Reflection On Emergency Room Simulation

Simulations are always a little nerve wrecking. Nobody wants to make a mistake and look foolish. But I have learned to embrace the simulation experiences and learn from each scenario. It is better to make a mistake on a manikin then on a human being. This particular simulation involved multi-trauma victims and was a great opportunity to work with a team in a rural hospital. Some of the positive and negatives will be mentioned during this reflection. The Assessment process that was observed during simulation was the Primary Nurse assessing each patient upon arrival to the Emergency Room (ER). As more trauma patients arrived other nurses were observed with the same process. All available staff was trying to keep patients as calm as

Although he voiced a couple of times he had chest pain, I did not hear one nurse ask him to describe the pain. Halfway through, he did state that it “felt like someone was stabbing him in the chest”. I don’t remember if follow-up was done or not. Great job on the team getting the sputum ordered. How hard would it have been to get him food ordered? That might have actually called him down where he might have taken a nap or at least settled down a bit. With Abby, patient centered care was done in a timely fashion. As soon as orders came from the Dr. they were completed. With JJ, patient centered care was done by making sure no further complication occurred from his seizure. Since his cares were more complicated, it took a while to get him under control. With Hayden, patient centered care was thoroughly explained to the Mom. All patients were thoroughly assessed before calling the Dr. for a plan of

This can be accomplished by giving all the attention to the speaker. Sharing observation can be done by voicing concern to the team about a problem. Providing information can be done to let staff know what is going on with the patient. Clarifying is a big communication piece when dealing with multiple trauma patients. This will help so the patient gets the right treat at the right time. This is important if the nurse is giving orders to another nurse or taking an order over the phone. This includes both medication and transfers. Asking relevant questions is helpful in making sure the whole team is on the same page or if something is not fully understood, especially a medication prescription. Summarizing is another important part when communication with the interdisciplinary team, especially if taking orders from an EMT or an order over the phone. Sometimes there is not enough time to go fix a confusion when the damage is done. Broken communications that was observed was at first everyone seemed to be doing the same thing with a patient and a lot of running around. After a couple of minutes the team was able to work out a plan where each had a specific patient that they were taking care for. This simulation demonstrated how important it is to communicate with each member of the healthcare team. It also demonstrated that it is important