Simulation Today Autumn 2020

Volume 2 No. 2
Autumn 2020
Simulation Today
A resource for all involved in the teaching and practice of simulation
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CONTENTS
4 EDITORS COMMENT
6 FEATURE Using the principles of #Simology - an Educators
View on the drive for ultimate realism
8 FEATURE Building a 22/23 week baby manikin
10 FEATURE Adapting manikins to give them personality
13 NEWS
COVER STORY
Advancing Clinical Simulation
For decades, 3B Scientific has been recognized as a manufacturer of
anatomical models of the highest quality. Having worked with institutions and
healthcare educators around the globe, it was a logical step to expand the
product portfolio with innovative and reliable solutions for simulation and skills
training tailored to the evolving requirements of the healthcare market.
With iSimulate now being part of the 3B Scientific Group, the company plays
a pivotal role in the mission to advance the delivery of healthcare education.
iSimulate provides affordable and innovative solutions for emergency and
intensive care training. Utilizing the REALITi 360 platform, healthcare educators
are able to customize their simulations to teach life-saving interventions,
utilizing monitor and screen simulations they also encounter in real life.
This issue edited by:
David Halliwell MSc Paramedic
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Simulation Today
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SIMULATION TODAY - AUTUMN 2020
3

EDITORS COMMENT
EDITORS COMMENT
The world of Clinical Simulation has been given high priority in the last 9 months,
with “systems testing” using simulation as the primary educational and research
technique becoming the norm throughout many NHS Trusts.
Safer ways of working have been developed and learners have been able to test high stakes
procedures in relative safety before doing the skills for real.
SIMULATION TODAY - AUTUMN 2020
“...most
conferences
have been
cancelled
or moved
to an on
line format
and we
have seen a
greater need
than ever
before to be
familiar with
tools such
as zoom or
Microsoft
teams.”
In situ simulation has definitely gained In its popularity, individual areas if the hospital running
simulations to test their “what if” scenarios.
Many educators within hospitals and Emergency Services were deployed to front line services,
causing the closure of Simulation centres in the last U.K. lockdown, and it will be interesting to see
if this is also a requirement as we go into the winter period.
Teaching in universities has been a mixture of face to face and on line, requiring tutors and
Simulation centres to think differently as they prepare the healthcare students of the future.
Many of our colleagues in education centres and those hosting courses such as ALS or PHTLS
have faced significant challenges associated with new ways of teaching and managing the
logistics of learners wearing masks.
Simulation managers have also had to find ways to accommodate socially distanced education
within their centres, and we have seen a substantial growth in on line teaching tools and remote
access for clinical simulation systems such as iSimulate, (on the front cover) which now has the
ability for students to run, record and debrief scenarios over thousands of miles.
Simulation conferences, indeed most conferences have been cancelled or moved to an on line
format and we have seen a greater need than ever before to be familiar with tools such as zoom
or Microsoft teams.
The focus of this journal was to have been entirely focussed upon paediatrics, so we have a few
articles relating to babies - including my own attempts to build a 23 week Extremely Low Birth
Weight baby, but, we have also been asked to widen things for those of you exploring other ways
of keeping your students engaged.
We have a fascinating article from Sarah Hampson at Ruth Lee who describes their recent panel
discussions “The Future of Rescue Training”. Sarah and her team are trying to make sense of the
ever changing simulation world to build products for the future.
There have been a few new products launched in recent months by some new players in the
Simulation Market - #Simology ( A UK based concept) and MSE Global with their new manikins
- Leonardo, Mia and Arthur. We have a review of #Simology from Paul Savage OBE which is
a system he uses when running his train the trainer moulage master classes from his home
workshop in Poole.
David Halliwell MSc Paramedic
4

TRAIN ANYWHERE – ANYTIME
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PAEDIATRIC CRITICAL CARE TRAINING
• Set up your own critical care scenarios for training across
all paediatric units
• Train your teams on a simulator that perfectly mimics the monitors
you use in real life
• Realistic physiological monitoring and continuous observation
vital for accurate and rapid diagnosis
FIND OUT MORE AND SCHEDULE YOUR ONLINE DEMO!
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FEATURE
USING THE PRINCIPLES OF #SIMOLOGY-
AN EDUCATORS VIEW ON THE DRIVE FOR
ULTIMATE REALISM
By Paul Savage OBE, Saviour Medical Ltd.
One of the fastest growing trends in Clinical Education has been
the growth of realism in clinical simulation and a move away from
“imagination and pretending”.
From experience this blending reduces the “fake” nature of the
simulation and increases student “buy in / engagement”
We see that our Healthcare Students in the 21st century are being
faced with greater expectations from our patients / clients, they face
greater risks and scrutiny, and therefore have greater expectations as
learners themselves. Drawing on a forehead with red pen and asking
for accurate treatments to be offered during a practical simulation only
sets the candidate up to fail. Is it a bruise, a burn, an open fracture or
a wound? If the candidate has to ask then to them it’s not real, and the
opportunity for an immersive simulation has been lost.
#Simology was born from a frustration that medical make up, often
known as moulage, was not really real enough to teach the subtleties
of healthcare. So much of what we see on mainstream media does not
reflect the real situations that clinicians will face, and therefore there was
a drive to create change.
Working with the MDT team to create #Simology, I wanted to use the
skills and techniques of professional prosthetic make-up artists to
produce technically and clinically accurate student experiences and
memories. However, unlike professional prosthetics, these needed to be
simple enough that they could be easily and quickly applied by anyone
after simple explanation, demonstration or training.
Many great systems set out to improve on what went before, but with
#simology we wanted to try and push beyond the previous world of
strap on wounds, sleeves and unreal experiences, to a place where the
students would not be able to identify the blending between the fake
wound and the actor/ manikin.
#Simology wounds are easy to apply and can be used on manikins or
on actors. They are created to feel and behave like real tissue. As these
are individual wounds not sleeve based, they can be applied absolutely
anywhere on the body, in any combination. This eradicates the issue
where candidates can guess in advance what their simulation is based
upon either which sleeve is being used, or which manikin with the
certain set wound in the same place, is being used.
They are single application, but from our testing will stay in place on a
manikin for a few months if needed. Applied and coloured correctly they
can create the perfect illusion. They don’t require covering by clothes,
blood or fake bruise tones to hide their edges!
So what makes #Simology different?
SIMULATION TODAY - AUTUMN 2020
A significant number of other wound systems only offer wounds in a
Caucasian skin tone, however #Simology allows for blending of skin
tones using 4 base colours – Pale, Medium, Warm and Dark – which
should allow immediately better skin tone blending. This is further
enhanced by the wounds being created with realistic skin colours further
embedded in them during the manufacture process. It seems obvious
but real people come in so many different colours, and we find differing
colours in individual areas on peoples bodies - if you look at your own
hands you will see areas of blue, pink, yellow, brown and often green.
It was with this understanding that the team at #simology have worked
to produce skin blending systems which allow wounds to be blended in
both colour and structure perfectly.
6

FEATURE
How many simulations have you experienced where there is allegedly a
catastrophic bleed from a location where there is no actual major vessel
that could be bleeding? Sometimes creators of wound systems have
not considered actual anatomy when placing fixed wounds on manikins
or sleeves. When hosting simulations for very experienced clinicians
who have a detailed understanding of anatomy, this inaccuracy can
immediately disengage them as realism is lost. We wanted to stop this
happening.
bloods. We also look at the clinical reasons for altered skin tones and
how best to re-create them accurately including; shock, sweating,
cyanosis, fresh bruising, aged bruising, sepsis, track marks, thermal
burns, chemical burns and environmental effects such as dirt or soot.
The flexibility that #Simology offers is blood lines can be added to any
of the #Simology wounds to allow active bleeding during the simulation,
if the chosen wound is in the right location and at the right depth to
create that bleed in real life.
In addition to applying the #Simology wound, there is the ability to add
correct and appropriate skin abrasions, bruising and blood effects to
perfectly finish the applied wound. We strongly feel they can make a real
addition to the simulation experience.
With realistic wounds and skin colours comes a need for better
education for the educators. I decided to embrace “realism” as an
educator, and have sought to set up “train the trainer” courses for movie
level medical moulage (make up.)
In our training courses at Saviour Medical, held in our bespoke
prosthetic workshop in Poole, Dorset we discuss #simology principles
and empower educators to understand and create accurate simulations
that mimic real life.
Mixing #Simology wounds with any appropriate effects above creates
results that most candidates on the courses would never have believed
possible.
We are constantly designing and adding to the #Simology wound set to
add more and more possibilities.
Current catalogue can be found at;
https://www.mdtglobalsolutions.com/simology
We examine how to apply wounds, how to blend with skin tones and
how to add accurate bleeding (if needed) with appropriate coloured
Coming soon will be pieces including raised JVP and tracheal shift,
dislocated patella, ulcers, skin grafts and anything else #Simology
users request!
Right wound, made from the right materials, in the right place with the
right skin changes and bleeding creates the magic. Where do you want
to take your simulation? Put down that red marker pen and come on the
journey with us!
Details on #Simology wounds can be found at:
https://www.mdtglobalsolutions.com/simology
Details on Saviour Medical #Simology courses can be found at:
https://www.saviourmedical.com/copy-of-trauma-sfx-and-moulage-cour-1
contact: Paul@saviourmedical.com
SIMULATION TODAY - AUTUMN 2020
7

FEATURE
BUILDING A 22/23 WEEK BABY
MANIKIN
David Halliwell
David Halliwell - Manikin Designer discusses building a new
Extremely Low Birth Weight baby manikin - #thisisamanikin
One of the more interesting manikin building projects our team at Lifecast
Body Simulation based in North London undertook this year was to build
a 22/ 23 week Micro Premie - an Extremely Low Birth Weight baby.
Dr Alok explained that one of the features that was most desirable in
this age of baby was to build in a tension pneumothorax functionality to
enable the decompression of the chest with either a needle or chest drain.
We had worked with Dr Alok and his team to build our previous 29week
premature babies, and to develop ways of controlling ventilation using
the Monivent device, but the tension pneumothorax functionality was a
new venture.
SIMULATION TODAY - AUTUMN 2020
We had heard from colleagues in the NHS that due to Covid they
were seeing a rise in the numbers of very tiny babies needing to be
resuscitated.
Initially, when planning this project we sought the skills of our Lifecast
sculptor Andrew - who usually works on much larger projects for
ourselves, and can often be found sculpting for Madame Tussaud’s.
Andrew was enthusiastic about sculpting such a tiny baby - whose
features such as Genitals and Ears are just starting to be defined.
We also contacted dr Alok Sharma - consultant Neonatologist at
Southampton to seek his advice and technical expertise, and to ensure
that we would be able to accurately reflect the true features of this baby.
Dr Alok explained - A Pneumothorax is defined as the presence of air
between the visceral and parietal pleura, and it often leads to lung
collapse. Air leaks through holes in lung tissue into the spaces outside
the lung airways.
A tension pneumothorax is caused when the air enters the pleural
space during inspiration but cannot exit during exhalation. The positive
pressure within the space results in collapse of the involved lung and a
shift of the mediastinal structure to the contralateral side, leading to a
decrease in cardiac output as a result of decreased venous return .
Dr Alok further explained that the Pneumothorax occurs during the
neonatal period more commonly than in any other time of life.
8

FEATURE
A pneumothorax in term newborns is mostly asymptomatic; however,
in ventilated preterm new-borns, a pneumothorax can more commonly
cause a tension pneumothorax and acute respiratory decompensation .
The risk for pneumothorax increases in infants with respiratory
distress syndrome (RDS), meconium aspiration syndrome (MAS), and
pulmonary hypoplasia and in infants who require resuscitation at birth.
Continuous positive airway pressure and high inspiratory pressure
ventilation further increase the incidence of pneumothorax ..
To build a realistic chest inside such a tiny baby required us to find a
new way of building our premature baby manikins and develop a pleural
cavity big enough for a chest drain, yet small enough to take 5ml/kg
tidal volume - on a baby which was only 1/2 of 1kg in weight - this was a
new challenge and so we sought the skills of a new mould maker “Kai.”
“Kai” is only 18 years old, and doesn’t have many of the preconceived
ideas of an older / more experienced mould maker, and was therefore
able to bring the fresh approach needed for this build.
Building an advanced resuscitation manikin which is the size of your
hand yet still has lifesize features was significantly more challenging
than we had previously undertaken with our 29week gestation
premature baby.
We had to build airways which were small enough to have a 2mm ET
tube passed with ease. It had to have a uvula, glottis, epiglottis, trachea
and oesophagus.
We had to get the weight of this baby to 500gm, this would enable the
manikin to ‘feel’ as real as the manikin ‘looked’, this involved looking for
ways to use heavier silicones to add weight.
Kai designed an umbilical cord and drug access system, and the team
tested it with umbilical venous catheters to ensure functionality.
We then added Nasogastric ability to the manikin - adding a stomach
and oesophagus...
The breathing functionality required less than a total of 3ml of tidal
volume-such a tiny amount!
Many teams are still using 500ml bag valve mask systems to resuscitate
these tiny babies and the risk of over inflation by pressure or volume
is very real, so we reverted to the Monivent as a way of measuring our
pressures and volumes.
Kai also designed a system which closed the glottis and therefore allowed
us to use High Frequency Ventilation via Nasal Specs on this manikin.
The manikin has been tested by teams at the Neonatal unit at
Southampton Hospital NHS, who have already undertaken using insitu
simulations using the Extremely Low Birth Weight manikin with a
spontaneous premature birth in the hospital toilets.
For further information
Please contact - info@lifecastbodysim.com
David Halliwell MSc Paramedic
Mobile: +44 (0) 7983437903
www.lifecastbodysim.com
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SIMULATION TODAY - AUTUMN 2020
If you have any queries please contact the publisher Terry Gardner via:
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9

FEATURE
ADAPTING MANIKINS TO GIVE
THEM PERSONALITY
Lee Jagodzinski BSc PGDip RN(Child) PGCertHE FHEA MSc, Academic Lead Simulation, Senior Lecturer
Children’s Nursing And Charles Everard, Clinical Skills/Technical Learning Manager, School of Health Sciences
Faculty of Education, Health & Human Sciences, University of Greenwich, Room S107 Mary Seacole Building,
Southwood Site, Avery Hill Rd, London SE9 2UG
Over the summer the team at University of Greenwich (London)
have been working closely with the team at Lifecast Body
simulation limited to build manikins which added something
“different” to the world of Medical simulation.
In this article the team of Lee Jagodzinski and Charles Everard
simulation specialists at the university share a few of their design ideas
and discuss a few of the practical issues that were faced when building
the manikins.
Lee explains - we wanted to teach our nursing and medical students
with manikins which had cultural and diverse backgrounds similar to
those we see every day in our clinical practise, so we started by thinking
about the students and staff of our university, who would they best relate
to?, and who would they care about?
We believe that care skills can be enhanced with added layers of
realism, and at this time we want to reflect the health of realism people
who our students may actually meet!
It’s not just about skin colour - we know that the team at Lifecast “copy”
real people to make their manikins and we felt comfortable that the
bodies we ordered wouldn’t just be a white person painted brown! They
would have realistic facial features and body adaptions that we hoped
would tell a story.
Our first manikin was an Indian sub continent lady - called Trushma
We added a Bindi To her (Red Dot on her forehead) - I will explain..
In India, bindis are widely worn by women from many different religious
and cultural communities, including Hindus, Jains, Sikhs, Buddhists and
Catholics.
Some believe it is linked to the third eye, or ajna chakra, a site of
wisdom and power said to be situated between the eyebrows, whilst
others associate it with married women, though it is also commonly
worn by children and single women. Parents may also mark their babies’
faces with bindis to ward off the evil eye.
Charles explains... “Our aim was to stimulate discussion about cultural
expectations and contextualise the simulation, for example the manikin
may not be a native English speaker for some of the scenarios, requiring
them to deliver care via an interpreter or via the husband ( actor).” We
want our students to “think” when they interact, and confront all aspects
of bias.
“We gave our manikin, Trushma, gold ear rings and nose studs and a
wedding ring, again simple adaptions to the manikins which just make
her story a bit more real. “
Why did we choose an Indian sub continental lady?
As per a research conducted by All India Institute of Medical Sciences
and Harvard University only 37% of women receive quality healthcare in
India.
SIMULATION TODAY - AUTUMN 2020
We wanted to try and
add cultural aspects to
this manikin as well as
give her some previous
medical history.
Culturally - we
based her on a Hindu
lady - we wanted to
acknowledge this, and
do not only was an
Indian sub continent
person copied for
the manikin, but also
her skin tone, and
hair colour etc was
appropriately copied.
Even with improved intervention to better the situation of healthcare for
women by both public and private agencies, it is claimed that healthcare
still lacks priority in the Indian society and is not limited to reproductive
health of women and girls.
A study published by the Smile Foundation suggested that Only 18%
girls and women get to use sanitary napkins during menstruation the
absence of availability and knowledge of its use being the primary
reason for the same.
The same study suggests that pregnant women getting both ante natal
and post-natal care is dire in India with as less as 21% women receiving
full ANC including three visits to a doctor during the term and taking iron
and folic acid tablets for at least 100 days of pregnancy.
The situation of non-reproductive healthcare for the female sex is, if not
more, then equally worse.
10

FEATURE
Even if a girl is born, the neonatal mortality rate for girls is grave. The
major reason for this is the lack of care and nutrition provided to a girl
child.
In a society where girls are sometimes considered to be a burden, her
need for adequate nutrition and healthcare becomes an added expense
for the family.
of the patient, but the blood vessels of the flap remain attached to the
body at the end nearest the armpit (known as a pedicled flap).
The flap is then turned and carefully tunnelled under the skin below the
armpit and is brought round to the front of the body to lie on the chest
wall and form the new breast (or part of the breast if being used in
breast-conserving surgery).
As per National Family Health Survey, boys receive prompt medical
attention as compared to girls for the same illness. The survey showed –
• 72% boys are treated for acute respiratory infections against 66% girls
• Boys with diarrhoea are 7% more likely to be taken to a health facility
than girls
• Among last-born children, boys are 11% more likely to be breast-fed
Some of the skin on the flap is used to form the new skin of the
reconstructed breast while the muscle and the fat are used to form the
volume of the breast.
For us having the ability to add deeper layers to our student nurse
education by allowing them to research the manikins previous medical
care is amazing.
• And the proportion of fully immunised boys is 4% higher
Lee explains - “We want our manikins to be a starting point for
awareness and discussion about the health inequalities around the
world - it’s not about adding stigma, but we do want our students to
understand that healthcare access around the world is very different..
Our students are encouraged to research the way that our cultures and
upbringing affect our health.”
Research suggests that Women in India die due to illnesses like
anaemia and even from common infections like a UTI.
Tuberculosis which is easily treatable amount to 25% of non-maternal
deaths for women. If provided with prompt medical aid, as many as half
of these deaths can be prevented.
A woman is sometimes required to eat her food after the rest of the
family, primarily men, have eaten. This food is usually devoid of nutrition
as basic and important as iron, calcium and iodine. As per World Health
Organisation reports, more than 51% women of reproductive age in
India are anaemic.
Its affects might not be as acute among young girls but can be life
threatening for a pregnant woman; menstruating girls can suffer from
irregular periods and tiredness, affecting their day to day life.
Adding cultural and global awareness to our manikins will we hope help
them when nursing, overcoming bias and creating greater empathy.
Trushma our mid 20’s female manikin also has signs of her previous
medical history - she has undergone a mastectomy and is undergoing
reconstructive surgery using a latissimus Dorsi Flap technique.
Why did we do this?
Our students are encouraged to use Krishna’s body to think about
her previous medical history, and her social and familial state. Clearly
despite all of the research about the health economy of some in
India, our students are encouraged to think about the scars on these
manikins.
This breast reconstruction procedure We chose uses the latissimus
dorsi muscle – a large muscle that lies in the back just below the
shoulder blade. The skin, fat and muscle are removed from the back
It’s usually necessary to use an implant under the flap after a mastectomy
to help create a breast that’s a similar size to the other one. We feel that
our students are able to discuss both the procedure itself, but also the
care and social stigma of the younger patient with a mastectomy.
An expander implant is sometimes used, particularly in a delayed
reconstruction, and the expansion process starts when the tissue flap
has healed, usually two or three weeks after surgery, awareness of this
very much helps our students to think.
The scar on the back is usually horizontal and hidden along the bra line,
or it can be diagonal. In our manikin we gave her an atypical longitudinal
scar ( to aid with discussion).
The scar on the breast itself will vary depending on patient shape, the
size of their breast and whether they have the reconstruction done at
the same time as the mastectomy or at a later date. And in this case
the patient has not yet had a nipple added, but our students are able to
explore the concept of tattoos or silicone prosthetic (stick on nipples).
After fully recovering from an LD flap reconstruction, some women will
notice weakness in the shoulder during everyday activities.
Here at the university of Greenwich we encourage our students to
understand the effects of Possible weakness, which will be an important
consideration if the patient is very active, for example if they regularly
swim, climb, row, play tennis or golf. So our students get to consider this
when deciding which method of care and advice is best for the patient.
Charles explains...”We get to discuss all of this stuff - Just by adding
scars onto a manikin!”
SIMULATION TODAY - AUTUMN 2020
11

FEATURE
Many of Our other Lifecast manikins have history too!
Our older Male manikin has signs of a previous Heart bypass (
sternotomy and long saphenous vein leg scars). He has a poor cardiac
history, but swims most days! His body is great - but so are the scars!
how we could base her tattoos on a real 91 year old lady who chose to
add a DNR tattoo to her chest.
The Lifecast manikin is called Vivien - based on a Star Wars actor whose
name is Vivien Bridson, but we chose to change her name to Theresa
for our manikin because we didn’t wish to risk confusion with the real
Vivien who is very lively and may wish to be resuscitated!
The style of the University tattoo was based on a real lady called
Nel Schippers - the Dutch pensioner, 91, has had the words ‘do not
resuscitate’ tattooed across her chest in a right-to-die protest.
Originally ambulances and others in Holland felt that her tattoo would
not be legally binding, but the Dutch health minister, Edith Schippers,
eventually confirmed it is a legal declaration.
We also designed a Lifecast toddler with previous heart surgery and
abdominal scarring - it felt appropriate to give our paediatric models
some previous medical history.
Another paediatric manikin was
given a Mongolian blue spot
The Mongolian blue spot baby
is Frequently mistaken for child
abuse bruising - Lee worked
closely with the Artists at Elstree to
produce a blue spot baby in order
that he could use this manikin to
raise the profile of the condition.
Prasad and Tully, 2017
explores the issue of late-onset
Presentation
https://onlinelibrary.wiley.com/doi/full/10.1111/jpc.13608
SIMULATION TODAY - AUTUMN 2020
A google search for ‘mongolian blue spot mistaken for abuse’ reveals many
recent UK and USA mainstream media stories of this happening within
educational and clinical areas. Children have been referred to social services
here in the UK for suspected abuse which was actually a Birth Mark!
Lee explains there are so many
things in medicine which do not
get discussed - or the exposure
that they should, but by adding
these visual clues to our manikins
we can have some great
discussions with our students.
Our older lady manikin Theresa
has a few tattoos - we discussed
with Rob Clark from Lifecast Body
Our students do not expect to find such a tattoo on an older lady
nursing / resuscitation manikin, and as we have seen with the other
Lifecast manikins we have designed, our students love the way they
make them feel, and the depth of conversations we are able to have.
We are able to have end of life discussions and support the
Resuscitation Council UK RESPECT agenda.
At Greenwich we have invested in other simulation tools from CAE
and iSimulate to add so much more realism to our manikins - and the
development of our centre as a global centre of excellence in Simulation
continues.
To see our new simulation facilities or enter in conversation please
contact l.jagodzinski@gre.ac.uk c.everard@gre.ac.uk
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NEWS
Teaching Innovation During
COVID 19
Working as the Simulation
Coordinator at SUNY Downstate
Health Sciences University during
the COVID-19 pandemic has been
extremely challenging, especially
having to teach a simulation
curriculum in an online format.
I currently conduct simulation for the
nursing students in the accelerated
bachelor’s program. The semester was
a bit difficult even before the pandemic.
In teaching my class of eighty students,
I usually conduct three different types
of simulations. For example, these
simulations could be in pediatrics,
obstetrics and medical surgical nursing
courses. The simulation experience is one
where it provides the nursing students
an opportunity to have hands-on clinical
experiences in a safe learning environment.
Luckily, I had planned out the entire
semester in advance and determined
which groups of students will be coming
on which day. This made it easier to create
the online schedule for virtual simulation
learning. In a matter of four days, it was
imperative that I find an alternative to onsite
simulation. I am currently using “VSIM”
from Lippincott, which is an interactive
virtual simulation platform based on realistic
patient scenarios. These scenarios give
nursing students interactive and hands-on
experience. It provides evidence-based
content and easily measures the student’s
success. I assigned a scenario for each
course and had students complete a
documentation note regarding their
patient’s care for the day prior to the
debriefing.
Debriefing takes place online in Blackboard
Collaborate. Blackboard Collaborate is
embedded into Blackboard where students
would usually receive course information
and professors could interact with
students in a synchronous format. During
the debriefing process, students answer
pre-formatted questions and use them to
debrief the scenario which takes about two
hours.
Students feel as though VSIM scenarios are
very realistic, interactive, and that they were
provided a great opportunity for critical
thinking. Receiving positive feedback during
the debriefing process has made me realize
the importance of incorporating VSIM prior
to actual simulation for future courses.
Although the world is out of order right now,
we can and must continue to find new ways
to properly educate our students and better
prepare them for their future as registered
nurses, especially in times such as these.
Lauren Ellis, MS, FNP-BC, TNCC
Nursing Simulation Lab Coordinator
SUNY Downstate Health Science University
College of Nursing
450 Clarkson Avenue MSC 22
Brooklyn, NY 11203-2098
Simulation Today
Volume 2 No. 2
Autumn 2020
Simulation Today
A resource for all involved in the teaching and practice of simulation
We trust you have enjoyed reading the
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SIMULATION TODAY - AUTUMN 2020
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