Concepts of Bioterrorism, Emergency/Trauma Nursing, and Emergency/Disaster Preparedness
Simulation Clinical
Pre Conference
Objectives:
At the completion of this pre conference, students will:
- Be able to discuss the nurse’s role in a multiple casualty event.
- Be prepared to perform triage duties at a multiple casualty event.
- Be prepared to perform a rapid trauma assessment on patients with traumatic injuries.
- Be able to list nursing interventions performed on patients with traumatic injuries or
critical illnesses in the emergency department.
- Be able to describe the importance of patient-centered care and family presence.
Behavioral Outcomes:
At the completion of this simulation clinical, students will:
- Describe the nurse’s role, how the nurse can protect the safety of himself/herself and
the patients, and the role of the healthcare facility during a disaster.
- Successfully triage victims of a mass casualty event as evidenced by correct triage tag
designations.
- Successfully perform a rapid trauma assessment on two victims, as evidenced by
observing the students follow the Trauma Nurse Core Curriculum ABCDEFGHI method of
rapid trauma assessment.
- Apply, administer and perform all necessary nursing interventions to the simulation
manikins with traumatic injuries.
- Recognize the patient or designee as the source of control and full partner in providing
compassionate and coordinated care based on respect for patient’s preferences, values
and needs.
- Function effectively within nursing and inter-professional teams, fostering open
communication, mutual respect, and shared decision-making to achieve quality patient
care.
- Integrate best current evidence with clinical expertise and patient/family preferences
and values for delivery of optimal health care.
- Use data to monitor the outcomes of care processes and use improvement methods to
design and test changes to continuously improve the quality and safety of health care
systems.
- Use information and technology to communicate, manage knowledge, mitigate error,
and support decision making.
Discussion Questions:
- How is disaster triage different from triage under normal circumstances?
- How is the disaster triage tag system implemented?
- What does each color on the triage tag mean?
-
What acronyms are used to assist the nurse in remembering the steps of rapid trauma
assessment?
What interventions will be performed on critically ill or injured patients in the
emergency department?
How does the nurse ensure the safety of himself/herself and those within his/her care
during a disaster?
Teaching Plan:
- Listen to and discuss student perceptions of the nurse’s role in a disaster
- Review and discuss disaster triage
- Review and discuss rapid trauma assessment
- Review and discuss patient care in the emergency department
Notes:
Simulation Clinical
Post Conference
Objectives:
At the completion of this post conference, students will identify strengths and opportunities for
improvement regarding:
- Triage duties.
- Performance of rapid trauma assessment.
- Identification and application of necessary nursing interventions for the patient with
traumatic injuries.
- Communication and collaboration with the healthcare team.
- Facilitating family presence.
- Provision of quality, patient-centered, and safe care in the emergency department.
- Utilization of computerized provider order entry and the electronic health record.
Behavioral Outcomes:
- Students will feel comfortable to openly and honestly discuss their interpretation of
today’s simulation clinical.
- Students will feel comfortable to openly and honestly discuss the strengths and
weaknesses of their performance at today’s simulation clinical.
- Students will verbalize the importance of participating in disaster drills.
Discussion Questions:
- How do you feel you performed triaging at the multiple casualty event?
- What could be improved with your triaging?
- Did you obtain consent to treat the pediatric patient? How?
- How do you feel you performed your rapid trauma assessment?
- What could be improved with your rapid trauma assessment?
- Did you remember to implement all nursing interventions for your patients in the
emergency department?
- Did you assess for pain and comfort?
- How did you collaborate with other healthcare providers to assure that your patients
were comfortable?
- How did you coordinate care in the emergency department to provide patient-centered
care?
- How did you feel about having the family stay in the room with your patient?
- Do you feel that you communicated your needs and the needs of the patient clearly to
the healthcare team?
- Why was it important for you to conduct a pre-surgical checklist and provide an SBAR
report to the OR nurse?
- Recognizing that the patient is source of control and full partner in care, were you able
to educate Eve on the importance of diabetes management?
- How will you improve your triage, rapid trauma assessment and nursing intervention
skills?
-
Do you feel ready to participate in a drill or a disaster after this week? Why or why not?
Teaching Plan:
- Listen to and discuss student reactions to today’s clinical
- Use discussion questions as a guide
Notes: