Simulation Lab Scenarios to Prevent a Real Patient Crisis – Robin Gilbert

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Robin Gilbert, MSN, RN, CEN, CPEN will use simulation scenarios to identify patients whose condition is deteriorating, the appropriate interventions, and desired outcomes. Simulation provides a non-threatening approach to high-risk scenarios that will ultimately improve patient safety. The realism of simulation can improve failure to rescue situations in actual patient care. During the scenarios, the mannequins will respond based on the interventions delivered for a variety of high risk situations, including:

• Pulmonary Embolism
• Shock
• Sepsis
• Respiratory Crisis
• Acute Change in LOC

Viewing this simulation will allow you to think through the action you might plan to take for the patient and further reflect on her best practice recommendations and rationale that follow. Virtual simulation is self-paced to allow for personal assessment of strengths and weaknesses. Learning through simulation scenarios provides immediate feedback, in a safe environment, which builds confidence and provides an excellent bridge to real-life patient care situations.

1. Explore signs and symptoms of Pulmonary embolism
2. Exploit differential diagnoses that present with respiratory distress
3. Communicate use of anticoagulants and other treatment options
4. Breakdown signs and symptoms of shock
5. Separate obstructive shock from hypovolemic shock
6. Determine appropriate interventions for obstructive shock
7. Determine potential causes for changes in LOC
8. Communicate DKA and treatment

Dissect risk factors for sepsis

1. Scenario 1
   1. Skills
      1. Cardiac monitoring
      2. O2
      3. IV access
      4. ACLS algorithm
2. Scenario 2
   1. Skills
      1. IV access
      2. Needle decompression
      3. Chest tube set-up
3. Scenario 3
   1. Skills
      1. Cardiac monitor
      2. IV
      3. Intubation
      4. Insulin drip
4. Debriefings
   1. Team approach
   2. Closed loop communication
   3. Risk for errors