Developing Simulated Learning Experiences

Picture of Debbie Murphy
Re: Simulation/Clinic Ratio
by Debbie Murphy - Wednesday, February 27, 2013, 10:56 AM
Our state has not made a determination of how much clinical time can be substituted with simulation nor have they considered the ratio of substitution. They handle it on a case by case basis with the individual school submitting a request and receiving board approval. We currently substitute 1 hour of clinical time each week on a 1:1 ratio. We have every student in each of our 4 clinical courses come for 2 hours of simulation every other week. They come in groups of 7-8 and go through a simulation that is tied to what they are doing in theory. They go through 27 simulated experiences over the course of our ADN program. One of those however, is a multi-patient scenario with 4 patients. All of the patients have electronic medical records that I have entered into SimChart by Elsevier and they have iPads and a laptop on wheels in the simulation room with them to view and document in the medical record. Prior to SimChart they all had a paper chart. We think this has been extremely effective and are currently looking at increasing the amount of clinical time we substitute. Our only limitation at this time is faculty and space so that we can do more than one simulation at a time. I am enjoying this discussion to see how other schools approach simulation. Debbie