NUR104 Self Debriefing Questions

Instructions: In the ER simulation game, you assumed the role of emergency nurse Laila Stein, as she starts her day shift, assigned to room 1. The following is a series of questions to guide your reflection on your experience. These questions will help you express your reactions, analyze issues, and reflect on your performance, while making connections to future clinical practice.

There are 10 questions to be answered. It will take you up to 60 minutes to complete the questions. It is important to use your simulation summary report during this self-debrief.

What were your thoughts and feelings while playing the simulation game?

The game was very insightful to see how an ER situation would be. It was very interesting to do as well.

Did you play the simulation more than once and, if you did, was it helpful to you? How?

Yes, I played the simulation more than once. It helped to see different situations when choosing an answer for each section.

How did you feel in the role of the nurse Laila Stein during this simulation?

It was nice to be in her shoes and take care of patients in the matter of a simulation because I could redo everything even if I felt I second guessed myself. Doing a simulation in the emergency room was also interesting to do because sim at Fortis Hospital does not really involve the ER or triage.

What were your thoughts about triaging Roman, Abel, and Charlotte? Did anything surprise you?

It was nice to see how to actually triaging patients works and to actually do it for myself. Nothing about the simulation surprised me because that is how triage works – health care personnel have to prioritize patients to help everyone receive competent care in the matter of chronic versus acute pain or ABCs (airway, breathing, and circulation) for example. Triage helps those who need care get the care they need immediately and for those can wait a bit can we receive care when care is available.

Share what you learned in relation to establishing a therapeutic nurse–client relationship with Roman, Abel, Charlotte, and their families.

Therapeutic communication is something I struggle with, so the simulation helped me to work on that. Learning how to a triage a patient was a learning experience as well.

Share what you learned about interprofessional communication within the healthcare team. Did anything bother you about the interprofessional communication? How should the communication be improved?

I know that SBAR is very important and just to see how it is used in the emergency room setting was great. Learning to SBAR in emergent situations was a learning outcome for me.

Not everyone works their way through this scenario perfectly. What can you take away from the incorrect decisions/responses you may have made?

I have to focus on ABCs and such when it comes to triage.

In summary, the learning objectives of this simulation are to:

• Apply knowledge of physical and psychosocial factors when caring for pediatric and adult patients and their family members.
• Identify normal findings, abnormal variations, and potential complications of medical and surgical conditions, such as asthma, fractures, and Crohn’s disease.
• Prioritise care based on clinical assessments and findings.

What were your key learning points related to these learning objectives?

Definitely learning how to prioritize patients in an emergent situation was a great learning objective for me. Being in the ER, things are a bit more stressful and learning to deal with multiple patients at a time and putting them in triage is a great tool.

What will you take away from this simulation to incorporate into your clinical practice?

Even though things are considered to be emergent you still have to focus on triaging of patients, therapeutic communication, as well as getting to every part of the assessment as well as asking the right questions.

What questions remain unanswered for you in relation to this emergency simulation scenario?

I have no questions remaining after having completed this simulation multiple times.