1 00:00:02,100 --> 00:00:05,982 - So let me just pull up the vSim. 2 00:00:05,982 --> 00:00:06,932 Give me one second. 3 00:00:20,550 --> 00:00:23,370 So this is what the vSIM looks like. 4 00:00:23,370 --> 00:00:25,980 Suggested readings, it's good to just read through 5 00:00:25,980 --> 00:00:27,810 and see what it says. 6 00:00:27,810 --> 00:00:30,870 You'll do a pre quiz simulation, 7 00:00:30,870 --> 00:00:34,350 Pre-Simulation quiz, and you can fail it. 8 00:00:34,350 --> 00:00:37,370 It's not a big deal, you get a point for doing it. 9 00:00:37,370 --> 00:00:38,910 And then after you're done the vSim 10 00:00:38,910 --> 00:00:41,930 you'll have a Post-Simulation quiz and same thing. 11 00:00:41,930 --> 00:00:44,803 You don't have to get a hundred percent on it. 12 00:00:44,803 --> 00:00:46,520 But the questions are really good, 13 00:00:46,520 --> 00:00:49,450 so I would pay attention to the questions and the answers, 14 00:00:49,450 --> 00:00:51,610 'cause that's what I'm really concerned about 15 00:00:51,610 --> 00:00:54,380 is that you learn from the questions and the answers. 16 00:00:54,380 --> 00:00:56,260 You don't have to do the Documentation Assignment, 17 00:00:56,260 --> 00:00:58,160 you don't have to do the Guided Reflections 18 00:00:58,160 --> 00:00:59,720 like I mentioned. 19 00:00:59,720 --> 00:01:03,580 And then when you're ready to do vSim you can just go in. 20 00:01:03,580 --> 00:01:05,880 And this you can do as many times as you want, 21 00:01:09,070 --> 00:01:09,903 just FYI. 22 00:01:09,903 --> 00:01:12,000 So I would launch it. 23 00:01:12,000 --> 00:01:13,690 Do you see the vSim here? 24 00:01:13,690 --> 00:01:15,313 Are you able to see that? 25 00:01:18,180 --> 00:01:19,370 - [Student] Yeah. 26 00:01:19,370 --> 00:01:24,370 - Okay, so I did it earlier, I got a 97% 27 00:01:28,225 --> 00:01:30,920 and I honestly did it comfortably. 28 00:01:30,920 --> 00:01:33,270 I wasn't going through it fast. 29 00:01:33,270 --> 00:01:35,490 I think I did it in like 32 minutes 30 00:01:35,490 --> 00:01:37,690 and I did a additional stuff just to see 31 00:01:39,200 --> 00:01:42,570 if that would make it take more time 32 00:01:42,570 --> 00:01:46,883 or if it would make me frustrated or get a worse score. 33 00:01:48,320 --> 00:01:51,110 If you get too many of these red X's on the left, 34 00:01:51,110 --> 00:01:55,483 so I did get two red X's, 35 00:01:57,980 --> 00:02:00,320 but if you get too many, 36 00:02:00,320 --> 00:02:02,900 some things, if you forget to do them, you get two X's, 37 00:02:02,900 --> 00:02:05,580 and some things, if you forget to do them, you get one X 38 00:02:05,580 --> 00:02:07,253 and sometimes it's three X's. 39 00:02:08,621 --> 00:02:11,650 And at the end it'll give you a report 40 00:02:11,650 --> 00:02:13,950 on what you forgot to do. 41 00:02:13,950 --> 00:02:16,690 So I recommend reading about your patients. 42 00:02:16,690 --> 00:02:20,000 At the bottom it'll give you recommendations 43 00:02:20,000 --> 00:02:22,110 and it's essentially telling you what to do. 44 00:02:22,110 --> 00:02:24,370 You're gonna do a full skin assessment, 45 00:02:24,370 --> 00:02:26,270 that includes inspection of the skin, 46 00:02:26,270 --> 00:02:28,683 palpation, checking pulses. 47 00:02:30,100 --> 00:02:32,510 As you're going through from the head to toe, 48 00:02:32,510 --> 00:02:35,623 you're going to also do vital signs as you go along. 49 00:02:36,640 --> 00:02:38,940 If there's a dressing, you're gonna check that 50 00:02:39,970 --> 00:02:41,830 and you wanna make sure you also check their backside 51 00:02:41,830 --> 00:02:45,850 as well on their back, but you you can comfortably do this, 52 00:02:45,850 --> 00:02:46,830 go through all of that. 53 00:02:46,830 --> 00:02:48,970 And then you're gonna do education 54 00:02:48,970 --> 00:02:53,190 that is related to circulation and 55 00:02:53,190 --> 00:02:55,453 on maintaining good skin integrity. 56 00:02:56,910 --> 00:02:59,990 And I think my two X's that I got here, 57 00:02:59,990 --> 00:03:02,240 it was because I didn't include 58 00:03:02,240 --> 00:03:07,093 mobility exercises and something else related to education. 59 00:03:07,950 --> 00:03:10,320 So you're gonna go see your patient. 60 00:03:10,320 --> 00:03:12,980 And it gives you a case, 61 00:03:12,980 --> 00:03:16,000 tells you about your patient, which you would wanna do 62 00:03:16,000 --> 00:03:17,710 if you go into your patient's room, 63 00:03:17,710 --> 00:03:19,310 you would wanna read about them. 64 00:03:20,750 --> 00:03:22,640 And then at the end it gives you those same recommendations 65 00:03:22,640 --> 00:03:24,540 that we saw earlier. 66 00:03:24,540 --> 00:03:25,640 And you can go through, 67 00:03:25,640 --> 00:03:28,580 see if there's anything that you wanna read. 68 00:03:28,580 --> 00:03:30,990 And then when you're done you just go here 69 00:03:30,990 --> 00:03:33,210 and then you're starting, okay. 70 00:03:33,210 --> 00:03:35,610 So literally you absolutely wanna do 71 00:03:35,610 --> 00:03:37,830 all of your safety measures before you start. 72 00:03:37,830 --> 00:03:39,603 Otherwise you will get dinged. 73 00:03:40,960 --> 00:03:44,260 You'll get those two X's or those three X's 74 00:03:44,260 --> 00:03:47,040 if you don't do these things, so always start with this, 75 00:03:47,040 --> 00:03:50,650 'cause that's what we'd also expect in simulation as well. 76 00:03:50,650 --> 00:03:51,623 Communication. 77 00:03:53,310 --> 00:03:56,300 Education is usually after the simulation is done. 78 00:03:56,300 --> 00:03:58,150 You could educate them at the beginning too 79 00:03:58,150 --> 00:03:59,960 but typically you go through the assessment 80 00:03:59,960 --> 00:04:01,771 and then you educate. 81 00:04:01,771 --> 00:04:03,771 It's always good to ask them about pain, 82 00:04:04,610 --> 00:04:06,110 any diseases that would be, 83 00:04:06,110 --> 00:04:08,630 any questions that pertain to 84 00:04:10,460 --> 00:04:12,080 what you're doing, like for example, 85 00:04:12,080 --> 00:04:15,180 she has skin issues, so you wanna ask her 86 00:04:15,180 --> 00:04:16,993 any questions related to skin. 87 00:04:18,808 --> 00:04:21,923 And then past medical history, and then orientation. 88 00:04:23,490 --> 00:04:25,210 I wanna just see if she's confused or not. 89 00:04:25,210 --> 00:04:28,730 Assessment, you're literally gonna go through each part 90 00:04:28,730 --> 00:04:30,328 and you only have to do one arm 91 00:04:30,328 --> 00:04:33,320 and one forearm and one hand, one thigh, 92 00:04:33,320 --> 00:04:36,030 one leg, one foot, because as you're assessing 93 00:04:36,030 --> 00:04:39,400 it assesses both sides and it tells you about both sides. 94 00:04:39,400 --> 00:04:43,090 So you're literally gonna go head to toe on your assessment 95 00:04:43,090 --> 00:04:45,440 and then you're gonna examine them in the back. 96 00:04:47,170 --> 00:04:48,740 So let's say head, 97 00:04:48,740 --> 00:04:50,640 you definitely wanna assess 98 00:04:52,360 --> 00:04:54,900 neck, check their temperature, 99 00:04:54,900 --> 00:04:59,823 inspect mouth, nose, hair and scalp, 100 00:05:01,770 --> 00:05:02,770 and that's about it. 101 00:05:04,250 --> 00:05:06,050 And then you're gonna go to the next step. 102 00:05:06,050 --> 00:05:09,660 Anything that pertains to skin and the vital signs, 103 00:05:09,660 --> 00:05:11,820 you'll wanna do, and checking the pulses as well. 104 00:05:11,820 --> 00:05:13,360 Because obviously if you don't have 105 00:05:13,360 --> 00:05:15,510 a good pulse going to an extremity, 106 00:05:15,510 --> 00:05:17,360 then you're not gonna have good skin. 107 00:05:20,299 --> 00:05:23,510 And you'll notice that when you get to the legs, 108 00:05:23,510 --> 00:05:26,240 there's gonna be some abnormal findings. 109 00:05:26,240 --> 00:05:28,310 So then once you're done you can look at interventions, 110 00:05:28,310 --> 00:05:31,140 see if there's anything that you think you would wanna do. 111 00:05:31,140 --> 00:05:32,770 And then you can go back. 112 00:05:32,770 --> 00:05:34,750 Now it's telling me there's something to update. 113 00:05:34,750 --> 00:05:36,900 So there's some I's and O's going on there. 114 00:05:38,210 --> 00:05:40,040 Input intake and output. 115 00:05:40,040 --> 00:05:42,330 And then you can also go back to your communication, 116 00:05:42,330 --> 00:05:44,950 to your education, and like I said with her, 117 00:05:44,950 --> 00:05:48,313 my education is all about nutrition, mobility, 118 00:05:50,080 --> 00:05:52,113 improving venous stasis, 119 00:05:54,050 --> 00:05:55,393 those kinds of things. 120 00:05:57,030 --> 00:05:59,300 As you're going along, you could pause it 121 00:05:59,300 --> 00:06:02,350 if you need to go to the bathroom or something 122 00:06:02,350 --> 00:06:04,990 or you're like I just wanna think about my next step. 123 00:06:04,990 --> 00:06:09,310 I think you can actually move from one question to the other 124 00:06:09,310 --> 00:06:12,780 as you're trying to figure out what questions you wanna ask. 125 00:06:12,780 --> 00:06:15,510 So you're totally welcome to do that. 126 00:06:15,510 --> 00:06:17,940 And then when you're ready, you can press it. 127 00:06:17,940 --> 00:06:21,540 I don't recommend pressing this button too much. 128 00:06:21,540 --> 00:06:23,323 It's a fast forward button. 129 00:06:25,460 --> 00:06:29,300 It only fast forwards a minute at a time, I think. 130 00:06:29,300 --> 00:06:33,950 But if you do that a lot, you're gonna not have enough time 131 00:06:33,950 --> 00:06:37,540 to complete your simulation. 132 00:06:37,540 --> 00:06:39,460 And that's what one of the students that 133 00:06:39,460 --> 00:06:40,760 I worked with this week, 134 00:06:40,760 --> 00:06:43,440 we realized she was fast forwarding too much. 135 00:06:43,440 --> 00:06:45,870 And that's why she was losing time 136 00:06:45,870 --> 00:06:48,700 and not having enough time to fully assess the patient 137 00:06:48,700 --> 00:06:51,463 before the 40 minutes were up. 138 00:06:52,330 --> 00:06:54,423 So that's basically it. 139 00:06:55,270 --> 00:06:57,803 You'll have five of these vSims to do. 140 00:06:59,139 --> 00:07:03,990 And every time you're working with a patient 141 00:07:03,990 --> 00:07:07,620 you need to keep in mind, I need do my safety measures. 142 00:07:07,620 --> 00:07:10,170 What do I need to educate them about? 143 00:07:10,170 --> 00:07:11,723 Do I need to call the doctor? 144 00:07:13,549 --> 00:07:16,600 And it's helping you to critically think 145 00:07:16,600 --> 00:07:19,640 and figure out this is my patient's problem, 146 00:07:19,640 --> 00:07:22,880 what kind of questions do I need to ask 147 00:07:22,880 --> 00:07:24,970 to provide subjective data? 148 00:07:24,970 --> 00:07:29,790 What areas do I need to assess to gather my objective data? 149 00:07:29,790 --> 00:07:31,840 And then what do I need to educate? 150 00:07:31,840 --> 00:07:35,740 So it's teaching you those critical thinking skills as well. 151 00:07:35,740 --> 00:07:37,810 And then when you're completely done, 152 00:07:37,810 --> 00:07:41,140 I'm gonna show you, you'll press this button down here, 153 00:07:41,140 --> 00:07:44,463 patient handoff, and I'm obviously gonna fail, 154 00:07:45,320 --> 00:07:47,870 because I didn't do anything. 155 00:07:47,870 --> 00:07:49,303 So I got 0%. 156 00:07:50,209 --> 00:07:51,493 I failed miserably. 157 00:07:52,511 --> 00:07:55,368 But if you finish up 158 00:07:55,368 --> 00:07:58,170 and you got less than 77%, 159 00:07:58,170 --> 00:07:59,730 you won't get the three points. 160 00:07:59,730 --> 00:08:01,030 If you get 77% or greater, 161 00:08:03,488 --> 00:08:04,350 you'll get the three points. 162 00:08:04,350 --> 00:08:06,910 So I would go through it 163 00:08:06,910 --> 00:08:10,550 not just to pass and get your 77%, 164 00:08:10,550 --> 00:08:13,198 but to really understand what you need to assess 165 00:08:13,198 --> 00:08:14,993 when it comes to skin. 166 00:08:15,830 --> 00:08:17,603 And that's it. 167 00:08:20,326 --> 00:08:21,380 I'm gonna stop the share. 168 00:08:21,380 --> 00:08:22,220 No, no, oops. 169 00:08:22,220 --> 00:08:23,870 Don't wanna do that. 170 00:08:23,870 --> 00:08:25,253 I'm gonna stop the recording.