Student COPY

GNUR 383: Leadership for Professional Nursing Practice Simulation

Description of Scenario:
There will be one scenario involving all of the above roles. It is estimated the simulation will be
45-60 minutes in length. All student roles will be randomly chosen. The focus of the simulation
is on leadership and management therefore less emphasis will be placed on vital signs, skills, and
medications. You will receive the data you need to make decisions during the scenario.

Students with patient or family roles will be expected to be in character of the role in which they
are playing. This will be fully described to the student before the simulation begins. The patient
diagnoses are included below for students’ preparation prior to the simulation.

The nurses in the scenario will be given two “lifelines” to be used at any time during the
scenario. A “lifeline” gives the nurse the ability to stop the simulation for a short period of time
(5 minutes) in order to discuss the situation, ask for feedback, and/or illicit information. The
nurses may collaborate with each other at any time during the simulation experience without
using a “lifeline”.

Simulation faculty will meet with the observers for a short debriefing session prior to the main
debriefing session with the entire group.

Clinical Outcomes
On completion of the simulation the student will:
1. Collaborate effectively with health care team members
2. Delegate responsibilities for patient care appropriately
3. Utilize resources to assure safe patient and family centered care
4. Demonstrate effective management skills

Situation:
It is 3pm and the beginning of an 8 hour shift for two staff RNs on a general medical/surgical
floor of a Magnet hospital. The two RNs will receive report during walking rounds with the
charge nurse, who is in the middle of a 12 hour shift (7a-7p). The care delivery method for this
medical/surgical floor is modified team nursing (Charge nurse, RN, certified nursing assistant)
with one CNA being shared by two RNs.

Patients:
Betty Burns 84 y.o. Female, Pneumonia X3 days, weakness
Mark Martinez 44 y.o. Male, diabetic, discharge today
Mike Russell 26 y.o. Male, paraplegic d/t diving accident/ sacral decubitus
Louise Stephens 98 y.o. Female, massive hemorrhagic CVA, DNR
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Unscripted Student Roles (randomly chosen by students):
Observers will
 be responsible for detailed observations
 lead the debriefing discussion with the simulation faculty
 Critique participant role performance with professional and helpful feedback.
 participate in feedback to simulation faculty
 advise students in the nursing roles during use of lifeline

Staff nurse 1 and 2 will

 together participate in walking rounds with the charge nurse
 divide patient care responsibilities
 create CNA assignment and communicate assignment to CNA
 collaborate with other healthcare team members
 incorporate family in patient care
 use available resources
 participate in feedback to simulation faculty

Scripted Student Roles (randomly chosen by students):

 Certified Nurse Assistant (CNA)
 Patient Betty Burns
 Patient Mark Martinez
 Patient Mike Russell
 Stephens family – Jill Stephens
 Stephens family – Jan Miller

Faculty Supporting Roles:

 Charge Nurse
 Resident MD on call for unit

Questions to Prepare for the Clinical Simulation Experience:

1. Review the five rights of delegation and assignment.
2. Review SBAR communication
3. Consider elements of safety in patient/family focused care as highlighted in King, S.
(2009). Josie’s Story.
4. Review Leadership styles and importance of teamwork and collaboration.

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