The Nursing Resource Centre NRC

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The Nursing Resource Centre (NRC)
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• Utilizing Innovative Technology to Support a
• New Way for Nursing Students to Learn"

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Objectives

• To discuss the NRC - the staff and the
  environment.
• To discuss the trends that have supported the
  need for simulation.
• To discuss the benefits for nursing.
• To discuss simulation technology in the NRC.
• To discuss how we use simulation to support our
  students.

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NRC Staff and the Environment

• Manager Kim Shadlock
• Practicum Coordinator - Skills
• Tracey Fletcher Daniela Naccarato
• Practicum Secretary Stephanie Vince
• The Nursing Resource Centre (NRC) is 5000 sq.
  feet of fun and learning.
• This space includes Main Skills Lab, Computer
  Simulation Lab, Audio Visual Lab

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Main Skills Lab

• A simulated hospital environment that has been
  created to support 900 nursing students with
  their clinical skill development.
• 20 adult medical surgical beds, a pediatric
  unit, inclusive of bassinets, cribs and
  isolettes.
• Includes an isolation room, a trauma room and a
  fully equipped hand washing / bathing room.
• 4 Sim Man mannequins, 18 adult mannequins with
  heart/lung sound capability, 1 Sim Baby
  mannequin, 2 pediatric mannequins, a variety of
  neonate mannequins and a collection of anatomical
  training models.

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Trends

• Cost containment changes in the traditional
  healthcare system, which have resulted in fewer
  learning experiences with less supervision and
  mentoring.
• Increased patient acuity and technical
  interventions, requiring better prepared novice
  learners.
• Shifts in nursing education venues from hospital
  based programs to university settings.
• The availability of patient simulation
  technologies with increasing levels of realism.
• Feingold, C.E., Calaluce, M. Kallen, M.A.
  (2004, April). Computerized patient model and
  simulated clinical experiences Evaluation with
  baccalaureate nursing students. Journal of
  Nursing Education, 43, 158-163.

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Benefits

• Learning in a risk free environment.
• Absence of patient risk.
• Promotes critical thinking skills.
• Interactive learning.
• Repeated practice of skills.
• Immediate feedback.
• Feingold, C.E., Calaluce, M. Kallen, M.A.
  (2004, April). Computerized patient model and
  simulated clinical experiences Evaluation with
  baccalaureate nursing students. Journal of
  Nursing Education, 43, 158-163.

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Sim Man / Sim Baby

• Full scale patient simulator, allows students to
  perform nursing skills and scenarios with
  immediate response to interventions
• Challenges students critical decision-making
  skills in realistic patient care scenarios
• Simulated lung sounds, heart sounds, bowel
  sounds, vocal sounds and cardiac monitoring, 12
  lead ECG and X-ray interpretation
• Generates automatic debriefing based on the event
  log synchronized with video, which provides
  immediate, detailed feedback on performance to
  students
• PDA allows for remote access, and interaction

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Nasco / Virtual IV

• Nasco Life Form Keri Auscultation Manikin
• Supports the practice of patient care, assessment
  and nursing skills
• Provides the ability to auscultate heart and lung
  sounds
• Virtual IV
• A self directed interactive IV initiation
  simulator suited to a wide range of competency
  levels
• Provides case scenarios with automatic debriefing
  and remediation

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Simulation in Action

• Connection to Nursing Courses
• Students work through clinical simulation
  scenarios that support the integration of the
  clinical and theoretical components of their
  nursing program.
• The focus is on critical thinking, synthesis of
  knowledge, clinical decision-making,
  problem-solving, and application to
  context-dependent situations.
• Opportunity to evaluate, review, and further
  develop clinical skills.

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Simulation in Action

• Practice
• A collaborative learning environment where
  students can further develop and advance their
  professional development and clinical skills.
• Remedial Practice
• Support provided to meet individual student needs
  in competency areas requiring development.
• Overall Student Support
• Fall 2005 - Total 866 students (458 formalized
  class, 400 practice, 8 remedial)
• Winter 2006 - Total 315 students (96 formalized
  class, 207 practice,12 remedial)

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Future Plans

• Teleconferencing.
• Video taping and video streaming.
• Supporting the development of advanced clinical
  skills ie. trauma room.

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Questions?