Nursing Arts Lab
Policy and Procedure Manual
August 2010
1
Table of Contents
Page
Goal
3
Philosophy
3
Lab Objectives
3
General Information
4
Skills Videos
4
Lab conduct/Behavior
5
Clean up
5
Attendance
6
Guidelines for Missed NAL Time
6
NAL Referral Form
7
Appointments
8
Lab Kits
8
Safety Guidelines
Infection Control Policy
Latex Warning
Needle Stick / Injury
Security / Emergencies
9
Dress Code
10
Grading Criteria
11
Critical Elements/ MEIHIPPPPP
12
Faculty Return Demonstration Guidelines
13
2nd/3rd Attempt of Skills Return Demonstration Form
14
List of Skills by Course
15
High Fidelity Simulation (SimMan/SimBaby)
16
Video recording
Confidentiality
17
17
2
Policy and Procedure Manual
Valencia Community College Nursing Arts Lab
Goal
The goal of the Nursing Arts Lab (NAL) is to provide a safe, life-like environment to learn
and practice essential nursing skills, without the risk of harm to actual patients. Once learned,
these skills can be taken and utilized in the clinical setting to provide safe, knowledgeable and
effective nursing care.
Philosophy
The NAL uses simulation to prepare students for their clinical experiences. Using
scenarios that progress from simple to complex, students get hands-on experience to prepare
for clinical practice. The NAL provides an interactive environment where students are
encouraged to ask questions and participate in active, hands-on learning. Simulation is used to
assess and evaluate the student’s skill acquisition, and eases the transition between lab and
clinical practice. Simulation scenarios mimic the clinical setting and help the student develop
problem solving and decision making skills. Because of the individuality of each client situation,
the student may see minor variations in technique. Students will learn that there are many ways
of doing a skill correctly, as long as basic concepts, such as sterility, are maintained. Faculty
members may present different methods of performing a skill; however the theory behind the
skills are always the same.
The NAL staff and Nursing department faculty are available to help students succeed.
Students can help ensure their success by coming to the NAL prepared. This will include
watching the appropriate videos and reading the content associated with a skill before coming
to the NAL. Practicing a skill prior to a check off is essential. Nursing is a profession that requires
a great deal of practice to acquire a level of expertise, not only for accuracy and patient safety,
but for the comfort and safety of the practitioner as well. Repetition in skill practice is similar to
sports, music, etc. where organization and coordination are needed.
Objectives
During NAL simulations and scenarios, students will:
1. Perform skills safely and within the designated time period.
2. Demonstrate flexibility, efficiency and critical thinking during skill performance.
3. Incorporate the following components into each procedure:
Course content
Humanistic aspects (comfort, privacy, etc.)
Communication with patient
Rationale
3
General Information
Valencia has two nursing labs, one on West Campus and one on Osceola Campus. See
the Valencia website for campus maps and driving directions. Students are allowed to use
either lab for practice regardless of course enrollment. See the link on the NAL website for
diagrams of the room layout and pictures of the labs on both campuses.
The West campus NAL is located on the second floor of the HSB building and has several
rooms. Room 224 is a 4 bed practice room with two medium fidelity simulators (Vital Sim) and
two low fidelity simulators (mannequins). Students can practice skills and get supervised
practice in room 224. Room 225 is a large lab with 4 practice rooms each containing the same
equipment as room 224. This room is used by Nursing I and other courses for lab instruction.
Room 228 mirrors room 225 and is used primarily by Nursing III. Room 227 is used by Nursing III
as a newborn nursery. It is also used by Nursing V for Virtual IV practice. The West campus NAL
has various equipment (Hoyer lift, wheelchairs, NIBP monitors, etc) available for student
practice. Most rooms have computers for students to watch nursing skill videos and electronic
chart access. In addition, Rooms 225 and 228 each have a simulation room, with two high
fidelity simulators (SimMan and SimBaby).
The Osceola campus NAL is located on the second floor of building 3, Room 3-200. It has
4 practice rooms each with two medium fidelity simulators (Vital Sim) and two low fidelity
simulators. There are two nursing stations with computers where students can access patient
charts. There is also a study room with a computer where students can watch nursing skill
videos. The Osceola campus NAL has various equipment (Hoyer lift, wheelchairs, NIBP
monitors, etc) available for student practice. In addition, there is a simulation room, with one
high fidelity simulator (SimMan). Virtual IV and SimBaby are not available at Osceola.
Both labs provide Instructional Assistants (RN’s) and Learning Assistants (student peers) who
are available for tutoring and skill check offs. Lab hours and staff availability are posted on the
doors of the lab, as well as on the secure nursing website. The NAL hours are subject to change
due to staff availability. Check the secure nursing website under schedules for the current
operating hours. Appointments with lab staff can be made thru Accutrack or Accuweb.
Instructions for its use are on the NAL website. Students without appointments will be seen if
the schedule permits.
Skills Videos
Nursing I and AVS students purchase a set of Mosby’s Nursing Skills Videos, 3rd edition with
their text book. These are the only videos that should be viewed when preparing for skill practice.
A set of these videos is avilable at each lab and may be requested from the lab staff to view in the
lab. A complete list of the videos is also posted by the computers.
4
Lab Conduct/Behavior
The NAL is considered a clinical site. As such, all policies listed in the Nursing Program
Student Handbook for clinical responsibilities apply to the lab. All users of the NAL must act in a
manner that does not disturb the academic activities occurring in the lab. No lab user shall
infringe upon the privacy, rights, privileges, health, or safety of other lab users. The lab
instructors’ offices are located within the lab. These spaces are for faculty only.
There is no eating or drinking allowed in the lab, with the exception of water in the
classroom area only. Students are not allowed to use lab phones. Cell phones and pagers MUST
be turned off during all lab experiences. Refer to the Nursing Program Student Handbook.
All lab mannequins are to be treated as if they were live patients. Do not sit on the
beds; the bed is considered the patient’s private space. Students are only allowed in the patient
beds when assuming the role of the patient. Please remove your shoes when doing so.
Mannequins are not to be removed from the beds unless it is part of the skill assignment (ex.
mechanical lift). These mannequins are very expensive. Please get the assistance of lab staff if
you need a mannequin moved. If you need to change parts on a mannequin, please get the
assistance of lab staff. Silicone spray is used as mannequin lubricant for skills such as airway
suctioning, foley catheter insertion, etc., and should be used sparingly. Do Not allow lubricant
to contact the floor as it is extremely slippery. Do Not use any other lubricant other than
silicone spray. Please do not use newspaper, Betadine, or ink pens near the mannequins – it will
indelibly stain them. Do not use lab equipment for any purpose other than its intended use.
Anyone abusing lab equipment will be asked to leave the lab, and may be held responsible for
broken or missing equipment. If you notice something is broken, please notify lab staff
immediately. If you notice anything that needs restocking (gloves, paper towels, etc) please
notify lab staff. Students may be dismissed from the Nursing Program as a result of conduct
that is unsafe, unethical, inappropriate, or unprofessional; this includes conduct in the NAL.
Refer to the Nursing Program Student Handbook.
Clean up
The NAL staff is not responsible for cleaning up after students using the lab. Clean up
after you practice; leave the lab in as good as or better condition than you found it. Beds should
be remade properly and left in the lowest position with side rails up. Pull back the curtains and
return the overbed table to the foot of the bed. All lab equipment used should be returned to
its proper place. In this way other students may enjoy their lab experience.
5
Attendance
Attendance in the lab is part of course credit hours and is mandatory. An attendance
sheet will be available for record keeping purposes. It is the responsibility of the student to
sign in/out of the lab. Do not sign in for another student - this is unethical and unacceptable
behavior. If you are late to class or if you do not sign in, faculty will meet with you to determine
the consequences. Missed NAL time must be made up. See Guidelines for Missed NAL Time
below.
Students are expected to arrive on time for class, simulation, and practice in the NAL. In
case of emergency that will require being late or absent from lab, the student must call at least
½ hour prior to the scheduled start time. Calling a classmate to relay a message regarding
absence or tardiness is not acceptable. If you will be late or absent for class in the lab, call 407582-1582 for West Campus, or 407-582-4865 for Osceola. Calling in an absence does not excuse
the student from making up missed lab time. Students will not enter class (lab) late, but must
wait to enter during the first break. Students who show a pattern of tardiness will be counseled
by faculty. Students who are habitually late may be removed from the nursing program. Refer
to the Nursing Program Student Handbook.
Guidelines for Missed NAL Time
If a student is absent, late , or fails to sign in for a scheduled NAL class, a lab referral will be made and
the student will meet with faculty to discuss plans to make up the hours missed. Students in clinical
may also be referred to the lab for extra practice as deemed necessary by clinical instructors. A
Nursing Lab Referral form (page 7), with the assignment to be completed, will be filled out by faculty
and signed by the student. A copy of this form will be given to the student. The rest of the form is
given to the NAL staff and filed in the NAL referral book. The lab referral and assigned make-up time
must be done within 2 weeks. Assignments may need to be turned in. Upon completion of the
referral, the faculty will be notified by lab staff.
Missed lab time must be made up due to state regulations for clinical time and
accreditation.
6
NURSING LAB REFERRAL
STUDENT NAME: _______________________________________________________________
DATE OF REFERRAL: _____________________________________________________________
ACTIVITIES TO BE REVIEWED: (Describe errors made and desired outcome behaviors.)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
DATE REVIEW TO BE COMPLETED: _________________________________________________
SIGNATURE OF REFERRING FACULTY: _________________________________________
SIGNATURE OF STUDENT: __________________________________________________
______________________________________________________
DATE REFERRAL RECEIVED IN LAB: _________________________________________________
COMMENTS OF PRACTICE/REVIEW/EVALUATION BY LAB FACULTY:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
SIGNATURE OF LAB FACULTY / DATE: _________________________________________
7
Appointments
Making appointments with lab staff for remediation or skill check offs is done using
Accutrack/Accuweb. On West campus, go to Room 224 and use the computer provided. On
Osceola Campus, use the two nursing station computers in the main classroom. Accuweb can
also be used with any computer that has internet access. The URL is:
http://nursing.valenciacc.edu/accuweb
Instructions for the use of Accutrack/Accuweb are located in both labs. On West campus, there
is a binder with instructions by the computer in Room 224. On Osceola Campus, there are
binders with instructions located at both nursing stations. Instructions are also on the NAL
website. Do not make appointments for fellow students; this is an individual responsibility.
If you will be unable to show up for an appointment that you scheduled in
Accutrack/Accuweb, cancel it in the computer as soon as possible. If it is a last minute
cancellation, call 407-582-5465 if the appointment is on West campus, or 407-582-4865 if it is
on Osceola campus. You may leave a message at either number. Students who fail to show up
for scheduled appointments will be considered tardy and referred to the Director of Nursing for
mandatory counseling after the second missed appointment. Students may be removed from
the nursing program for excessive tardiness. Refer to the Nursing Program Student Handbook.
Lab Kits
Lab kits are mandatory for every nursing course using the lab. When purchasing your kit,
specify the course number to make sure you buy the right kit for the course in which you are
enrolled. For example, students in Nursing I would ask for the NUR 1021C kit. If you are
repeating a course, you do not need to repurchase an entire new kit. The bookstore will have
replacement kits with the supplies you will need. All kits must be purchased from the
bookstore. DO NOT use equipment or supplies from work or other sources. The kits sold in the
bookstore have the appropriate sizes and materials that will not harm the lab mannequins. All
kits look the same; make sure you label everything with your name. The lab is not responsible
for lost or missing items. Do not throw anything away, including the wrappers of your supplies you’ll reuse them numerous times for practice and return demonstration.
Bring all the necessary equipment and supplies for lab as needed for each skill. The lab
does not have extra equipment. If you do not bring what you need, you may lose valuable
practice time. Coming unprepared for a skill check off will result in a failure for that skill. Being
prepared includes having all equipment and supplies necessary for completion of that skill.
Be aware that syringes and needles may be seen by law enforcement as drug
paraphernalia. Keep these items at home until needed for lab. When transporting these items,
keep them out of sight, and have your student ID so that you can prove you are a nursing
student if stopped.
8
Safety Guidelines
Infection Control Policy
Everything in the NAL is simulated – there are no real body fluids. However, when
participating in NAL activities, students will need to be aware of and follow Standard
Precautions and Transmission Specific Precautions (droplet, airborne, contact). Everything that
comes in contact with the patient’s body fluids is considered contaminated and needs to be
handled accordingly. The following are some basic guidelines to follow:
Wash hands before and after patient care
Use barrier protection (gloves, masks, gowns, etc)
Dispose of equipment and other materials appropriately (ex. sharps containers)
Latex warning
Some lab equipment may contain latex. If a student has a known sensitivity/allergy to
latex, please notify faculty immediately. All gloves used in the lab are latex free.
Needle stick / injury
In the event of a needle stick or other injury in the NAL, please follow these guidelines:
Inform faculty immediately; do not try to hide the injury
Render first aid as necessary (For serious injury dial 911)
Call security (West campus ext. 1000, Osceola campus ext. 4000) and fill out
required incident form
Go to West campus Health Sciences office and fill out the required insurance
form for Valencia
Security and Emergencies
For emergencies in the NAL, please call security and follow the Critical Incident Plan
Guidelines located by all lab computers. The number on West Campus is ext. 1000: on Osceola
Campus the number is ext. 4000. For life threatening emergencies call 911.
Students are NOT allowed to bring children or guests to the lab. This is a liability issue. Anyone
who violates this rule will be asked to leave immediately. If you do not comply, security will be
called to escort the offending party off campus. There are no exceptions. Refer to the Nursing
Program Student Handbook.
9
Dress Code/Hygiene
The dress code applies to all students using the lab during class or scheduled appointments for
remediation or skill check offs. Refer to the Nursing Program Student Handbook for details.
Lab coat
Navy blue Valencia polo shirt
Khaki pants (no Capri’s, no shorts)
Name tag and Valencia student ID
Closed toed, closed heel shoes (no sandals, flip flops, heels)
Hair pulled back and off collar
Minimal make-up or jewelry
No perfume/cologne or other strong odors
The lab is considered a clinical area. Therefore, if a student is not in proper dress, they will not
be allowed to use the lab. Proper dress includes the wearing of the Valencia student ID, which
serves as our institutional identification credential. A lab coat over the Community Nursing
Uniform is required in the NAL for all Lab Activities, including Peer Return Demonstrations.
Students coming to the lab for practice only may wear street clothes (refer to the Nursing
Program Student Handbook for what is considered appropriate attire). Wear clothing/shoes
which are appropriate for activities; sandals/flip-flops/heels are not supportive or safe for
practice. Be aware of your own hygiene status: breath, body odor, foot odor, clean feet.
Perfume can cause allergic reaction in classmates/clients/patients. Keep hair and jewelry
professional while in the nursing lab; large bracelets, rings and hair in your face are
unprofessional, get in the way of lab activities, and compromise patient safety and your own.
Practice only means that you have not made an appointment with lab staff. Anyone with an
appointment needs to be dressed in community uniform. There are no exceptions.
Your name tag is required at all times in the NAL, even if you are just practicing.
10
Faculty Return Demonstration Grading Criteria for Nursing I
Pass: The student completed the skill satisfactorily with no more than three prompts.
Prompt: The student needed assistance or was Unable to Perform/Not Performed (NP) a step
during the skill return demonstration.
Fail & Redo: The student needed more than 3 prompts or missed a critical element.
Definitions for evaluation criteria of nursing skills return demonstration:
Able to Perform / Satisfactory (S)
Performs skill accurately without prompts from instructor
Criteria of assessment and skill carried out in correct order
Demonstrates dexterity
Completes skill in set time frame
Able to Perform with Assistance / Unsatisfactory (U)
Performs skill accurately
Requires occasional prompts during performance of task
Demonstrates coordination, but uses some unnecessary energy to complete activity
Completes skill in reasonable time
Criteria of assessment not always completed in correct order but corrected by student
Unable to Perform / Not Performed (NP)
Performs, but not accurately
Requires continuous prompts
Demonstrates lack of skill, uncoordinated in majority of behavior
Skill completed with considerable delay (or stopped because of delay)
Students MUST come prepared for their lab experience. Preparation includes all skill
check offs (learning assistant and faculty), as well as skill instruction. Read the textbook, watch
the videos, and practice, practice, practice. Students who come to the lab unprepared may be
sent out to research and prepare before returning to the lab. All return demonstrations must be
performed satisfactorily to pass the course. All lab skills will be done according to the scheduled
date listed in the course calendar. If you are not ready to complete the skill on the scheduled
day, it will count as a failure. The check-off sheets are your record of completing a skill
satisfactorily and are considered required equipment for a skill check off. Please keep them for
future reference. If you get nervous when watched, have students and faculty work with you
early in the term to help you get over your nervousness.
11
Critical Elements Guide for Patient Safety
The critical elements identified with each skill must be accomplished in order to pass the skill
evaluation. * All critical elements before and after the skill must be performed or a skills failure
results. Skills in which you do not demonstrate mastery must be practiced until the level of
mastery, as identified in the critical elements, is achieved.
The following actions are to be done prior to each procedure:
*1
Check medical record and physician’s order
*2
Gather supplies
*3
Identify self to client
*4
Hand hygiene/use standard precautions
*5
Identify client using at least two identifiers
*6
Check for allergies
*7
Adherence to the 10 Rights for medication administration
(client, drug, dose, time, route, + assessment, documentation, education, evaluation, refusal)
*8
“Pause for the Cause”
*9
Provide client privacy
*10
Assess pain/ client comfort/readiness for procedure
*11
Explain procedure to client
*12 Positioning of client and caregiver for safety
*13 All sterile/clean procedures must be free from contamination.
After completion of each procedure, the following actions are to be done:
*1.
Ensure client comfort and safety
*2.
Remove used items using standard precautions/perform hand hygiene
3.
Assess clients’ response and understanding of procedure
*4.
Complete and document appropriate teaching
*These actions will be part of the required critical elements of each skill evaluation.
MEIHIPPPPP
After the procedure, before leaving the room:
M edical record review
E quipment, gather
I ntroduce self
H and hygiene
I dentify patient and allergies
P ause for the cause
P rivacy, provide
P ain, assess
P rocedure, explain
P osition, accordingly
Bed in low position
Siderails up
Call light
Comfort
Hand hygiene
Document
12
FACULTY RETURN DEMONSTRATION GUIDELINES
1. Students must demonstrate satisfactory performance of all nursing skills to pass the
course. Reasons for failure of a skill include more than three prompts, non-completion
of a critical element, being unprepared (this includes not having essential supplies or
equipment, or all necessary paperwork), or refusal to complete the skill on the
scheduled day.
2. A student who has an unsatisfactory return demonstration of a nursing skill will require
a 2nd attempt. After the first unsuccessful attempt, the faculty will fill out a 2nd/3rd
Attempt of Skills form (page 14) and give it to the student. This form must be brought by
the student for each step in the remediation process. The student must remediate by
practicing the skill. After practice, an appointment must be made with a Learning
Assistant or NAL instructor for a supervised observation of the skill demonstration to
determine if the student is ready for the second attempt. The supervised observation
cannot be the same day as the day of the unsuccessful attempt.
3. The student will make an appointment with a lab instructor or faculty member for the
second attempt at demonstrating the skill. Only after a learning assistant or NAL
instructor makes the determination that the student is ready can a second attempt be
scheduled.
4. Should a 3rd attempt be necessary, repeat steps #2 and #3. The 3rd attempt will be
evaluated by two full time tenured faculty. Failure of the skill on the 3rd attempt will
result in failure of the course.
5. A student who is required to redo any four faculty return demos during the course will
be considered unsuccessful in Nursing I and will receive a failing grade. Inability to
perform any return demonstration of nursing skills on the scheduled date will result in
failure of the skill and a 2nd attempt will be required. Skills must proceed according to
the calendar and must be completed on due date. No succeeding return
demonstration of skills will proceed if the skill that was failed builds onto the next skill
(examples: sterile field/gloving-wound dressing change or PO medication
administration-Subcutaneous injections).
13
STUDENT'S 2nd/3rd Attempt of Skills Return Demonstration Evaluated by Faculty
Skill:
Campus:
Student Name:
Faculty Name:
Student Signature:
Faculty Signature:
Date:
SECOND ATTEMPT: Please complete the following steps
You MUST have this form for observation and 2nd attempt return demonstration
1. Make an appointment for supervised observation by either a Learning Assistant (LA) or NAL
staff – the LA or NAL staff will evaluate your readiness for your 2nd attempt.
Ready for 2nd Attempt? _______ Comments__________________________________________________________
Signature of Observer: _____________________________________________ Date: _______________________
2. Practice
3. Make an appointment with NAL staff for your 2nd attempt.
PASS
FAIL
Comments: _______________________________________________________________
Signature of Faculty: ______________ _________________________________
Date: _____________________
Signature of Student :________________________________________________ Date: _____________________
Third attempt: please complete the following steps
As per the Nursing Handbook and Syllabus, the 3rd attempt must be completed
successfully to pass Nursing I. You MUST have this form for observation and 3rd attempt
return demonstration.
1. Make an appointment to review the areas needed for improvement with NAL staff or Faculty
ONLY (No LA’s)
Ready for 3rd Attempt? _______ Comments_________________________________________________________
Signature of Observer: ____________________________________________
Date: _____________________
2. Practice
3. For your 3rd attempt, you will be required to perform your demo with (2) tenured faculty.
Please email Mrs. Stone via Web CT to make an appointment.
PASS
FAIL
Comments: _______________________________________________________________
Prompts: _____________________________________________________________________________________
Signature of Faculty: ____________________ Signature of Faculty: __________________ Date: ______________
Signature of Student:____________________________________________________ ___ Date: ______________
14
List of Skills by Course
Nursing I
Faculty check offs
Learning Asst. check offs
Hand washing / isolation equipment
Sterile technique (sterile field / sterile gloving)
Vital signs / CardioVascularNeuro assessment
Wound assessment / dressing change
GU assessment / female foley catheterization
Oral medication administration
Nursing II
Faculty check offs
Learning Asst. check offs
Simple trach suctioning and care
Subcutaneous injections
Intramuscular injections / demo of IM sites
Nursing III
Bed bath
making an occupied bed
Restraints /safety devices
Ambulation
Transfer w mechanical device
Elastic stockings
Male foley catheterization
condom catheter
Incentive spirometer
Topical medications
ostomy care
Enemas
DC IV
Faculty simulated experiences that reinforce these skills
Newborn length, weight, head and chest circumference
Infant holds, carries, wraps; safety restraints
Cord care, diapering, weighing diapers, bulb syringe use
Urine bag application; throat culture
Infant NG insertion, enteral meds/feedings, trach suctioning
Pediatric medication administration (PO, IM, mummy wrap)
Spike, prime, time IV, IVPB
Nursing IV
Faculty check offs
Invasive dressing change
Complex trach suctioning and care
(in clinical, at bedside)
AVS All skills for Nursing I, II, III, and IV
Nursing V
Virtual IV
IV stick (w Instructional Asst.)
15
High Fidelity Simulation (SimMan/SimBaby)
Simulation in nursing education does not replace the need for students to learn in
clinical practice but complements other teaching and learning approaches in preparing student
nurses for their role in practice. High fidelity simulation such as SimMan/SimBaby provides
students with an environment conducive to focusing on critical thinking, clinical reasoning, and
clinical judgment skills as well as acquiring new knowledge. Simulation in nursing education
offers many advantages, including:
Realistic patient situations can be reproduced with all variables controlled
No threat to patient safety; ethical concerns are minimized
Active hands-on learning can occur
Specific and unique patient simulations can be created
Errors can be corrected and discussed immediately
Consistent and comparable experiences can occur for all students
Maximal amount of learning time
Experimentation and creativity are allowed and encouraged
Self evaluation is promoted
Feedback can be elicited
Decision making can be promoted safely
Students will be oriented to simulation theory prior to running a scenario. If the student
is not comfortable, learning will not take place and scenario objectives may not be met. All
scenarios are prepared by faculty using NLN guidelines. Students participating in NAL scenarios
will be evaluated on their general patient assessment techniques and adherence to all critical
elements. The faculty will provide debriefing and feedback immediately after the scenario.
Debriefing is a reflective critical thinking analysis and communication tool for participants of the
simulation exercise. The debriefing assessment provides an intensive post conference and
active evaluative process driven by peers and instructor, focusing on positive aspects, and
allowing for major learning experience. Students will self analyze their performance and use
critical thinking during the reflection process. Sample questions would be:
Explain the rationale behind the actions
Was it appropriate? Safe?
What would you do different if you were to perform the simulation over?
What, if any, obstacles did you encounter?
16
Video recording
Experiences in the high fidelity simulation rooms may be recorded. Recordings are for
educational purposes and debriefing opportunities with the appropriate faculty, staff, and
students. The confidentiality agreement signed by students protects privacy and discourages
inappropriate discussion of the video contents or the student’s performance in the simulation
scenario. Any viewing or publication outside of the classroom is unacceptable and unethical
and may result in the dismissal from the nursing program. Photography, videotaping, and/or
audio recording is not allowed in the lab without faculty permission. Students and faculty
should conduct themselves professionally as they would in any clinical setting since all
interactions can be recorded.
Confidentiality
All simulation scenarios and practice sessions involving students and/or recordings are
considered confidential. Discussion of scenarios or information is considered a violation of the
NAL privacy policy. All students are required to sign a confidentiality statement before going to
clinical. This confidentiality statement also applies to students using the lab. Students are not to
discuss their lab experiences or scenarios outside of the appropriate classroom context.
Students will be reminded throughout the course of confidentiality issues. Students are
expected to uphold all requirements of the Health Insurance Portability and Accountability Act
(HIPPA).
17