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?

Orientation Faculty Preparation Student 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.