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Simulations, Evidence and the NPL –What to do when you don’t have the right case.Lucy Bellwood RVN
Veterinary Nursing Centre Co-ordinator, Myerscough College
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Lucy Bellwood RVN A1 V1
VN Centre Co-ordinator at Myerscough College
Internal verifier for 7 years
Manage and co-ordinate team of 4 other IVs
Plan and run monthly standardisation events
Previously A1 Assessor for 6 years
Soft spot for slightly damaged staffies
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Those Sticky Skills…..
Placement and management of nasogastric feeding tubes
Nursing Care Plans
Placement and management of indwelling urinary catheters Placement – we expect male dogs only
Radiography Positioning
Exotics – comparative anatomy and nursing
Equipment – endoscopes, ultrasonic instrument cleaners
NB. Always check with your own Centre / Internal Verifier if in any doubt
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Option No. 1 - Simulations
“…an event or situation that is made to resemble clinical practice as closely as possible. It has a detailed scenario, patient and/or client information and requires careful planning” (RCVS, 2011)
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Option No. 1 - Simulations
“…an event or situation that is made to resemble clinical practice as closely as possible. It has a detailed scenario, patient and/or client information and requires careful planning” (RCVS, 2011)
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Option No. 1 - Simulations
“…an event or situation that is made to resemble clinical practice as closely as possible. It has a detailed scenario, patient and/or client information and requires careful planning” (RCVS, 2011)
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Option No. 1 - Simulations
“…an event or situation that is made to resemble clinical practice as closely as possible. It has a detailed scenario, patient and/or client information and requires careful planning” (RCVS, 2011)
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Option No. 1 - Simulations
Use for addressing first aid and emergency elements in SAVN18 and EQVN24
Clearly highlighted within Guidance Notes on individual skills Use for opening up and signing off skills if necessary
BE PREPARED! Ensure relevant equipment is freely available Rope other people in – managers, receptionists, clients?? Set up a mock emergency – be dramatic! No laughing
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Option No. 2 – Set Tasks
“A set task is an opportunity for students to demonstrate clinical skills in areas that do not require a patient, for example preparing necessary equipment and materials for administration of intravenous fluids, applying bandages” (RCVS, 2011)
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Option No. 2 – Set Tasks
“A set task is an opportunity for students to demonstrate clinical skills in areas that do not require a patient, for example preparing necessary equipment and materials for administration of intravenous fluids, applying bandages” (RCVS, 2011)
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Option No. 2 – Set Tasks
“A set task is an opportunity for students to demonstrate clinical skills in areas that do not require a patient, for example preparing necessary equipment and materials for administration of intravenous fluids, applying bandages” (RCVS, 2011)
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Option No. 2 – Set Tasks
“A set task is an opportunity for students to demonstrate clinical skills in areas that do not require a patient, for example preparing necessary equipment and materials for administration of intravenous fluids, applying bandages” (RCVS, 2011)
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Option No. 2 – Set Tasks
“A set task is an opportunity for students to demonstrate clinical skills in areas that do not require a patient, for example preparing necessary equipment and materials for administration of intravenous fluids, applying bandages” (RCVS, 2011)
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Option No. 2 – Set Tasks
Utilise dummies – halti head, soft toys, mannequinsCadaversRadiography patients – PATIENT WELFARE MUST BE
PARAMOUNTLeft over lab samplesLive patients / staff petsCreate a ‘mock box’ for easy access on quiet days -
include the above plus a range of consumables, and a file with NPL skills list and up to date OSCE methodologies
Support with professional discussion
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Set Task – VN17, skill 7
• Place, or assist with placement of, naso-gastric or oesophageal tubes
• Manage naso-gastric or oesophageal tubes
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Set Task – VN17, skill 7
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Set Task – VN17, skill 8
Manage indwelling urinary catheter
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Set Task – VN17, skill 8
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Set Task – VN17, skill 8
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Set Tasks – Unit 10 - ‘Would you like a blood smear with that?!’
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Set Tasks & Practical Exams
Utilise to practice OSCE tasks – use methodologies and cross reference to NPLAdministering bolus medicationNasogastric tube managementUrinary catheter managementPreparing anaesthetic / diagnostic equipment –
secondary practices? Preparing IVFT equipmentFine – tuning laboratory skills
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Option No. 3 – Professional Discussions
Use to support set tasks and simulationsMust ensure demonstrates sufficient depth- plan Link to specific set task eg. Place NG tube in cadaver,
now explain maintenance for that patientGive mock scenario – ask student to explain and justify
care Not the easy way out!
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Professional Discussions
Plan your subject, theme and prepare a templateOpen discussion regarding evidence, eg, nursing care
planMock scenarioQuestion and answer
Provide open and relevant questions Be prepared to revisit if necessary Document and store evidence
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Option No. 4 – Use of Assignments /GLH
Students must learn to triangulate evidence and knowledge
Know the NPL inside out!Coaches – are you familiar and confident with
nursing models and care planning? Take care with currency and validity
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Use of Assignments /GLH
Encourage note book / jotter system when writing and planning assignments to pick up specific skills
NPL skills list usefulCan help prevent students focussing too much on
one area of studyStore care plans in evidence file
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Option No. 5 - Secondment
Equine / SA crossover Diagnostics Exotic or orthopaedic work
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Secondment
Foster relations!Must be an RCVS approved TP or aTP Always check with your IV / Centre – written agreements
will be necessary Not just for auxiliary Training Practices
Insufficient caseload presents unexpectedly Student requires more support or experience that can be
provided with current caseload / circumstances.
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Use of Cadavers
Used extensively in human and veterinary medicine for centuries
Human – choice made by ‘donor’
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Use of Cadavers
For Routinely used in VN education
within colleges - dissections
Biologically accurate
Easily accessible
Efficient – multi-use
Some assessments on live animals may have welfare considerations
Against Ethical concerns
Don’t react as live patients do
Yuk! factor
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In Summary -Different skills suit different methods…. Feeding tube / urinary catheter
placement
Feeding tube / urinary catheter management
Radiography skills
Emergency first aid
Species specific nursing
Nursing care plans
Bandaging
Set task (cadaver/dummy)
Professional discussion
Set task (dummy / patient)
Simulation
Secondment / set task
Assignment content
Simulation / set task
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Thank you very much for attending!
Remember, anything worth doing is worth doing well!