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Curriculum design and evaluation task 2

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Doreen Gendreau
Doreen Gendreau

The simulation takes place in a nursing skills lab with a SIM bot that can communicate and provide programmed data to support injections. The lab has a supply section and patient room with bed. Students must collect supplies, introduce themselves, identify the patient, explain the procedure, and get consent. They then perform a proper intramuscular injection in the deltoid including identifying the site, cleansing, inserting the needle at a 90 degree angle, aspirating, injecting, removing the needle, and assessing the site. The student documents the administration and checks on the patient within the hour.

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Simulation Storyboard & Student Activity Doreen A Gendreau Western Governors University NMT1-722.1.3-02, 06 1
Simulation for Intramuscular The Simulation takes place in a Injection simple Nursing Skills Lab There is a SIM Bot that supports IV insertions and blood draws as well as Proper Injections (He is able to communicate and give data programmed ) The Lab is set up in 3 sections The utility and supply section The patient room simulation that contains a bed and the SIM man and the computer programmer) 2
Collection of supplies & The student is required to collect the appropriate equipment from the Identification of patient supply room (He is required to scan each product the correct supplies will show a green light) The student is required to knock prior to entering the room (SIM man says come in- no knock SIM man says excuse me) The student introduces himself The student identifies the patient with two patient identifiers (SIM man Verifies his name and date of birth- student has patient MAR in hand and checks it against this data) The student explains the procedure and obtains consent from the patient. The student washes his hands and prepares the appropriate equipment 3
Proper procedure & Correct Site The student checks the MAR Identification & Cleansing against the prefilled syringe The student dons gloves The student identifies the deltoid landmark (The SIM man will respond-This is the correct site for the Deltoid IM) The student then takes the ETOH pad and uses concentric circles to clean the site (there is an applied invisible film that will show up when illuminated by black light-proper cleansing will remove the film) 4
The Correct The student grasps the Injection deltoid to firm up the muscle The student removes the cover from the syringe The student holds the syringe with the thumb and forefinger of the dominant hand The student darts the syringe in quickly at a proper 90 degree angle (the SIM man will say ouch if the degree is incorrect) 5
The correct The student removes Injection his non dominant hand from the muscle, and aspirates the plunger (if incorrect placement- syringe med color will change and become blue if in a vein, and red if in an artery-if it is in the muscle properly, the syringe fluid color will remain the same) 6
Simulation If no color change-the Injection IM student will push plunger while stabilizing the barrel The colored fluid will be seen through the plastic opening of the deltoid muscle demonstrating the filling of the correct muscle 7
Post procedure The student will remove the needle quickly & dispose of needle in sharps box The student will massage the area of injection The student will assess site for any bleeding (Band-aid if small drop) . 8
The student will assess Post Procedue tolerance of procedure from patient (SIM man will provide positive feedback if ALL steps were followed correctly and in proper sequence-if not-it will identify areas requiring improvement) The student will clean up and through trash away The student will remove gloves The student will wash his hands The student will document administration in the MAR 9
Assessment & The student will inquire Documentation if SIM man needs anything else (response will be no if all steps are followed) The student will return within the hour to check patients response to medication The student will document efficacy of intervention in the MAR 10

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Curriculum design and evaluation task 2

  • 1. Simulation Storyboard & Student Activity Doreen A Gendreau Western Governors University NMT1-722.1.3-02, 06 1
  • 2. Simulation for Intramuscular The Simulation takes place in a Injection simple Nursing Skills Lab There is a SIM Bot that supports IV insertions and blood draws as well as Proper Injections (He is able to communicate and give data programmed ) The Lab is set up in 3 sections The utility and supply section The patient room simulation that contains a bed and the SIM man and the computer programmer) 2
  • 3. Collection of supplies & The student is required to collect the appropriate equipment from the Identification of patient supply room (He is required to scan each product the correct supplies will show a green light) The student is required to knock prior to entering the room (SIM man says come in- no knock SIM man says excuse me) The student introduces himself The student identifies the patient with two patient identifiers (SIM man Verifies his name and date of birth- student has patient MAR in hand and checks it against this data) The student explains the procedure and obtains consent from the patient. The student washes his hands and prepares the appropriate equipment 3
  • 4. Proper procedure & Correct Site The student checks the MAR Identification & Cleansing against the prefilled syringe The student dons gloves The student identifies the deltoid landmark (The SIM man will respond-This is the correct site for the Deltoid IM) The student then takes the ETOH pad and uses concentric circles to clean the site (there is an applied invisible film that will show up when illuminated by black light-proper cleansing will remove the film) 4
  • 5. The Correct The student grasps the Injection deltoid to firm up the muscle The student removes the cover from the syringe The student holds the syringe with the thumb and forefinger of the dominant hand The student darts the syringe in quickly at a proper 90 degree angle (the SIM man will say ouch if the degree is incorrect) 5
  • 6. The correct The student removes Injection his non dominant hand from the muscle, and aspirates the plunger (if incorrect placement- syringe med color will change and become blue if in a vein, and red if in an artery-if it is in the muscle properly, the syringe fluid color will remain the same) 6
  • 7. Simulation If no color change-the Injection IM student will push plunger while stabilizing the barrel The colored fluid will be seen through the plastic opening of the deltoid muscle demonstrating the filling of the correct muscle 7
  • 8. Post procedure The student will remove the needle quickly & dispose of needle in sharps box The student will massage the area of injection The student will assess site for any bleeding (Band-aid if small drop) . 8
  • 9. The student will assess Post Procedue tolerance of procedure from patient (SIM man will provide positive feedback if ALL steps were followed correctly and in proper sequence-if not-it will identify areas requiring improvement) The student will clean up and through trash away The student will remove gloves The student will wash his hands The student will document administration in the MAR 9
  • 10. Assessment & The student will inquire Documentation if SIM man needs anything else (response will be no if all steps are followed) The student will return within the hour to check patients response to medication The student will document efficacy of intervention in the MAR 10