item",
                            "bbox": {
                                "l": 104.16,
                                "t": 616.4848,
                                "r": 534.24,
                                "b": 527.76
                            },
                            "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.",
                            "reading_order": 0
                        },
                        {
                            "id": "p11.2.2",
                            "order": 4,
                            "type": "list_item",
                            "bbox": {
                                "l": 104.16,
                                "t": 524.6548,
                                "r": 533.76,
                                "b": 472.32
                            },
                            "text": "Skills competency needed for each semester should be included as part of the course syllabi and provided to VSL personnel. The manner of inclusion is determined by the course faculty.",
                            "marker": "-",
                            "reading_order": 1
                        },
                        {
                            "id": "p11.2.3",
                            "order": 5,
                            "type": "list_item",
                            "bbox": {
                                "l": 102.24,
                                "t": 467.76,
                                "r": 522.48,
                                "b": 399.6
                            },
                            "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.",
                            "reading_order": 2
                        }
                    ],
                    "reading_order": 1
                },
                {
                    "id": "p11.3",
                    "order": 6,
                    "type": "list",
                    "bbox": {
                        "l": 103.68,
                        "t": 396.4948,
                        "r": 533.52,
                        "b": 305.76
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 2
                    },
                    "children": [
                        {
                            "id": "p11.3.1",
                            "order": 7,
                            "type": "list_item",
                            "bbox": {
                                "l": 103.92,
                                "t": 396.4948,
                                "r": 533.28,
                                "b": 343.2
                            },
                            "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.",
                            "reading_order": 0
                        },
                        {
                            "id": "p11.3.2",
                            "order": 8,
                            "type": "list_item",
                            "bbox": {
                                "l": 103.68,
                                "t": 340.0748,
                                "r": 533.52,
                                "b": 305.76
                            },
                            "text": "Practice sessions of skills for competency assessment is provided on a space available basis.",
                            "reading_order": 1
                        }
                    ],
                    "reading_order": 2
                },
                {
                    "id": "p11.4",
                    "order": 9,
                    "type": "heading",
                    "bbox": {
                        "l": 78.24,
                        "t": 290.64,
                        "r": 272.64,
                        "b": 276.48
                    },
                    "text": "Faculty Preparedness for Simulation",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 3
                },
                {
                    "id": "p11.5",
                    "order": 10,
                    "type": "text",
                    "bbox": {
                        "l": 77.52,
                        "t": 268.56,
                        "r": 540.24,
                        "b": 190.32
                    },
                    "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",
                    "reading_order": 4
                },
                {
                    "id": "p11.6",
                    "order": 11,
                    "type": "text",
                    "bbox": {
                        "l": 78.96,
                        "t": 182.4,
                        "r": 532.08,
                        "b": 113.52
                    },
                    "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).",
                    "reading_order": 5
                },
                {
                    "id": "p11.7",
                    "order": 12,
                    "type": "footer",
                    "bbox": {
                        "l": 303.36,
                        "t": 47.28,
                        "r": 315.12,
                        "b": 38.16
                    },
                    "text": "11",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 6
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 12,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 10,
            "counts_by_type": {
                "footer": 1,
                "heading": 3,
                "list_item": 3,
                "text": 3
            },
            "build_ms": 1,
            "items": [
                {
                    "id": "p12.1",
                    "order": 1,
                    "type": "text",
                    "bbox": {
                        "l": 78.72,
                        "t": 706.32,
                        "r": 516.24,
                        "b": 655.68
                    },
                    "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.",
                    "reading_order": 0
                },
                {
                    "id": "p12.2",
                    "order": 2,
                    "type": "text",
                    "bbox": {
                        "l": 78.96,
                        "t": 650.88,
                        "r": 527.04,
                        "b": 593.76
                    },
                    "text": "Equipment - Do not use betadine, markers, or pens on manikins. Use only the provided silicone oil for lubricant. The VSL personnel are expected to setup and tear down for all simulation experiences.",
                    "reading_order": 1
                },
                {
                    "id": "p12.3",
                    "order": 3,
                    "type": "heading",
                    "bbox": {
                        "l": 80.88,
                        "t": 576.72,
                        "r": 142.8,
                        "b": 563.04
                    },
                    "text": "Facilitation",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 2
                },
                {
                    "id": "p12.4",
                    "order": 4,
                    "type": "list_item",
                    "bbox": {
                        "l": 90.72,
                        "t": 557.3248,
                        "r": 512.4,
                        "b": 450.72
                    },
                    "text": "Faculty are expected to facilitate their own simulations (pre-briefing, simulation, and debriefing). Faculty may request and receive assistance from VSL personnel. Faculty are expected to orient students to the simulation environment in preparation for the simulation. Faculty are also expected to provide students with the objectives and/or deliverables for the simulation experience.",
                    "marker": "-",
                    "reading_order": 3
                },
                {
                    "id": "p12.5",
                    "order": 5,
                    "type": "heading",
                    "bbox": {
                        "l": 76.8,
                        "t": 445.2,
                        "r": 203.76,
                        "b": 431.04
                    },
                    "text": "Evaluation/Assessment",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 4
                },
                {
                    "id": "p12.6",
                    "order": 6,
                    "type": "list_item",
                    "bbox": {
                        "l": 94.8,
                        "t": 425.2948,
                        "r": 525.36,
                        "b": 299.04
                    },
                    "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).",
                    "marker": "-",
                    "reading_order": 5
                },
                {
                    "id": "p12.7",
                    "order": 7,
                    "type": "heading",
                    "bbox": {
                        "l": 78.96,
                        "t": 285.6,
                        "r": 335.28,
                        "b": 270.96
                    },
                    "text": "Real-Time Video Recording, Viewing & Playback",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 6
                },
                {
                    "id": "p12.8",
                    "order": 8,
                    "type": "text",
                    "bbox": {
                        "l": 77.76,
                        "t": 263.28,
                        "r": 521.52,
                        "b": 176.64
                    },
                    "text": "Faculty have the right to record simulation experiences for playback. However, faculty must take every precaution to assure that students are made aware when they are being videotaped. During the simulation orientation students should be informed that the simulated experiences may be audio and video recorded for use as a debriefing and educational strategy only.",
                    "reading_order": 7
                },
                {
                    "id": "p12.9",
                    "order": 9,
                    "type": "list_item",
                    "bbox": {
                        "l": 99.36,
                        "t": 171.84,
                        "r": 527.04,
                        "b": 120.72
                    },
                    "text": "Faculty may use playback for debriefing purposes in group situations. This viewing will not occur when a student either individually or as part of a class cohort is being evaluated for competency.",
                    "marker": "-",
                    "reading_order": 8
                },
                {
                    "id": "p12.10",
                    "order": 10,
                    "type": "footer",
                    "bbox": {
                        "l": 303.36,
                        "t": 47.28,
                        "r": 315.36,
                        "b": 37.92
                    },
                    "text": "12",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 9
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 13,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 12,
            "counts_by_type": {
                "footer": 1,
                "heading": 2,
                "list": 2,
                "list_item": 5,
                "text": 2
            },
            "build_ms": 1,
            "items": [
                {
                    "id": "p13.1",
                    "order": 1,
                    "type": "list",
                    "bbox": {
                        "l": 98.64,
                        "t": 706.8,
                        "r": 526.32,
                        "b": 605.52
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 2
                    },
                    "children": [
                        {
                            "id": "p13.1.1",
                            "order": 2,
                            "type": "list_item",
                            "bbox": {
                                "l": 99.36,
                                "t": 706.8,
                                "r": 525.84,
                                "b": 670.32
                            },
                            "text": "Faculty may use playback for one-on-one student discussion when used for assessment/evaluation of individual students.",
                            "marker": "•",
                            "reading_order": 0
                        },
                        {
                            "id": "p13.1.2",
                            "order": 3,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.64,
                                "t": 662.4,
                                "r": 526.32,
                                "b": 605.52
                            },
                            "text": "Students viewing simulation exercises should remain professional at all times and not make comments regarding the students completing the simulation experience.",
                            "marker": "-",
                            "reading_order": 1
                        }
                    ],
                    "reading_order": 0
                },
                {
                    "id": "p13.2",
                    "order": 4,
                    "type": "text",
                    "bbox": {
                        "l": 80.64,
                        "t": 597.84,
                        "r": 518.88,
                        "b": 528.96
                    },
                    "text": "Faculty may request to use video playback in circumstances outside of the simulation environment (e.g., facilitator development, college presentations, conferences, etc.). Students are required to sign a Photo & Recording Release as part of the compliance documentation.",
                    "reading_order": 1
                },
                {
                    "id": "p13.3",
                    "order": 5,
                    "type": "heading",
                    "bbox": {
                        "l": 82.32,
                        "t": 513.84,
                        "r": 199.2,
                        "b": 500.16
                    },
                    "text": "Quality Improvement",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 2
                },
                {
                    "id": "p13.4",
                    "order": 6,
                    "type": "list",
                    "bbox": {
                        "l": 92.64,
                        "t": 494.2948,
                        "r": 540.72,
                        "b": 260.16
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 3
                    },
                    "children": [
                        {
                            "id": "p13.4.1",
                            "order": 7,
                            "type": "list_item",
                            "bbox": {
                                "l": 93.84,
                                "t": 494.2948,
                                "r": 535.44,
                                "b": 459.84
                            },
                            "text": "The staff and faculty are continually working to improve and streamline VSL processes.",
                            "reading_order": 0
                        },
                        {
                            "id": "p13.4.2",
                            "order": 8,
                            "type": "list_item",
                            "bbox": {
                                "l": 93.84,
                                "t": 457.6948,
                                "r": 540.72,
                                "b": 404.64
                            },
                            "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.",
                            "marker": "-",
                            "reading_order": 1
                        },
                        {
                            "id": "p13.4.3",
                            "order": 9,
                            "type": "list_item",
                            "bbox": {
                                "l": 92.64,
                                "t": 403.3348,
                                "r": 524.88,
                                "b": 260.16
                            },
                            "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.",
                            "marker": "-",
                            "reading_order": 2
                        }
                    ],
                    "reading_order": 3
                },
                {
                    "id": "p13.5",
                    "order": 10,
                    "type": "heading",
                    "bbox": {
                        "l": 78.96,
                        "t": 222,
                        "r": 137.76,
                        "b": 206.64
                    },
                    "text": "Debriefing",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 4
                },
                {
                    "id": "p13.6",
                    "order": 11,
                    "type": "text",
                    "bbox": {
                        "l": 77.28,
                        "t": 200.4,
                        "r": 525.6,
                        "b": 95.04
                    },
                    "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",
                    "reading_order": 5
                },
                {
                    "id": "p13.7",
                    "order": 12,
                    "type": "footer",
                    "bbox": {
                        "l": 303.36,
                        "t": 47.28,
                        "r": 315.36,
                        "b": 37.92
                    },
                    "text": "13",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 6
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 14,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 18,
            "counts_by_type": {
                "footer": 1,
                "heading": 2,
                "list": 1,
                "list_item": 12,
                "text": 2
            },
            "build_ms": 2,
            "items": [
                {
                    "id": "p14.1",
                    "order": 1,
                    "type": "text",
                    "bbox": {
                        "l": 77.28,
                        "t": 706.8,
                        "r": 526.08,
                        "b": 619.68
                    },
                    "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).",
                    "reading_order": 0
                },
                {
                    "id": "p14.2",
                    "order": 2,
                    "type": "text",
                    "bbox": {
                        "l": 77.28,
                        "t": 599.04,
                        "r": 525.84,
                        "b": 511.2
                    },
                    "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.",
                    "reading_order": 1
                },
                {
                    "id": "p14.3",
                    "order": 3,
                    "type": "heading",
                    "bbox": {
                        "l": 78.96,
                        "t": 469.92,
                        "r": 194.64,
                        "b": 456
                    },
                    "text": "Needle Sharps Safety",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 2
                },
                {
                    "id": "p14.4",
                    "order": 4,
                    "type": "heading",
                    "bbox": {
                        "l": 254.4,
                        "t": 489.84,
                        "r": 352.56,
                        "b": 476.16
                    },
                    "text": "Safety Guidelines",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 3
                },
                {
                    "id": "p14.5",
                    "order": 5,
                    "type": "list",
                    "bbox": {
                        "l": 116.16,
                        "t": 451.2148,
                        "r": 535.44,
                        "b": 110.4
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 12
                    },
                    "children": [
                        {
                            "id": "p14.5.1",
                            "order": 6,
                            "type": "list_item",
                            "bbox": {
                                "l": 116.16,
                                "t": 451.2148,
                                "r": 514.32,
                                "b": 434.88
                            },
                            "text": "Needles and other sharps are not to be disposed of in the regular trash.",
                            "marker": "•",
                            "reading_order": 0
                        },
                        {
                            "id": "p14.5.2",
                            "order": 7,
                            "type": "list_item",
                            "bbox": {
                                "l": 116.16,
                                "t": 432.3748,
                                "r": 384.24,
                                "b": 416.4
                            },
                            "text": "Sharps containers are placed in each lab room.",
                            "reading_order": 1
                        },
                        {
                            "id": "p14.5.3",
                            "order": 8,
                            "type": "list_item",
                            "bbox": {
                                "l": 116.16,
                                "t": 412.3348,
                                "r": 483.6,
                                "b": 395.28
                            },
                            "text": "Needles provided in the practice lab are for use on manikins only.",
                            "marker": "•",
                            "reading_order": 2
                        },
                        {
                            "id": "p14.5.4",
                            "order": 9,
                            "type": "list_item",
                            "bbox": {
                                "l": 116.4,
                                "t": 393.4948,
                                "r": 534,
                                "b": 358.56
                            },
                            "text": "Students are not to use needles for injections before they have been instructed in class on proper use and safety.",
                            "marker": "-",
                            "reading_order": 3
                        },
                        {
                            "id": "p14.5.5",
                            "order": 10,
                            "type": "list_item",
                            "bbox": {
                                "l": 116.4,
                                "t": 354.3548,
                                "r": 534.96,
                                "b": 320.4
                            },
                            "text": "Needles used in the lab will be secure at the end of each day and whenever the lab is not in use for practice.",
                            "marker": "-",
                            "reading_order": 4
                        },
                        {
                            "id": "p14.5.6",
                            "order": 11,
                            "type": "list_item",
                            "bbox": {
                                "l": 116.16,
                                "t": 317.6348,
                                "r": 535.44,
                                "b": 264.72
                            },
                            "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.",
                            "marker": "-",
                            "reading_order": 5
                        },
                        {
                            "id": "p14.5.7",
                            "order": 12,
                            "type": "list_item",
                            "bbox": {
                                "l": 116.4,
                                "t": 262.9148,
                                "r": 435.84,
                                "b": 246.24
                            },
                            "text": "Most needles and syringes are safety needle or syringes.",
                            "reading_order": 6
                        },
                        {
                            "id": "p14.5.8",
                            "order": 13,
                            "type": "list_item",
                            "bbox": {
                                "l": 116.4,
                                "t": 242.15480000000002,
                                "r": 534.24,
                                "b": 207.36
                            },
                            "text": "Most gloves used in the lab are latex free. Gloves are donated in limited supply and some may not be latex free.",
                            "reading_order": 7
                        },
                        {
                            "id": "p14.5.9",
                            "order": 14,
                            "type": "list_item",
                            "bbox": {
                                "l": 116.88,
                                "t": 202.88480000000004,
                                "r": 317.76,
                                "b": 186.96
                            },
                            "text": "Clean needle stick injury protocol:",
                            "reading_order": 8
                        },
                        {
                            "id": "p14.5.10",
                            "order": 15,
                            "type": "list_item",
                            "bbox": {
                                "l": 116.4,
                                "t": 184.0448,
                                "r": 358.32,
                                "b": 167.76
                            },
                            "text": "Report to faculty or lab staff immediately.",
                            "reading_order": 9
                        },
                        {
                            "id": "p14.5.11",
                            "order": 16,
                            "type": "list_item",
                            "bbox": {
                                "l": 116.4,
                                "t": 165.20479999999998,
                                "r": 534.72,
                                "b": 132.24
                            },
                            "text": "Immediately place needle in sharps container to avoid contact with anyone else.",
                            "marker": "-",
                            "reading_order": 10
                        },
                        {
                            "id": "p14.5.12",
                            "order": 17,
                            "type": "list_item",
                            "bbox": {
                                "l": 116.16,
                                "t": 127.16480000000001,
                                "r": 399.6,
                                "b": 110.4
                            },
                            "text": "Clean area with soap and water or hand sanitizer.",
                            "reading_order": 11
                        }
                    ],
                    "reading_order": 4
                },
                {
                    "id": "p14.6",
                    "order": 18,
                    "type": "footer",
                    "bbox": {
                        "l": 303.36,
                        "t": 47.04,
                        "r": 315.12,
                        "b": 38.16
                    },
                    "text": "14",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 5
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 15,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 22,
            "counts_by_type": {
                "footer": 1,
                "heading": 1,
                "list": 3,
                "list_item": 17
            },
            "build_ms": 2,
            "items": [
                {
                    "id": "p15.1",
                    "order": 1,
                    "type": "list",
                    "bbox": {
                        "l": 115.92,
                        "t": 708.4048,
                        "r": 535.2,
                        "b": 534.96
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 5
                    },
                    "children": [
                        {
                            "id": "p15.1.1",
                            "order": 2,
                            "type": "list_item",
                            "bbox": {
                                "l": 116.4,
                                "t": 708.4048,
                                "r": 534.96,
                                "b": 675.6
                            },
                            "text": "Faculty or lab personnel are to evaluate student and provide immediate first aid and determine if student needs to be seen in student health",
                            "marker": "-",
                            "reading_order": 0
                        },
                        {
                            "id": "p15.1.2",
                            "order": 3,
                            "type": "list_item",
                            "bbox": {
                                "l": 116.16,
                                "t": 669.8848,
                                "r": 384.24,
                                "b": 652.8
                            },
                            "text": "Incident report completed on all needle sticks.",
                            "marker": "•",
                            "reading_order": 1
                        },
                        {
                            "id": "p15.1.3",
                            "order": 4,
                            "type": "list_item",
                            "bbox": {
                                "l": 116.16,
                                "t": 647.3248,
                                "r": 534.24,
                                "b": 615.36
                            },
                            "text": "Report to student health with incident report as appropriate or advised by faculty.",
                            "reading_order": 2
                        },
                        {
                            "id": "p15.1.4",
                            "order": 5,
                            "type": "list_item",
                            "bbox": {
                                "l": 116.16,
                                "t": 608.9248,
                                "r": 535.2,
                                "b": 575.76
                            },
                            "text": "Faculty or staff must follow-up within 3 days to determine if student requires any additional assistance.",
                            "marker": "-",
                            "reading_order": 3
                        },
                        {
                            "id": "p15.1.5",
                            "order": 6,
                            "type": "list_item",
                            "bbox": {
                                "l": 115.92,
                                "t": 570.5248,
                                "r": 535.2,
                                "b": 534.96
                            },
                            "text": "VSL coordinator maintains file of needle stick incidents and reports quarterly to the faculty council for review and potential policy adjustments.",
                            "marker": "-",
                            "reading_order": 4
                        }
                    ],
                    "reading_order": 0
                },
                {
                    "id": "p15.2",
                    "order": 7,
                    "type": "heading",
                    "bbox": {
                        "l": 95.76,
                        "t": 500.64,
                        "r": 190.08,
                        "b": 486.24
                    },
                    "text": "Infection Control",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 1
                },
                {
                    "id": "p15.3",
                    "order": 8,
                    "type": "list",
                    "bbox": {
                        "l": 114.48,
                        "t": 479.4148,
                        "r": 516.24,
                        "b": 421.92
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 3
                    },
                    "children": [
                        {
                            "id": "p15.3.1",
                            "order": 9,
                            "type": "list_item",
                            "bbox": {
                                "l": 115.44,
                                "t": 479.4148,
                                "r": 516.24,
                                "b": 462.48
                            },
                            "text": "All Students must utilize proper handwashing while practicing in the lab",
                            "reading_order": 0
                        },
                        {
                            "id": "p15.3.2",
                            "order": 10,
                            "type": "list_item",
                            "bbox": {
                                "l": 115.44,
                                "t": 458.7748,
                                "r": 417.12,
                                "b": 441.84
                            },
                            "text": "Universal precautions are to be followed at all times.",
                            "reading_order": 1
                        },
                        {
                            "id": "p15.3.3",
                            "order": 11,
                            "type": "list_item",
                            "bbox": {
                                "l": 114.48,
                                "t": 436.32,
                                "r": 447.12,
                                "b": 421.92
                            },
                            "text": "Clean and sterile gloves are available in the lab at all times",
                            "reading_order": 2
                        }
                    ],
                    "reading_order": 2
                },
                {
                    "id": "p15.4",
                    "order": 12,
                    "type": "list",
                    "bbox": {
                        "l": 113.76,
                        "t": 417.37,
                        "r": 535.44,
                        "b": 118.08
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 9
                    },
                    "children": [
                        {
                            "id": "p15.4.1",
                            "order": 13,
                            "type": "list_item",
                            "bbox": {
                                "l": 114.48,
                                "t": 417.37,
                                "r": 477.6,
                                "b": 401.52
                            },
                            "text": "All lab supplies are for practice on manikins only, no human use.",
                            "reading_order": 0
                        },
                        {
                            "id": "p15.4.2",
                            "order": 14,
                            "type": "list_item",
                            "bbox": {
                                "l": 114,
                                "t": 399.13,
                                "r": 534.72,
                                "b": 365.28
                            },
                            "text": "All students will have basic health and immunization records up to date as specified in the student handbook.",
                            "reading_order": 1
                        },
                        {
                            "id": "p15.4.3",
                            "order": 15,
                            "type": "list_item",
                            "bbox": {
                                "l": 113.76,
                                "t": 361.07,
                                "r": 534.96,
                                "b": 309.36
                            },
                            "text": "Students should report symptoms of cold, fever, or infection immediately and request excuse from lab. (may need physician clearance to come back to lab)",
                            "marker": "-",
                            "reading_order": 2
                        },
                        {
                            "id": "p15.4.4",
                            "order": 16,
                            "type": "list_item",
                            "bbox": {
                                "l": 114,
                                "t": 307.19,
                                "r": 535.2,
                                "b": 255.84
                            },
                            "text": "Students are to report to lab personnel and faculty any allergies such as latex allergy, iodine or other. Efforts will be made to limit exposure to these allergens.",
                            "marker": "-",
                            "reading_order": 3
                        },
                        {
                            "id": "p15.4.5",
                            "order": 17,
                            "type": "list_item",
                            "bbox": {
                                "l": 114.48,
                                "t": 251.26999999999998,
                                "r": 487.92,
                                "b": 235.44
                            },
                            "text": "Manikins are cleaned at the end of each semester, and as needed.",
                            "reading_order": 4
                        },
                        {
                            "id": "p15.4.6",
                            "order": 18,
                            "type": "list_item",
                            "bbox": {
                                "l": 114.24,
                                "t": 231.95000000000005,
                                "r": 467.28,
                                "b": 215.76
                            },
                            "text": "Housekeeping has access to the labs daily for regular cleaning.",
                            "reading_order": 5
                        },
                        {
                            "id": "p15.4.7",
                            "order": 19,
                            "type": "list_item",
                            "bbox": {
                                "l": 114.24,
                                "t": 211.78999999999996,
                                "r": 535.44,
                                "b": 160.56
                            },
                            "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.",
                            "reading_order": 6
                        },
                        {
                            "id": "p15.4.8",
                            "order": 20,
                            "type": "list_item",
                            "bbox": {
                                "l": 114.72,
                                "t": 155.96000000000004,
                                "r": 534.96,
                                "b": 139.68
                            },
                            "text": "Manikin lubricant is designated glycerol solution marketed for that purpose.",
                            "reading_order": 7
                        },
                        {
                            "id": "p15.4.9",
                            "order": 21,
                            "type": "list_item",
                            "bbox": {
                                "l": 114.48,
                                "t": 134,
                                "r": 370.8,
                                "b": 118.08
                            },
                            "text": "Red food coloring is used to simulate blood.",
                            "marker": "•",
                            "reading_order": 8
                        }
                    ],
                    "reading_order": 3
                },
                {
                    "id": "p15.5",
                    "order": 22,
                    "type": "footer",
                    "bbox": {
                        "l": 303.36,
                        "t": 47.28,
                        "r": 315.36,
                        "b": 37.68
                    },
                    "text": "15",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 4
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 16,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 21,
            "counts_by_type": {
                "footer": 1,
                "heading": 3,
                "list": 3,
                "list_item": 14
            },
            "build_ms": 1,
            "items": [
                {
                    "id": "p16.1",
                    "order": 1,
                    "type": "list_item",
                    "bbox": {
                        "l": 114.24,
                        "t": 708.16,
                        "r": 535.44,
                        "b": 655.92
                    },
                    "text": "Alcohol is used for cleaning wipes and selected manikin use. Commercial Hand sanitizer is available for cleaning hands. Sinks with running water are available in each lab for frequent handwashing.",
                    "marker": "-",
                    "reading_order": 0
                },
                {
                    "id": "p16.2",
                    "order": 2,
                    "type": "heading",
                    "bbox": {
                        "l": 94.8,
                        "t": 612.48,
                        "r": 182.16,
                        "b": 597.36
                    },
                    "text": "Electrical safety",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 1
                },
                {
                    "id": "p16.3",
                    "order": 3,
                    "type": "list",
                    "bbox": {
                        "l": 113.52,
                        "t": 590.92,
                        "r": 535.44,
                        "b": 327.84
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 7
                    },
                    "children": [
                        {
                            "id": "p16.3.1",
                            "order": 4,
                            "type": "list_item",
                            "bbox": {
                                "l": 114.48,
                                "t": 590.92,
                                "r": 535.44,
                                "b": 520.8
                            },
                            "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.",
                            "marker": "-",
                            "reading_order": 0
                        },
                        {
                            "id": "p16.3.2",
                            "order": 5,
                            "type": "list_item",
                            "bbox": {
                                "l": 114.24,
                                "t": 516.37,
                                "r": 374.4,
                                "b": 500.88
                            },
                            "text": "Electrical cords will be kept out of walkways.",
                            "marker": "•",
                            "reading_order": 1
                        },
                        {
                            "id": "p16.3.3",
                            "order": 6,
                            "type": "list_item",
                            "bbox": {
                                "l": 114,
                                "t": 498.13,
                                "r": 534.96,
                                "b": 464.88
                            },
                            "text": "Only heavy-duty strip cords, with surge protectors will be used with computerized manikins and generators.",
                            "reading_order": 2
                        },
                        {
                            "id": "p16.3.4",
                            "order": 7,
                            "type": "list_item",
                            "bbox": {
                                "l": 114,
                                "t": 460.45,
                                "r": 512.88,
                                "b": 444.72
                            },
                            "text": "Precautions will be taken to avoid wet materials near electrical outlets.",
                            "marker": "•",
                            "reading_order": 3
                        },
                        {
                            "id": "p16.3.5",
                            "order": 8,
                            "type": "list_item",
                            "bbox": {
                                "l": 114,
                                "t": 441.61,
                                "r": 534.72,
                                "b": 408.24
                            },
                            "text": "Batteries in the computerized manikins will be monitored and maintained according to manufacturer's guidelines.",
                            "reading_order": 4
                        },
                        {
                            "id": "p16.3.6",
                            "order": 9,
                            "type": "list_item",
                            "bbox": {
                                "l": 113.76,
                                "t": 405.25,
                                "r": 534.24,
                                "b": 367.92
                            },
                            "text": "Never attempt to repair electrical cords or equipment unless qualified and authorized.",
                            "reading_order": 5
                        },
                        {
                            "id": "p16.3.7",
                            "order": 10,
                            "type": "list_item",
                            "bbox": {
                                "l": 113.52,
                                "t": 361.31,
                                "r": 534.48,
                                "b": 327.84
                            },
                            "text": "Have a qualified electrician inspect electrical equipment (e.g., Sim manikins) that has gotten wet before energizing it.",
                            "marker": "-",
                            "reading_order": 6
                        }
                    ],
                    "reading_order": 2
                },
                {
                    "id": "p16.4",
                    "order": 11,
                    "type": "heading",
                    "bbox": {
                        "l": 92.64,
                        "t": 321.84,
                        "r": 188.16,
                        "b": 306.96
                    },
                    "text": "Ergonomic safety",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 3
                },
                {
                    "id": "p16.5",
                    "order": 12,
                    "type": "list",
                    "bbox": {
                        "l": 113.76,
                        "t": 302.87,
                        "r": 534.48,
                        "b": 195.12
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 3
                    },
                    "children": [
                        {
                            "id": "p16.5.1",
                            "order": 13,
                            "type": "list_item",
                            "bbox": {
                                "l": 113.76,
                                "t": 302.87,
                                "r": 534.48,
                                "b": 268.56
                            },
                            "text": "Students will receive instructions in principles of proper body mechanics prior to practice of moving, turning, lifting or transferring skills.",
                            "marker": "-",
                            "reading_order": 0
                        },
                        {
                            "id": "p16.5.2",
                            "order": 14,
                            "type": "list_item",
                            "bbox": {
                                "l": 114.48,
                                "t": 265.78999999999996,
                                "r": 534,
                                "b": 231.36
                            },
                            "text": "All broken or faulty equipment must be reported as soon as noted to VSL personnel to avoid accidental injury.",
                            "reading_order": 1
                        },
                        {
                            "id": "p16.5.3",
                            "order": 15,
                            "type": "list_item",
                            "bbox": {
                                "l": 113.76,
                                "t": 228.71000000000004,
                                "r": 534.48,
                                "b": 195.12
                            },
                            "text": "Students will receive instructions on the operation of electric beds, wheel chairs, walkers and other equipment prior to use.",
                            "marker": "-",
                            "reading_order": 2
                        }
                    ],
                    "reading_order": 4
                },
                {
                    "id": "p16.6",
                    "order": 16,
                    "type": "heading",
                    "bbox": {
                        "l": 93.84,
                        "t": 180,
                        "r": 219.36,
                        "b": 165.36
                    },
                    "text": "Emergency Procedures",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 5
                },
                {
                    "id": "p16.7",
                    "order": 17,
                    "type": "list",
                    "bbox": {
                        "l": 113.76,
                        "t": 159.79999999999995,
                        "r": 534.96,
                        "b": 87.6
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 3
                    },
                    "children": [
                        {
                            "id": "p16.7.1",
                            "order": 18,
                            "type": "list_item",
                            "bbox": {
                                "l": 113.76,
                                "t": 159.79999999999995,
                                "r": 534.96,
                                "b": 125.52
                            },
                            "text": "Emergency evacuation and fire procedures are posted in each hallway near the exit doors, along with the fire alarm boxes, and fire extinguishers.",
                            "reading_order": 0
                        },
                        {
                            "id": "p16.7.2",
                            "order": 19,
                            "type": "list_item",
                            "bbox": {
                                "l": 114,
                                "t": 121.51999999999998,
                                "r": 491.28,
                                "b": 105.84
                            },
                            "text": "Campus security can be reached at 6878 for emergency assistance.",
                            "reading_order": 1
                        },
                        {
                            "id": "p16.7.3",
                            "order": 20,
                            "type": "list_item",
                            "bbox": {
                                "l": 114.48,
                                "t": 103.404,
                                "r": 295.2,
                                "b": 87.6
                            },
                            "text": "Individuals can also dial 9-1-1",
                            "reading_order": 2
                        }
                    ],
                    "reading_order": 6
                },
                {
                    "id": "p16.8",
                    "order": 21,
                    "type": "footer",
                    "bbox": {
                        "l": 303.36,
                        "t": 47.28,
                        "r": 315.36,
                        "b": 37.92
                    },
                    "text": "16",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 7
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 17,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 15,
            "counts_by_type": {
                "footer": 1,
                "heading": 1,
                "link": 4,
                "list": 1,
                "list_item": 2,
                "text": 6
            },
            "build_ms": 1,
            "items": [
                {
                    "id": "p17.1",
                    "order": 1,
                    "type": "text",
                    "bbox": {
                        "l": 93.12,
                        "t": 707.52,
                        "r": 234.96,
                        "b": 692.4
                    },
                    "text": "Chemical Biological safety",
                    "reading_order": 0
                },
                {
                    "id": "p17.2",
                    "order": 2,
                    "type": "list",
                    "bbox": {
                        "l": 113.76,
                        "t": 689.92,
                        "r": 534.72,
                        "b": 634.32
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 2
                    },
                    "children": [
                        {
                            "id": "p17.2.1",
                            "order": 3,
                            "type": "list_item",
                            "bbox": {
                                "l": 114,
                                "t": 689.92,
                                "r": 355.68,
                                "b": 673.68
                            },
                            "text": "No biologic agents are utilized in the VSL.",
                            "reading_order": 0
                        },
                        {
                            "id": "p17.2.2",
                            "order": 4,
                            "type": "list_item",
                            "bbox": {
                                "l": 113.76,
                                "t": 668.56,
                                "r": 534.72,
                                "b": 634.32
                            },
                            "text": "Chemical agents in the VSL are limited to 70% alcohol solution, betadine and glycerol solutions.",
                            "reading_order": 1
                        }
                    ],
                    "reading_order": 1
                },
                {
                    "id": "p17.3",
                    "order": 5,
                    "type": "heading",
                    "bbox": {
                        "l": 289.2,
                        "t": 592.8,
                        "r": 352.08,
                        "b": 578.4
                    },
                    "text": "References",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 2
                },
                {
                    "id": "p17.4",
                    "order": 6,
                    "type": "text",
                    "bbox": {
                        "l": 98.16,
                        "t": 553.44,
                        "r": 534,
                        "b": 491.04
                    },
                    "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)",
                    "reading_order": 3
                },
                {
                    "id": "p17.5",
                    "order": 7,
                    "type": "text",
                    "bbox": {
                        "l": 97.2,
                        "t": 469.92,
                        "r": 523.2,
                        "b": 418.56
                    },
                    "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",
                    "reading_order": 4
                },
                {
                    "id": "p17.6",
                    "order": 8,
                    "type": "text",
                    "bbox": {
                        "l": 98.16,
                        "t": 393.36,
                        "r": 533.04,
                        "b": 286.8
                    },
                    "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.",
                    "children": [
                        {
                            "id": "p17.6.1",
                            "order": 9,
                            "type": "link",
                            "bbox": {
                                "l": 121.3,
                                "t": 304.56,
                                "r": 331.65,
                                "b": 284.44
                            },
                            "text": "https://doi.org/10.23970/simulationv2.",
                            "attrs": {
                                "uri": "https://doi.org/10.23970/simulationv2",
                                "action_type": "/URI"
                            },
                            "reading_order": 0
                        }
                    ],
                    "reading_order": 5
                },
                {
                    "id": "p17.7",
                    "order": 10,
                    "type": "text",
                    "bbox": {
                        "l": 97.68,
                        "t": 263.28,
                        "r": 530.4,
                        "b": 211.2
                    },
                    "text": "Manz, J., Tracy, M., & Iverson, L. (2014). Creighton Competency Evaluation Instrument. Retrieved from https://nursing.creighton.edu/academics/competency-evaluationinstrument",
                    "reading_order": 6
                },
                {
                    "id": "p17.8",
                    "order": 11,
                    "type": "text",
                    "bbox": {
                        "l": 97.92,
                        "t": 189.6,
                        "r": 506.4,
                        "b": 120.96
                    },
                    "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",
                    "children": [
                        {
                            "id": "p17.8.1",
                            "order": 12,
                            "type": "link",
                            "bbox": {
                                "l": 268.51,
                                "t": 172.02,
                                "r": 541.5,
                                "b": 154.9
                            },
                            "text": "www.nln.org/docs/default-",
                            "attrs": {
                                "uri": "http://www.nln.org/docs/default-source/uploadedfiles/professional-development-programs/nln-vision-debriefing-across-the-curriculum.pdf",
                                "action_type": "/URI"
                            },
                            "reading_order": 0
                        },
                        {
                            "id": "p17.8.2",
                            "order": 13,
                            "type": "link",
                            "bbox": {
                                "l": 76.3,
                                "t": 154.9,
                                "r": 541.5,
                                "b": 137.77
                            },
                            "text": "source/uploadedfiles/professional-development-programs/nln-vision-",
                            "attrs": {
                                "uri": "http://www.nln.org/docs/default-source/uploadedfiles/professional-development-programs/nln-vision-debriefing-across-the-curriculum.pdf",
                                "action_type": "/URI"
                            },
                            "reading_order": 1
                        },
                        {
                            "id": "p17.8.3",
                            "order": 14,
                            "type": "link",
                            "bbox": {
                                "l": 76.3,
                                "t": 137.77,
                                "r": 320.5,
                                "b": 120.65
                            },
                            "text": "debriefing-across-the-curriculum.pdf",
                            "attrs": {
                                "uri": "http://www.nln.org/docs/default-source/uploadedfiles/professional-development-programs/nln-vision-debriefing-across-the-curriculum.pdf",
                                "action_type": "/URI"
                            },
                            "reading_order": 2
                        }
                    ],
                    "reading_order": 7
                },
                {
                    "id": "p17.9",
                    "order": 15,
                    "type": "footer",
                    "bbox": {
                        "l": 303.12,
                        "t": 47.52,
                        "r": 315.6,
                        "b": 37.92
                    },
                    "text": "17",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 8
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 18,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 3,
            "counts_by_type": {
                "footer": 1,
                "text": 2
            },
            "build_ms": 0,
            "items": [
                {
                    "id": "p18.1",
                    "order": 1,
                    "type": "text",
                    "bbox": {
                        "l": 98.64,
                        "t": 706.8,
                        "r": 520.56,
                        "b": 656.16
                    },
                    "text": "Todd, M., Manz, J., Hawkins, K., Parsons, M., & Hercinger, M. (2008). The development of a quantitative evaluation tool for simulations in nursing education. International Journal of Nursing Education Scholarship, 50 I-1 7.",
                    "attrs": {
                        "block_label": "reference_content"
                    },
                    "reading_order": 0
                },
                {
                    "id": "p18.2",
                    "order": 2,
                    "type": "text",
                    "bbox": {
                        "l": 98.4,
                        "t": 632.4,
                        "r": 524.4,
                        "b": 563.52
                    },
                    "text": "Whitely, TR. (2011), Using the Socratic method and Bloom's taxonomy of the cognitive domain to enhance online discussion, critical thinking and student fearing. Retrieved from https://journals.tdl.org/absel/index.php/absel/alāicle/viewFile/499/468",
                    "attrs": {
                        "block_label": "reference_content"
                    },
                    "reading_order": 1
                },
                {
                    "id": "p18.3",
                    "order": 3,
                    "type": "footer",
                    "bbox": {
                        "l": 303.36,
                        "t": 47.04,
                        "r": 315.6,
                        "b": 37.92
                    },
                    "text": "18",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 2
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 19,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 2,
            "counts_by_type": {
                "header": 1,
                "heading": 1
            },
            "build_ms": 0,
            "items": [
                {
                    "id": "p19.1",
                    "order": 1,
                    "type": "header",
                    "bbox": {
                        "l": 237.6,
                        "t": 640.32,
                        "r": 357.6,
                        "b": 604.56
                    },
                    "text": "Appendix",
                    "attrs": {
                        "block_label": "header"
                    },
                    "level": 2,
                    "reading_order": 0
                },
                {
                    "id": "p19.2",
                    "order": 2,
                    "type": "heading",
                    "bbox": {
                        "l": 37.92,
                        "t": 494.4,
                        "r": 577.92,
                        "b": 172.8
                    },
                    "text": "KENTUCKY STATE UNIVERSITY\nIN ALL THINGS EXCELLENCE",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 1
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 20,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 20,
            "counts_by_type": {
                "heading": 13,
                "table": 1,
                "table_cell": 2,
                "text": 3,
                "title": 1
            },
            "build_ms": 1,
            "items": [
                {
                    "id": "p20.1",
                    "order": 1,
                    "type": "title",
                    "bbox": {
                        "l": 142.08,
                        "t": 709.44,
                        "r": 444.48,
                        "b": 683.04
                    },
                    "text": "Simulation Design Template",
                    "attrs": {
                        "block_label": "doc_title"
                    },
                    "level": 2,
                    "reading_order": 0
                },
                {
                    "id": "p20.2",
                    "order": 2,
                    "type": "text",
                    "bbox": {
                        "l": 249.6,
                        "t": 683.28,
                        "r": 338.16,
                        "b": 670.8
                    },
                    "text": "(revised May 2019)",
                    "reading_order": 1
                },
                {
                    "id": "p20.3",
                    "order": 3,
                    "type": "text",
                    "bbox": {
                        "l": 202.8,
                        "t": 668.88,
                        "r": 384.96,
                        "b": 650.16
                    },
                    "text": "(name of patient) Simulation",
                    "reading_order": 2
                },
                {
                    "id": "p20.4",
                    "order": 4,
                    "type": "table",
                    "bbox": {
                        "l": 95.28,
                        "t": 632.4,
                        "r": 487.92,
                        "b": 554.73472
                    },
                    "text": "",
                    "attrs": {
                        "block_label": "table",
                        "n_rows": 1,
                        "n_cols": 2,
                        "integrity": {
                            "cells_checked": 1,
                            "cells_flagged": 0
                        }
                    },
                    "children": [
                        {
                            "id": "p20.4.1",
                            "order": 5,
                            "type": "table_cell",
                            "bbox": {
                                "l": 95.28,
                                "t": 632.4,
                                "r": 291.6,
                                "b": 556.56
                            },
                            "text": "",
                            "attrs": {
                                "row": 0,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 1
                            },
                            "reading_order": 0
                        },
                        {
                            "id": "p20.4.2",
                            "order": 6,
                            "type": "table_cell",
                            "bbox": {
                                "l": 301.13,
                                "t": 628.18672,
                                "r": 484.05496,
                                "b": 554.73472
                            },
                            "text": "File Name: Student Level: Guided Reflection Time: Twice the amount of time that the simulation runs. Location for Reflection:",
                            "attrs": {
                                "row": 0,
                                "col": 1,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true
                            },
                            "reading_order": 1
                        }
                    ],
                    "reading_order": 3
                },
                {
                    "id": "p20.5",
                    "order": 7,
                    "type": "text",
                    "bbox": {
                        "l": 95.28,
                        "t": 629.28,
                        "r": 265.68,
                        "b": 568.8
                    },
                    "text": "Date:\nDiscipline: Nursing\nExpected Simulation Run Time:\nLocation:\nToday's Date::",
                    "reading_order": 4
                },
                {
                    "id": "p20.6",
                    "order": 8,
                    "type": "heading",
                    "bbox": {
                        "l": 190.8,
                        "t": 507.12,
                        "r": 397.2,
                        "b": 486.48
                    },
                    "text": "Brief Description of Client",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 5
                },
                {
                    "id": "p20.7",
                    "order": 9,
                    "type": "heading",
                    "bbox": {
                        "l": 88.8,
                        "t": 474.24,
                        "r": 127.92,
                        "b": 459.6
                    },
                    "text": "Name:",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 6
                },
                {
                    "id": "p20.8",
                    "order": 10,
                    "type": "heading",
                    "bbox": {
                        "l": 89.04,
                        "t": 447.12,
                        "r": 167.76,
                        "b": 431.76
                    },
                    "text": "Date of Birth:",
                    "level": 3,
                    "reading_order": 7
                },
                {
                    "id": "p20.9",
                    "order": 11,
                    "type": "heading",
                    "bbox": {
                        "l": 88.56,
                        "t": 420,
                        "r": 313.68,
                        "b": 402.96
                    },
                    "text": "Gender: Age: Weight: Height:",
                    "level": 3,
                    "reading_order": 8
                },
                {
                    "id": "p20.10",
                    "order": 12,
                    "type": "heading",
                    "bbox": {
                        "l": 88.56,
                        "t": 392.4,
                        "r": 250.56,
                        "b": 375.84
                    },
                    "text": "Race: Religion:",
                    "level": 3,
                    "reading_order": 9
                },
                {
                    "id": "p20.11",
                    "order": 13,
                    "type": "heading",
                    "bbox": {
                        "l": 89.04,
                        "t": 364.8,
                        "r": 280.56,
                        "b": 347.52
                    },
                    "text": "Major Support: Support Phone:",
                    "level": 3,
                    "reading_order": 10
                },
                {
                    "id": "p20.12",
                    "order": 14,
                    "type": "heading",
                    "bbox": {
                        "l": 88.56,
                        "t": 337.44,
                        "r": 371.52,
                        "b": 320.16
                    },
                    "text": "Allergies: Immunizations:",
                    "level": 3,
                    "reading_order": 11
                },
                {
                    "id": "p20.13",
                    "order": 15,
                    "type": "heading",
                    "bbox": {
                        "l": 88.8,
                        "t": 309.36,
                        "r": 238.32,
                        "b": 292.56
                    },
                    "text": "Attending Provider/Team:",
                    "level": 3,
                    "reading_order": 12
                },
                {
                    "id": "p20.14",
                    "order": 16,
                    "type": "heading",
                    "bbox": {
                        "l": 89.04,
                        "t": 282,
                        "r": 212.88,
                        "b": 264.96
                    },
                    "text": "Past Medical History:",
                    "level": 3,
                    "reading_order": 13
                },
                {
                    "id": "p20.15",
                    "order": 17,
                    "type": "heading",
                    "bbox": {
                        "l": 89.04,
                        "t": 254.4,
                        "r": 239.52,
                        "b": 237.84
                    },
                    "text": "History of Present Illness:",
                    "level": 3,
                    "reading_order": 14
                },
                {
                    "id": "p20.16",
                    "order": 18,
                    "type": "heading",
                    "bbox": {
                        "l": 88.8,
                        "t": 226.32,
                        "r": 175.68,
                        "b": 209.76
                    },
                    "text": "Social History:",
                    "level": 3,
                    "reading_order": 15
                },
                {
                    "id": "p20.17",
                    "order": 19,
                    "type": "heading",
                    "bbox": {
                        "l": 88.8,
                        "t": 199.2,
                        "r": 248.16,
                        "b": 182.16
                    },
                    "text": "Primary Medical Diagnosis:",
                    "level": 3,
                    "reading_order": 16
                },
                {
                    "id": "p20.18",
                    "order": 20,
                    "type": "heading",
                    "bbox": {
                        "l": 88.56,
                        "t": 171.36,
                        "r": 268.08,
                        "b": 155.28
                    },
                    "text": "Surgeries/Procedures & Dates:",
                    "level": 3,
                    "reading_order": 17
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 21,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 19,
            "counts_by_type": {
                "footer": 2,
                "heading": 1,
                "list": 1,
                "list_item": 10,
                "text": 4,
                "title": 1
            },
            "build_ms": 1,
            "items": [
                {
                    "id": "p21.1",
                    "order": 1,
                    "type": "title",
                    "bbox": {
                        "l": 88.08,
                        "t": 710.88,
                        "r": 483.36,
                        "b": 654.72
                    },
                    "text": "Psychomotor Skills Required of Participants Prior to Simulation (list skills)",
                    "attrs": {
                        "block_label": "doc_title"
                    },
                    "level": 2,
                    "reading_order": 0
                },
                {
                    "id": "p21.2",
                    "order": 2,
                    "type": "text",
                    "bbox": {
                        "l": 87.12,
                        "t": 618.24,
                        "r": 482.88,
                        "b": 576.72
                    },
                    "text": "Cognitive Activities Required of Participants Prior to Simulation",
                    "reading_order": 1
                },
                {
                    "id": "p21.3",
                    "order": 3,
                    "type": "text",
                    "bbox": {
                        "l": 87.84,
                        "t": 577.2,
                        "r": 328.8,
                        "b": 562.08
                    },
                    "text": "(textbooks, lecture notes, articles, websites, etc.)",
                    "reading_order": 2
                },
                {
                    "id": "p21.4",
                    "order": 4,
                    "type": "heading",
                    "bbox": {
                        "l": 87.6,
                        "t": 522.24,
                        "r": 339.84,
                        "b": 500.64
                    },
                    "text": "Simulation Learning Objectives",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 3
                },
                {
                    "id": "p21.5",
                    "order": 5,
                    "type": "text",
                    "bbox": {
                        "l": 87.12,
                        "t": 485.76,
                        "r": 485.28,
                        "b": 426
                    },
                    "text": "General Objectives (Note: The objectives listed below are general in nature and once learners have been exposed to the content, they are expected to maintain competency in these areas. Not every simulation will include all of the objectives listed.)",
                    "reading_order": 4
                },
                {
                    "id": "p21.6",
                    "order": 6,
                    "type": "list",
                    "bbox": {
                        "l": 105.12,
                        "t": 416.16,
                        "r": 498.72,
                        "b": 207.12
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 10
                    },
                    "children": [
                        {
                            "id": "p21.6.1",
                            "order": 7,
                            "type": "list_item",
                            "bbox": {
                                "l": 105.36,
                                "t": 416.16,
                                "r": 288.96,
                                "b": 401.76
                            },
                            "text": "Practice standard precautions.",
                            "marker": "1.",
                            "reading_order": 0
                        },
                        {
                            "id": "p21.6.2",
                            "order": 8,
                            "type": "list_item",
                            "bbox": {
                                "l": 105.12,
                                "t": 401.52,
                                "r": 417.36,
                                "b": 387.36
                            },
                            "text": "Employ strategies to reduce risk of harm to the patient.",
                            "marker": "2.",
                            "reading_order": 1
                        },
                        {
                            "id": "p21.6.3",
                            "order": 9,
                            "type": "list_item",
                            "bbox": {
                                "l": 105.12,
                                "t": 387.12,
                                "r": 491.52,
                                "b": 360.72
                            },
                            "text": "Conduct assessments appropriate for care of patient in an organized and systematic manner.",
                            "marker": "3.",
                            "reading_order": 2
                        },
                        {
                            "id": "p21.6.4",
                            "order": 10,
                            "type": "list_item",
                            "bbox": {
                                "l": 105.6,
                                "t": 360.24,
                                "r": 476.16,
                                "b": 333.36
                            },
                            "text": "Perform priority nursing actions based on assessment and clinical data.",
                            "marker": "4.",
                            "reading_order": 3
                        },
                        {
                            "id": "p21.6.5",
                            "order": 11,
                            "type": "list_item",
                            "bbox": {
                                "l": 105.36,
                                "t": 332.88,
                                "r": 465.36,
                                "b": 318.48
                            },
                            "text": "Reassess/monitor patient status following nursing interventions.",
                            "marker": "5.",
                            "reading_order": 4
                        },
                        {
                            "id": "p21.6.6",
                            "order": 12,
                            "type": "list_item",
                            "bbox": {
                                "l": 105.6,
                                "t": 318,
                                "r": 467.76,
                                "b": 278.64
                            },
                            "text": "Communicate with patient and family in a manner that illustrates caring, reflects cultural awareness, and addresses psychosocial needs.",
                            "marker": "6.",
                            "reading_order": 5
                        },
                        {
                            "id": "p21.6.7",
                            "order": 13,
                            "type": "list_item",
                            "bbox": {
                                "l": 105.6,
                                "t": 277.44,
                                "r": 498.72,
                                "b": 250.08
                            },
                            "text": "Communicate appropriately with other health care team members in a timely, organized, patient-specific manner.",
                            "marker": "7.",
                            "reading_order": 6
                        },
                        {
                            "id": "p21.6.8",
                            "order": 14,
                            "type": "list_item",
                            "bbox": {
                                "l": 105.12,
                                "t": 249.6,
                                "r": 467.28,
                                "b": 235.68
                            },
                            "text": "Make clinical judgments and decisions that are evidence-based.",
                            "marker": "8.",
                            "reading_order": 7
                        },
                        {
                            "id": "p21.6.9",
                            "order": 15,
                            "type": "list_item",
                            "bbox": {
                                "l": 105.84,
                                "t": 235.2,
                                "r": 345.6,
                                "b": 221.76
                            },
                            "text": "Practice within nursing scope of practice.",
                            "marker": "9.",
                            "reading_order": 8
                        },
                        {
                            "id": "p21.6.10",
                            "order": 16,
                            "type": "list_item",
                            "bbox": {
                                "l": 106.8,
                                "t": 222,
                                "r": 424.08,
                                "b": 207.12
                            },
                            "text": "Demonstrate knowledge of legal and ethical obligations.",
                            "marker": "10.",
                            "reading_order": 9
                        }
                    ],
                    "reading_order": 5
                },
                {
                    "id": "p21.7",
                    "order": 17,
                    "type": "text",
                    "bbox": {
                        "l": 315.6,
                        "t": 181.2,
                        "r": 364.56,
                        "b": 166.56
                    },
                    "text": "to 3 or 4)",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 6
                },
                {
                    "id": "p21.8",
                    "order": 18,
                    "type": "footer",
                    "bbox": {
                        "l": 87.84,
                        "t": 182.88,
                        "r": 365.52,
                        "b": 166.8
                    },
                    "text": "Simulation Scenario Objectives (limit to 3)",
                    "attrs": {
                        "block_label": "footer"
                    },
                    "reading_order": 7
                },
                {
                    "id": "p21.9",
                    "order": 19,
                    "type": "footer",
                    "bbox": {
                        "l": 303.6,
                        "t": 47.52,
                        "r": 315.84,
                        "b": 37.92
                    },
                    "text": "21",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 8
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 22,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 1,
            "counts_by_type": {
                "footer": 1
            },
            "build_ms": 0,
            "items": [
                {
                    "id": "p22.1",
                    "order": 1,
                    "type": "footer",
                    "bbox": {
                        "l": 303.36,
                        "t": 47.52,
                        "r": 316.08,
                        "b": 37.92
                    },
                    "text": "22",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 0
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 23,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 3,
            "counts_by_type": {
                "footer": 1,
                "text": 2
            },
            "build_ms": 0,
            "items": [
                {
                    "id": "p23.1",
                    "order": 1,
                    "type": "text",
                    "bbox": {
                        "l": 87.12,
                        "t": 710.64,
                        "r": 495.36,
                        "b": 646.8
                    },
                    "text": "For Faculty: References, Evidence-Based Practice Guidelines, Protocols, or Algorithms Used for This Scenario:",
                    "reading_order": 0
                },
                {
                    "id": "p23.2",
                    "order": 2,
                    "type": "text",
                    "bbox": {
                        "l": 91.2,
                        "t": 606.96,
                        "r": 515.76,
                        "b": 588
                    },
                    "text": "□",
                    "reading_order": 1
                },
                {
                    "id": "p23.3",
                    "order": 3,
                    "type": "footer",
                    "bbox": {
                        "l": 303.12,
                        "t": 47.76,
                        "r": 316.08,
                        "b": 37.44
                    },
                    "text": "23",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 2
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 24,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 46,
            "counts_by_type": {
                "footer": 1,
                "form_field": 31,
                "heading": 5,
                "table": 2,
                "table_cell": 6,
                "text": 1
            },
            "build_ms": 5,
            "items": [
                {
                    "id": "p24.1",
                    "order": 1,
                    "type": "heading",
                    "bbox": {
                        "l": 88.32,
                        "t": 709.68,
                        "r": 253.92,
                        "b": 688.56
                    },
                    "text": "Setting/Environment",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 0
                },
                {
                    "id": "p24.2",
                    "order": 2,
                    "type": "table",
                    "bbox": {
                        "l": 91.68,
                        "t": 681.84,
                        "r": 496.56,
                        "b": 587.28
                    },
                    "text": "",
                    "attrs": {
                        "block_label": "table",
                        "n_rows": 1,
                        "n_cols": 2,
                        "integrity": {
                            "cells_checked": 2,
                            "cells_flagged": 0
                        }
                    },
                    "children": [
                        {
                            "id": "p24.2.1",
                            "order": 3,
                            "type": "table_cell",
                            "bbox": {
                                "l": 111.38,
                                "t": 677.38672,
                                "r": 220.74224,
                                "b": 608.9747199999999
                            },
                            "text": "□ Emergency Room\n□ Medical-Surgical Unit\n□ Pediatric Unit\n□ Maternity Unit\n□ Behavioral Health Unit",
                            "attrs": {
                                "row": 0,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true,
                                "merged_continuation": true,
                                "column_header": true,
                                "header_source": "pdf"
                            },
                            "children": [
                                {
                                    "id": "p24.2.1.1",
                                    "order": 4,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 111.38,
                                        "t": 677.39,
                                        "r": 123.38,
                                        "b": 665.39
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "□ Emergency Room\n□ Medical-Surgical Unit\n□ Pediatric Unit\n□ Maternity Unit\n□ Behavioral Health Unit",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 0,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.2.1",
                                        "text_offset": 0,
                                        "text_span": 1
                                    },
                                    "reading_order": 0
                                },
                                {
                                    "id": "p24.2.1.2",
                                    "order": 5,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 111.38,
                                        "t": 663.7,
                                        "r": 123.38,
                                        "b": 651.7
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Medical-Surgical Unit",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 0,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.2.1",
                                        "text_offset": 17,
                                        "text_span": 1
                                    },
                                    "reading_order": 1
                                },
                                {
                                    "id": "p24.2.1.3",
                                    "order": 6,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 111.38,
                                        "t": 650.02,
                                        "r": 123.38,
                                        "b": 638.02
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Pediatric Unit",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 0,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.2.1",
                                        "text_offset": 41,
                                        "text_span": 1
                                    },
                                    "reading_order": 2
                                },
                                {
                                    "id": "p24.2.1.4",
                                    "order": 7,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 111.38,
                                        "t": 636.34,
                                        "r": 123.38,
                                        "b": 624.34
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Maternity Unit",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 0,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.2.1",
                                        "text_offset": 58,
                                        "text_span": 1
                                    },
                                    "reading_order": 3
                                },
                                {
                                    "id": "p24.2.1.5",
                                    "order": 8,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 111.38,
                                        "t": 622.66,
                                        "r": 123.38,
                                        "b": 610.66
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Behavioral Health Unit",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 0,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.2.1",
                                        "text_offset": 75,
                                        "text_span": 1
                                    },
                                    "reading_order": 4
                                }
                            ],
                            "reading_order": 0
                        },
                        {
                            "id": "p24.2.2",
                            "order": 9,
                            "type": "table_cell",
                            "bbox": {
                                "l": 313.13,
                                "t": 677.38672,
                                "r": 402.34424,
                                "b": 594.45472
                            },
                            "text": "□ ICU\n□ OR / PACU\n□ Rehabilitation Unit\n□ Home\n□ Outpatient Clinic\n□ Other:",
                            "attrs": {
                                "row": 0,
                                "col": 1,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true,
                                "merged_continuation": true,
                                "column_header": true,
                                "header_source": "pdf"
                            },
                            "children": [
                                {
                                    "id": "p24.2.2.1",
                                    "order": 10,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 313.13,
                                        "t": 677.39,
                                        "r": 325.13,
                                        "b": 665.39
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "ICU",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.2.2",
                                        "text_offset": 0,
                                        "text_span": 1
                                    },
                                    "reading_order": 0
                                },
                                {
                                    "id": "p24.2.2.2",
                                    "order": 11,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 313.13,
                                        "t": 663.56,
                                        "r": 325.13,
                                        "b": 651.56
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "OR / PACU",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.2.2",
                                        "text_offset": 6,
                                        "text_span": 1
                                    },
                                    "reading_order": 1
                                },
                                {
                                    "id": "p24.2.2.3",
                                    "order": 12,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 313.13,
                                        "t": 649.74,
                                        "r": 325.13,
                                        "b": 637.74
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Rehabilitation Unit",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.2.2",
                                        "text_offset": 18,
                                        "text_span": 1
                                    },
                                    "reading_order": 2
                                },
                                {
                                    "id": "p24.2.2.4",
                                    "order": 13,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 313.13,
                                        "t": 635.92,
                                        "r": 325.13,
                                        "b": 623.92
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Home",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.2.2",
                                        "text_offset": 40,
                                        "text_span": 1
                                    },
                                    "reading_order": 3
                                },
                                {
                                    "id": "p24.2.2.5",
                                    "order": 14,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 313.13,
                                        "t": 622.1,
                                        "r": 325.13,
                                        "b": 610.1
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Outpatient Clinic",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.2.2",
                                        "text_offset": 47,
                                        "text_span": 1
                                    },
                                    "reading_order": 4
                                },
                                {
                                    "id": "p24.2.2.6",
                                    "order": 15,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 313.13,
                                        "t": 608.28,
                                        "r": 325.13,
                                        "b": 596.28
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Other:",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.2.2",
                                        "text_offset": 67,
                                        "text_span": 1
                                    },
                                    "reading_order": 5
                                }
                            ],
                            "reading_order": 1
                        }
                    ],
                    "reading_order": 1
                },
                {
                    "id": "p24.3",
                    "order": 16,
                    "type": "heading",
                    "bbox": {
                        "l": 89.28,
                        "t": 565.92,
                        "r": 449.04,
                        "b": 545.04
                    },
                    "text": "Equipment/Supplies (choose all that apply to this simulation)",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 2
                },
                {
                    "id": "p24.4",
                    "order": 17,
                    "type": "heading",
                    "bbox": {
                        "l": 87.6,
                        "t": 534.72,
                        "r": 283.68,
                        "b": 520.32
                    },
                    "text": "Simulated Patient/Manikin/s Needed:",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 3
                },
                {
                    "id": "p24.5",
                    "order": 18,
                    "type": "heading",
                    "bbox": {
                        "l": 88.08,
                        "t": 504.24,
                        "r": 276.96,
                        "b": 490.08
                    },
                    "text": "Recommended Mode for Simulator:",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 4
                },
                {
                    "id": "p24.6",
                    "order": 19,
                    "type": "text",
                    "bbox": {
                        "l": 88.56,
                        "t": 488.64,
                        "r": 245.28,
                        "b": 474
                    },
                    "text": "(i.e. manual, programmed, etc.)",
                    "reading_order": 5
                },
                {
                    "id": "p24.7",
                    "order": 20,
                    "type": "heading",
                    "bbox": {
                        "l": 88.08,
                        "t": 458.64,
                        "r": 220.32,
                        "b": 443.52
                    },
                    "text": "Other Props & Moulage:",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 6
                },
                {
                    "id": "p24.8",
                    "order": 21,
                    "type": "table",
                    "bbox": {
                        "l": 90.96,
                        "t": 427.27672,
                        "r": 500.64,
                        "b": 83.52
                    },
                    "text": "",
                    "attrs": {
                        "block_label": "table",
                        "n_rows": 2,
                        "n_cols": 2,
                        "integrity": {
                            "cells_checked": 3,
                            "cells_flagged": 0
                        }
                    },
                    "children": [
                        {
                            "id": "p24.8.1",
                            "order": 22,
                            "type": "table_cell",
                            "bbox": {
                                "l": 95.664,
                                "t": 427.27672,
                                "r": 273.97712,
                                "b": 186.89599999999996
                            },
                            "text": "Equipment Attached to Manikin/Simulated Patient: □ ID band □ IV tubing with primary line fluids running at __mL/hr □ Secondary IV line running at __mL/hr □ IVPB with ______ running at mL/hr □ IV pump □ PCA pump □ Foley catheter with ______ mL output □ 02 □ Monitor attached □ Other: Other Essential Equipment:",
                            "attrs": {
                                "row": 0,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true,
                                "column_header": true,
                                "header_source": "pdf"
                            },
                            "children": [
                                {
                                    "id": "p24.8.1.1",
                                    "order": 23,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 111.38,
                                        "t": 333.158,
                                        "r": 259.9674,
                                        "b": 317.989
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "text",
                                        "label": "IVPB with   running at",
                                        "source": "blank_line",
                                        "row": 0,
                                        "col": 0,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.1"
                                    },
                                    "reading_order": 0
                                }
                            ],
                            "reading_order": 0
                        },
                        {
                            "id": "p24.8.2",
                            "order": 24,
                            "type": "table_cell",
                            "bbox": {
                                "l": 301.49,
                                "t": 427.27672,
                                "r": 487.07144,
                                "b": 184.21472000000006
                            },
                            "text": "Equipment Available in Room: □ Bedpan/urinal □ 02 delivery device (type) □ Foley kit □ Straight catheter kit □ Incentive spirometer □ Fluids □ IV start kit □ IV tubing □ IVPB tubing □ IV pump □ Feeding pump □ Crash cart with airway devices and emergency medications □ Defibrillator/pacer □ Suction □ Other:",
                            "attrs": {
                                "row": 0,
                                "col": 1,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true,
                                "column_header": true,
                                "header_source": "pdf"
                            },
                            "children": [
                                {
                                    "id": "p24.8.2.1",
                                    "order": 25,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 319.08,
                                        "t": 427.28,
                                        "r": 331.08,
                                        "b": 415.28
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Bedpan/urinal",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.2",
                                        "text_offset": 29,
                                        "text_span": 1
                                    },
                                    "reading_order": 0
                                },
                                {
                                    "id": "p24.8.2.2",
                                    "order": 26,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 328.78,
                                        "t": 427.28,
                                        "r": 340.78,
                                        "b": 415.28
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "02 delivery device (type)",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.2",
                                        "text_offset": 45,
                                        "text_span": 1
                                    },
                                    "reading_order": 1
                                },
                                {
                                    "id": "p24.8.2.3",
                                    "order": 27,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 345.76,
                                        "t": 427.28,
                                        "r": 357.76,
                                        "b": 415.28
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Foley kit",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.2",
                                        "text_offset": 73,
                                        "text_span": 1
                                    },
                                    "reading_order": 2
                                },
                                {
                                    "id": "p24.8.2.4",
                                    "order": 28,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 353.04,
                                        "t": 427.28,
                                        "r": 365.04,
                                        "b": 415.28
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Straight catheter kit",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.2",
                                        "text_offset": 85,
                                        "text_span": 1
                                    },
                                    "reading_order": 3
                                },
                                {
                                    "id": "p24.8.2.5",
                                    "order": 29,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 367.6,
                                        "t": 427.28,
                                        "r": 379.6,
                                        "b": 415.28
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Incentive spirometer",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.2",
                                        "text_offset": 109,
                                        "text_span": 1
                                    },
                                    "reading_order": 4
                                },
                                {
                                    "id": "p24.8.2.6",
                                    "order": 30,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 381.54,
                                        "t": 427.28,
                                        "r": 393.54,
                                        "b": 415.28
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Fluids",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.2",
                                        "text_offset": 132,
                                        "text_span": 1
                                    },
                                    "reading_order": 5
                                },
                                {
                                    "id": "p24.8.2.7",
                                    "order": 31,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 396.1,
                                        "t": 427.28,
                                        "r": 408.1,
                                        "b": 415.28
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "IV tubing",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.2",
                                        "text_offset": 141,
                                        "text_span": 1
                                    },
                                    "reading_order": 6
                                },
                                {
                                    "id": "p24.8.2.8",
                                    "order": 32,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 403.38,
                                        "t": 427.28,
                                        "r": 415.38,
                                        "b": 415.28
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "IVPB tubing",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.2",
                                        "text_offset": 168,
                                        "text_span": 1
                                    },
                                    "reading_order": 7
                                },
                                {
                                    "id": "p24.8.2.9",
                                    "order": 33,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 411.87,
                                        "t": 427.28,
                                        "r": 423.87,
                                        "b": 415.28
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "IV pump",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.2",
                                        "text_offset": 156,
                                        "text_span": 1
                                    },
                                    "reading_order": 8
                                },
                                {
                                    "id": "p24.8.2.10",
                                    "order": 34,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 417.93,
                                        "t": 427.28,
                                        "r": 429.93,
                                        "b": 415.28
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Feeding pump",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.2",
                                        "text_offset": 192,
                                        "text_span": 1
                                    },
                                    "reading_order": 9
                                },
                                {
                                    "id": "p24.8.2.11",
                                    "order": 35,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 427.03,
                                        "t": 427.28,
                                        "r": 439.03,
                                        "b": 415.28
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Crash cart with airway devices and emergency medications",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.2",
                                        "text_offset": 207,
                                        "text_span": 1
                                    },
                                    "reading_order": 10
                                },
                                {
                                    "id": "p24.8.2.12",
                                    "order": 36,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 462.81,
                                        "t": 427.28,
                                        "r": 474.81,
                                        "b": 415.28
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Defibrillator/pacer",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.2",
                                        "text_offset": 266,
                                        "text_span": 1
                                    },
                                    "reading_order": 11
                                },
                                {
                                    "id": "p24.8.2.13",
                                    "order": 37,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 476.15,
                                        "t": 427.28,
                                        "r": 488.15,
                                        "b": 415.28
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Suction",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.2",
                                        "text_offset": 288,
                                        "text_span": 1
                                    },
                                    "reading_order": 12
                                },
                                {
                                    "id": "p24.8.2.14",
                                    "order": 38,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 482.22,
                                        "t": 427.28,
                                        "r": 494.22,
                                        "b": 415.28
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Other:",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 0,
                                        "col": 1,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.2",
                                        "text_offset": 298,
                                        "text_span": 1
                                    },
                                    "reading_order": 13
                                }
                            ],
                            "reading_order": 1
                        },
                        {
                            "id": "p24.8.3",
                            "order": 39,
                            "type": "table_cell",
                            "bbox": {
                                "l": 95.664,
                                "t": 169.70672000000002,
                                "r": 220.95696,
                                "b": 86.77872000000002
                            },
                            "text": "Medications and Fluids: □ Oral Meds: □ IV Fluids: □ IVPB: □ IV Push: □ IM or SC:",
                            "attrs": {
                                "row": 1,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true,
                                "column_header": true,
                                "header_source": "pdf"
                            },
                            "children": [
                                {
                                    "id": "p24.8.3.1",
                                    "order": 40,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 133.25,
                                        "t": 169.71,
                                        "r": 145.25,
                                        "b": 157.71
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Oral Meds:",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 1,
                                        "col": 0,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.3",
                                        "text_offset": 24,
                                        "text_span": 1
                                    },
                                    "reading_order": 0
                                },
                                {
                                    "id": "p24.8.3.2",
                                    "order": 41,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 153.61,
                                        "t": 169.71,
                                        "r": 165.61,
                                        "b": 157.71
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "IV Fluids:",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 1,
                                        "col": 0,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.3",
                                        "text_offset": 37,
                                        "text_span": 1
                                    },
                                    "reading_order": 1
                                },
                                {
                                    "id": "p24.8.3.3",
                                    "order": 42,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 173.97,
                                        "t": 169.71,
                                        "r": 185.97,
                                        "b": 157.71
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "IVPB:",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 1,
                                        "col": 0,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.3",
                                        "text_offset": 50,
                                        "text_span": 1
                                    },
                                    "reading_order": 2
                                },
                                {
                                    "id": "p24.8.3.4",
                                    "order": 43,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 186.5,
                                        "t": 169.71,
                                        "r": 198.5,
                                        "b": 157.71
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "IV Push:",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 1,
                                        "col": 0,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.3",
                                        "text_offset": 58,
                                        "text_span": 1
                                    },
                                    "reading_order": 3
                                },
                                {
                                    "id": "p24.8.3.5",
                                    "order": 44,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 203.73,
                                        "t": 169.71,
                                        "r": 215.73,
                                        "b": 157.71
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "IM or SC:",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "row": 1,
                                        "col": 0,
                                        "rowspan": 1,
                                        "colspan": 1,
                                        "label_source": "parent_text",
                                        "label_ref": "p24.8.3",
                                        "text_offset": 69,
                                        "text_span": 1
                                    },
                                    "reading_order": 4
                                }
                            ],
                            "reading_order": 2
                        },
                        {
                            "id": "p24.8.4",
                            "order": 45,
                            "type": "table_cell",
                            "bbox": {
                                "l": 295.8,
                                "t": 254.88,
                                "r": 500.64,
                                "b": 83.52
                            },
                            "text": "",
                            "attrs": {
                                "row": 1,
                                "col": 1,
                                "rowspan": 1,
                                "colspan": 1,
                                "column_header": true,
                                "header_source": "pdf"
                            },
                            "reading_order": 3
                        }
                    ],
                    "reading_order": 7
                },
                {
                    "id": "p24.9",
                    "order": 46,
                    "type": "footer",
                    "bbox": {
                        "l": 303.6,
                        "t": 47.28,
                        "r": 315.84,
                        "b": 37.92
                    },
                    "text": "24",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 8
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 25,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 24,
            "counts_by_type": {
                "figure": 1,
                "footer": 1,
                "form_field": 12,
                "heading": 3,
                "link": 1,
                "text": 6
            },
            "build_ms": 1,
            "items": [
                {
                    "id": "p25.1",
                    "order": 1,
                    "type": "heading",
                    "bbox": {
                        "l": 89.52,
                        "t": 705.84,
                        "r": 137.28,
                        "b": 687.36
                    },
                    "text": "Roles",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 0
                },
                {
                    "id": "p25.2",
                    "order": 2,
                    "type": "figure",
                    "bbox": {
                        "l": 92.4,
                        "t": 689.76,
                        "r": 492.96,
                        "b": 536.4
                    },
                    "text": "",
                    "attrs": {
                        "block_label": "image"
                    },
                    "children": [
                        {
                            "id": "p25.2.1",
                            "order": 3,
                            "type": "text",
                            "bbox": {
                                "l": 92.64,
                                "t": 685.92,
                                "r": 280.08,
                                "b": 564.72
                            },
                            "text": "□ Nurse 1\n□ Nurse 2\n□ Nurse 3\n□ Provider (physician/advanced practice nurse)\n□ Other healthcare professionals: (pharmacist, respiratory therapist, etc.)",
                            "attrs": {
                                "block_label": "algorithm"
                            },
                            "children": [
                                {
                                    "id": "p25.2.1.1",
                                    "order": 4,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 92.64,
                                        "t": 685.92,
                                        "r": 104.64,
                                        "b": 673.92
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Nurse 1",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p25.2.1",
                                        "text_offset": 0,
                                        "text_span": 1
                                    },
                                    "reading_order": 0
                                },
                                {
                                    "id": "p25.2.1.2",
                                    "order": 5,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 92.64,
                                        "t": 661.68,
                                        "r": 104.64,
                                        "b": 649.68
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Nurse 2",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p25.2.1",
                                        "text_offset": 10,
                                        "text_span": 1
                                    },
                                    "reading_order": 1
                                },
                                {
                                    "id": "p25.2.1.3",
                                    "order": 6,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 92.64,
                                        "t": 637.44,
                                        "r": 104.64,
                                        "b": 625.44
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Nurse 3",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p25.2.1",
                                        "text_offset": 20,
                                        "text_span": 1
                                    },
                                    "reading_order": 2
                                },
                                {
                                    "id": "p25.2.1.4",
                                    "order": 7,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 92.64,
                                        "t": 613.2,
                                        "r": 104.64,
                                        "b": 601.2
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Provider (physician/advanced practice nurse)",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p25.2.1",
                                        "text_offset": 30,
                                        "text_span": 1
                                    },
                                    "reading_order": 3
                                },
                                {
                                    "id": "p25.2.1.5",
                                    "order": 8,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 92.64,
                                        "t": 588.96,
                                        "r": 104.64,
                                        "b": 576.96
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Other healthcare professionals: (pharmacist, respiratory th…",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p25.2.1",
                                        "text_offset": 77,
                                        "text_span": 1
                                    },
                                    "reading_order": 4
                                }
                            ],
                            "reading_order": 0
                        },
                        {
                            "id": "p25.2.2",
                            "order": 9,
                            "type": "text",
                            "bbox": {
                                "l": 305.28,
                                "t": 684.24,
                                "r": 480.96,
                                "b": 578.88
                            },
                            "text": "□ Observer(s)\n□ Recorder(s)\n□ Family member #1\n□ Family member #2\n□ Clergy\n□ Unlicensed assistive personnel\n□ Other:",
                            "attrs": {
                                "block_label": "algorithm"
                            },
                            "children": [
                                {
                                    "id": "p25.2.2.1",
                                    "order": 10,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 305.28,
                                        "t": 684.24,
                                        "r": 317.28,
                                        "b": 672.24
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Observer(s)",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p25.2.2",
                                        "text_offset": 0,
                                        "text_span": 1
                                    },
                                    "reading_order": 0
                                },
                                {
                                    "id": "p25.2.2.2",
                                    "order": 11,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 305.28,
                                        "t": 669.19,
                                        "r": 317.28,
                                        "b": 657.19
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Recorder(s)",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p25.2.2",
                                        "text_offset": 14,
                                        "text_span": 1
                                    },
                                    "reading_order": 1
                                },
                                {
                                    "id": "p25.2.2.3",
                                    "order": 12,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 305.28,
                                        "t": 654.14,
                                        "r": 317.28,
                                        "b": 642.14
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Family member #1",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p25.2.2",
                                        "text_offset": 28,
                                        "text_span": 1
                                    },
                                    "reading_order": 2
                                },
                                {
                                    "id": "p25.2.2.4",
                                    "order": 13,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 305.28,
                                        "t": 639.09,
                                        "r": 317.28,
                                        "b": 627.09
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Family member #2",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p25.2.2",
                                        "text_offset": 47,
                                        "text_span": 1
                                    },
                                    "reading_order": 3
                                },
                                {
                                    "id": "p25.2.2.5",
                                    "order": 14,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 305.28,
                                        "t": 624.03,
                                        "r": 317.28,
                                        "b": 612.03
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Clergy",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p25.2.2",
                                        "text_offset": 66,
                                        "text_span": 1
                                    },
                                    "reading_order": 4
                                },
                                {
                                    "id": "p25.2.2.6",
                                    "order": 15,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 305.28,
                                        "t": 608.98,
                                        "r": 317.28,
                                        "b": 596.98
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Unlicensed assistive personnel",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p25.2.2",
                                        "text_offset": 75,
                                        "text_span": 1
                                    },
                                    "reading_order": 5
                                },
                                {
                                    "id": "p25.2.2.7",
                                    "order": 16,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 305.28,
                                        "t": 593.93,
                                        "r": 317.28,
                                        "b": 581.93
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "checkbox",
                                        "label": "Other:",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p25.2.2",
                                        "text_offset": 108,
                                        "text_span": 1
                                    },
                                    "reading_order": 6
                                }
                            ],
                            "reading_order": 1
                        }
                    ],
                    "reading_order": 1
                },
                {
                    "id": "p25.3",
                    "order": 17,
                    "type": "heading",
                    "bbox": {
                        "l": 88.08,
                        "t": 501.36,
                        "r": 409.44,
                        "b": 480.96
                    },
                    "text": "Guidelines/Information Related to Roles",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 2
                },
                {
                    "id": "p25.4",
                    "order": 18,
                    "type": "text",
                    "bbox": {
                        "l": 87.6,
                        "t": 464.64,
                        "r": 479.28,
                        "b": 420.72
                    },
                    "text": "Learners in role of nurse should determine which assessments and interventions each will be responsible for, or facilitator can assign nurse 1 and nurse 2 roles with related responsibilities.",
                    "reading_order": 3
                },
                {
                    "id": "p25.5",
                    "order": 19,
                    "type": "text",
                    "bbox": {
                        "l": 87.6,
                        "t": 409.92,
                        "r": 493.44,
                        "b": 366
                    },
                    "text": "Information on behaviors, emotional tone, and what cues are permitted should be clearly communicated for each role. A script may be created from Scenario Progression Outline.",
                    "reading_order": 4
                },
                {
                    "id": "p25.6",
                    "order": 20,
                    "type": "heading",
                    "bbox": {
                        "l": 88.8,
                        "t": 325.92,
                        "r": 249.6,
                        "b": 305.52
                    },
                    "text": "Pre-briefing/Briefing",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 5
                },
                {
                    "id": "p25.7",
                    "order": 21,
                    "type": "text",
                    "bbox": {
                        "l": 87.12,
                        "t": 303.36,
                        "r": 498.72,
                        "b": 239.04
                    },
                    "text": "Prior to report, participants will need pre-briefing/briefing. During this time, faculty/facilitators should establish a safe container for learning, discuss the fiction contract and confidentiality, and orient participants to the environment, roles, time allotment, and objectives.",
                    "reading_order": 6
                },
                {
                    "id": "p25.8",
                    "order": 22,
                    "type": "text",
                    "bbox": {
                        "l": 88.32,
                        "t": 226.56,
                        "r": 476.88,
                        "b": 195.84
                    },
                    "text": "For a comprehensive checklist and information on its development, go to http://www.nln.org/sirc/sirc-resources/sirc-tools-and-tips#simtemplate.",
                    "children": [
                        {
                            "id": "p25.8.1",
                            "order": 23,
                            "type": "link",
                            "bbox": {
                                "l": 87.8,
                                "t": 211.96,
                                "r": 458.41,
                                "b": 198.16
                            },
                            "text": "http://www.nln.org/sirc/sirc-resources/sirc-tools-and-tips#simtemplate.",
                            "attrs": {
                                "uri": "http://www.nln.org/sirc/sirc-resources/sirc-tools-and-tips#simtemplate",
                                "action_type": "/URI"
                            },
                            "reading_order": 0
                        }
                    ],
                    "reading_order": 7
                },
                {
                    "id": "p25.9",
                    "order": 24,
                    "type": "footer",
                    "bbox": {
                        "l": 303.6,
                        "t": 47.52,
                        "r": 315.6,
                        "b": 37.68
                    },
                    "text": "25",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 8
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 26,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 8,
            "counts_by_type": {
                "footer": 1,
                "heading": 4,
                "text": 3
            },
            "build_ms": 0,
            "items": [
                {
                    "id": "p26.1",
                    "order": 1,
                    "type": "text",
                    "bbox": {
                        "l": 88.32,
                        "t": 710.16,
                        "r": 472.8,
                        "b": 672
                    },
                    "text": "Report Students Will Receive Before Simulation (Use SBAR format.)",
                    "reading_order": 0
                },
                {
                    "id": "p26.2",
                    "order": 2,
                    "type": "text",
                    "bbox": {
                        "l": 87.36,
                        "t": 662.16,
                        "r": 233.04,
                        "b": 617.52
                    },
                    "text": "Time:\nPerson providing report:",
                    "reading_order": 1
                },
                {
                    "id": "p26.3",
                    "order": 3,
                    "type": "heading",
                    "bbox": {
                        "l": 87.6,
                        "t": 606.96,
                        "r": 148.08,
                        "b": 591.12
                    },
                    "text": "Situation:",
                    "level": 3,
                    "reading_order": 2
                },
                {
                    "id": "p26.4",
                    "order": 4,
                    "type": "heading",
                    "bbox": {
                        "l": 88.08,
                        "t": 580.08,
                        "r": 166.08,
                        "b": 562.8
                    },
                    "text": "Background:",
                    "level": 3,
                    "reading_order": 3
                },
                {
                    "id": "p26.5",
                    "order": 5,
                    "type": "heading",
                    "bbox": {
                        "l": 87.84,
                        "t": 552.24,
                        "r": 167.28,
                        "b": 535.92
                    },
                    "text": "Assessment:",
                    "level": 3,
                    "reading_order": 4
                },
                {
                    "id": "p26.6",
                    "order": 6,
                    "type": "heading",
                    "bbox": {
                        "l": 87.6,
                        "t": 524.64,
                        "r": 196.56,
                        "b": 508.08
                    },
                    "text": "Recommendation:",
                    "level": 3,
                    "reading_order": 5
                },
                {
                    "id": "p26.7",
                    "order": 7,
                    "type": "text",
                    "bbox": {
                        "l": 91.2,
                        "t": 495.84,
                        "r": 518.4,
                        "b": 477.6
                    },
                    "text": "<div style=\"text-align: center;\"><img src=\"imgs/img_in_chart_box_2_21_74_1803.jpg\" alt=\"Image\" width=\"66%\" /></div>",
                    "reading_order": 6
                },
                {
                    "id": "p26.8",
                    "order": 8,
                    "type": "footer",
                    "bbox": {
                        "l": 303.6,
                        "t": 47.52,
                        "r": 316.08,
                        "b": 37.68
                    },
                    "text": "26",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 7
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 27,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 25,
            "counts_by_type": {
                "footer": 1,
                "heading": 3,
                "table": 1,
                "table_cell": 20
            },
            "build_ms": 2,
            "items": [
                {
                    "id": "p27.1",
                    "order": 1,
                    "type": "heading",
                    "bbox": {
                        "l": 88.08,
                        "t": 706.56,
                        "r": 325.68,
                        "b": 685.44
                    },
                    "text": "Scenario Progression Outline",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 0
                },
                {
                    "id": "p27.2",
                    "order": 2,
                    "type": "heading",
                    "bbox": {
                        "l": 88.08,
                        "t": 664.08,
                        "r": 171.12,
                        "b": 648.72
                    },
                    "text": "Patient Name:",
                    "level": 3,
                    "reading_order": 1
                },
                {
                    "id": "p27.3",
                    "order": 3,
                    "type": "heading",
                    "bbox": {
                        "l": 412.32,
                        "t": 664.32,
                        "r": 491.52,
                        "b": 649.2
                    },
                    "text": "Date of Birth:",
                    "level": 3,
                    "reading_order": 2
                },
                {
                    "id": "p27.4",
                    "order": 4,
                    "type": "table",
                    "bbox": {
                        "l": 89.28,
                        "t": 631.92,
                        "r": 498.24,
                        "b": 306
                    },
                    "text": "",
                    "attrs": {
                        "block_label": "table",
                        "n_rows": 5,
                        "n_cols": 4,
                        "integrity": {
                            "cells_checked": 17,
                            "cells_flagged": 0
                        }
                    },
                    "children": [
                        {
                            "id": "p27.4.1",
                            "order": 5,
                            "type": "table_cell",
                            "bbox": {
                                "l": 95.664,
                                "t": 626.62672,
                                "r": 142.77168,
                                "b": 603.81472
                            },
                            "text": "Timing (approx.)",
                            "attrs": {
                                "row": 0,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true,
                                "column_header": true,
                                "header_source": "pdf"
                            },
                            "reading_order": 0
                        },
                        {
                            "id": "p27.4.2",
                            "order": 6,
                            "type": "table_cell",
                            "bbox": {
                                "l": 192.14,
                                "t": 626.62672,
                                "r": 250.97216,
                                "b": 603.81472
                            },
                            "text": "Manikin/SP Actions",
                            "attrs": {
                                "row": 0,
                                "col": 1,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true,
                                "column_header": true,
                                "header_source": "pdf"
                            },
                            "reading_order": 1
                        },
                        {
                            "id": "p27.4.3",
                            "order": 7,
                            "type": "table_cell",
                            "bbox": {
                                "l": 294.65,
                                "t": 626.62672,
                                "r": 363.88184,
                                "b": 603.81472
                            },
                            "text": "Expected Interventions",
                            "attrs": {
                                "row": 0,
                                "col": 2,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true,
                                "column_header": true,
                                "header_source": "pdf"
                            },
                            "reading_order": 2
                        },
                        {
                            "id": "p27.4.4",
                            "order": 8,
                            "type": "table_cell",
                            "bbox": {
                                "l": 404.35,
                                "t": 626.62672,
                                "r": 485.68168,
                                "b": 603.81472
                            },
                            "text": "May Use the Following Cues",
                            "attrs": {
                                "row": 0,
                                "col": 3,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true,
                                "column_header": true,
                                "header_source": "pdf"
                            },
                            "reading_order": 3
                        },
                        {
                            "id": "p27.4.5",
                            "order": 9,
                            "type": "table_cell",
                            "bbox": {
                                "l": 95.664,
                                "t": 587.0267200000001,
                                "r": 134.3144,
                                "b": 576.81472
                            },
                            "text": "0-5 min",
                            "attrs": {
                                "row": 1,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true
                            },
                            "reading_order": 4
                        },
                        {
                            "id": "p27.4.6",
                            "order": 10,
                            "type": "table_cell",
                            "bbox": {
                                "l": 192.14,
                                "t": 587.0267200000001,
                                "r": 280.87952,
                                "b": 475.62472
                            },
                            "text": "(Verbal information provided by manikin or SP should be in quotes so a script can be created for individuals in those roles.)",
                            "attrs": {
                                "row": 1,
                                "col": 1,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true
                            },
                            "reading_order": 5
                        },
                        {
                            "id": "p27.4.7",
                            "order": 11,
                            "type": "table_cell",
                            "bbox": {
                                "l": 294.65,
                                "t": 587.0267200000001,
                                "r": 380.34248,
                                "b": 473.46472
                            },
                            "text": "Learners should begin by:\\n• Performing hand hygiene\\n• Introducing selves\\n• Confirming patient ID",
                            "attrs": {
                                "row": 1,
                                "col": 2,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true
                            },
                            "reading_order": 6
                        },
                        {
                            "id": "p27.4.8",
                            "order": 12,
                            "type": "table_cell",
                            "bbox": {
                                "l": 404.35,
                                "t": 587.0267200000001,
                                "r": 480.26104,
                                "b": 538.89472
                            },
                            "text": "Role member providing cue:\\nCue:",
                            "attrs": {
                                "row": 1,
                                "col": 3,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true
                            },
                            "reading_order": 7
                        },
                        {
                            "id": "p27.4.9",
                            "order": 13,
                            "type": "table_cell",
                            "bbox": {
                                "l": 95.664,
                                "t": 457.87672,
                                "r": 140.4416,
                                "b": 447.66472
                            },
                            "text": "5-10 min",
                            "attrs": {
                                "row": 2,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true
                            },
                            "reading_order": 8
                        },
                        {
                            "id": "p27.4.10",
                            "order": 14,
                            "type": "table_cell",
                            "bbox": {
                                "l": 191.52,
                                "t": 501.552,
                                "r": 293.76,
                                "b": 436.368
                            },
                            "text": "",
                            "attrs": {
                                "row": 2,
                                "col": 1,
                                "rowspan": 1,
                                "colspan": 1
                            },
                            "reading_order": 9
                        },
                        {
                            "id": "p27.4.11",
                            "order": 15,
                            "type": "table_cell",
                            "bbox": {
                                "l": 294.65,
                                "t": 457.87672,
                                "r": 360.74648,
                                "b": 434.94472
                            },
                            "text": "Learners are expected to:",
                            "attrs": {
                                "row": 2,
                                "col": 2,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true
                            },
                            "reading_order": 10
                        },
                        {
                            "id": "p27.4.12",
                            "order": 16,
                            "type": "table_cell",
                            "bbox": {
                                "l": 404.35,
                                "t": 457.87672,
                                "r": 480.26104,
                                "b": 422.34472
                            },
                            "text": "Role member providing cue:\\nCue:",
                            "attrs": {
                                "row": 2,
                                "col": 3,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true
                            },
                            "reading_order": 11
                        },
                        {
                            "id": "p27.4.13",
                            "order": 17,
                            "type": "table_cell",
                            "bbox": {
                                "l": 95.664,
                                "t": 406.75672,
                                "r": 146.5616,
                                "b": 396.54472
                            },
                            "text": "10-15 min",
                            "attrs": {
                                "row": 3,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true
                            },
                            "reading_order": 12
                        },
                        {
                            "id": "p27.4.14",
                            "order": 18,
                            "type": "table_cell",
                            "bbox": {
                                "l": 191.52,
                                "t": 436.368,
                                "r": 293.76,
                                "b": 371.184
                            },
                            "text": "",
                            "attrs": {
                                "row": 3,
                                "col": 1,
                                "rowspan": 1,
                                "colspan": 1
                            },
                            "reading_order": 13
                        },
                        {
                            "id": "p27.4.15",
                            "order": 19,
                            "type": "table_cell",
                            "bbox": {
                                "l": 294.65,
                                "t": 406.75672,
                                "r": 360.74648,
                                "b": 383.82472
                            },
                            "text": "Learners are expected to:",
                            "attrs": {
                                "row": 3,
                                "col": 2,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true
                            },
                            "reading_order": 14
                        },
                        {
                            "id": "p27.4.16",
                            "order": 20,
                            "type": "table_cell",
                            "bbox": {
                                "l": 404.35,
                                "t": 406.75672,
                                "r": 480.26104,
                                "b": 371.22472
                            },
                            "text": "Role member providing cue:\\nCue:",
                            "attrs": {
                                "row": 3,
                                "col": 3,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true
                            },
                            "reading_order": 15
                        },
                        {
                            "id": "p27.4.17",
                            "order": 21,
                            "type": "table_cell",
                            "bbox": {
                                "l": 95.664,
                                "t": 355.61672,
                                "r": 146.5616,
                                "b": 345.40472
                            },
                            "text": "15-20 min",
                            "attrs": {
                                "row": 4,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true
                            },
                            "reading_order": 16
                        },
                        {
                            "id": "p27.4.18",
                            "order": 22,
                            "type": "table_cell",
                            "bbox": {
                                "l": 191.52,
                                "t": 371.184,
                                "r": 293.76,
                                "b": 306
                            },
                            "text": "",
                            "attrs": {
                                "row": 4,
                                "col": 1,
                                "rowspan": 1,
                                "colspan": 1
                            },
                            "reading_order": 17
                        },
                        {
                            "id": "p27.4.19",
                            "order": 23,
                            "type": "table_cell",
                            "bbox": {
                                "l": 294.65,
                                "t": 355.61672,
                                "r": 360.74648,
                                "b": 332.80472
                            },
                            "text": "Learners are expected to:",
                            "attrs": {
                                "row": 4,
                                "col": 2,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true
                            },
                            "reading_order": 18
                        },
                        {
                            "id": "p27.4.20",
                            "order": 24,
                            "type": "table_cell",
                            "bbox": {
                                "l": 404.35,
                                "t": 355.61672,
                                "r": 480.26104,
                                "b": 320.08472
                            },
                            "text": "Role member providing cue:\\nCue:",
                            "attrs": {
                                "row": 4,
                                "col": 3,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true
                            },
                            "reading_order": 19
                        }
                    ],
                    "reading_order": 3
                },
                {
                    "id": "p27.5",
                    "order": 25,
                    "type": "footer",
                    "bbox": {
                        "l": 303.36,
                        "t": 47.76,
                        "r": 315.84,
                        "b": 37.92
                    },
                    "text": "27",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 4
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 28,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 23,
            "counts_by_type": {
                "footer": 1,
                "heading": 3,
                "list": 2,
                "list_item": 15,
                "text": 2
            },
            "build_ms": 3,
            "items": [
                {
                    "id": "p28.1",
                    "order": 1,
                    "type": "heading",
                    "bbox": {
                        "l": 88.56,
                        "t": 729.84,
                        "r": 321.36,
                        "b": 710.16
                    },
                    "text": "Debriefing/Guided Reflection",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 0
                },
                {
                    "id": "p28.2",
                    "order": 2,
                    "type": "heading",
                    "bbox": {
                        "l": 88.08,
                        "t": 697.2,
                        "r": 199.44,
                        "b": 681.12
                    },
                    "text": "Note to Faculty",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 1
                },
                {
                    "id": "p28.3",
                    "order": 3,
                    "type": "text",
                    "bbox": {
                        "l": 86.88,
                        "t": 679.92,
                        "r": 498.48,
                        "b": 540
                    },
                    "text": "We recognize that faculty will implement the materials we have provided in many different ways and venues. Some may use them exactly as written and others will adapt and modify extensively. Some may choose to implement materials and initiate relevant discussions around this content in the classroom or clinical setting in addition to providing a simulation experience. We have designed this scenario to provide an enriching experiential learning encounter that will allow learners to accomplish the listed objectives and spark rich discussion during debriefing. There are a few main themes that we hope learners will bring up during debriefing, but if they do not, we encourage you to introduce them.",
                    "reading_order": 2
                },
                {
                    "id": "p28.4",
                    "order": 4,
                    "type": "heading",
                    "bbox": {
                        "l": 88.56,
                        "t": 527.52,
                        "r": 237.12,
                        "b": 513.84
                    },
                    "text": "Themes for this scenario:",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 3
                },
                {
                    "id": "p28.5",
                    "order": 5,
                    "type": "list",
                    "bbox": {
                        "l": 106.32,
                        "t": 500.77,
                        "r": 116.16,
                        "b": 452.518
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 3
                    },
                    "children": [
                        {
                            "id": "p28.5.1",
                            "order": 6,
                            "type": "list_item",
                            "bbox": {
                                "l": 106.32,
                                "t": 500.77,
                                "r": 115.44,
                                "b": 486.118
                            },
                            "text": "□",
                            "reading_order": 0
                        },
                        {
                            "id": "p28.5.2",
                            "order": 7,
                            "type": "list_item",
                            "bbox": {
                                "l": 106.56,
                                "t": 483.97,
                                "r": 116.16,
                                "b": 469.318
                            },
                            "text": "□",
                            "reading_order": 1
                        },
                        {
                            "id": "p28.5.3",
                            "order": 8,
                            "type": "list_item",
                            "bbox": {
                                "l": 106.56,
                                "t": 467.17,
                                "r": 115.68,
                                "b": 452.518
                            },
                            "text": "□",
                            "reading_order": 2
                        }
                    ],
                    "reading_order": 4
                },
                {
                    "id": "p28.6",
                    "order": 9,
                    "type": "text",
                    "bbox": {
                        "l": 86.88,
                        "t": 449.76,
                        "r": 492.96,
                        "b": 351.6
                    },
                    "text": "We do not expect you to introduce all of the questions listed below. The questions are presented only to suggest topics that may inspire the learning conversation. Learner actions and responses observed by the debriefer should be specifically addressed using a theory-based debriefing methodology (e.g., Debriefing with Good Judgment, Debriefing for Meaningful Learning, PEARLS). Remember to also identify important concepts or curricular threads that are specific to your program.",
                    "reading_order": 5
                },
                {
                    "id": "p28.7",
                    "order": 10,
                    "type": "list",
                    "bbox": {
                        "l": 105.6,
                        "t": 339.36,
                        "r": 493.2,
                        "b": 76.56
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 12
                    },
                    "children": [
                        {
                            "id": "p28.7.1",
                            "order": 11,
                            "type": "list_item",
                            "bbox": {
                                "l": 105.84,
                                "t": 339.36,
                                "r": 423.6,
                                "b": 326.16
                            },
                            "text": "How did you feel throughout the simulation experience?",
                            "marker": "1.",
                            "reading_order": 0
                        },
                        {
                            "id": "p28.7.2",
                            "order": 12,
                            "type": "list_item",
                            "bbox": {
                                "l": 105.6,
                                "t": 325.2,
                                "r": 457.68,
                                "b": 299.28
                            },
                            "text": "Give a brief summary of this patient and what happened in the simulation.",
                            "marker": "2.",
                            "reading_order": 1
                        },
                        {
                            "id": "p28.7.3",
                            "order": 13,
                            "type": "list_item",
                            "bbox": {
                                "l": 105.84,
                                "t": 297.6,
                                "r": 391.68,
                                "b": 284.64
                            },
                            "text": "What were the main problems that you identified?",
                            "marker": "3.",
                            "reading_order": 2
                        },
                        {
                            "id": "p28.7.4",
                            "order": 14,
                            "type": "list_item",
                            "bbox": {
                                "l": 105.84,
                                "t": 283.44,
                                "r": 492,
                                "b": 257.52
                            },
                            "text": "Discuss the knowledge guiding your thinking surrounding these main problems.",
                            "marker": "4.",
                            "reading_order": 3
                        },
                        {
                            "id": "p28.7.5",
                            "order": 15,
                            "type": "list_item",
                            "bbox": {
                                "l": 106.08,
                                "t": 256.32,
                                "r": 475.2,
                                "b": 243.12
                            },
                            "text": "What were the key assessment and interventions for this patient?",
                            "marker": "5.",
                            "reading_order": 4
                        },
                        {
                            "id": "p28.7.6",
                            "order": 16,
                            "type": "list_item",
                            "bbox": {
                                "l": 106.32,
                                "t": 242.16,
                                "r": 493.2,
                                "b": 229.2
                            },
                            "text": "Discuss how you identified these key assessments and interventions.",
                            "marker": "6.",
                            "reading_order": 5
                        },
                        {
                            "id": "p28.7.7",
                            "order": 17,
                            "type": "list_item",
                            "bbox": {
                                "l": 106.56,
                                "t": 228,
                                "r": 477.6,
                                "b": 202.32
                            },
                            "text": "Discuss the information resources you used to assess this patient. How did this guide your care planning?",
                            "marker": "7.",
                            "reading_order": 6
                        },
                        {
                            "id": "p28.7.8",
                            "order": 18,
                            "type": "list_item",
                            "bbox": {
                                "l": 105.84,
                                "t": 201.12,
                                "r": 439.92,
                                "b": 174.48
                            },
                            "text": "Discuss the clinical manifestations evidenced during your assessment. How would you explain these manifestations?",
                            "marker": "8.",
                            "reading_order": 7
                        },
                        {
                            "id": "p28.7.9",
                            "order": 19,
                            "type": "list_item",
                            "bbox": {
                                "l": 105.6,
                                "t": 173.52,
                                "r": 465.12,
                                "b": 147.12
                            },
                            "text": "Explain the nursing management considerations for this patient. Discuss the knowledge guiding your thinking.",
                            "marker": "9.",
                            "reading_order": 8
                        },
                        {
                            "id": "p28.7.10",
                            "order": 20,
                            "type": "list_item",
                            "bbox": {
                                "l": 107.28,
                                "t": 145.68,
                                "r": 484.08,
                                "b": 119.04
                            },
                            "text": "What information and information management tools did you use to monitor this patient's outcomes? Explain your thinking.",
                            "marker": "10.",
                            "reading_order": 9
                        },
                        {
                            "id": "p28.7.11",
                            "order": 21,
                            "type": "list_item",
                            "bbox": {
                                "l": 107.28,
                                "t": 118.32,
                                "r": 359.52,
                                "b": 105.12
                            },
                            "text": "How did you communicate with the patient?",
                            "marker": "11.",
                            "reading_order": 10
                        },
                        {
                            "id": "p28.7.12",
                            "order": 22,
                            "type": "list_item",
                            "bbox": {
                                "l": 107.52,
                                "t": 104.16,
                                "r": 472.32,
                                "b": 76.56
                            },
                            "text": "What specific issues would you want to take into consideration to provide for this patient's unique care needs?",
                            "marker": "12.",
                            "reading_order": 11
                        }
                    ],
                    "reading_order": 6
                },
                {
                    "id": "p28.8",
                    "order": 23,
                    "type": "footer",
                    "bbox": {
                        "l": 303.6,
                        "t": 47.04,
                        "r": 316.08,
                        "b": 37.92
                    },
                    "text": "28",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 7
                }
            ]
        },
        {
            "document_id": 16658,
            "page": 29,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 16770,
            "item_count": 12,
            "counts_by_type": {
                "footer": 1,
                "list": 1,
                "list_item": 9,
                "text": 1
            },
            "build_ms": 1,
            "items": [
                {
                    "id": "p29.1",
                    "order": 1,
                    "type": "list",
                    "bbox": {
                        "l": 106.32,
                        "t": 730.56,
                        "r": 497.04,
                        "b": 564.72
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 9
                    },
                    "children": [
                        {
                            "id": "p29.1.1",
                            "order": 2,
                            "type": "list_item",
                            "bbox": {
                                "l": 107.28,
                                "t": 730.56,
                                "r": 497.04,
                                "b": 703.68
                            },
                            "text": "Discuss the safety issues you considered when implementing care for this patient.",
                            "marker": "13.",
                            "reading_order": 0
                        },
                        {
                            "id": "p29.1.2",
                            "order": 3,
                            "type": "list_item",
                            "bbox": {
                                "l": 107.04,
                                "t": 702.72,
                                "r": 465.12,
                                "b": 689.04
                            },
                            "text": "What measures did you implement to ensure safe patient care?",
                            "marker": "14.",
                            "reading_order": 1
                        },
                        {
                            "id": "p29.1.3",
                            "order": 4,
                            "type": "list_item",
                            "bbox": {
                                "l": 107.52,
                                "t": 687.84,
                                "r": 493.44,
                                "b": 662.4
                            },
                            "text": "What other members of the care team should you consider important to achieving good care outcomes?",
                            "marker": "15.",
                            "reading_order": 2
                        },
                        {
                            "id": "p29.1.4",
                            "order": 5,
                            "type": "list_item",
                            "bbox": {
                                "l": 107.28,
                                "t": 661.2,
                                "r": 404.16,
                                "b": 647.76
                            },
                            "text": "How would you assess the quality of care provided?",
                            "marker": "16.",
                            "reading_order": 3
                        },
                        {
                            "id": "p29.1.5",
                            "order": 6,
                            "type": "list_item",
                            "bbox": {
                                "l": 107.52,
                                "t": 647.04,
                                "r": 456.72,
                                "b": 633.6
                            },
                            "text": "What could you do improve the quality of care for this patient?",
                            "marker": "17.",
                            "reading_order": 4
                        },
                        {
                            "id": "p29.1.6",
                            "order": 7,
                            "type": "list_item",
                            "bbox": {
                                "l": 107.76,
                                "t": 632.88,
                                "r": 490.08,
                                "b": 607.92
                            },
                            "text": "If you were able to do this again, how would you handle the situation differently?",
                            "marker": "18.",
                            "reading_order": 5
                        },
                        {
                            "id": "p29.1.7",
                            "order": 8,
                            "type": "list_item",
                            "bbox": {
                                "l": 107.04,
                                "t": 606,
                                "r": 345.6,
                                "b": 592.56
                            },
                            "text": "What did you learn from this experience?",
                            "marker": "19.",
                            "reading_order": 6
                        },
                        {
                            "id": "p29.1.8",
                            "order": 9,
                            "type": "list_item",
                            "bbox": {
                                "l": 106.8,
                                "t": 592.32,
                                "r": 485.04,
                                "b": 578.4
                            },
                            "text": "How will you apply what you learned today to your clinical practice?",
                            "marker": "20.",
                            "reading_order": 7
                        },
                        {
                            "id": "p29.1.9",
                            "order": 10,
                            "type": "list_item",
                            "bbox": {
                                "l": 106.32,
                                "t": 577.92,
                                "r": 384.24,
                                "b": 564.72
                            },
                            "text": "Is there anything else you would like to discuss?",
                            "marker": "21.",
                            "reading_order": 8
                        }
                    ],
                    "reading_order": 0
                },
                {
                    "id": "p29.2",
                    "order": 11,
                    "type": "text",
                    "bbox": {
                        "l": 92.4,
                        "t": 557.52,
                        "r": 513.6,
                        "b": 547.44
                    },
                    "text": "<div style=\"text-align: center;\"><img src=\"imgs/img_in_chart_box_1_23_55_1787.jpg\" alt=\"Image\" width=\"73%\" /></div>",
                    "reading_order": 1
                },
                {
                    "id": "p29.3",
                    "order": 12,
                    "type": "footer",
                    "bbox": {
                        "l": 303.6,
                        "t": 47.28,
                        "r": 315.84,
                        "b": 37.92
                    },
                    "text": "29",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 2
                }
            ]
        }
    ]
}