Welcome!

www.salisbury.edu/henson/simcenter

Thank you for your interest in the Richard A.Henson Medical Simulation Center at SalisburyUniversity. We are located just south of main

campus on Pine Bluff Road. This newsletter is designedto keep faculty and friends informed about events at theSim Center. If you are interested in using our facilitiesfor any of your educational needs, or have questions orcomments, please feel free to contact us at the directoryinformation listed below.

The Medical RecordSimulation Education for Improved Professional Practice

Richard A. HensonMedical SimulationCenter:106 Pine Bluff Road, Salisbury, MD 21801simcenter@salisbury.edu410-546-2465

A Newsletter of the Richard A. Henson Medical Simulation Center • Salisbury University Volume 3, Issue 1 | Fall 2017

SU is an Equal Opportunity/AA/Title IX university and provides reasonable accommodation given sufficient notice to the University office or staff sponsoring the event or program.

ESCIPE with UMES D.P.T. StudentsFebruary 2017

As part of the Eastern ShoreCollaborative forInterprofessional Education

(ESCIPE) the Doctor of PhysicalTherapy (D.P.T.) program studentsfrom the University of MarylandEastern Shore (UMES) came to theSimulation Center for an event inFebruary 2017. The D.P.T. studentsworked with select SalisburyUniversity respiratory therapystudents to learn about theapplication and assessment ofinvasive and non-invasive ventilationof patients experiencing respiratoryfailure. The respiratory therapystudents also assisted the D.P.T.students in practicing ambulatingpatients attached to commonphysiological monitoring and invasiveequipment. Many positive commentswere received from UMES studentsand faculty with the request to repeatthis activity in the future.

Alarge part of educating healthprofessions students ispreparing them for future

practice. Much of today’s healthcareenvironment relies on technology,particularly an electronic health record(EHR). The Richard A. HensonMedical Simulation Center has felt thechallenge of providing this opportunityto the students who participate insimulation. For the past several years,documentation during simulationevents occurred through the use ofpaper charts, which is not consistentwith current practice. Partnershipswith area health care facilities for useof their electronic medical records in atraining mode have been unsuccessfuland the purchase of a simulateddocumentation system was not a cost-effective solution.For all of these reasons, the staff at

the Sim Center developed their ownversion of an EHR using advancedfeatures available within PowerPoint.With inspiration from PowerPoint-based quiz games employed in manyclassrooms, Catherine Pearce andDeanna Schloemer created enhancedPowerPoint slides that are linked to oneother and look and act like a patient’selectronic health record. The advancedfeatures embedded in the PowerPointslides allow students to interact withthe EHR synchronously as thesimulation unfolds.Patient data within the simulated

EHR comes from a variety of sourcesand are modified to reflect the needs ofthe scenario being used in a simulation.For example, the pediatrics nursingcourse uses case studies from CAE’sevidenced-based clinical simulationexperiences titled “Program for NursingCurriculum Integration” (PNCI®).

While the CAE PNCI case studies aredesigned to work with high-fidelitymanikins, there was no integrated EHRto mimic what occurs with real patientencounters. The simulationcoordinators integrated the patientinformation contained within thePNCIs into the simulated EHR. Inaddition, the simulated EHR has beendesigned in such a way that otherscenarios, whether written by faculty orother commercial sources, can be easilyincorporated and used in simulations. Various tabs such as patient summary,

laboratory and diagnostic test results,assessment flowsheet, progress notes,provider orders, medicationadministration record, and resources areavailable in this simulated EHR. As it isbuilt by the simulation coordinators,tabs and flowsheets are customizable to

different disciplines or simulatedhealthcare settings. Documentation during simulation can

improve learners’ proficiency withelectronic documentation uponentrance into the clinical setting aftergraduation (Herbert & Connors, 2016;Curry, 2010). Simulation provides thesefuture professionals with a safe space torefine their skills in data collection,patient care planning, anddocumentation (Mountain, 2014).Having a place to document duringsimulation will also give faculty anopportunity to assess learners’competency. It is our hope to provideevery simulated experience necessary toensure that graduates from SalisburyUniversity are well prepared for entryinto the workforce.

ReferencesCurry, D. G. (2010). Selection and implementation of a simulated electronic medical record (EMR) in a nursing skills lab. Journal of Educational Technology Systems, 39(2), 213-218. doi: 10.2190/ET.39.2.jHerbert, V. M., & Connors, H. (2016). Integrating and academic electronic health record: Challenges and success strategies. CIN: Computers, Informatics, Nursing, 34(8), 345-54. Mountain, C. M. (2014). Electronic medical record in the simulation hospital: Does it improve accuracy in charting vital signs, intake, and output? SJSU ScholarWorks Doctoral Projects, Paper 30.

Spotlight: Simulated Electronic Health Record

The second annual SimulationCenter Faculty DevelopmentDay focusing on best practices,

tools and technology was held in Junefor full and part-time faculty ofSalisbury University’s departments ofNursing and Health Sciences.Simulation coordinators andadministrators gave presentationsabout the Sim Center orientation

process, the International NursingAssociation for Clinical Simulation andLearning (INACSL) Standards of BestPractice for Simulation, the FacilitiesReservations System, evaluations,equipment and supplies, moulage, theSimulated automated medicationdispensing system, the SimulatedElectronic Health Record, newclassroom technology, MyClasses

resources, the Sim Center website, andfeatures within Learning Space audio-video recording system. Tours of thenewly expanded facility also wereprovided. Participants commented onhow beneficial the workshop was,especially learning how to use the newclassroom technology. We look forwardto offering this workshop every year forusers of the center.

Faculty Development DayJune 2017

Simulation CoordinatorsCatherine Pearce and DeannaSchloemer presented their

simulated electronic health record(EHR) at the HPSN Mid-AtlanticRegional Simulation Conference. ThisEHR, which they designed de novousing sophisticated PowerPointprogramming, was the topic of theirco-authored presentation titled “NotExactly EPIC, but Pretty Cool: ACreative Way to Simulate anElectronic Health Record.” Theregional conference was sponsored byCAE Healthcare® at the HealthProfessions and Athletic Center atChesapeake College in Wye Mills, MD,on Thursday, June 8, 2017. Pearce andSchloemer spoke about the importanceof including medical record

documentation during high-fidelitysimulation and the challenges theyconfront when incorporating the EHRinto simulations. This was followed bya demonstration of the simulated EHRand its features. Attendees wereimpressed with the ingenuity andinventiveness of the EHR andapplauded the technical knowledgerequired to create the EHR withPowerPoint. Several attendeesexpressed interest in lessons on how tomake their own EHR. Pearce andSchloemer are currently exploringpotential future opportunities withSalisbury University’s Office ofGraduate Studies and Research andthe University of Maryland’s Office ofTechnology Commercialization.

Pearce and Schloemer Present at Human PatientSimulation Network (HPSN) Mid-Atlantic Regional Conference

Admitted Students DayApril 2017

In April 2017, prospective freshmenwho have been admitted toSalisbury University but have not

committed yet to attending were hostedat the Sim Center. These future collegestudents identified healthcare majors astheir interest and came to learn aboutSU’s healthcare programs. The Sim

Center staff provided tours,demonstrated the manikins andequipment, and answered questionsabout the education that occurs in thecenter. This was the third consecutiveyear that the Sim Center has workedwith the Admissions Office to highlightour facility and show potential students

why SU is the best choice for theircollege education. We hope to see theseparticipants as Sea Gulls during theirfuture classes.

Seldomridge and Webster Awarded MHEC NurseSupport Program-2 Grant Funding

Salisbury University’s NursingDepartment has received nearly$2 million from the Maryland

Higher Education Commission(MHEC) to develop web-basedleadership and communication toolkitsfor SU nursing students and practicingnurses at three hospitals on the EasternShore of Maryland. “Toolkits toEnhance Communication for NurseLeaders” will help students developleadership skills in areas includingconflict management, working withdiverse populations and advocacy

through interactions with standardizedpatient actors at SU’s Richard A.Henson Medical Simulation Center.Each toolkit will include learnerobjectives, facilitation materials foreducators, video vignettes enacted bystandardized patients (SPs)demonstrating effective/ineffectivecommunication, activities to encouragecritique/practice/refinement of newskills, and references. Scenarios enactedby SPs will feature several types ofinteractions including nurse-patient/family, nurse-nurse or nurse-

other health professional, and superior-subordinate. Beginning in late 2018, the toolkits

will also be available to SU’s partnerhospitals – including Peninsula RegionalMedical Center, Atlantic GeneralHospital, and University of MarylandShore Regional Health centers inCambridge, Easton and Chestertown –through a dedicated website for easyaccess anytime. Drs. Debra Webster and LisaSeldomridge are co-PIs on this four-year grant.

Continuing Education Course Offerings

The Richard A. Henson MedicalSimulation Center strives toachieve its mission of providing

education, promoting quality and patientsafety, stimulating research andscholarship, and integrating evidence intoclinical practice through the provision ofinvaluable simulation experiences forSalisbury University health professions

students and area healthcareprofessionals. Besides simulation, the SimCenter also offers continuing educationcourses. Courses from the AmericanHeart Association® in Basic LifeSupport, First Aid, BloodbornePathogens, Advanced Cardiovascular LifeSupport, and Pediatric Advanced LifeSupport are offered at the center. The

center also offers the NeonatalResuscitation Program from theAmerican Academy of Pediatrics®. Theclass schedules and registration can befound at https://webapps.salisbury.edu/simcenter/educ/. If you are interested ina course that is not currently on theschedule, please contact the Sim Center.

Worcester Technical School May 2017

For the second year, the studentsfrom Worcester CountyTechnical High School’s

Biomedical Class visited theSimulation Center in May.Approximately 20 high school juniorsmet Dr. Karen Olmstead (then-deanof the Henson School of Science andTechnology) and Dr. Lisa Seldomridge(director of SU’s Graduate andSecond Degree Nursing Programs) atthe Sim Center for discussions onhealth care and STEM fields.

Students enjoyed learning about howto succeed in their science-relatededucation and careers. Bill Severn, thestudents’ teacher from WorcesterTechnical School, and the studentsthemselves, were effusive in theirpraise of the visit. Drs. Olmstead andSeldomridge, and the staff continue tobe impressed by the students focus oneducation and their potential for thefuture. We hope to host this field tripagain in the future.

In July, middle school- and highschool-aged girls from the GirlsInnovation Academy were

welcomed to the Richard A. HensonMedical Simulation Center. Theseyoung girls, who all had interests inpursuing scientific careers, were givena tour of the Simulation Center and apresentation on popular and successfulhealthcare careers. Attendeesinteracted with the high-fidelitymanikins and saw how they would beused in a simulation experience. Theyalso viewed a video of SU students

interacting with standardized patients.Sim Center staff hope that this visitinspired the Girls Innovation Academyparticipants to continue pursuing theirambitions for a healthcare related

career and will soon be Sea Gullsutilizing the Simulation Center as partof their future education.

Girls InnovationAcademyJuly 2017

Medical Careers ClubApril 2017

The SU Medical Careers Clubvisited the Simulation Center tolearn how simulation is used in

healthcare education. Approximately 25Salisbury University students, withvarying interests ranging from medical

doctor to veterinarian, participated inthis hands-on experience. The centerreceived many positive comments fromthe students about the visit, ourfacilities, and their choices of healthcareeducation for the future. We look

forward to a return visit next spring. Aspecial thanks to George Taylor (studentpresident, SU Medical Careers Club)for helping organize this event.

Girl Scouts of theChesapeake BayMay 2017

The Girl Scouts of theChesapeake Bay visited theSimulation Center in May 2017.

Drs. Lisa Seldomridge and RobertJoyner provided discussion on healthcare and STEM professions followed bya tour and hands-on activities. Theattendees enjoyed the experience andlearned a great deal about futurecareers and college education.

MarylandInstructionalTechnologyProfessionals June 2017

In June, the Richard A. HensonMedical Simulation Centerwelcomed the Maryland

Instructional Technology Professionals(MITP) for a technology-focused tourand demonstration. Campustechnology professionals from acrossMaryland were shown how theSimulation Center incorporatesMyClasses Canvas®, CAELearningSpace®, various high-fidelitypatient simulators, telephone/intercom system and the simulatedelectronic health record (EHR) intoevery learning experience. Sim Centerstaff thank Jennifer Caddell (SalisburyUniversity A/V engineeringsupervisor and conference organizer)for including the Sim Center in theconference. It’s always a pleasuredemonstrating the capabilities of theSim Center and learning from thepeople who make the technicalaspects possible.

Research CornerJarosinski, J. & Webster, D. (2016). Acting with a purpose: Lived experiences of standardized patients portraying mental illness. Clinical Simulation in Nursing, 12(2), 539–545. doi: 10.1016/j.ecns.2016.08.005

Background: Competencies for psychiatric/mental health nursing include complexrelationship skills and responses. Development of these skills can be facilitated through theuse of simulations. Experiences with standardized patients (SPs) are a type of simulationwhere students can use nursing skills in a safe and supportive environment. However,authentic representation of the patient and scenario are essential. Authenticity requires SPsto immerse themselves in their role. However, little is known about the lived experience ofSPs portraying mental illness in behavioral health simulations.

Method: The day-to-day experiences of SPs portraying mental illness was explored in thisqualitative study. Using interviews as the primary data source, a qualitative,phenomenological perspective guided inquiry and analysis. Five SPs participated in thestudy.

Results: Four themes emerged: Sparks Something in Me, Building on Confidence, Stepping Into the Shoes of the Educator, andLetting It Get to Me. Participants described their original interest in working as SPs as an opportunity to fulfill a personalgoal and a way to help students understand what it feels like for the patient. Ranging in experience from 1-6 years,SPs reported on their growth in confidence in portraying their roles as they developed over time. As SPs became morecomfortable, they identified a new role-as educator. They identified student gaps in learning and became part of theteaching team. They also reported that the SP experience was difficult to shed and the difficulties of “shaking off ”their roles.

Limitations: Research at a single site with a small sample size and variance in the length of time each actor hadworked as an SP were identified limitations.

Conclusions: It is important to understand the issues and feelings of SP to create the best learning experiences forstudents. However, there are no recommendations for helping actors deal with resulting feelings associated withproviding a “real” experience for students. Recommendations include the use of targeted recruitment procedures,training protocols and debriefing for actors, and progress meetings.

Webster, D. & Jarosinski, J. (2017). A Walk in My Shoes: Using Art to Explore the Lived Experience of Psychiatric-Mental Health Standardized Patients. Journal of Psychosocial Nursing,55 (8), 39-47. doi: 10.3928/02793695-20170627-02

Background: The use of standardized patients (SPs) to teach mental health nursing skills isincreasing. Although the literature regarding the effectiveness of this teaching strategysupports its use, information regarding the effect of portraying mental illness on SPs islacking. While researchers have described the need to address psychological harm to studentsresulting from simulation events, there are not studies exploring the emotions and feelings ofactors portraying SPs. This study was undertaken to examine the effect of portraying mentalillness on SPs.

Method: After securing IRB approval, SPs were in invited to participate in the study. Each was asked to create anartistic expression (stories, poetry, comics, collages, photography, and pottery) of his/her experience in the role of anindividual with mental illness while engaging with nursing students. Interviews and artwork were the primary meansof inquiry. Five SPs, two males and three females, with 1-5 years’ experience as an SP, agreed to participate.

Results: Themes emerging from this study included: Walking the Walk with participants expressing a strong desire toaccurately portray an individual with mental illness; Photographs depicted a view of how the SP was seen by others-crazy, weak, helpless. Listen to Me which focused on the importance of attentiveness to them as patients and not justgoing through the motions; A comic strip format exemplified a pattern of student responses depicting a lack ofinterest and ability to engage with patients. See Me as a Person emphasized the SPs desire for students to see them as awhole person, not just someone with a mental illness. Poetry and a drawing illustrated the feeling of being lookeddown upon. Letting It Get to Me described the feelings of stepping directly into the shoes of the individual with mentalillness and the difficulty in letting it go. Using art and poetry, one SP described the necessity of feeling the pain thatthe patient feels in order to accurately portray the patient.

Limitations: Small sample size and one location were identified as limitations.

Conclusions: There is a burden associated with taking on the roles of individuals with mental illness. As noted bythe SPs, student indifference and lack of empathy were unexpected findings that need to be addressed. Having SPsdirectly involved in the debriefing process may be an important means for students to understand the importance oflistening and empathy.

www.salisbury.edu/henson/simcenter

In the late summer, with a bit ofserendipity and a stroke of luck, theSimulation Center was visited by

Dr. James Peipon, a long-time resident ofSalisbury and practicing pediatrician. Dr. Peipon is a professional acquaintanceand friend of both Drs. Joyner andSeldomridge, who had the chance towork and interact with him and hisfamily many years ago. He is currentlythe president and medical director for theUkraine Medical Outreach, Inc.(ukrainemedicaloutreach.org), whichprovides medical education with aChristian perspective. Dr. Peipon visitedthe Simulation Center to learn about ouruse of simulation in instruction ofSalisbury University healthcare studentsand surrounding practicing professionals.He was very appreciative of the staff ’s

sharing of the Simulation Center’scapabilities and let them know that hewould be taking some ideas back to theUkraine with him and may even contact

them in the future for more discussions. Itwas good to see Dr. Peipon and the staffwish him well.

Ukraine MedicalOutreach, Inc.August 2017

Eastern Shore Faculty Academy and Mentoring InitiativeMay 2017

The Eastern Shore FacultyAcademy and MentoringInitiative (ESFAMI) welcomed

eight participants from the May 2017Academy to the Henson MedicalSimulation Center. ESFAMI is a NSP-II grant-funded program that wasdesigned to help introduce andtransition expert clinical nurses into apart-time faculty nursing position.ESFAMI graduates will be wellprepared to be employed as nursingfaculty at colleges and universities andhelp address the nursing shortagenationwide. The ESFAMI Academyutilizes the Simulation Center threetimes over a six-week period for theirparticipants: an orientation night, asimulation night and a mentoringfeedback night. ESFAMI participantshave their first session in the SimulationCenter to orient them to the facility andits capabilities, give them informationabout the Academy program, and

introduce them to teaching techniques.The second night of ESFAMI at theHenson Medical Simulation Center isthe simulation night. ESFAMI utilizedfive standardized patient actors toportray typical nursing student/nursingfaculty scenarios in a clinical setting.Each ESFAMI participant hadsimulated encounters with two differentnursing students exhibiting behaviorsrequiring some intervention. All sessionswere video-recorded, with review,feedback and debriefing in a largegroup facilitated by experienced nursingfaculty. On the final night of the

Academy, the participants gavefeedback about the academy experienceand participated in group mentoringactivities and discussion using theinteractive technology in the newSimulation Center classroom. ESFAMIparticipants have commented on thequality of the technology and theirexperiences at the Simulation Center.As a result of this feedback, thestandardized student simulations havebeen expanded with plans for evenfurther development.

Faculty AcademyEASTERN SHORE

&Mentorship InitiativeEducating Clinical Nursing Faculty Since 2011