Table 1 Learning goals and contents of the surgical patient scenarios in the simulation game
SURGICAL PATIENT SCENARIOS IN THE SIMULATION GAME | ||||
LEARNING GOALS | ||||
Assess the patient’s preoperative state using the ABCDE approach. | ||||
Identify the special characteristics of the care of the emergency patient. | ||||
Identify signs of infection. | ||||
Prepare patient for surgery. | ||||
Assess the patient’s postoperative state using the ABCDE approach. | ||||
Recognize the symptoms of hypovolemia. | ||||
Recognize postoperative complications. | ||||
Assess the patient’s pain. | ||||
Identify the NEWS criteria. | ||||
Implement pain management. | ||||
Implement nursing interventions. | ||||
Perform blood transfusion in a patient-safe manner. | ||||
Reconstitute the blood product for the patient. | ||||
Monitor the patient’s well-being during transfusion. | ||||
Identify symptoms of anaphylaxis. | ||||
SCENARIO 1 | SCENARIO 2 | SCENARIO 3 | SCENARIO 4 | SCENARIO 5 |
Preoperative assessment of an orthopaedic surgery patient | Postoperative haemorrhage and hypovolemia | Postoperative assessment peripheral artery bypass surgery patient | Identification of disorders of vital signs according to NEWS in postoperative nursing | Blood transfusion of surgical patient |
Max score 115 | Max score 95 | Max score 195 | Max score 150 | Max score 76 |
A 70-year-old man with osteoarthritis in the left knee, type 2 diabetes mellitus, and previous heavy alcohol use. The patient has come to the surgical ward for the interview and preparations for the day of surgery. | A 70-year-old man with hypertension. Intestinal resection was performed under general anaesthesia today. The patient has been in the ward for 2 hours. The patient has IV infusion, catheter, and epidural pain medication. There is no discharge from the wound dressings. | A 70-year-old man with hypertension, Type 2 diabetes mellitus and ASO. Bypass surgery on the lower limb was performed yesterday. | A 70-year-old man. Laparoscopic removal of the gallbladder was performed under general anaesthesia today. The patient has a catheter and there is no discharge from the wound dressings. The patient rings the alarm bell. | A 70-year-old man with hypertension and hypercholesterolemia. Transurethral Resection of the Prostate (TURP) was performed on the previous day. Today, the patient has low haemoglobin (84 g/l). The doctor has ordered a blood transfusion. The patient is tired and has pain in the wound area. |