Curriculum design and evaluation task 2
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The simulation takes place in a nursing skills lab with a SIM bot that can communicate and provide programmed data to support injections. The lab has a supply section and patient room with bed. Students must collect supplies, introduce themselves, identify the patient, explain the procedure, and get consent. They then perform a proper intramuscular injection in the deltoid including identifying the site, cleansing, inserting the needle at a 90 degree angle, aspirating, injecting, removing the needle, and assessing the site. The student documents the administration and checks on the patient within the hour.
Curriculum design and evaluation task 2
- 1. Simulation Storyboard & Student Activity Doreen A Gendreau Western Governor’s University NMT1-722.1.3-02, 06 1
- 2. Simulation for Intramuscular • The Simulation takes place in a Injection simple Nursing Skills Lab • There is a SIM Bot that supports IV insertions and blood draws as well as Proper Injections (He is able to communicate and give data programmed ) • The Lab is set up in 3 sections • The utility and supply section • The patient room simulation that contains a bed and the SIM man and the computer programmer) 2
- 3. Collection of supplies & • The student is required to collect the appropriate equipment from the Identification of patient supply room (He is required to scan each product – the correct supplies will show a green light) • The student is required to knock prior to entering the room (SIM man says come in- no knock SIM man says “excuse me”) • The student introduces himself • The student identifies the patient with two patient identifiers (SIM man Verifies his name and date of birth- student has patient MAR in hand and checks it against this data) • The student explains the procedure and obtains consent from the patient. • The student washes his hands and prepares the appropriate equipment 3
- 4. Proper procedure & Correct Site • The student checks the MAR Identification & Cleansing against the prefilled syringe • The student dons gloves • The student identifies the deltoid landmark (The SIM man will respond-This is the correct site for the Deltoid IM) • The student then takes the ETOH pad and uses concentric circles to clean the site (there is an applied invisible film that will show up when illuminated by black light-proper cleansing will remove the film) 4
- 5. The Correct • The student grasps the Injection deltoid to firm up the muscle • The student removes the cover from the syringe • The student holds the syringe with the thumb and forefinger of the dominant hand • The student darts the syringe in quickly at a proper 90 degree angle (the SIM man will say “ouch” if the degree is incorrect) 5
- 6. The correct • The student removes Injection his non dominant hand from the muscle, and aspirates the plunger (if incorrect placement- syringe med color will change and become blue if in a vein, and red if in an artery-if it is in the muscle properly, the syringe fluid color will remain the same) 6
- 7. Simulation • If no color change-the Injection IM student will push plunger while stabilizing the barrel • The colored fluid will be seen through the plastic opening of the deltoid muscle demonstrating the filling of the correct muscle 7
- 8. Post procedure • The student will remove the needle quickly & dispose of needle in sharps box • The student will massage the area of injection • The student will assess site for any bleeding (Band-aid if small drop) • . 8
- 9. • The student will assess Post Procedue tolerance of procedure from patient (SIM man will provide positive feedback if ALL steps were followed correctly and in proper sequence-if not-it will identify areas requiring improvement) • The student will clean up and through trash away • The student will remove gloves • The student will wash his hands • The student will document administration in the MAR 9
- 10. Assessment & • The student will inquire Documentation if SIM man needs anything else (response will be no if all steps are followed) • The student will return within the hour to check patients response to medication • The student will document efficacy of intervention in the MAR 10