Arizona State Board of Nursing Releases Advisory Opinion Regarding Use of Simulation in Approved RN/LPN Programs Based Off NCSBN Study

arizona state board of nursing

 

*Update: Watch here Clinical Simulation in Nursing Editor Dr. Suzie Kardong-Edgren’s announcement about a new Standard currently in development with SimGHOSTS leadership which will highlight the need for hiring and training Sim Techs.

Check out this recent advisory opinion written by the Arizona State Board Of Nursing which is taking notice from the NCSBN National Landmark study which suggested up to 50% of clinical learning hours could be substituted through simulation. Has your State Board of Nursing reviewed the study to see what their recommendations are yet? Encourage them to follow suit by forwarding these results on to your state representatives!

About the Opinion

An advisory opinion adopted by AZBN is an interpretation of what the law requires. While an advisory opinion is not law, it is more than a recommendation. In other words, an advisory opinion is an official opinion of AZBN regarding the practice of nursing as it relates to the functions of nursing. Facility policies may restrict practice further in their setting and/or require additional expectations related to competency, validation, training, and supervision to assure the safety of their patient population and or decrease risk.


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The Advisory

Approved RN and LPN programs may use simulation, along with actual patient care, to meet clinical objectives. Consistent with A.A.C. R4-19-206 (D)(2), simulation may not be used for an entire clinical experience. Programs reducing clinical patient care hours need to carefully evaluate whether the amount of patient care hours is sufficient to apply core principles of nursing to each population as required in R4- 19-206 (D)(2). If clinical time in a specialty is already very limited (less than 30 hours), simulation may only be used to augment patient care hours. In such situations, substitution of any clinical time for simulation may result in both inadequate simulation and inadequate actual patient care experiences. Programs offering less than 30 hours in a clinical rotation and wishing to substitute any of those hours for An advisory opinion adopted by AZBN is an interpretation of what the law requires. While an advisory opinion is not law, it is more than a recommendation. In other words, an advisory opinion is an official opinion of AZBN regarding the practice of nursing as it relates to the functions of nursing. Facility policies may restrict practice further in their setting and/or require additional expectations related to competency, validation, training, and supervision to assure the safety of their patient population and or decrease risk. 2 simulation should consider asking for a rule exemption under R4-19-214, Pilot Programs for Innovative Approaches in Nursing Education.

Programs incorporating simulation are expected to adopt the standards of the International Nursing Association for Clinical Simulation and Learning (INACSL, 2013) or a later version in its entirety. Programs are encouraged to explore the use of additional evidence-based theoretical frameworks and models that support successful achievement of simulation objectives.

Programs who meet the above criteria may substitute simulation, using simulators or standardized patients, for a portion of clinical time if the following requirements are met.

Read the full press AZ State Board of Nursing Advisory Here!


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Featured Job Posting: Simulation Education Specialist at Arizona St. Joseph’s Hospital

simulation job

Looking for a new position in medical simulation? Today we have a featured job posting from Dignity Health out of Arizona which is a featured position from our medical simulation jobs listing page!

Simulation Education Specialist:

At St. Joseph’s Hospital and Medical Center, part of Dignity Health, we provide a wide range of health, social and support services in the heart of Phoenix, Arizona. In addition to being a nationally recognized center for quality tertiary care, medical education and research, we’re consistently named an outstanding place to work. What’s more, AZ Business Magazine recognizes us as one of Arizona’s Most Admired Companies. So if you’re ready to join a healthcare organization that’s respected both locally and nationally, pursue the following opportunity:

In this position, you’ll help design and implement simulator-based educational/training activities to improve the overall performance of personnel providing medical care. This will involve developing simulated scenarios, troubleshooting operating systems and equipment, and identifying, implementing and managing hardware, software and multimedia resources that will enhance the operations of our simulation center. Bring your unique talents to our tight-knit team, and make a big impact on our future and yours.

Qualifications:

  • A bachelor’s degree in a relevant field
  • 5 years of professional experience related to medicine, nursing and/or emergency response

Preferred qualifications:

  • A master’s degree in a relevant field
  • Certification in simulation education
  • Current AZ RN licensure
  • Experience with AV simulation and scenario development software
  • Experience operating task trainers as well as low- and high-fidelity simulations/mannequins

We offer a competitive salary and a generous benefits package that includes comprehensive medical and dental plans, matched 403b retirement and pension plans, and much more. You also may be eligible for an incentive plan after your first year of service.

For more information, visit us at www.dignityhealth.org/stjosephs or contact Jackie Schierenberg at Jackie.Schierenberg@DignityHealth.org.

Learn more and apply directly here!

Social Media Mixes with Manikin to Improve Maricopa Nursing Program

Hey Champs! Just read a great article on pages 4 – 5 of the Summer 2011 edition of NLN’s “Voice for Nursing Education” Member Newsletter entitled “Who in the World is Stella – And Why Do Students and Faculty Love Her?”

Maricopa Nursing Manikin Persona

The article shares how Diana Breed, MSN, RN, and Karin J. Sherrill, MSN, RN, CNE from the Maricopa Nursing Program at Mesa Community College in Arizona have created a virtual persona for Stella, a 15 year old manikin, and her simulated family.  Using Facebook and blogposts, Diana and Karin provide encouragement and reassurance to Maricopa Nursing students suggesting “the skills lab will be available if you want extra practice”.

The NLN article continues to share the benefits of crafting this online persona:

“From the nurse educator’s perspective, Stella’s value is three-fold, according to Diana, the lead instructor for third-semester students in what is a four-semester program leading to licensure.

First, said Diana, Stella’s Facebook postings link the different blocks of MCC nursing students, fostering networking among students who wouldn’t ordinarily communicate with one another. “Stella sends messages to students in one block that will be seen by students in a different block,” she explained.

Second, Stella can be a very effective as an educational tool to promote critical thinking, as… students chime in… [with answers to critical thinking questions].

Finally, Diana noted, messages posted on Stella’s Facebook page can be a window into difficulties students may be having that they are reluctant to share with faculty off line.”

What a great way to engage students with simulation! Don’t forget to join me in becoming friends with Stella on Facebook!


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