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HIGH-FIDELITY SIMULATION CENTER ALLOWS CAREGIVERS TO HONE “REAL-WORLD” SKILLS

High-tech simulation scenarios enable caregivers to practice a wide variety of
critical skills, including ways to manage patients with autism and other
developmental disabilities.

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HIGH-FIDELITY SIMULATION CENTER ALLOWS CAREGIVERS TO HONE “REAL-WORLD” SKILLS


COMPUTERIZED MANNEQUINS, MOCK PATIENT SCENARIOS ENHANCE CLINICAL TRAINING

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Cleveland Clinic’s Simulation and Advanced Skills Center (SASC) has been
providing a broad range of multimodal simulation training and assessment
opportunities for more than a decade. The center, which streamlines all of the
institution’s simulation activities into one department, provides a broad range
of multidisciplinary clinical scenarios designed to educate caregivers.

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site helps support our mission. We do not endorse non-Cleveland Clinic products
or services Policy

Nurses are the single largest group of simulation users. Beginning with
orientation and onboarding and extending throughout their careers, Cleveland
Clinic nurses of all experience levels receive training and undergo competency
testing on a variety of skills using task trainers, high-fidelity mannequins and
standardized patients.

Nichole Kelsey, PhDC, MSN, RN, CHSE-A, Simulation Education Specialist, explains
that the scope of Cleveland Clinic’s SASC modalities sets it apart. “We offer
all aspects of training – from basic skills to tracheostomy care to mobility,”
she says.


LIVING PATIENTS ENHANCE SIMULATION SCENARIOS

For the annual pediatric nurse competency, nurses have recently begun the
groundbreaking practice of using standardized patients in simulation scenarios
of caring for autistic patients. Maureen Washock, BSN, RN, CPN, Nursing
Professional Development Specialist, says there is a significant need for
education regarding autistic patients, and nurses have expressed a desire for
training in this area.

Using a standardized patient – an actual person trained to act as a
non-neurotypical patient – nurses undergo simulation training to recognize signs
of escalating behavior. They then work to de-escalate the situation by taking
mitigating steps like removing extra stimuli and minimizing their own presence.

“This is an opportunity for nurses to practice in an environment that is safe
and where no harm can be done to actual patients,” Washock explains. “Simulation
is a safe way to experiment with different approaches. The tactics that work can
then be taken back and applied to the bedside.”

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Every simulation is accompanied by a structured debriefing that includes
feedback from the standardized patient. These conversations help nurses learn
more about how they can impact patients’ experiences in the future.

“We try to create scenarios that will apply to everyone in a meaningful way,”
Washock says. “Scenario-based learning keeps everyone engaged.”


INVALUABLE LEARNING EXPERIENCE

In an effort to reinforce critical skills, teamwork and documentation practices
in a typical environment with actual equipment, the SASC has been implementing
mock codes at various locations throughout the hospital system.  

“We have been getting an increasing number of requests for these simulation
scenarios,” says Kimberly Sherry, RN, MSN, PCCN, EMT, Program Manager of the AHA
Simulation and Resuscitation Department. “The program has grown tremendously as
more people are seeing the benefits.”

There are 15 facilitators for the mock codes, which began at main campus in 2009
and were later implemented in Cleveland Clinic’s regional hospitals in 2018.

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Although some of the mock codes are expected, others are a surprise. These
exercises – which may be conducted anywhere in the hospital environment,
including skyways and lobbies – use high-fidelity mannequins that allow
clinicians to monitor the “patient’s” pulse, heart rhythm, and more. The goal of
these purely educational events is to give teams a chance to practice skills in
their regular environment using actual equipment.

“Mock codes lead to valuable discussions and opportunities for improvement,”
explains Sherry. “They also help to identify ‘latent threats’ such as missing or
faulty equipment or call system failures – anything that could compromise
patient safety.”

In 2021, approximately 3,000 caregivers participated in 572 mock codes held
throughout Cleveland Clinic’s Northeast Ohio locations.

Jun. 1, 2022 / Nursing / Clinical Nursing
Tags: clinical nursing, clinical training, nursing practice, simulation training
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site helps support our mission. We do not endorse non-Cleveland Clinic products
or services Policy


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