Description of 11 training modules using human patient simulation (HPS) scenarios and ward-based simulation (WBS) exercises
| Topic | Simulation device(s) | Scenario/exercise | Targeted skills |
|---|---|---|---|
| HPS | |||
| Gastro-intestinal (GI) bleed | Manikin Healthcare assistant (HCA) plant | 78-year-old female patient; unwell; invisible lower GI bleed | Calling for help; teamwork; communication |
| Delirium | Actor HCA plant | 81-year-old male patient; agitated | Empathetic communication |
| Clostridium difficile | Actor Manikin | 88-year-old male patient; confirmed C difficile diarrhoea, concerned relative | Communicating effectively with relative |
| Busy ward | Actors Manikin | Various patients; busy weekday; unwell patient; transfers and discharges | Teamwork, communication, using available resources Delegating and prioritising |
| Hospital at night | Actor HCA plant Senior colleague on telephone | 85-year-old female patient; short of breath and tachycardic; unwell; PAR score 5 | Calling for help, using available resources |
| Clinical communication | Actor | Discussion with relative; patient declined surgery, deteriorated; discussing whether to withdraw care | Empathetic communication End of life communication skills |
| WBS | |||
| Physical disability due to arthritis and multiple sensory impairments | Ageing simulation suit; occupational and physiotherapy input | Role play using ageing simulation suit; nurses/HCAs take turns to care for each other as the ‘patient’ | Empathetic communication, maintaining privacy and dignity, assisting safely with physical tasks |
| Multi-disciplinary meeting (MDM) | Simulated meeting room | Simulated (MDM) with role play; participants take staff roles and perspectives | Communication, effective teamwork |
| Feeding and nutrition | Part-task trainer; nutrition specialist input | Nasogastric feeding via a part-task trainer; workshop on ensuring a safe eating environment and nutritional assessment | Selecting appropriate food and fluids, maintaining privacy and dignity, skills practice, haptic feedback using nasogastric feeding, feeding options |
| Care of the older person | Actor for each exercise | Performing a 12-lead ECG, catheter care, personal care | Appreciating the older patient experience, integrating clinical communication into direct patient care, maintaining privacy and dignity |
| Care of relatives | Actor for each exercise | Explaining use of crash mats to distressed relative; discuss feeding in end-stage dementia | Appreciating the relative's experience, effective communication with relatives, maintaining privacy and dignity |