The major problem I anticipate will be the lack of a ...



SECTION I: SCENARIO OVERVIEWYesNoScenario Title, Authors & credentialsYesNoOriginal dateValidation level/Revision dateYesNoEstimated time Target groupBrief summary of caseSECTION II: CURRICULAR INTEGRATIONLearning ObjectivesYesNoPrimary ObjectivesYesNoSecondary ObjectivesYesNoCritical ElementsYesNoQSEN, TeamSTEPPS Competencies Practice Specialty CompetenciesEvidence BaseYesNoCitation in APA formatClinical Expert ReviewSignaturesCommentsPharmacology ReviewSimulation Expert ReviewPre-Scenario Learner ActivitiesPre-scenario assignments appropriate for learners at program levelLearner resources clearly identified prior to simulationKnowledge, Skills and Attitude competencies identifiedGeneral Debriefing PlanYesNoDebriefing method specifiedYesNoDebriefing guidelines and groundrules availableYesNoSuggested debriefing questionsScenario DataCore concepts includedPatient SafetyLeadership/DelegationCommunicationPriority SettingCultural DiversityPatient TeachingQSEN/IOM competencies includedTeamSTEPPS competencies includedSafetyPatient Centered CareQuality ImprovementCommunicationTeamwork/CollaborationInformaticsScenario plausible (realistic)Origin of case scenarioCase data appropriateMedications appropriateCritical Thinking/Decision Making skills required appropriate to levelLab results appropriateDosages accurateSCENARIO SCRIPTCASE SUMMARY - Sufficient data to present overview to those running scenarioYesNoCONTEXTUAL DETAILS - Scenario cues/triggers based on desired outcomesYesNoSCENARIO CAST - SPECIFICATIONSType of Simulator specifiedYesNoLearner Roles specifiedYesNoConfederate (Actor) Roles/Script includedYesNoPATIENT PROFILESufficent information for realistic scenarioYesNoComments:SIMULATION TEAM INFORMATIONBASELINE SIMULATOR STATE DATA COMPLETEPhysical appearanceVS Monitor displayIV linesNon-invasive monitorsOther simulator monitorsSIGNIFICANT MISSING DATA: (Specify)ENVIRONMENT, EQUIPMENT, ESSENTIAL PROPS COMPLETESetting specifiedConfederate placement with triggers identifiedEssential equipment specified to be availableRespiratory therapy equipment/devices specifiedEssential props with triggers identifiedDocumentation forms specified with dataMedications available with correct/incorrect options if specifiedIV delivery systems available with correct/incorrect optionsRUNNING THE SCENARIOCASE FLOW/TRIGGERS/SCENARIO DEVELOPMENT STATESSufficient detail in each case flow sectionDebriefing points identifiedLearner Actions clearly identifiedResources available to run the scenarioProgramming complexity at sim staff levelSufficient detail for non-authors to run scenarioRECOMMENDATIONS:VALIDATION LEVELREADINESS FOR PILOT TESTINGYesNoRecommendations: ................
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