Electromagnetic Interference and Simulation Best Practices, Exams of Advanced Education

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CHSOS questions and answers Practice 1 update

Electromagnetic Interference When one electirc device interrupts the function of another electronic device in the radio frequency spectrum Assess the presentation of the simulation activity with the simulation team - this allows team to gather more info from multiple sources. THe team will likely have insights to curriculum, participant experience, and sim activity concepts that would help determine the beset course of action to improve the activity. Modifying the activity at this point is inappropriate as it could create more problems without the core problem being identified. Interviewing the participants is inappropriate because they have already provided feedback Feedback from particpant evaluations of a simulation activity are positive except for the ratings on perceived reality compared to real patients. The operations specialist should first ________ Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0: / 0: Full screen Brainpower Read More "The PT has gone into cardiac arrest, so vocalizations cease." - When a PT is in asystole, heart and respiratory function is absent and therefore PT is unconscious

An OS is training a new hire who is sitting in the control room during a scenario in which a sinus rhythm converts to asystole. Near the end of the scenario, the PT stops vocalizations. The new hire asks the OS why this happened. What is the best response? Light source is behind the subject will result in an under-exposed image. If the light source is behind the camera, this may result in an over-exposed image. An OS notices that one of the cameras in the sim lab is transmitting an under-exposed image. Which is the most likely cause? Implement an inspection and cleaning schedule - supports early recognition of problems before they become major issues. Troubleshooting and warranties are solutions after a problem is identified. Limiting simulator use is unfeasible. Which of the following would be the best way to prevent equipment failures for new simulators? Quantitative research - based on numbers. Qualitative research aims to explain a phenomenon or is used to gain insight. For example, what are the participants attitudes toward breaking sterile technique. The OS is assisting in a research study to determine how many participants maintain sterile technique during a Foley catheter insertion. What type of research is performed? Medication administration The OS has been asked if there is a simulation activity on file to assess competency of the "five rights." The OS knows this refers to ______ Educational goals - Objectives are the tools that guide the learning experience. In order to develop appropriate scenario objectives, educational goals must be defined. This allows the participant to achieve the desired outcomes of the simulation experience. Scenario objectives are selected based on the ________ On the Fly What operation philosophy requires the operator to make all changes to the simulator during a scenario? Which is an RCA coupler?

Performance feedback - unidirectional, meaning the educator provides one-on-one assessment of the learner identifying gaps in their performance based on set standards without opening a dialogue with the learner The OS is working with a simulation educator to complete evaluative scenarios with students who will soon be graduating from a program of study. At the end of each students' scenario, the educator provides the student with a review of their actions during a scenario. The OS recognizes that this is an example of _______ Debriefing Bi-directional interactive discussion. It is facilitated in a manner that encourages learners to reflect on activities, discuss areas for improvement, and assimilate knowledge and skills. The scenario on file to be converted, and amended to include the new feature - this takes advantage of the previously validated scenario while allowing for the new features to be incorporated An OS has been informed that the older full body simulator is being replaced. A current preprogrammed scenario can be converted for use with the new simulator's control software. A new featur not previously available in the older simulator will improve scenario fidelity. The OS should recommend what? Alert the participant to clear the bed and remind the group that the shock is not simulated - safety is paramount The OS is an embedded standardized participant in the role of a nursing assistang during a simulation scenario. The OS notices the participants have a fully charged live defibrillator. One of the participants has their back to the device, is doing chest compressions on the simulator, and continues to do so after "CLEAR" is called. What should the OS do? Centralize all materials to one location where they are secure, but available to OS - ensure conssus, version control, and to minimize the risk of tampering with the content of reference materials. This also ensures availability of materials. What would be the best strategy for maintaining technical and operating manuals for simulation equipment? Yellow - CSF is normally clear, but yellow with high bilirubin The sim educator requests a task trainer for an activity involving lumbar puncture on a patient with a high bilirubin. the OS should prime the task trainer with what color simulated CSF? Meet the manufacturer's specifications for the simulator - incorrect lube may void the warranty or damage the simulator When selecting a lubricant to use during an intubation simulation scenario, the lubricant must

Talk to the simulation facilitator about the importance of debriefing - debriefing time must be greater than or equal to time spent in the scenario. Research demonstrated that learning occurs the most in debrief. It is the OS' responsiblity to reinforce the standards. Modifying the schedule is unfeasible becasue it is pre-determined and would impact the learning of other participants. A simulation activity is exceeding the amount of time originally scheduled and there is not enough time to facilitate a full debriefing session. The sim facilitator informs the OS the debriefing will be omitted to allow more time for the activity. The OS should ______ A task trainer and a standardized/simulated PT - Actor would portray anxiety and task trainer allows participant to perform the task while engaging with PT The sim educator requests an activity that requires the learner to interact with an anxious PTG while instarting and IV. Which sim modality would be most appropriate? jpeg - provides compression. Raw, bmp, and eps do not compress An OS has a digital x-ray. Saving it as which of the following will result in the smallest file size? The policies of the center on the use of resources - Opinion of sim center director, past practice related to donating supplies, requested supplies will be returned in a timely manner could cause inconsistent practices and damage/loss of resources An OS is asked to provide medical supplies for an outside event. What consideration is most important to the OS' response to this request? Perform a root cause analysis - provides formalized mechanism for problem identification and action planning An OS has been requested to perform four days of simulation that utilizeds the simulator that frequently fails after two days of use. The simulation is scheduled a month from now. What should the OS do? Alignment of schedules - volume of participants needed is typically higher than single-professional activities. Coordinating the schedules of professionals from various groups is often more complex and less flexible. Availability of equipment, faculty, and cost may all adjust the activity, but without the participants, the activity cannot occur. Which is a common initial barrier to interprofesional education? Increasing the realism of simulation scenarios - increases participant engagement. When participants are engaged, they are more likely to retain informationand perform steps as they would for real patients. Using full body platforms may not support the desired fidelity for the activity. Encouraging quiet may provide a preferred learning environment. Allowing many participants to interact with the simulator willnot impact individual performance. Transfer of training from simulation to human patient care can be best enhanced by ___

Protocol - Packets are the communications that are sent. A query and application are end points in network communication. What is a set of rules that enables effective computer network communications to occur? Validity - extent to wchich a concept, conclusion, or measurement is well-founded and corresponds accurately to the real world Piloting a simulation activity to ensure that it meets the learning obvjectives supports which concept? Delete the browser cache - Some internet clients save a cached version of a webpage which will load even after an update has occured. To reset, it is recommended to delete the browser cache so that the website can be reloaded with the updated information. Rebooting will not delete the cache. An OS is working with a web-based application and notices the webpage is loading oudated content after an update. What is the best course of action for the OS? Set up debriefing in a separate room - From a functional perspective, conducting debriefing in the same room as the simulation will cut into the time the OS has to reset the room, the room may not be set up in a way to allow for debriefing. From a psychological safety perspective, having debriefing in a separate room allows for the participant to detach from the activity. The simulation edcuator has requested that thte OS incorporate debriefing in the same room as the simulator. The OS should recommend which of the following? 123.13.153.168 - numerical label used to identify a computer or device within a network Which is an example of a computer's Internet Protocol (IP) address? Standardized/simulated patients should be asked about any allergies before moulage is applied - safety is priority The OS is asked to apply moulage to standardized/simulated PTs for a mass-casualty drill. Which of the following is the most important consideration? Research ways in which expired medicine can be disposed appropriately An OS received vials of expired medications to dispose of and refill with saline. There are no policies in place for disposal of medication in the facility. How should the OS proceed? Advocate for simulation program needs - Efficient utilization of finances and business practices requires a needs assessment. Funding, storage, and preparing old manikin for trade in can be initiated after needs assessment and may be out of scope for OS A simulation team member requests the purchase of a simulator to increase in continuing education participants. What is the most important priority for the SO in this situation?

Software that supports a computer's most basic function - may include scheduling tasks, executing applications, and controlling peripherals Which of the following best describes a computer operating system? Support Improved Scenario Design - Individuals have different learning styles. With improved understanding of the styles, the simulation activity can be enhanced to address these and improve the outcomes of the experience. For example cueing within a scneario must consider various learning styles such as auditory, vidual, kinesthetic, tactile, verbal, or linguistic, socieal, etc. The OS needs to understand learning styles in an effort to _______ Simulation experience surveys - retrospective evaluations of the experience of the program. All other options are not gathering data on what happened, but are trying to predict what wil happen, so evaluations about the program are not occuring. Which of the following data collected in day-to-day simulation center operations would be most appropriate for use in program evaluation research? PT privacy - Risk of injury, PT care cost, simulator placement DO NOT relate to ethics. Which of the following is the most common ethical consideration when preparing for hospital-based in situ simulation? Select the simulator that supports the learning objectives - Best practice indicates that learning objectives drive modalities. Which of the following is the most important consideration when choosing a modality for a simulation scenario? Scenario to be re-evaluated - objectives guide the learning and intended outcome of a simulation experience. When incorporating a new objective, in this case cultural competency, the scenario needs to be re-evaluated to make sure objectives can be met. Other options may be appropriate after the re- evaluation process has deemed them necessary. Integrating cultural competency into the objectives of an existing simulation-based experience requires the ______ Task-trainer - They utilize active learning principles that are not exhibited in video clips or didactic sessions and a full-body simulator will be appropriate once the skill is mastered and incorpirated into a case scenario. An OS is setting up a basic airway management simulation for high school students enrolled in an EMT course. What is the best modality for this session? Community discussion forums - They facilitate the exchange of information and are most likely to contain the most current information.

Which of the following is the best resource for learning about emerging practices in healthcare simulation? Advocate for allocation of a budget for training - Suggesting sim center host a conference, networking with a local OS, and asking the vendor rep to conduct training may not occur on a continuous basis to support continued education. OS are personally responsible for their professional development and need to advocate for themselves. The simulation center does not offer professional development for operations specialists. What is the best option for the operations specialist? Have the participants sit down and call for help - It is unknown why so many participants are having problems, and this could be a serious event. In an early morning simulation experience, several of the participants complain of feeling faint and nauseated. What is the best action for the OS to take? Ensuring accurate cable connectivity for equipment - OS is having to use a higher level of technical knowledge to connect devices, understand compatibility, and limitations. Having access to manuals, keeping vendor contracts, and taking inventory will allow for demonstration of this high-level understanding. An OS demonstrates functional awareness of technologyes by _________ Run the simulation as designed because these genetic conditions are likely to be faced in the real world. Informing the educator may be a breach of participant confidentiality, and informing the participant may disclose too much info in the scenario. Changing the condition represented in the scenario may impact learning objectives. A simulation educator has designed a scenario that specifies a patient with a genetic condition. The operations specialist has information that one participant has the same condition. What is the best course of action for the OS? MAC (Media Access Control) - unique identifier that allows the network card to be identified on a network A unique address usually assigned by the manufacturer to a network adapter of a device is called ______ Maintenance Agreements Company specific tomanikins, A/V, and healthcare equipment supplied to your sim center Soap and water/damp cloth To remove med tape residue on manikin skin: Task trainer AND standardized/simulated PT

What simulation modality would be most appropriate for scenario that requires performing a colonoscopy on a conscious PT? Turn off manikin and recharge batteries Which would you most likely do while performing daily maintenance after using a manikin? DVI (Digital Video Interface) Which does NOT carry both HD audio and video resolution in a computing environment? Corrective Maintenance Maintenance task performed to identify, isolate, and RECTIFY a fault Identify the problem When a simulator quits working, by following troubleshooting, protocol, the very first thing to do is

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Remove the simulator from use to protect the asset and ensure participant SAFETY SOS discovered an area of exposed wire created when the battery of a simulator was installed improperly. FIRST thing to do is ________ Confer with the educator - once posterior sounds are confirmed essential, then consider next step An educator submits a scenario that requires anterior and posterior lung sounds on a pediatric simulator but the simulator does not have posterior sounds. What is the BEST course of action? Random Access Memory (RAM) Volatile memory Haptic systems malfunction Educator informs SOS that a laparascopic simulator has stopped giving feedback through instruments. Malfunction is BEST explaine as _____ Performing an equipment orientation pertinent to the course - most course authors and educators are not well versed in sim equipment and it is the responsbility of the staff to provide orientation specific to their course requirements

Which is an important function of OS during the course development process when working with course authors and educators? Inform the educator of the policy and take the equiopment to clinical engineering before use The sim center policy is that all clinical equipment must be checked by engineering before use. A nurse educator has brought an old Alaris Pump that was last checked within six months and states she would like to use it during an upcoming simulation. Which is the best response? Preventive maintenance The care and servicing by personnel for the purpose of maintaining equipment Replacing a faulty microphone in the master control room An example of corrective maintenance Inventory list, routine maintenance checklist, a scheduled routine maintenance day, routine maintenance log - sim equipment should be treated like regular PT care equipment that requires scheduled inspections Routine maintenance should include: Decrease perofmrnace anxiety, explain, capabilities and limitations of equipment and set the tone for a safe learning environment Why should an OS provide hands-on orientation to the sim equipment? Company specific to manikins, A/V, and healthcare equipment supplied to your sim center What are maintenance agreements? Always use a simulator that best meets the goals and objectives of the learning event - OS utilizes sim resources effectively in regards to budget In what way can an OS best prevent underitilzation and overbuying of sim equipment? Immediately STOP the simulation and CORRECT SAFETY HAZARD to avoid injury While operating a simulation, you see unsafe practice about to take place with a live defibrillator. What should OS do? The OS will be responsible for operation of the mannequin and can ask questions during the setup, set up passwords, and label/store accessory parts Why is it important for the OS to be present during intial setup of new mannequins? Risk Management

The sim educator asks OS to review an assessment of a simulation to be used to help reduce injury to PTs. This undertaking was most likely the result of what activity? Reliable An assessment tool used to evaluate learners' performancde during a simulation scneario produces stable and consistent result each time is ______ Using HUMAN FACTORS engineering to improve PT safety A sim scenario is designed to practice using a checklist as a means of ensuring that safety steps are performed in the correct order during a massive blood transfusion case is an example of _____ 10 hours Each contract hour is equivalent of 60 min of organized learning. How many hours of formal learning does each CEU represent? Red next to green - best scholor scheme is light and graphics on dark backgrounds. Common background colors include gray, blue, forest, green/teal, maroon, black. Text is white, cream, yellow, or light blue. Magenta orange, bright yellow for highlighting. An often overlooked aspect of preparation is color in presentations. One consideration relative to color usage is considering potential that some may be colorbrind. Avoid using ______________ Mentoring a new OS What would best demonstrate leadership activities of an OS Controlling costs - While it is possible that interdisciplinary collaboration will reduce redundancy and create training opportunities, these are not primary objectives of the endeavor. Individual accountability is not reduced, and may in fact be enhanced, as individuals function effectively on interdisciplinary teams. An essential element for developing and maintaining a successful program is the ability to work with a diverse interprofessional group and promote collaboration through simulation activities. Research suggests that collaboration improves PT outcomes, satisfaction, and healthcare providers' job satisfaction while _______ Closed loop feedback Which is an aspect of effective communication within simulation team? 30 - Each visual should only contain one or two typefaces use both upper and lower case to allow for contrast and easy read. To ensure legibility, bold, italics, and underlining should be used with care. Powerpoint recommended font size

1. Formal academic education
2. A period of clnical education, consider apprenticeship
3. Learning while doing during individuals early work setting NOT meetina and spending time with coworkers/supervisors Professional socialization is the term associated with this element of professional growth and development. New members of a profession typically go through three phases during the process. Interprofessional education A learning process intended to help students learn from and with students from other professions is an example of _____ - When students from two or more professions learn about, from, and with each other to enable effective collaboration. The drill provides an opportunity to advocate for the use of simulation within the community An OS is approached by local PD regarding borrowing manikins for a drill. What is the most important aspect ton consider? Stop the scenario A scenario requires a femal pelvic exam utilizing standardize PTs. It is in direct conflict with the values and beliefs of learners. The OS should ____________
4. Standardized PTs info
5. Learners' performance during the simulation
6. Simulation scenario being utilized
7. Information related to results of research A faculty member is conducting research in a sim center involving undergrad student nurses' interactions with standardized PTs during a health assessment. the OS knows that confidentiality MUST be maintained for data related to _________________ Using human factors engineering to improve PT safety A sim scenario is designed to practice using a checklist as a means of ensuring that safety steps are performed in the correct order during a massive blood transfusion case is an example of

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Problem Identification Critical analysis of healthcare need or issue. Ex. Two PTs have had poor outcomes following cardiac arrest. The code team did not appear to communicate effectively and no one emerged as team leader Needs Assessment

Identifying a gap between actual and ideal performance to include interviews, focus groups, questionnaires, direct observation, tests, and audits. Ex. The educator will interview the individual team members to determine areas of strength and opportunities for improvement in communication. Educator will directly observe communication skills in the next five codes to evaluate current practice Identification of goals Broad statements of representing overall purpose and desired end result. Ex. The team leader will be designed and lead the code. Creation of Learning Objectives Specific and measurable statements that includes: who will do how much (how well) of what by when. Ex. During practice, the code team wiill select the team leader to run the code in the first two minutes of every scenario. Implementation Content and educational methods are determined based on the stated goals and objectives. Methods are learners, computer-based learning, team-based learning, role playing, simulation, reflection on performance, and learning projects. Execution of educational strategies. Ex. The code team is asked to complete a computer-based learning module on team roles, and then participate in an interprofessional simulation of three cardiac arrest scenarios. Development and execution of educational strategies. Ex. Educator creates computer-based learning content and the simulation scenario based on current evidence. Code team members complete educational sessions. Evaluation A method to determine of goals and objectives are met. Methods include questionnaires, post tests, group discussions, direct conversation, and performance audits. During simulation, participants will be monitored to see if a team leader is assigned in the first two minutes (objective) during every code documentation will be auditated to to evaluate if team leader is identified Adults have a need to be self-directed: Adults have responsibility for their choices. This includes what, when, and how they want to learn and develop. Which is a key assumption from Malcolm Knowles Kinesthetic Adults have preferred learning styles. A person who prefers to do rather than watch or hear Reviewing individual performance Debriefing can be used for ________________

Acknolwedge everyone's frustration and refocus discussion to the session objectives - Blowing off some seteam by the participants is part of the debriefing process but the facilitator should ensure that it does not become non-productive or harmful. Refocusing the attention to the objectives and performance gaps can help maintain structure. You are assisting in the facilitation of a post simulation brief, you notice that the group is focused on blaing each other which is resulting in a non-productive discussion. In order to reign the group back in, you can _____________________ Comprehensive simulation based education - Educational meetings and courses alone or combined with other interventions can improve professional practice but seem to have little effect on complex clinical behaviors. Simulation based education has also been shown to benefit clinical outcomes while providing a contextually rich, learner centered in environment in which real-time feedback can be given. What has proven to be the most effective educational approach to ensuring practice modicifactions relative to clinical performance and impacting complex clinical behaviors? Demonstrating progressive improvement of the presenation over time - Whether it is the completion of formal graduate course, a credentialing process, or a formal CE program, the learners are expressly required to reflect on the nature of their learning experience. In the absence of this reflection and feedback, incidental, informal, and non-formal forms of learning lack systematic, internal mechanisms for improving the process or content associated with them. As a result, they cannot profit from this recursive feedback process or demonstrate improvement across time. Formal learning experience typically require an element of reflection on the learning experience as well as provision of critical feedback regarding the delivery and effectiveness of the skill, task, or knowledge presented. This structured aspect of formal education delivery is essential for _____________ Cognitive - the acquisition of knowledge and its application Knowledge, skills, and attitude (KSA) are domains of learning. Bloom referre dto these as cognitive, psychomotor, and affective. The ability to perform a procedure, like starting an IV, is addressing which learning domain? Stop the simulation, explain the failure to learners and debrief on met objectives While running a simulation, the simulator suddenly fails. Almost all objectives were met. What is the proper course of action? Evaluate - Level 5. Highest level is Create at level 6 Which is the higher order of thinking skills in Bloom's Taxonomy? Performance gap

You are facilitating a "Failure to rescue" simulation for nurses. One of the primary objectives is to identify the deterioration of the PT and call for help. The nurse did not call for help until the PT went into cardiac arrest. Failure to recognize signs of deterioration are exmaples of _________________ Calibrate the device A learner practice suturing on a virtual laparascopic simulator with haptic feedback states that they are receiving feedback when they are not near the tissue. HOw should the OS proceed? Within the policy and procedure of a simulation center Which is an appropriate method to address expectations and conduct of learners? Ask the publicist to go through the proper management channel according to the policy An employee from the public relations department approaches an OS to obtain a simulation recording. the OS should ___________________