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Strategy Submission



Tara Heagele





Elizabeth Mizerek, MSN, RN, CEN, FN-CSA, EMT-B


Robert Wood Johnson University Hospital Hamilton


Competency Categories:

Evidence-Based Practice, Informatics, Patient-Centered Care, Quality Improvement, Safety, Teamwork and Collaboration

Learner Level(s):

Continuing Education, New Graduates/Transition to Practice, Pre-Licensure ADN/Diploma, Pre-Licensure BSN, RN to BSN, Staff Development

Learner Setting(s):

Classroom, Clinical Setting, Skills or Simulation Laboratories

Strategy Type:

General Strategy

Learning Objectives:

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.

Strategy Overview:

Educator will assign 2-4 students to triage 15 patients. Discuss each patient scenario with the class and decide if each patient was triaged appropriately. Transition the clinical group to the Emergency Department. The student nurses will assume the care of Patient 9 and Patient 11.

Submitted Materials:

Additional Materials:

Evaluation Description:

This simulation clinical was used five times between February 2012 and September 2012 with last semester nursing students in an ADN program. Pre and post conference discussion questions (provided in the materials) resulted in a lengthy discussion about the nurse's role in a mass casualty incident during each simulation clinical day. Motivation to participate in disaster drills and emergency preparedness was a recurrent theme during the discussion.
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