You will be assigned to different clinical simulation exercises depending on your specialization and nursing school preferences. During the Digital Clinical Experience sessions, students can interview virtual patients, collect and synthesize findings on an electronic health record, and engage in debriefing activities after the virtual patient assessment. If you want to succeed in the entire set of activities, below are some tips:
1.Read the Instructions
Before undertaking any digital clinical experience simulations, the first step is to ensure that you understand the instructions.If anything is unclear, consult your instructor early enough or inquire with your peers who might better understand.Discover what steps to take and how to undertake every activity or submit the final results. If you are dealing with a specific patient, try to understand their patient history and the objective of the special assessment.
2.Prepare Well
You must also familiarize yourself with the patient’s symptoms, medical history, significant underlying health problems, last healthcare visit, allergies, and other relevant information to help you complete the assessment successfully.
3.Focus
When undertaking the assessment, stay free from distractions such as the urge to check your phone, noises in the room, or straying away from your screen.You must select a distraction-free environment to complete the exercises, or you risk missing the main points and ideas.If the purpose of the assessment is to obtain a pre-employment physical before initiating employment, ensure that you understand how to facilitate or complete such assessments.
4.Maintain Professionalism
Even as a student, you act professionally when undertaking shadow health exercises. You will be assigned a role in which you are expected to embrace and facilitate all the required acts of professionalism.Therefore, ensure you are respectful, empathetic, and professional when communicating and interacting with the patients.You should also mind your non-verbal cues and language use, considering you are handling a live-like patient in a digital clinical setting. Know how to approach the patient.For instance, if you are following up about birth control or asking about their last healthcare visit, let the patient know why you are asking that question. You should also assess the patient’s health literacy level to choose your words carefully when engaging them in patient education.
5.Ask Important Questions
When gathering subjective data, ask the patient questions. You should be keen when they are answering so that you listen to their answers and follow up with a question or comment.You should avoid making assumptions or jumping to conclusions because that might affect the entire patient care process.The only way to know about the underlying health problem is by asking questions related to health concerns.You could ask, “What brings you to the clinic today?” “do you know where you are now?” “do you have any allergies?” etc.
6.Document the Findings
After collecting the data or information, ensure you document the findings wholly and accurately to have a complete electronic health record. There are templates and tools to facilitate the documentation.So, take advantage and have everything documented. Document all the current acute health problems based on the chief complaint and the patient’s presenting condition.
7.Be attentive to Details
The devil is always in the details. As a nursing student and an aspiring professional nurse, you need to be very keen when handling the patient, especially when establishing and terminating a therapeutic relationship, collecting data, and making clinical judgments.You should actively be attentive to the patient's physical appearance, changes in the patient’s condition, and the patient's responses. For instance, when interviewing the patient, check whether the patient maintains eye contact. Also, inquire more about any acute concerns.
8.Review and Reflect
Every simulation exercise has a student performance index that enables you to assess areas in which you have strength and areas you need to improve.You are given real-time feedback and allowed to reflect on the entire experience. Therefore, reflect on what you could have done differently or better during the exercise.
9.Keep Practicing
If you are taking the shadow health assessment, you must constantly practice the skills you need for the evaluation.You can collect subjective and objective data in front of your peers and let them give you feedback in preparation for the DCE. That way, you get to improve your performance.
10.Keep everything Organized
During the DCE sessions, ensure that you keep track of every piece of information you collect so that you are not confused when making clinical judgments.You should be aware of the questions you asked and the type of responses you were given or actions you took.These general tips can be helpful, especially when you want a better grade. You will have a higher chance to increase your chances of succeeding in Shadow Health assessments and gain much knowledge and skills in patient assessment
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