Simulation Box 4. Postsimulation Debriefing and Discussion

Ask students:

  • What do they think they did well? – Validate what they know and affirm what they are currently doing well.
  • How did this case make them feel?
  • What would they do differently if they had to do it again? – Critique their performance as a group and assist them to identify additional learning needs.
  • How did they like working with the HPS?

Review key concepts:

  • Describe and interpret scenario.
  • Students will
    • - Discuss roles of team members – point out teamwork, communication, and use of appropriate and inappropriate delegation.
    • - Highlight areas for potential patient safety issues – communication with each other, transcription of orders, handoff and transfer of patient.
    • - List what signs and symptoms Mr. Jones exhibited.
    • - State how Mr. Jones’ presenting signs and symptoms varied from the textbook picture.
    • - Identify what precipitated Mr. Jones’ CHF and pulmonary edema – past medical history and pathophysiology.
  • Discuss pathophysiology of CHF and pulmonary edema.
  • Review lab reports, x-ray, EKG.
  • What should be immediate interventions? (Focus on ABCs.)
  • Review communication with health care provider:
    • - SBAR
    • - Key points to include
  • Discuss rationale for each of the health care provider’s orders.
  • Identify important nursing considerations:
    • - Conserve Mr. Jones’ energy – do not ask complete history while he has dyspnea.
    • - Explain to Mr. Jones what you are doing – be brief, concise.
    • - Communicate with Mrs. Jones – provide information, but do not offer false reassurance; have staff member escort her out of room.
  • Do a skill review:
    • - Non-rebreather mask and why it is best choice for oxygen delivery
    • - Insertion of IV: choice of angiocath size, insertion site, fluid, rate of administration
    • - IV push medications and technique for administration
    • - Foley catheter to straight drainage (urometer for hourly outputs)

From: Chapter 51, Enhancing Patient Safety in Nursing Education Through Patient Simulation

Cover of Patient Safety and Quality
Patient Safety and Quality: An Evidence-Based Handbook for Nurses.
Hughes RG, editor.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.