What is a Simulation Scenario?
Simulation scenarios are clinical situations recreated in the nursing lab at RRC. The scenarios take place in several different settings such as a hospital room, a clinic or a home. When simulating a clinical experience, realism is important. Students come dressed in their nursing uniform and will be prepared to provide care to the patient in the same way that they would in real life. To maintain this realism, we encourage CAs to stay in character the entire scenario.
The purpose of simulation scenarios is to provide students with a chance to practice what they have learned in the nursing program. The scenarios do not serve to evaluate the student’s performance or decision-making ability, but rather, are used solely as a teaching-learning strategy.
What to expect during a Physical Assessment Simulation
A brief history may be taken. You may be asked questions about your “history” and about your lifestyle.
The “physical” part of the assessment will likely begin with a neurological examination that may include:
- checking your eyes (pupils)
- testing the muscle strength of your arms and legs
- sensory testing to see if sensation (dull or sharp) is present over different areas of your body
- questions about your “orientation” (such as your knowing your name, the current date and year, location of the examination)
Examination of the heart and lungs may be undertaken by placing a stethoscope under your shirt to listen to the heart. The front of your chest will not be exposed. Listening to the lungs at the back of your chest may also be performed using a stethoscope – this may involve exposure of your back so that students can visualize the skin over the lungs and on your back.
When assessing the abdomen (stomach area), the students will seek your permission to expose your abdomen and carefully place a drape (cover) around your abdomen. During the examination, the students may listen with a stethoscope and palpate (feel) over your abdomen.
Students will examine your legs and feet by feeling for the pulses in your feet, as well as assessing for the presence of edema and swelling. They will need to remove your socks to do so.
Throughout the examination, the students may be asking questions, and explaining to you some of their findings.
If at any time during the examination, you feel uncomfortable in any way, you can ask the student(s) to stop. If there is any part of the examination that you do not wish to participate in, please let the student(s) know and they will skip that part or stop the examination if that is your wish.