New CVTC simulation lab boosts medial realism

February 12, 2014

From chippewa.com: “New CVTC simulation lab boosts medical realism” — When nursing students at Chippewa Valley Technical College’s (CVTC’s) River Falls campus are working on a training scenario with one of the college’s high-tech simulation mannequins, they can rely only on their own knowledge and instincts. There’s no glancing over at an instructor in search of a nod of approval for a chosen course of action.

The instructor is watching from a separate room, behind glass that students cannot see through. She listens, observes and controls the simulator to react accordingly to what the students do — good or bad.

“This is more realistic than it was before,” said student Anna Hinde, originally from Barron. “We are able to have some hands-on, real-life experiences.”

“We have a lot more space, there are more mannequins, and we’ve got a new teaching lab,” added Colin McConville of Hudson.

Use of computerized simulation mannequins — which breathe, react, and have vital signs like real patients — has been part of the CVTC Nursing program at River Falls for years. However, the new simulation lab that opened in January is a vast improvement over the previous facility.

“Our environment here is more representative of an actual hospital room,” said Simulation Technician Cynthia Anderson, R.N. “The old lab was about half the size of one room in the new lab and had a noisy air compressor in the room to run the mannequins. Our air compressor is now in another room.”

The mannequins were previously placed on something like old hospital gurneys. Now there are real hospital beds for the mannequins and sometimes live people playing patients.

“We’re not tripping on cords anymore,” said Bethany Geske, a Nursing student who lives in Menomonie, in reference to the power cords to the equipment that used to be taped down and are now under the floor.

The lighting is far better and includes a large window to provide natural light, but set high enough to prevent outside distractions and watchers.

Even small details, like the addition of an in-lab telephone, are important. Students sometimes have to call a doctor or pharmacist (played by an instructor) from the simulator bedside. “They get the experience of calling the physician, and learning how to speak with the physician,” said Anderson, an RN since 1990 with years of experience at St. Mary’s Hospital in Rochester, Minn.

An adjacent Learning Resource Center (LRC) for the Nursing program is also an important addition. The center is equipped with smaller artificial body parts like arms, hands and heads. Students practice skills such as making injections and inserting intravenous needles. For CVTC Nursing students, doing homework involves more reading a textbook.

“I’ve used it on occasion to practice skills like suctions and inserting catheters,” McConville said.

Mother and child

Another major addition to the program this term is “Noel,” a birth mother simulator. The mannequin actually simulates the birth of a little rubber baby newborn, with realistic vital signs and potential problems for the mother.

“The baby can be born breach, with a stuck shoulder, or with respiratory difficulty,” Anderson said, mentioning just some of the complications.

A newborn infant simulator, separate from the rubber birth baby, is also new. It shows vital signs and reacts like the adult models. A newborn baby can have a bluish hue, which is normal and soon fades. The simulator is sophisticated enough for instructors to prolong the bluish tint and observe when students notice it as a matter of concern.

“We didn’t have the baby mannequin before this year,” said Natalie Miranda, a student from Lakeland, Minn. “We would have to drive to Eau Claire to do that.”

Sometimes a birth mother and baby were brought from Eau Claire, but transportation and set-up are cumbersome, Anderson said.

Nursing students go out into the field to do “clinical” studies at hospitals, clinics and nursing homes, but the simulation lab work is an essential part of the training.

“It allows them to experience things differently,” said Jennifer Buekema, a CVTC Nursing instructor. “In a clinical situation, we of course don’t let students harm patients. Here, we can let the students make mistakes in the lab.”

“They set up scenarios that we may not see in the real-life clinical settings, but can see later in our professional lives,” said Miranda.

The instructor from the observation room can demonstrate with the mannequin the consequences, through a sudden change in vital signs, evidence of pain, and even a “code blue” cardiac arrest.

“A couple of weeks ago, we were in a code blue, when we had to do CPR,” Geske said.

The students say this kind of hands-on experience is one of the reasons they chose to attend CVTC. It allows them to be ready to enter the workforce right away, even if their plans include further education.

Geske, McConville and Hinde plan on getting nursing jobs after their May graduation, but going back to school to seek four-year or advanced degrees gaining experience as they complete their education.

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