Event Title

Using Low Fidelity Human Simulation to Develop Clinical Reasoning Skills in DPT Students in the Intensive Care Unit

Speaker's Credentials

PT, DPT, DHS

Instructor Hybrid DPT Program Nova Southeastern University

Location

Atrium

Format

Poster

Start Date

21-1-2017 11:45 AM

End Date

21-1-2017 12:15 PM

Abstract

Using Low Fidelity Human Simulation to Develop Clinical Reasoning Skills in DPT Students in the Intensive Care Unit Lynda Ross, PT, DPT, DHS Introduction Managing patients in the intensive care unit (ICU) requires fast, accurate clinical decisions while monitoring physiological responses to movement. Simulation, an active instructional tool, replicates the ICU environment so students can practice these skills without risk to actual patients. Post-simulation debriefing reveals students’ frames of reference that drive their underlying clinical decisions and actions adding the critical element of reflective practice. Purpose To describe a simulation experience used to cultivate doctor of physical therapy students’ clinical reasoning skills in managing complex patients in the ICU. Description of Innovation DPT students performed a supine to sit transfer on a simulated mechanically ventilated patient in the ICU. A low fidelity mannequin was connected to the ventilator, multiple intravenous therapy bags, percutaneous endoscopic gastrostomy feeding bag , and Foley catheter. A simulated patient monitor application was used to display and control the patient’s blood pressure, oxygen saturation, heart rate, mean arterial pressure, end-tidal CO2, and respiration rate. Post-simulation debriefing was performed. Students wrote a reflection and action plan paper after the experience. Outcomes Several themes emerged from students’ reflections: 1) overall students were satisfied with performance, 2) communication with team members needed improvement, and 3) coursework prior to simulation enhanced success. Discussion Simulation is an active learning strategy in combination with coursework that prepares DPT students for highly complex patient care. Key Words: Simulation, Reflective Practice, Debriefing, Intensive Care Unit

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Jan 21st, 11:45 AM Jan 21st, 12:15 PM

Using Low Fidelity Human Simulation to Develop Clinical Reasoning Skills in DPT Students in the Intensive Care Unit

Atrium

Using Low Fidelity Human Simulation to Develop Clinical Reasoning Skills in DPT Students in the Intensive Care Unit Lynda Ross, PT, DPT, DHS Introduction Managing patients in the intensive care unit (ICU) requires fast, accurate clinical decisions while monitoring physiological responses to movement. Simulation, an active instructional tool, replicates the ICU environment so students can practice these skills without risk to actual patients. Post-simulation debriefing reveals students’ frames of reference that drive their underlying clinical decisions and actions adding the critical element of reflective practice. Purpose To describe a simulation experience used to cultivate doctor of physical therapy students’ clinical reasoning skills in managing complex patients in the ICU. Description of Innovation DPT students performed a supine to sit transfer on a simulated mechanically ventilated patient in the ICU. A low fidelity mannequin was connected to the ventilator, multiple intravenous therapy bags, percutaneous endoscopic gastrostomy feeding bag , and Foley catheter. A simulated patient monitor application was used to display and control the patient’s blood pressure, oxygen saturation, heart rate, mean arterial pressure, end-tidal CO2, and respiration rate. Post-simulation debriefing was performed. Students wrote a reflection and action plan paper after the experience. Outcomes Several themes emerged from students’ reflections: 1) overall students were satisfied with performance, 2) communication with team members needed improvement, and 3) coursework prior to simulation enhanced success. Discussion Simulation is an active learning strategy in combination with coursework that prepares DPT students for highly complex patient care. Key Words: Simulation, Reflective Practice, Debriefing, Intensive Care Unit