Marvelous March

April 7th, 2011 by cmorris

March has come to an end and it’s time to submit another update on the activity here in the clinical simulation labs. Every day of this past month, except during spring break, we had students learning in our sim spaces. Here are a few highlights:

This month we welcomed newcomers from the School of Pharmacy. Ninety-seven students practiced their respiratory assessment skills to rave reviews. “Great experience to provide us with an idea of a real clinical setting and the possible role of the pharmacist.” “This was a great learning experience. I was very impressed by the facilities and the quality of the artificial environment.”

Pharmacy students positioning patient for respiratory assessment.

Not newcomers to simulation, but here for the first time this year, Occupational Therapy students returned to the simulation labs to demonstrate their skills for evaluating instructors. At one point, all four of simulation theaters were occupied as student pairs took turns playing the role of the therapist or the client. Each session was captured and uploaded to our sim server. Students can access the recorded sessions to review.

With left sided weakness, the client learns how to put on a shirt and button it up.

Actors and faculty gathered in the simulation labs for the filming of  vignettes that will be shown at breakout sessions during Spring Symposium on April 7th. Three brief scenes were filmed and edited by Ryan. Physician Assistant, Occupational Therapy, Nursing and Social Work faculty collaborated with actors from Adverb Productions to create compelling case studies for symposium participants to discuss.

Ryan the filmmaker with Kirsten Thomsen and Christine Hall

Interview at the Veteran's Clinic (Bill Croninger, OT faculty)

Shelley Cohen Konrad has developed unfolding case studies for her social work students and this month brought the return of  the actors to their roles of the pervious month. The students have been working with the same “clients” throughout the semester and have used their therapeutic skills to provide counseling and emotional support for this couple in crisis.

Session captured for admissions video production.

Cynthia and Dawne-Marie Dunbar were honored to be chosen to participate in the  Health Information Technology Scholars (HITS) program which is a faculty development collaborative partially funded by  the Health Resources and Services Administration (HERSA). The focus of the program is to expand integration of technology into the nursing curriculum. Cynthia and Dawne-Marie have developed a technology project, completed a series of online modules and recently went to Johns Hopkins to attend a workshop designed to provide an opportunity for HITS scholars from across the country to collaborate on technology projects.

In March Cynthia presented at the Drexel University Simulation in Healthcare Conference. Simulation Stone Soup: How to Create Rich Simulation Experiences

Nursing students from our Adult Medical Surgical clinical groups and specialty nursing courses (Maternity, Pediatrics and Psych) have continued to clock many hours with SimMan, Simbaby, Pediatric Hal and our volunteer actors.

What do you do if the power goes out during a surgical procedure? MSNA students had a chance to experience this occurrence during their weekly practice sessions and open labs offered throughout the month. “This experience gave me a feel for the OR and the flow of events during induction, emergence and power failure” “I think the sim lab was extremely helpful in preparing all of us for real life situations.”

Power is lost!

Fabulous February

February 28th, 2011 by cmorris

It has been an eventful month here in the Clinical Simulation Program labs. Students from Nursing, PA, MSNA and Social Work have all had vibrant learning experiences using simulation as a component of their classes.

Nursing students from the specialty courses, Maternity, Pediatrics and Psych, along with Medical Surgical students have spent multiple hours in the simulation learning environment.

Nursing students team up to care for a patient with respiratory problems.

Maternity nursing students give SimMan a day off.

Shelley Cohen Konrad and Mariann Mankowski, Social Work faculty, provide rich learning experiences for their three SSW 553 Families classes. Students are practicing working with families in a therapeutic setting, incorporating family systems theory.

Social work students are back in the simulation labs working with actors playing the role of clients in need of counseling.

MSNA students spend time in the simulation labs using skills trainers on airway and skills lab days and demonstrate their induction skills on METI HPS. Two to three days a week these students are also allowed extra opportunities to practice induction skills during open lab time which makes demonstrating their induction skills for their instructor, Lisa Hogan, much less stressful.

Students appreciate the many opportunities to practice their airway skills.

METI HPS is used for laryngoscope practice.

The CSP staff look forward to PA student’s weekly Integrating Seminar simulation sessions. Each week the students are presented with a new case. They practice their assessment and critical thinking skills during these two hour sessions.

PA students enjoying learning in the simlab.

Simulation is becoming an integral part of interprofessional education and CSP is uniquely positioned to work with faculty to develop interprofessional experiences for UNE health professions students. Most recently the CSP staff collaborated with faculty from three health professions disciplines to film a case study for the presentation: IPE Case Study – Domestic Violence

Marji Harmer-Beem, Dental Hygiene faculty, is greeting her clients (actors) in the waiting room of the Dental Clinic.

Kirsten Thomsen, PA faculty, assesses client in IPE case.

Amy Coha, Social Work faculty, interviews client in IPE production.

Ryan and Cynthia were interviewed for videos that are being produced for the Undergraduate and Graduate Admissions Offices. It was a welcome opportunity to describe the importance of simulation in health professions education and to highlight this innovative teaching strategy.

Spotlight on Ryan with friends in the background.

That’s all for now. We’ll be back next month but if you want to keep up with the happenings here, week by week, “Like” us on Facebook, please!

Jumpin’ January

February 17th, 2011 by cmorris

January has been a busy month here even though the students didn’t return to the sim labs until January 20th. Below are posted pictures that will tell the story of our busy  first month of 2011!

The MSNA students will come to the simulation labs frequently this semester to practice a variety of skills. This photo: spinal epidural practice
Skills practice for MSNA students: Central Line Insertion
MSNA students will have several designated “Airway” days throughout the semester..
The MSNA Program has a teachiing assistant, David Mai, who is offering students extra opportunities to practice skills in the simulation lab.
Nursing students start their semester practicing skills on Nursing Anne
3G, Laerdal’s wireless simulator, came for a January visit and Ryan was very pleased with his features and usability.
Representatives from Mercy Hospital came for a tour of the CSP labs in anticipation of simulation collaboration in the near future.

PA students came for their first session in the simulation labs as part of their integrating seminar course. A student played the role of the patient.

Delightful December

December 16th, 2010 by cmorris

December has been an active month in the simulation labs. Fundamentals of Nursing students returned for their third and fourth sessions in the sim lab. During session three the students were assigned a patient and were charged with administering medications. Students know the importance of  following the guidelines for safe administration of drugs using the Five Rights (right patient, dose, route, drug and time). They appreciated the opportunity to practice this important skill. During session four, SimMan served as the patient for a NSG 201 (second year) student who demonstrated how to perform a head-to-toe assessment. Students then practiced their skills on live “patients” (second year student vounteers) and were observed and evaluated by faculty.

Ryan’s enthusiasm and creativity are proving to be quite an asset to our program. He is adept at discovering ways to improve our processes and has a talent for trouble shooting the many little technical issues that can crop up. We are especially pleased that our CSP server is now housing podcasts on custom blogs. Using this familiar platform makes a very user friendly site for students to access videos of simulations. Next we want students to be able access our server from off campus and Ryan has initiated the process to allow this to happen!

Ryan at work


Social Work in Practice Students were in the simulation labs for their first experience. Members of Shelley Cohen Konrad’s class had an excellent introduction to the benefits of practicing interview skills in the lab setting.  An actor played the role of a homeless person who was dealing with a difficult diagnosis. Two students interviewed the “client” while the rest of the class observed via video feed. During the debriefing session students reacted to their experience and received feedback from fellow students and the client actor.

“Everyone has to try this, it was a very valuable learning experience.”

Greeting the Client

Simulation Prezi

Cynthia has offered to meet with faculty from all of the health professions disciplines on the Westbrook College Campus (WCC) and recently was invited to speak about “Simulation Opportunities” in nursing. The faculty of the Nursing Department are proponents of simulation and continue to develop plans for  further integration of this teaching modality into nursing courses.

During this December faculty development session, participants were given an overview of the program and the many possibilites for utilizing simulation to prepare nursing students. There was extended discussion related to development of interprofessional opportunities for students at UNE. Faculty are looking at developing connections with colleagues from other health professions on the WCC.

Cynthia has also presented at an Occupational Therapy faculty meeting and looks forward to invitations from other departments who are interested in a Clinical Simulation Program update.

Lisa Lambert poses with Nursing Anne

Nursing Anne is one of our medium fidelity simulators who was reintroduced to the Nursing faculty at  their December faculty development workshop. Nursing 101 faculty are enthusiastic about using Nursing Anne for their students as they prepare for their first rotations in the hospital setting. They will use her to hone their auscultation skills and will practice urinary catheterization during open lab times in January.

THis patient is complaining of chest pain.

Fifty-two Medical Surgical second-year nursing students were in the simulation labs at various times throughout the semester. They cared for patients with a variety of clinical issues and were enthusiastic about their experiences.

“This was a wonderful learning exsperience. I completely enjoyed everything and realize the value of sim. :-)”

“Today was an awesome learning experience!”

“More sim :-)”

Good to go!

We’ll be back in January. In the meantime, Happy Holidays to you all!

November News

November 18th, 2010 by cmorris

Last minute instructions

Professor Dawne-Marie Dunbar has spent many hours in the simulation labs working with nursing students this past month. Fundamentals 100 students and Medical Surgical Nursing 201 students have been very positive about their experiences.  Comments like those listed below highlight the value of learning in the simulation labs:

“Great job! What a blast.! :-)”

“This was a wonderdul learning experience. I completely enjoyed everything and realize the value of Sim. :-)”

“Today was a awesome learning experience!”

End of Life Issues

Cindy Tack’s SSW 639 class, Social Work Practice in Medicine and Health, had opportunities to hone their skills during three experiences in the simulation labs. Cindy’s social work colleagues proved to be excellent actors as they played roles designed to challenge  and engage. As students encountered issues related to end of life, homelessness and difficult family dynamics, they were able to practice their assessment skills, tolerate intense and raw emotions and respond to presenting needs .

Cindy Tack Presents

Cindy Tack, our Social Work simulation pioneer,  represented the UNE School of Social Work at the Council on Social Work Education’s Annual Meeting in Portland, Oregon. Her topic was about the use of simulation in social work, titled Making it Real: Using clinical simulation to strengthen practice skills.  As part of her presentation participants were able to view a movie (Simulation in Social Work Education) that  Cindy developed in collaboration with Cynthia, who filmed and edited the production.

Dental Hygienists in the SimLab

Dental Hygienists participated in a November Continuing Professional Education course entitled, Nitrous Oxide for the Dental Hygienist. The participants came to the simulation labs as a capstone to their course. They were able to practice what they learned in the didactic portion of their course and dealt with real issues that they might encounter in the dental clinic.

Ryan and Mike learning about EMS

This month Ryan continued his orientation to the simulation world. He met with Eric Stehle, Vice President of Sales at Educational Management Solutions (EMS) to learn about their web based management system. He also traveled to Sarasota, Florida for training on the METI systems (Medical Education Technologies, Inc).

Waiting for the bus.

Ryan wasn’t the only traveler this month. Our pediatric simulator, Hal, traveled around the corner to MMC’s Hannaford Center for Safety, Innovation and Simulation. He was in the care of  Todd Dadaleares, Chief Simulation Specialist, and was needed to help out with Emergency and Anesthesia resident training. MMC has ordered their own Hal but it hadn’t arrived in time for these simulation sessions. We are always happy to help our simulation neighbors.

Hal's Visit