Developing the Clinical Mindset During Prebriefing Kathy Carver, - PowerPoint PPT Presentation

Developing the Clinical Mindset During Prebriefing — Kathy Carver, MN, RN, CHSE — Timothy Laughlin, BA, CHSOS — Rochelle Quinn, MSN, RN, CHSE — Mindy Ritter, MS, RN, CHSE — Candace Vezendan, BSN, RN, CCRN

Objectives — Analyze the factors necessary to create the clinical mindset. — Describe how immersive simulation fosters development of the professional role. — Implement strategies to enhance the immersive simulation experience.

Disclosures — I, Kathy Carver, have no commercial relationships to disclose. — I, Timothy Laughlin, have no commercial relationships to disclose. — I, Rochelle Quinn, have no commercial relationships to disclose. — I, Mindy Ritter, have no commercial relationship to disclose. — I, Candace Vezendan, have no commercial relationships to disclose.

Johnson County Community College

How We Create the Clinical Mindset? Faculty Student Orientation Preparation Preparation Prebrief Simulation Observation

Prebrief: Orientation — Full Day Orientation — Professional Expectations — Transparency of Simulation Experience: Safe Learning — Hands-on assessment of Simulators & Environment — Review Preparation for Simulation Clinical Day — End of Day Walk Through of a Patient Scenario Students experience Realism of Learning

Orientation

Preparing for Simulation - Student

Pre-Brief: Pre-Conference — Grouping as Simulation Teams — Huddle time for those assigned with the same patient clinical presentation — Review Potential Skill Opportunities for the Day — TeamSTEPPS/ Standards of Care The Learner drives this timeframe - Identify Gaps Teamwork - Groups are Established

Prebrief: Patient Report — Everyone takes Report as if they were the Primary — Leveling of Assignment: At first, students have Roles identified prior to the Simulation Day At End, Assignments are established after Report — Identify additional supportive Roles: Family, RN support — Establishing the Observation Roles and Expectations Use of Scribe/ Whiteboard for SandBox Observation Faculty Role Model Professional Conversation and REAL world

Pre-Brief: Final Huddle — Highlight Orientation specific to Patient Scenario — Type of Simulator — Rooms setup/ Equipment — EHR Orders/ Lab as available per Patient presentation

Prebrief: REALISM — Environmental – Sights, Sounds, Smells, Touch — Ambient sound, emergent sound, equipment, patient voice. Real time on fly. — Familiar sights, new visuals (booze in purse). Eye contact, tears. Movement, state. Emotional cues. — Appropriate smells. Alcohol, cigarettes, burnt flesh, Liquid Ass, vomit — Feel. Hot / cold. SP - Touch? Equipment. Sweating / diaphoretic. Wet bed, wet floor.