Reflection Paper On Simulation

This is a stimulation review of a cardiac care unit that is facing working capital shortages. As the lead financial consultant brought into address the financial indicators and evaluate to bring working capital back to in order at the Elijah Heart Center (EHC). The other financial analyst will focused around addressing issues as they relate to this particular cardiac care unit; what funding can be acquired to garner medical equipment; what funds can be used for capital expansion; finally a summation of findings and a conclusion of what the overall stimulation showed, in regards to how through the analyst were.

Throughout the weeks our team has recognized the effects and methods to managing the system development within our bookstore. It’s true that the bookstore has endured growing pains of ways to better secure their information as well as the sensitive information of their customers. Our team has analyzed better ways to conduct our business as well as the processing methods that will be improved to meet our needs. By examining our business process we had to identify the functions that were causing problems or raising cost, rising risks or basically wasting time.

Despite the age and immensity of the Universe, we have not been visited nor been contacted by extraterrestrial beings because we are a part of a computer simulation. According to the Simulation Hypothesis, theory provided by Nick Bostrom, humans are unaware of being part of this computer generated simulation. The most compelling piece of evidence that supports this hypothesis is the fact to one can consider a sequence of possible situations which an increasing fraction of all people live in simulations becomes more accurate. (Bostrom 1)

Simulation based learning develops skills, knowledge, and attitudes in staff that otherwise cannot be experienced. The staff are put in the client’s position and give them a better understanding of daily struggles. Also puts the focus on the client instead of task completion. 14

Sometimes failure can really be the best teacher. This was the case with the Lakeview Regional Hospital Simulation Exercise. During the simulation, I learned a lot about working with a team, knowing when to stand firm and when to compromise. I have been a part of plenty of projects, but sometimes I can be a little lost when it comes to the healthcare aspects of things. It was during these times that I looked to my teammates to assist with filling in some valuable blanks about the healthcare environment. I do have a lot of experience with introducing technology, training and media relations. It was during these parts of the simulation that I could really lend a helping hand. The simulation illustrated the importance of buy-in amongst the implementation team as well as other members of the entire organizations. It showed that there will always be some inherent resistance, but that doesn’t mean that change is impossible as long as there is some flexibility.

Standard Simulators are used to visualize the treatment area. It mimics the motions of a radiation therapy treatment unit. It is a high investment in terms of space, personnel and money, and can easily be replaced with a Virtual Simulator (VS). This is system software that uses the computed tomography (CT) data to construct a 3 dimensional (3D) patient, using standard computers in stead of a physical patient. The CT is done with localization reference markers made from radio-opaque markers, which is tattooed on the patient for accurate daily setup. The beams can be placed and visualized. The software can create beams eye views (BEV) and digitally reconstructed radiographs. The precise move from CT reference to isocenter can be exported to the treatment unit (Zimeras, 2013). It provides high-quality imaging tools to alter size and contrast, and can be connected to any DICOM supporting CT/MR scanner. Once completed the beams,

to convince him to invest the same amount in convertible debt or preferred stock where he can choose to

The Everest simulation was a unique experience. Before the actual simulation started, my team discussed the approach we would take and how we will deal with situations wherein the personal goals collided with the team goals. We shared our character profile information with each other and began the exercise with excitement and a firm resolve to do our best.

I attended the second simulation, and met with four junior students and two instructors (Gailkost & Bleza). The simulation was about a patient who had a chronic obstructive pulmonary disease and hypertension. The patient had also difficulty breathing and chest pain. During first scenario, as observer the group of students did relevant job. They communicate with patient by ideal method. They focused on the respiratory system and cardiac system more than other system of the body. In the second scenario, I moved to the control room with professors (Gailkost & Bleza). I learned a lot of thing related to the simulation, such as the specific time of the simulation, how can I contact with nursing

"What I hear, I forget; what I see, I remember; what I do, I understand."

Hospitals are working towards a more team-based training. The last couple years most of my training has been in a simulation lab. I feel it improves communication, teamwork, reinforces skills and new practices. Hands-on simulation experience allows healthcare workers to get messy, make mistakes and sharpen problem-solving skills — with no risk to patients. As nurses, we collaborate with each other on a daily basis but we are trained and tested individually on our skills, theory, and practical situations. As healthcare evolves, stimulation labs should be part of all healthcare works training and testing, that way everyone is better prepared to handle real time events.

My role in the simulation activity was a homeless male with a 8 year old son. I felt overwhelmed being homeless. I had nothing to work with no money, no bus passes. I ended up asking others around me for help. Thankfully, I found a retired gentle man who gave me his last $10, which I was able to use to purchase bus passes. The good thing was my child could go to school, eat breakfast, and lunch. I learned that others are why more resourceful than I am. Others were stealing and they were able to get ahead. I tried to do things the “right” way and I was still in the same place when the stimulation ended.

The simulation environment offers a safe place for students to practice critical scenarios and gain confidence in proscribed settings (Decker, Sportsman, Puetz, & Billings, 2008). Simulation helps faculty to facilitate learning which meets one of the NLN’s core competencies. Simulation also enhances communication through emerging leadership and delegation skills, and builds teamwork through goal and priority setting (Dillon, Noble, & Kaplan, 2009). Therefore, according to Lasater (2007) simulation is highly effective as an adjunct teaching strategy in clinical practice.

My answers were not decisive which reflect my weak critical thinking skill. For example, when it comes to medication administration, in instances where things are not clear, it should always be referred to the doctor which in this case I belatedly remembered. Nurses should also make sure that they knew how to use all the equipment that is used in the nursing care. In a medical emergency situation, every second counts. In the simulation, epinephrine administration was delayed since the nurse did not know how to use the automatic injection. Over-all the simulation had a significant impact to my learning process.

How many ways are here to arrange the letters in the word GARDEN with the vowels in alphabetical order ? ( a ) 120 ( b ) 240 ( c ) 360 (d ) 480 [ AIEEE 2004 ]