Orientation to Simulation Environment

(Manikin capabilities video: click here).

If the patient was in an isolation room we will use the anterooms: Entry to the anteroom is on the hallway, to the right of the patient door. For a non-isolation patient we enter the patient room through the hallway. Signs for contact-isolation, droplet precautions etc. will be found on the doors.

You will perform hand hygiene here in the room, gloves are available on both sides of the room. There is also a bottle of hand sanitizer available.

This is the supplies cart. The cart holds: Oxygen Delivery Devices, Resuscitation bag, Rigid and soft suction catheters, I V tubing, Dressings, And similar items. You will have a moment to look at it more closely.

This is the patient white board. It has space for the eight required elements from the Institute for Healthcare Improvement.

We do have access to CareLink Playground. Use your current playground login and password. Please incorporate the EHR into the scenarios as you would in the real-world environment.

Here you have access to: Gloves, Penlight, Thermometer, Glucometer.

This is also where you will find: Scheduled and PRN medications, Prefilled syringes, Alcohol prep pads, Sharps container.

Here in the lower cupboards you will find: Bed Pans, Linens, Absorbent pads.

This is a real telephone. To place a call, press the “speaker” button, and ask the operator to connect you to: whoever you are trying to reach. To hang up, please press the “speaker” button again. There is also an S BAR pad here, next to the phone, if you need assistance structuring your communication.

Here on the headboard you have: Medical air, Suction, Oxygen flow meters. These are only simulated, so please verbalize what you are doing, and use these Velcro labels, with the liters per minute, to indicate what volume you are using. And, in the center of the headboard is: the code blue button, and the call light connection.

On the other side of the bed, is the vital signs monitor. This monitor, is a touch screen. This monitor, can be set up to mimic the different monitors around queens locations. For your reference, The QMC Clinical Alarm Standards, are here, on right side, of the monitor. To cycle a blood pressure, you select. N I B P and stat. Or set up intervals between 30 seconds and 15 minutes. You will not see a vital sign displayed, unless the corresponding lead is connected to the manikin. For instance, to use the pulse-ox, the probe must be on the left index finger. This is an actual blood pressure cuff that measures the actual blood pressure of the manikin. Because of the way the blood pressure cuff is calibrated, please never remove the blood pressure cuff. Only remove the cable. Some patient rooms will have a “Welch Allyn” monitor.

The bed is operated using these buttons on the side rails. Side rails can be released using the grey levers on either side of the bed. Brakes are under the bed.

(Manikin capabilities video: click here). Let’s look at the manikin. The manikin is a high fidelity realistic patient simulator, with the following capabilities: Blinks and has reactive pupils, Becomes cyanotic – you will see blue light behind the lips, Has upper airway swelling edema, Has chest rise, heart, lung, and bowel sounds, Bilateral pulses may be palpated at the carotid, radial, brachial, femoral, popliteal, and dorsalis pedis, Can accept indwelling urinary, You can place an I V and run fluids. The manikin is in a healthy resting state. Please, take a moment to look, listen, and feel the manikin, and explore the room .