Lights, Camera, Save Lives!!- Impact of Low Budget, Low Fidelity Simulation to the Bedside Nursing Practice

Purpose for the program: Evidence has shown how Simulation is an effective Modality of Teaching especially for Adult Learners. In a Perinatal unit with different levels of nurse experiences ranging from 1-30 years, I should not only focus on the nurses skills and readiness to respond during crisis but also the ability of the nurse to be a great team player and practice effective Communication. Simulation even in a low budget would still help nurses in preparing for high risk rare events with an ultimate Goal of a healthy mother and baby.

Proposed change:

Improving Patient Outcomes through evidence Based Practice. Following a Standardized Process in an OB emergency or Neonatal Complication after birth.

The proposed changes included role specific functions and responses, initiating the chain of communication,Improving teamwork, redesigning Unit Practice and regular Multidisciplinary Simulations.

Implementation, outcomes and evaluation: The first step was to sent out a "Monkey Survey" regarding High risk rare events and Simulation to evaluate what the nurses current view of such topics. (Are they willing to participate in a Simulation?) The next step was to create a calendar of dates and times to make nurses want to participate with Simulations. The schedule was one scenario per shift. Using Low fidelity Simulators and or volunteers to make the Simulations more realistic. Debrief then is done after all Simulations thru evaluation of recorded event and it was then decided by the OB advisory to do Debriefs on all OB Procedure done in our Unit.In addition protocols were revised and updated. New protocols were incorporated in our EMR that also prompts Documentation.

Implications for nursing practice: Staff's perception with Simulation has changed from a negative to a positive outlook. They are aware that the environment of a Simualtion is safe and mistakes are allowed to be prepared and ready on a real event.

Staff readiness was improved by utilizing simulation to define the process, educate,assess competency and improve teamwork and communication. The use of simulation for ongoing team evaluation will continue to reinforce these skills so if a complication occurs,this Multidisciplinary team will be prepared to ensure the most optimal outcome.We are on our Journey to Champion Excellence in our Nursing Practice.

Keywords: simulation, critical access, rural facility, low frequency/high risk events

Keywords: Simulation, Low Fidelity, High Risk rare events,