NCSBN Simulation Guidelines for Prelicensure Nursing Programs

ncsbn simulation

The NCSBN Simulation Guidelines for Prelicensure Nursing Programs was just released! Check out this comprehensive list of guidelines for simulation programs! This document made available from the Journal of Nursing Regulation.

About this Document: The National Council of State Boards of Nursing (NCSBN) published the results of the largest, most comprehensive study to date concerning the use of simulation as a substitute for traditional clinical experience. Results of the study, which were published in 2014, demonstrated that high-quality simulation experiences could be substituted for up to 50% of traditional clinical hours across the prelicensure nursing curriculum. An expert panel convened by NCSBN evaluated the data gathered through this study, examined previous research and the International Nursing Association for Clinical Simulation and Learning Standards of Best Practice: SimulationSM, and used their collective knowledge to develop national simulation guidelines for prelicensure nursing programs. This article presents those guidelines, evidence to support the use of simulation, and information for faculty and program directors on preparation and planning for using simulation successfully in their nursing programs.

Written By: Maryann Alexander, PhD, RN, FAAN; Carol F. Durham, EdD, RN, ANEF, FAAN; Janice I. Hooper, PhD, RN, FRE; Pamela R. Jeffries, PhD, RN, FAAN, ANEF; Nathan Goldman; Suzan “Suzie” Kardong-Edgren, PhD, RN, ANEF, CHSE; Karen S. Kesten, DNP, APRN, CCRN, PCCN, CCNS, CNE; Nancy Spector, PhD, RN, FAAN; Elaine Tagliareni, EdD, RN, CNE, FAAN; Beth Radtke; and Crystal Tillman, DNP, RN, CPNP

Read the Full NCSBN Simulation Guidelines here!

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Using Simulators to Teach Patients – Nemours Children’s Hospital Leads the Way

using simulators to train patients

Parents dealing with new clinical care of their child requires a relaxed and safe learning environment. Nemour Children’s Hospital is brilliantly utilizing the power of simulation to safely train parents on clinical procedures for such child care. Using manikins provides stressed out parents with a calm way to practice new skills without the worry of hurting their child. Genius!

“The Nemours Center for Clinical Excellence uses high and low fidelity models to teach a parent how to care for her daughter’s tracheotomy. They also use the medical simulation tools to train school nurses on how to be prepared to care for students in public schools in Central Florida.”

Learn more about the Nemours Center for Clinical Excellence!

Johnson College Simulation Conference Recaps Suzie Kardong-Edgren Keynote on Why Simulation is so Important for Nursing

suzie kardong edgren

At the 8th annual Johnson County Community College Simulation Conference, Clinical Simulation in Nursing Journal Editor Suzie Kardong-Edgren PhD provided a keynote address which was highlighted on the college’s website. Suzie is one of the leading simulation champions in the world and is driving the future of our profession.

Article Excerpt:

To a packed house in the Capitol Federal Conference Center, Suzie Kardong-Edgren said, “We are all in this room concentrating on moving simulation forward.” Kardong-Edgren, internationally known for her research in simulation as a way to teach healthcare professionals, spoke as part of the Healthcare Simulation Conference Sept. 11 at Johnson County Community College.

The conference, now in its eighth year, allows healthcare professionals and healthcare educators explore and expand their understanding of simulation as a teaching/learning strategy that immerses the learner into the healthcare role as they provide care for the patient situation. Educating students to become nurses needs to change, she said, not only to respond to students’ needs but also to meet the expectations of patients.

“In the informal analysis, there’s nothing really new there (in nursing),” she said. A reliance on classroom settings, basic instruction and problems from textbooks isn’t preparing nurses for the world in which they’ll be employed, she said. Students also have started asking questions about the value of their education, she said. “There are rumblings of, ‘What are we getting for all this money we’re spending?’” Kardong-Edgren said. “And yet we are rearranging the deck chairs on the Titanic…why do we keep doing the same things over and over?”

Kardong-Edgren is professor and director of the Regional Research and Innovation in Simulation Education (RISE) Center at Robert Morris University in Moon Township, Pennsylvania. She also is editor-in-chief of the journal “Clinical Simulation in Nursing. She urged those in attendance to continue to lobby for even greater use of simulation in nursing education and other healthcare preparatory programs.

“Often we are the lone pioneers trying to drag (our fellow) faculty into the 21st century,” Kardong-Edgren said.

Read the Full JCCC article on Suzie here!

First Ever Research Specific to Healthcare Simulation Technology Specialists Published This Month in SSH Journal

sim tech research

Just received word from Sim Tech Rachel Bailey that the first ever research article about Healthcare Simulation Technology Specialists (Simulation Technicians) has been published in the latest edition of the Society for Simulation in Healthcare. “Defining the Simulation Technician Role: Results of a Survey-Based Study” was written by Rachel Bailey. Regina Taylor MA, CCRP, CPM, Michael FitzGerald PhD, Benjamin Kerrey MD, MS,Thomas LeMaster MSN, MEd and Gary Geis MD. You will need to be an SSH member to read the full article online, but the highlights are shared below:


Introduction: In health care simulation, simulation technicians perform multiple tasks to support various educational offerings. Technician responsibilities and the tasks that accompany them seem to vary between centers. The objectives were to identify the range and frequency of tasks that technicians perform and to determine if there is a correspondence between what technicians do and what they feel their responsibilities should be. We hypothesized that there is a core set of responsibilities and tasks for the technician position regardless of background, experience, and type of simulation center.

Methods: We conducted a prospective, survey-based study of individuals currently functioning in a simulation technician role in a simulation center. This survey was designed internally and piloted within 3 academic simulation centers. Potential respondents were identified through a national mailing list, and the survey was distributed electronically during a 3-week period.

Results: A survey request was sent to 280 potential participants, 136 (49%) responded, and 73 met inclusion criteria. Five core tasks were identified as follows: equipment setup and breakdown, programming scenarios into software, operation of software during simulation, audiovisual support for courses, and on-site simulator maintenance. Independent of background before they were hired, technicians felt unprepared for their role once taking the position. Formal training was identified as a need; however, the majority of technicians felt experience over time was the main contributor toward developing knowledge and skills within their role.

Conclusions: This study represents a first step in defining the technician role within simulation-based education and supports the need for the development of a formal job description to allow recruitment, development, and certification.

Congrats to Rachel and the team this is fantastic work!

Read the Full Sim Tech Research Article on the Journal of the Society for Simulation in Healthcare Website

Low Cost DIY Healthcare Simulation Recording / Debriefing AV System

low cost av system

The “Low Cost Sim” Team that brought you “Free Vital Sign Simulator” also has a DIY buildout for an affordable A/V recording & debriefing system. If you have a bit of tech experience and looking for a low cost temporary, or pilot, A/V system then this might be the solution for you. Remember, tech support will be limited during your installation, operation, and repair so keep that in mind when experimenting with new technologies that are “DIY”.

About the System:

“If you don’t have the big money, but are not satisfied with just a video camera, here’s the solution for you: The LoCo-A/V system! For a total cost of about 1000-2000$ you will get a four angle “quad-split” video recording plus audio. You can even add your vital sign monitor to the quad-split. The system is built out of widely available hardware and free video capture software. In my experience it works very well without any glitches so far!”

What you need:

  • Hardware:
    • A fast computer, preferably a multi-core processor
    • Up to four webcams (you should use different makes and models to avoid conflicts)
    • USB-extension cables
    • A microphone with extension cables (optional)
    • A video capture card (optional, should be supported by FFsplit)
  • Software
    • FFSplit for recording (free)
    • VLC Media Player for playback (free)

The page goes into detail with links to the components you need, and a tutorial on how to set it all up. Learn how to build this affordable AV setup today by visiting

The Low Cost Sim Website

SimAssess Medical Simulation Performance Evaluation Tool From KbPort

sim assess

I just learned of KBPort’s SimAssess which was created to bridge the gap between clinical simulation and visual debriefing. SimAssess provides educators with the means to assess each simulation experience quantitatively. The data-driven debriefing capability of SimAsses helps educators identify strengths and weaknesses individually, across an entire class, and across multiple classes.  This rubric-based assessment toolkit also increases efficiency, reducing the time it takes to evaluate by allowing educators to refer to a substantive description eliminating the need for writing long, descriptive comments. SimAssess eliminates uncertainty in grading and offers evaluative consistency across time, class groups and multiple graders. Learners benefit from exposure to performance expectations and standards, receipt of consistent feedback to improve performance and self-directed recognition of performance strengths and weaknesses.

The cloud-based, easy-to-use, flexible, rubric-based format of SimAssess offers educators and training personnel, the most efficient, powerful technology, that can be customized to fit any teaching style and fully leveraged to maximize learner potential.

Key Features:

  • Assessment – Effective assessment with RUBRIC scoring guide for timely and meaningful feedback. Automated scoring and comprehensive data analytics on learner’s key performance factors.
  • Easy Access – Assess on the fly with fast & easy R-CODE access for respondents. Eliminates scheduling to let educator / administrator focus on the complex task of running simulation.
  • In The Cloud –  Always accessible in the CLOUD and on any web-enabled device. Quick setup and easy to use. Includes latest firewall and encryption for privacy and data protection.

KbPort is a software and hardware development company. Their main focus has been in the medical training community where our founder has been designing recording, debriefing, and simulator solutions since 1994. They have a team of cutting edge engineers who have developed the next generation of simulation teaching tools. Along with their experienced sales team, they have cultivated teaching tools that are simple, realistic and most of all, functional.

Learn more at the SimAssess website today!

Level 3 Healthcare SimGHOSTS USA 2015 Keynote Address By Dr. Alistair Phillips Posted!

level 3 healthcare

At SimGHOSTS 2015 USA at Cedars-Sinai in Los Angeles this August, Level 3 Healthcare sponsored the opening keynote address by Dr. Alistair Phillips, MD, FACC, FACS Co-Director, Congenital Heart Program Chief, Division of Congenital Heart Surgery and Co-Director of Cedars-Sinai’s Congenital Heart Program and the Chief of the Division of Congenital Heart Surgery within the Cedars-Sinai Heart Institute. He is board-certified in surgery, thoracic surgery and congenital heart surgery. Dr. Phillips is interested in developing quality improvement programs with a family-centric approach. He spoke on the benefits of simulation, and the futuristic technologies Cedars-Sinai is using NOW to branch out into various departments within the medical center to support innovation and performance improvement.

About Level 3 Healthcare: 

Level 3 Healthcare provides advanced multimedia solutions in surgical environments, OR’s, ER’s, ED’s and simulation centers. This healthcare engineering group has pioneered designs in large simulation centers, digital operating rooms, telehealth, live HD video distribution, 3-D surgical theaters, recording, archiving, content management and video media retrieval systems. Level 3 Healthcare’s core competency is integrating the myriad of healthcare, simulation, broadcast and professional technology into a seamless, easy to use system, curriculum or application. Our approach is to work directly with our clients to understand their use and curriculum and then apply technology to improve efficiency, work flow and learning. Examples of our applications include; intraoperative surgical suites, digital O.R.’s, nursing simulation centers, procedure rooms, 3-D visualization facilities, clinical AV networks, campus-wide central recording systems and video conferencing initiatives for collaboration and critical decision making.

Learn more about Level 3 Healthcare, SimGHOSTS, and Cedars-Sinai!

CAE Healthcare Announces Exclusive Distributor Agreement for Strategic Operations Cut Suit

cut suit cae healthcare

This month CAE Healthcare announced the exclusive distribution of the Strategic Operations Cut Suit. Congratulations to everyone involved with this new partnership which will allow first responders and physicians to practice performing surgical and emergency procedures on patients with simulated traumatic, life-threatening injuries. With international reach and a massive sales team, CAE Healthcare will help to ensure the Cut Suit gains the demonstration presence it deserves in front of front line responders. Have you used the Cut Suit already? Write a Cut Suit review on medical simulation ratings and reviews website!

Press Release Excerpt:

Based in San Diego, USA, STOPS simulates medical response field scenarios through the “magic of Hollywood,” with hyper-realistic training environments that include special effects, role players and simulated wounds. STOPS has developed a line of medical products that can be worn by actors or Standardized Patients (SPs) to allow real-time interaction with a trauma patient. The Surgical Cut Suit and Tactical Combat Casualty Care (TCCC)/EMS Cut Suit vest can also be zipped around a manikin to add realism to a scenario.

“Strategic Operations has created a spectacular line of simulation products that complement our portfolio and can be used in conjunction with Standardized Patients and our patient simulators to add versatility to trauma training scenarios,” said Dr. Robert Amyot, President of CAE Healthcare. “Like CAE Healthcare, Strategic Operations has employed subject matter and clinical experts to create training tools for emergency medical scenarios that are common but impossible to practice on live patients with the shared goal of saving more lives.”

“We are pleased to be part of the CAE Healthcare extensive portfolio of training solutions,” STOPS Executive Vice President Kit Lavell said. “Our products are very complementary and I believe the market will respond enthusiastically to this new synergy.” The TCCC/EMS Cut Suit was developed for treating the three primary causes of death on the battlefield: hemorrhage, airway compromise and tension pneumothorax. The Surgical Cut Suit allows practice on a patient with severe internal bleeding or organ damage from point-of-injury through transport and surgical intervention.

We have previously reported about the Cut Suit from Strategic Operations while visiting Nellis Air Force Base back in 2011. Click here to read our full story.

The Cuit Suit From 2011

Read the Strategic Operations for more on the Cut Suit  and visit Strategic Operations for more on the Cut Suit

Supported Organization:

University of Arizona Medical Simulation Lab Allows Firefighters to Train for Mass Violence

fire fighter training simulated

Last week KTAR news out of Arizona reported on Fire Fighter training taking place at the Center for Simulation and Innovation at the University of Arizona College of Medicine – Phoenix. The scenario? Mass casualty shooter incidents. As horrendous as these events are to consider, simulation provides all civil service professionals with a way to train for the unthinkable. Does your simulation program have scenarios designed to teach the challenges of multiple victim gunshot wounds?

KTAR Article Except:

“Phillips was part of a group of firefighters receiving paramedic training recently through the lab, practicing on mannequins that simulate gunshot and knife wounds, collapsed lungs and more.

In light of recent violent events nationally, the Phoenix Fire Department wants each of its 1,600 firefighters to go through a mass violence simulation, said Austin Moreland, a firefighter/paramedic who helped lead the session. “It’s definitely a sign of the times that it’s becoming to where everyone needs to be prepared to be able to manage and be able to mitigate an incident like this at any time,” he said.

They’ll do that using simulation mannequins created to offer a realistic experience with medical emergencies. “Our management came up with the decision that we want to implement the tactical emergency casualty care guidelines that are now national guidelines that talk about how to deal with mass casualty incidents and shooter incidents,” said Joel Stevenson a firefighter/paramedic who also led the simulation training.”

Read the full KTAR news article here and let us know about your similar training!

Ontario Based SIM-one Provides Upcoming Course in ‘Simulation Research: Best Practices for Planning a Research Study’


This has been a week for upcoming simulation courses and workshop announcements. It makes us happy to think that five years ago there was only a handful of courses every year around the world to train clinical educators in the process of medical simulation, now there is a course a week! This latest training program is an ONLINE course that you can take from anywhere on getting into Simulation Research.

Simulation Research: Best Practices for Planning a Research Study is facilitated and led by leading simulation and health care education researchers across Ontario. Facilitators will coach course participants through the process of building a research study based on their research question or interest. They will provide guidance on practical issues such as method planning, grant applications, knowledge mobilization planning, and team building.

Wed, September 30 to Wed, November 18
Hosted Online
Course Fee: $495 CAN

This eight-week course includes video-recorded lectures, interactive live webinars with expert researchers, and review & questions periods. It complements the Simulation Research: Primer introductory course.

Who will benefit?

Have a defined research question or hypothesis, but not sure how to begin planning your study? Or, completed theSimulation Research: Primer course and looking for more information? Then this course is for you.

What will I learn?

  • Tips & tools for building research questions into concrete research study plans
  • Guidance on developing a research study, including creating a study design (qualitative & quantitative methods planning)
  • Choosing and validating the right measurement tools
  • Knowledge mobilization planning
  • Guidance on applying for simulation research grant proposal(s)
  • How to build a strong research team

Learning outcomes & benefits

Participants will become familiar with the core concepts for planning a research study, including:

  • Steps to investigate a simulation research question
  • Creating and critiquing a research study method/protocol
  • Documenting a research study protocol and knowledge mobilization plan
  • Identifying human and physical resources necessary to complete a research study
  • Drafting a grant application

Learn more about this and other SIM-one courses at their website today!