Action Planning

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Action PlanningMaking the Business Case for
Investing in Simulation

• Deborah Buttrum, RN, MSN
• Megan McClintock, RN, MS

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Objectives

• Identify specific ways to persuade administration
  to consider development of a simulation lab
  program.
• Construct a preliminary plan for approaching
  administration.
• Begin to develop a three year plan for your
  simulation lab including goals and
  funding/marketing ideas.
• Identify resources available for simulation lab
  development.

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Why us?
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Making an idea a reality
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YOU MUST HAVE A PLAN
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Persuading Administration

• Identify the hot topics for your administration
• Know your staff and their strengths and
  weaknesses
• Find some seed money
• Have an overall goal for the simulation lab

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Will they spend the money?

• Identify ways to make the lab sustainable
• Identify benefits of simulation
• Remind them it costs less in the long run
• Remind them we have to be competitive and/or
  innovative to make it in the marketplace
• Involve them in every step

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Presenting to Administration

• Research what has been done at other schools and
  hospitals locally and nationally
• Develop a polished presentation
• Consider your audience
• Know the financial impact

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HOW DO I DO THAT?
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Planning

• Assess your current situation
• For each of the next 3 years, identify
• Goal
• Plan
• Funding Ideas
• Marketing Ideas

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SIMULATION LINKING THEORY AND PRACTICE
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Current Lab

• 6 hospital beds (4-fully working,
  2-non-functional)
• 5 task-trainer mannequins (poor condition, parts
  missing)
• 1 moderate fidelity simulation mannequin
  (excellent condition)
• 1 large open room
• 2 wall units simulating bedside equipment
• Bed separating curtains (not installed)
• Used primarily for skills training in first
  semester
• Rarely used in other 3 semesters of program

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Summer 2008

• Goal To update current lab and be prepared for
  use throughout all 4 semesters of nursing program
  by August 1st
• Plan
• Establish lab director/coordinator
• Complete inventory of current equipment/supplies
• Visit several nursing simulation labs (OCCC, TCC,
  UCO, Temple, WELLS Center) to observe, consult
  and plan for our lab
• Work with faculty and equipment reps to identify
  needed equipment/supplies
• Redesign the physical layout of the lab to better
  resemble a hospital unit

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Summer 2008 (cont.)

• Purchase equipment/supplies with grant funding
• Obtain training on current and purchased
  equipment
• Inservice faculty on current and purchased
  equipment
• Work with faculty to integrate simulation into
  all nursing courses for school year 2008-2009
• Develop policies and procedures for simulation
  lab
• Work with faculty and simulation network to
  develop scenarios

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Year 1 (2008 2009)

• Goal Increase retention and increase
  enrollment, integrate simulation throughout the
  curriculum
• Plan
• Learn to use current simulation equipment to its
  maximum potential
• Continue scenario development
• Work with faculty to include simulation in every
  nursing course
• Begin updating outdated equipment
• Survey rural Western Oklahoma hospitals, nursing
  homes, ambulance services, and LPN programs about
  desire/funding for on-line LPN to RN program with
  centralized (or mobile) bi-weekly simulation labs

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Year 1 Funding Ideas

• Establish consortium with local hospitals (Park
  View, Kingfisher, Canadian Valley Integris) to
  obtain outdated supplies and equipment
• Establish a collaborative relationship with EMT
  department at RCC to utilize budgets, equipment,
  and supplies more efficiently
• Department of Education congressionally-directed
  grant
• RCC budget
• Student lab and supply fees (no longer having
  students purchase supplies through the bookstore)
• Nursing Foundation

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Year 1 Marketing Ideas

• Update current brochure to include simulation
• Update website to include simulation
• Create simulation video to show during recruiting
  sessions
• Promote/provide tours for high school student
  groups interested in health careers

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Budgeting

• Remodeling
• Equipment
• Equipment Maintenance
• Warranties
• Consumables
• Moulage
• Supplies
• Software
• Lab personnel

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Sample Spreadsheet
  Have Needs Wants Dreams
Big Equipment 4 beds with power Crash cart (1) Beds Ambulance
  2 beds without power Overbed tables (3) Crash cart (1) 18 wheeler for mobile simulations
  Mannekins Bedside trashcans (6) Head wall units (4) SimMan 3G (60,000)
  Crash cart (doesnt roll) Storage boxes/ shelves for supply room Telescoping curtains Atlas monitor
  Overbed tables (3 roll, 1 no roll) Mounted sharps boxes (4) Isolation cart EKG machine
  Bedside chest (3 new, 3 old) Mounted glove holders (4) Bedside chairs (6)           
  Trashcans with lids (2 ancient) Stretcher Gooseneck lamp  
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Sustainability

• Collaborate with
• Other schools
• Local hospitals
• Local healthcare agencies
• Community service groups
• Community leaders
• Find ways to make money
• Expand your program
• Think outside the box

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Resources

• Books
• Websites
• NLN
• Meti
• Laerdal
• INACSL
• Listservs
• Existing simulation labs
• Articles