Acute Stroke - Simulation Design Template – Loyalist College
Program: Nursing Course: NURS 2005 Review date:
Original Author/year: Tammy Armstrong(O’Rourke)/2007,Reviewed 2009, Julie Rivers revision 2014
_X_Formative assessment ___Summative assessment or ___OSCE /High stakes assessment
Prep/Pre-meeting Time: 0 Expected Simulation Run Time: 15 min
Debrief/Guided Reflection Time: 15 min
Alternate Activity Location Required: No
Simulation Learning Objectives (Identify related Course Learning Outcome and Program Terminal Outcome by number only)
The Student group will:
Demonstrate understanding of assessment of a person experiencing CVA.(CLO 1,2,3 , PLO 1,2,3)
Carry out a focused neurological assessment of a patient who has a stroke using the Canadian Neurological Scale Tool
Assess vital signs and patient’s symptoms/concerns
Carry out appropriate interventions in response to assessment findings
Identify assessment findings which could lead to complications
Identify and consult appropriate resources while assessing, planning (including prior to lab), and implementing care. (CLO 1,2,3,6 PLO 1,2,3,6)
Respond appropriately to family member question(s) (CLO 1, 2, 3, 6 PLO 1, 2, 3, 6)
Participate in creating SBAR report at the end of the simulation (CLO 3, PLO 3)
Measurement of Objectives
During scenario, identified by handler events in debrief document for a-c.
During debrief discussion for d.
During scenario, identified by handler events in debrief document and discussed in debriefing session
During scenario identified by professor and discussed during debrief.
Written and verbal (time permitting) report at end of simulation.
Skills/Theory required prior to participation in simulation
See Course Documentation for prerequisites and co-requisites
Cardiovascular, neurological assessment and stroke (including use of CNS tool) lecture content of NURS 2004
Familiarization with use of blood glucose meter
Student Preparation for Simulation
Review and research pertinent patient information package provided - see Appendix A
Student preparation package to be distributed: See Appendix A Prior to Simulation - included in Blackboard course materials
References, Evidence-Based Practice Guidelines, Protocols, or Algorithms used for this scenario: (site source, author, year, and page)
The Canadian Stroke Strategy. (2014) Retrieved from Canadian Best Practice Recommendations for Stroke Care: Hyperacute Stroke Care recommendations: http://www.strokebestpractices.ca/wp-content/uploads/2010/10/Ch3_SBP2013_Hyper-Acute-_23MAY13_EN_-FINAL5.pdf
pathophysiology notes re CVA
BPG’s - RNAO Stroke Assessment across the continuum of Care 2011 Supplement found at url
http://rnao.ca/sites/rnao-ca/files/storage/related/7708_STROKE_Supplement_FA.PDF
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