Universitat Internacional de Catalunya

Nursing Simulation Labs II

Nursing Simulation Labs II
4
9523
2
Annual
PR
Module Fundamentals of Care II
Intermediate Nursing Simulation Labs
Main language of instruction: Catalan

Other languages of instruction: Spanish

Teaching staff


Head instructor

Laia Wennberg - lwennberg@uic.es

Office hours

Attention to students will be by appointment by email.

Teaching staff

Estel Curado, PhD, MsN estelcurado@uic.es    

Joan Bañuelos, MsN   jbañuelos@uic.es   

Laura Tortosa, MsN   lauratortosatrancho3@uic.es 

Alejandra Aulet, MsN  aaulet@uic.es

Encarna Rodríguez, PhD, MsN   erodriguez@uic.es    

Cristina Alfonso PhD, MsN calfonso@uic.es

Aleix Lopez MsN alopezo@uic.es

Martí Colet, MsN mcolet@uic.es

Blanca Goñi, PhD, MsN bgoni@uic.es

Laura Brichs, MsN lmasnou@uic.es

Patricia Martínez PhD, MsN   ptari15@uic.es

Leandra Martín, PhD, MsN     lmartind@uic.es   Trauma

Dani Arbones, MsN  darbones@uic.es       ECG

Laia Wennberg, PhD, MsN  lwennberg@uic.es           

 

José Pablo Agudo, MsN  jpagudo@uic.es           Paciente Estándard

Marian de Juan, PhD, MsN    mdjuan@uic.es      Paciente Estándard



 

Introduction

The nursing simulation lab (LBS) is an educational space that recreates real situations of nursing care. It is a tool that enhances learning the different techniques that all students must acquire nursing before contact with the patient and specifically with the activity of the nurse / a in the hospital area. The simulation lab is a space that represents the activity own nursing care, in where the student can develop their abilities to "know how to be", "know how" and "poise" in a health context (especially hospitals).

From the first course, the nursing student clinical competencies learned in the lab, in an environment free of multiple stressors present in the hospital world. Then, you must put these skills into practice directly with people. This practice should be used to apply knowledge, skills and attitudes in a holistic care to people.

During the second course students should acquire the intermediate skills to begin implementing comprehensive care to the patient.

On this course will be a joint activity with the subject of Community, in which the student will face a nursing consultation in three different scenarios with the help of a standard patient. This is a cross-training activity within an interdisciplinary teaching innovation project.

Pre-course requirements

To enhance the learning of nursing simulation lab (LBS), students must meet the following requirements:

  • Assistance in all kinds of LBS
  • Willingness to learn
  • Previous reading of the notes
  • Motivation to perform the procedures
  • Training to acquire the ability autonomous minimum necessary to go to clinical practice
  • Using the white coat in LBS
  • Clothing appropriate to the LBS (comfortable clothing, cleanliness, no heels, no nail polish and short hair pulled back and not wear jewelry)

Objectives

The student:

  1. Act taking into account the ethical aspects inherent in caring for the person when making intermediate procedures
  2. Show skill in conducting the intermediate
  3. Perform intermediate care procedures independently and by using the same elementary
  4. Learn to relate the information it has on the patient and performing the procedure relevant interim
  5. Demonstrate be reflective thought before starting the intermediate procedure to perform and complete the same
  6. Use the resources on the sustainability criteria to perform intermediate procedure (quantity, rejection, selective and recycling, if applicable)

Competences/Learning outcomes of the degree programme

  • 11. E - Establish effective communication with patients, families, social groups and partners and promote health education.
  • 13. G - Know the principles of health-care funding and use resources appropriately.
  • 19. B - Ability to make decisions based on critical thinking and reflective practice.
  • 1. G - Ability to provide technical and professional health care appropriate to the health needs of the people they treat, with full technical and scientific autonomy, according to current and available scientific knowledge and to the quality standards and safety requirements set forth in the applicable legal standards and code of ethics.
  • 22. G - Use and management of information and research
  • 23. B - Ability to analyze and synthesize.
  • 24. G - Ability to work autonomously.
  • 25. E - Knowledge of the field of study
  • 3. E - Know and apply the theoretical and methodological foundations and principals of nursing.
  • 7. B - Understand people without prejudice, considering their physical, psychological and social aspects, as autonomous and independent individuals, ensuring respect for their opinions, beliefs and values, ensuring their right to privacy through confidentiality and professional secrecy.

Learning outcomes of the subject

 Students:

  • Act taking into account the inherent ethical issues in the care of the person in the intermediate care procedures
  • Demonstrate competence in performing intermediate care procedures
  • Question the intermediate care procedures before starting and finishing
  • Argue the relationships between intermediate care procedures and the protocol followed based on the clinical case which is presented by scientific research and knowledge that the student has acquired
  • Specify intermediate care procedures relying on scientific-technical language.
  • Apply the basic performance criteria for intermediate care procedures independently and adapting them to different contexts
  • Use sustainable resources in intermediate procedures to be performed (quantity, rejection, selective and recycling, if applicable)

Syllabus

 

1. Patient safety

 

2. Procedures

2.1 Introduction into the sterile field. 

2.2 Placement and maintenance of the F/C(Urinary catheter)

2.3 Removal of haemocultus

2.4 Handling of central catheters, placement of TPN. Bacteraemia 0" protocol.

2.5 Gripper puncture and handling of port-a-cath.

2.6 Manipulation of cytostatic treatment.

2.7 Acute wound care and treatment

2.8 Manipulation and control of drains

2.9 Sutures (placement and removal of sutures and staples)

 

3. Preparation and administration of medication


3.1 Patient safety in the administration of medication 4.2.

3.2 Medication management and administration and nursing responsibility

3.3 Medication preparation and administration

 

4. Dressings

4.1 Recurrent Dressing

4.2 Functional bandage

4.3 Compression bandage

4.4 Chalk and full chalk splint bandage

4.5 Placement of skin traction and mobilisation of patient

 

5. Electrocardiogram interpretation

 





Teaching and learning activities

In person



The methodology followed in the nursing simulation laboratories is a teaching-learning methodology based on reflective thinking practice and participation. To do so, there are no more than 10 or 11 students in lab simulation groups. The sequence of the teaching activity has been organized according to the following structure:

  1. Presentation of Unit
  2. Exploration of previous knowledge
  3. Presentation and discussion of the case
  4. Theoretical contribution - practice
  5. Practical training
  6. Independent practice
  7. Practice reflection

Classes are conducted according to the following activities:

  • Discussion
  • Oral presentation
  • Case analysis
  • Video or DVD work
  • Modeling metacognitive
  • Role-Playing
  • Problem solving
  • Clinical Records

    The classes are always 1 hour and 45 min. long.
  Apart from the stipulated classes, in a pre-established calendar, the student can attend autonomous learning in the facilities of the Simulation Laboratories. These sessions, which are without teacher supervision, have their own regulations that must be respected. If not respected, the student will be penalized for future sessions.

Evaluation systems and criteria

In person



Fully face-to-face mode in the classroom


Class attendance: attendance is compulsory and the student must have attended at least 88% of the classes. Therefore, the student can only have 2 UNEXCUSED absences during the whole course. From the 3rd absence onwards, each one will subtract 0.5 points from the continuous assessment. The group of repeaters will be allowed to miss 1 class in the whole course with justification. The penalty will be the same as for the rest of the groups.

Each student will have to attend the classes in the group they have been assigned to and no changes of groups will be allowed. There will be no possibility of making up a missed class. Only if there is a justified cause will the student have to contact the teacher to report the situation and to look for alternatives, but he/she will never be able to make up the class. Only the following will be accepted as a justified cause: hospitalisation of the student or death of a first-degree relative.

Class attendance rules:

- Students must come to class in white coats, hair tied back, no watches, no jewellery on hands or wrists, short nails and comfortable shoes. In case of non-compliance with the rules, the teacher may expel the student from class and it will count as an unexcused absence.

- If the student arrives late (after 10:20h), the teacher may decide not to let the student in and this will count as an unexcused absence.

 

The evaluation of the course consists of two parts:

The continuous assessment is worth 40% and the final exam 60%.

Continuous assessment (40%): Consists of different activities that will be carried out throughout the course, intermediate assessment tests and class attendance.

 

  • Pre-class and post-class exercises (5%).
  • Delivery of patient evolution graph (10%).
  • Intermediate tests: mini ECOE 1st semester (10%), mini ECOE 2nd semester (15%), mini ECOE 2nd semester (15%).

Final exam (60%): Final exam in ECOE format where the student has to demonstrate that he/she has acquired the competences (skills, knowledge and attitudes) worked on throughout the course. Different real situations are posed for the student to solve individually in a healthcare context. In this test, there will be different criteria that the student will have to fulfil in order to pass it, above all related to patient safety and results of the subject.

  • Conditioning factors: Aspects of the procedures that are key concepts of the subject and that are related to patient safety and/or that affect patient morbidity. Predefined criteria must be met in order to pass the exam in a defined minimum number of exam scenarios (e.g. performing procedures in a sterile manner, dose calculation, ECG interpretation).
  • Critical items: items that may affect the morbimortality of patients or that are very important concepts of the subject, but with less relevance than the conditioning factors. The student must pass 70% of the items categorised in this category.
  • Mild items: items that affect patient safety but do not affect patient morbidity and mortality. The student must pass 65% of the items categorised in this category.

This test must be passed with a 5 to be able to average the rest of the items. If the continuous assessment is failed, it can only be recovered by means of the final exam. If any of the partial exams of the semester have not been taken, it can only be recovered through the final exam and a 7 must be obtained in the final exam in order to pass the subject.

If a student talks to another student while taking the ECOE, catches them copying in any exam or with their mobile phone / digital devices on them, they will be expelled from the exam and will have failed the whole exam.

The exam revision will take place on a day set by the teacher and there will only be one exam in the morning and one in the afternoon in the case of practice. The day will be communicated by the teacher in advance and students must request by email to attend. Failure to attend will result in the student's right to revision being forfeited.

If the student does not attend the final test, even for a justified reason, he/she will not be able to repeat the test because of the complexity of the assembly and to preserve the criterion of fairness with the rest of the students.

 

For the 2nd, 4th and 6th convocation:

In case the student only has to make up a part of the exam, the grade he/she will have if he/she passes this part of the exam will be the grade of the first exam. You will still have to pass all failed stations.
In case you fail the exam and have to make up a part of it, if you want to opt for another mark, you will have to make up the whole exam, making the previous request by e-mail at the established date. Applications after the established date will not be accepted.
In the case of having failed the continuous assessment, it can only be recovered through the final.
If you have missed any of the mid-term exams during the semester, you will only be able to make it up through the final exam and the maximum score of the module can be a 5 out of 10.
Before re-enrolling in the subject, you will have to check the compatibility with the rest of the subjects.

Honours will not be awarded in the 2nd call.

The same criteria will be applied for the following calls, if they are granted. That is to say, the 3rd and 5th will be like the 1st and the 4th and 6th will be like the 2nd.

 

Honor Matrix Assignment Procedure (MH)

  1. The criterion for assigning Honorary Enrolments (MH) is based on the Excellent (9.0).
  2. The assignment is solely for the teacher and does not have to give it, even if the student has obtained a mark above 9.0.
  3. In case the teacher decides to award MH, he will not take into account the numerical mark and the highest, but will evaluate other factors. The HM might not match the highest numeric score.

Procedure for Non-presented Assignment (NP)

  1. To register an NP in the student's file, it must not have been submitted to any of the evaluation tests throughout the assignment.
  2. If a student has submitted to one of the evaluation tests, the corresponding percentages in the teaching guide will be applied, with a 0 in those not presented.

Bibliography and resources

  •  B. Kozier / G.Erb / K.Blais / J.M.Wikinson. Fundamentos de enfermeria, conceptos, procesos y práctica. Ed. McGraw-Hill. Interamericana.
  • Carpenito L.J. Planes de cuidados y documentación en enfermería. Primera edición. Ed. McGraw-Hill Interamericana. 1994.
  • J.Esteve / J.Mitjans. Enfermeria. Tecnicas clinicas. Ed. McGraw-Hill. Interamericana 2000.
  • Jamieson M.J., Whyte L. A., y McCall J.M. Procedimientos de enfermería clínica. 5ª edición. Edit. Elservier. Barcelona 2007
  • M.T.Luis. Diagnosticos enfermeros, un instrumento para la practica asistencial. Ed. Harcourt Brace 2004.
  • Nanda. Diagnósticos de enfermeria, definiciones y clasificación. Ed. Hartcourt / Brace España 2000.
  • Nanda. Diagnosticos enfermeros. Definiciones y clasificaciones. Ed. Mosby/Doyma, Madrid, 1995
  • Ruiz Moreno J, Martín Delgado MªC y García-Penche Sánchez R. Procedimientos y técnicas de enfermería. Ed. Rol. 2009
  • Smith S.F., Duell D.J., Martin B.C. Técnicas de enfermería clínica. 7ª edición. Edit. Pearson. Vizcaya 2009
  • Zabalegui Adelaida, et al. Administración de medicamentos y cálculo de dosis. Edit. Masson. L’Hospitalet de Llobregat (Barcelona) 2005.

Evaluation period

E: exam date | R: revision date | 1: first session | 2: second session:
  • E1 18/03/2024 08:00h
  • E1 19/03/2024 08:00h
  • R1 12/04/2024 15:00h
  • R1 12/04/2024 09:00h
  • E2 08/07/2024 08:00h
  • E2 09/07/2024 08:00h
  • R2 19/07/2024 12:00h