The advanced simulation side consists of 6 patient rooms, meant to simulate an inpatient hospital setting. Rooms are equipped with a bed, VS monitor, nursing cart, and bedside table. Crash carts and additional code medications are available outside each patient room. Advanced respiratory devices available upon request Email Address * Simulation Date & Start Time * Simulation Date & Start Time: Date * Simulation Date & Start Time: Time * End Time Number of simulation rooms? * Number of debrief rooms? Participants i.e. emergency department, first semester nursing students, etc. * Patient Mannequin Standardized Patient (actor) I am providing my own SP/actor SP/Actor Specifications SP/Actor Specifications SKIP if only using mannequin Number of actors? Roles Patient Parent/Guardian Nurse Other… Other Gender Any other actor specifications? Mannequin Specifications Mannequin Specifications SKIP if only using SP/actors high fidelity mannequins: advanced sounds and settings with the ability to defibrillate mid fidelity mannequins: limited sounds and settings; cannot defibrillate Premie (1 high fidelity) 1 2 3 4 5 Infant (2 high fidelity, 2 mid fidelity) 1 2 3 4 5 Pediatric (1 high fidelity, 1 mid fidelity) 1 2 3 4 5 Adult Female (2 high fidelity available, 2 mid fidelity) 1 2 3 4 5 Adult Male (5 high fidelity available, 1 has vent options) 1 2 3 4 5 Setting the Scene Setting the Scene how can we make this simulation come to life? Starting Vitals Equipment Bed Crib Warmer Gown(s) & non-skid socks PPE ( gloves, goggles, gown) Sterile gloves Stethoscope Manual BP cuff Portable Pulse Oximeter Temporal/Tympanic Thermometer Penlight Defibrillator Crash Cart RSI Kit (Rapid Sequence Intubation) Airway Box ( ETT, stylet, laryngoscope (mac/miller,) nasal airway, oral airway, LMA) Oxygen Set Up ( ambu bag/mask, nasal cannula, simple face mask, non rebreather) Positive Pressure Ventilation (CPAP/BIPAP) Ventilator IV access Central line access (PICC, CVL, HD cath) Gastric emptying tube ( Salem Sump, Anderson) Enteral feeding tube (Dobhoff, Corpak) 60 cc tip syringe Suction catheter (Yankauer) Urinary catheter (Foley) Chest tube C-collar Portable ultrasound Fetal heart monitor Other… Other *bedside nursing cart includes basic nursing supplies (alcohol, tape, syringes, IV pump tubing) Room Set Up Medications Do you need recording capabilities? Yes No Any other details you would like us to know? Leave this field blank
