SIM Nursing Training

Rob McClendon: Well, nursing is currently
the fastest growing occupation in the nation. Everything from an aging population to a shrinking
nursing workforce has demand at an all-time high. And recent nursing graduates enjoy some of
the highest starting salaries among their peers. Yet many new nurses do not stay with it; in
fact, almost half will leave the profession in their first year. But a nursing program at Oklahoma Baptist
University hopes to lower those numbers by giving their graduates the confidence that
only experience can bring. We went inside their simulation training labs
for a lesson in technology, with a healthy dose of humanity added in. OK, ma’am. I, I just hope that doctor gets here soon. Rob McClendon: Meet Nichole Jackson, director
of the nursing simulation labs at OBU. We’re going to get you a bed ready, OK? We’re going to go ahead and …
I’m so ready to see this baby. Aah, OK, well, us, too. We’re excited for you. Nichole Jackson: This is their safe space
to learn. This is their safe container. They can come here, think outside the box. They can be the nurse. In the hospital often, they are with a nurse. In sim lab, they are the nurse for that patient
that day. They are making the decisions. They are the ones that have to go in assess
the situation, use clinical reasoning, notify, you know, the physician, dietary, case management,
whatever that patient needs are, they need to act as those resources and utilize them. So they are the thinking brain when they are
in sim. They are the doer. The first time I ever did it, it was rather
intimidating. You can’t really plan for something like this
situation. Even if you read it in your textbooks, actually
doing it in the simulation lab is completely different, and it’s quite amazing. [NATS]. All right, all right, the baby’s out. You did great! Oh, my goodness! You did great! Rob: So what was it like before this technology? Jackson: Before this technology, that’s when
I was in school [laughs]. So I know what it was like then. We would have labs. We did have more static manikins. So you didn’t have as much response from the
patient, if that’s what, you know, you can kind of visualize. So you might have a manikin in the bed. Or another person. We’d do it on each other, right? We would practice on each other. But you really don’t always want to practice
IVs on each other. NG tubes are not always the most comfortable
thing. Now, with simulation, you’re able to stay
in the role a little bit deeper, a little big longer and more intently. And so I think it just kind of takes it up
a notch from where we were. So we were at a decent place, and nursing’s
always been innovative, and we always have kind of thought on our feet, but with this
technology, the sky is the limit. Oh, thank you so much! No problem. All right, Paula, we’re going to put your
legs back in the normal position in the bed, that they were before you had little Miss
J. OK? OK. All right. You can read all day long in a textbook. But when you come in here, and you have them
say whatever they are going to say, you can’t plan for anything. And so it’s really good to have that real-life
scenario of, like, you really don’t know what’s going to happen next, and so it makes you
become more competent, and you have to rely on the base knowledge you have already. Rob: Your role in there is also almost theatric. Jackson: Yes, it is [laughs]. Rob: Do you enjoy doing that? Jackson: I do! I always heard, or a few times I’ve heard
education or a part of teaching is you know about 70 to 75 percent theatrics and 20 to
25 or 30 percent preparation. You know what I mean? Kind of put that together, and you have to
prepare, but then you have to be willing to get into it so that the students get into
it. It’s not just a fake manikin in the bed. It’s a person that they are hearing and seeing
and responding to. She’s got an Apgar score of 9, so that’s really
good. You have to deal with the patient’s emotions. You’re seeing people at some of their strongest
points and their weakest points in life. So, you really need to be able to provide
that comfort and that positive support that they need when they are facing pain and sickness,
and just the trials that they are going through. I can’t breathe! V-Tac in Room 149. Code blue. Code blue. All right, here we go. One, two. Rob: Does it feel real? Yeah! In the moment, you’re just so into it, and
you know what you’ve learned in class but you’re doing it, and then you know that you
have to keep going, that I need to switch off, and it felt pretty real to me. Rob: The young lady we saw doing the compressions? Jackson: Yes! Rob: You could tell that was real to her. Jackson: Yes! And that’s one of the beauties of sim. You get in there, and you start going. And it’s almost as when you first walk in,
you might see the manikin in the bed. But the more the professor’s into it, the
more realistic you are. They all have roles. You know, she was the primary nurse. She knew that patient was her responsibility. When the code team was called, they all knew
what their roles were. When the physician came in, the physician
had the badge, they knew who the physician was. You know, they all had their roles, and they
knew what to do. And when she’s doing the CPR, that’s real,
that’s a patient, she got report on the patient, you know. She came in take care of the patient, and
the patient started having, you know, the course of a bad outcome, and she had to respond
because if she didn’t, the patient would have resulted in death. And so she had to respond in that moment. And once you begin that response and the patient’s
responding, too, and you kind of have all of the realism, that’s why it’s so important
to put your manikins in the situation that looks like a hospital room. Because the more that we’re in it and the
more it looks and feels just like the setting you’re going to be in, the more your brain
kicks in and says, “This is real!” And the more real it will be one day when
she’s with a real patient, she’s going to know exactly what to do and exactly how to
respond. And that patient will hopefully have a good
outcome because of her practice here. I think it’s an incredible experience. I’m always nervous in sim, like I start sweating. But in this situation, I love that we were
able to do something, and I feel a lot more confident to go out into the hospital and
do it from things like this. All right, I’m not feeling a pulse. Rob: Why do you do this? Jackson: Because I love it! Rob: Simple enough. Jackson: Patients matter, and patient lives
matter. That’s why I’m a nurse. I’m called to do this. I don’t believe you can be an effective nurse
if you’re not called. And I know wholeheartedly I’m called to be
a nurse. I believe these students are called as well. And if this is a way for me to best serve
my patients, training the new century in a new, you know, era of nurses, is probably
one of the most important things that I can do for my profession and for the patients
that I love and want to serve. Rob: A quick side note – I am sure you noticed
that Nichole has no hair or eyebrows. And while she is not sick, she was diagnosed
with a rare form of alopecia at age 10. Now, before our interview, I spoke with her
about what it was like growing up while looking different, and her answer was so enlightening,
I have it streaming on our website under our value added section.

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