Skills Lab Innovations Budget Savings and Improved Student Learning

1
Skills Lab Innovations Budget Savings and
Improved Student Learning

• Tools and Text Created by Patty Adams, RN, BS
• Western Technical College
• La Crosse, WI 54602
• PowerPoint slides created by
• Colleen Meakim, MSN, RN
• INACSL VP of Communications 2006-2008

2
At Home Practice Dressing Change
Supplies Paper plate Permanent
marker Bandaid Scissors Directions On the bottom
of a paper plate, draw an incision with a marker.
Then make a small slit in the plate, placing a
band-aid through the slit (mimic penrose drain).
Place the paper plate on a table or over
someones abdomen at home for practice.
3

• At Home Catheterization
• Supplies
• Paper plate
• Soda bottle (empty, clean, no cap)
• Permanent Marker
• Scissors
• Directions
• 1.On the bottom of a paper plate, draw inner and
  outer labia with a marker.
• 2. Cut a hole the size of the soda bottle top for
  the meatus.
• 3. Place the hole in the paper plate over the top
  of the soda bottle top.
• 4. Lay the bottle down near the edge of a table
  with the bottle top just off of the table.
• 5. Tape the bottle to the table.
• Students can practice female catheterization at
  home in this way.
• For the male catheterization, the paper plate
  can be removed.

4
Female Catheterization- other view
5
Trach Suctioning
Trach Suctioning Supplies Soda Bottle (empty,
clean, no cap) Kitchen knife Directions 1. Cut
the neck of a soda bottle off with a knife. 2.
Make an x in the front of the bottle with a
knife. 3. Place the top of the bottle (the part
you cut off) in the x so it creates a simulated
trach. 4.Tape it to a table, and using a pillow
for an ambu bag, can practice suctioning a trach.
6
Blood Bag with Tag Front View
Blood Bag with Tag Supplies Color
Copier Lamination Hole punch Rubber bands Twist
Ties Surgilast netting Twist ties Wipe-off dry
erase marker For directions- see next 2 pages
7
Blood Bag with Tag Back View
8
Directions for Blood Bag

• Directions
• Make color copies of blood bag (original is
  attached)
• Cut the blood bags out individually.
• Laminate the blood bags.
• Make color copies of the blood tag (original is
  attached).
• Cut the blood tags out individually.
• Laminate the blood tags.
• Using a hole punch, place a hole in the upper
  left corner of the blood tag and one hole in each
  of the 4 corners of the laminated blood bag.
• Using a rubber band, attach the blood bank tag to
  the blood bag.
• Cut a piece of surgilast netting to the size of a
  500 cc fluid bag.
• Attach the netting to the back of the blood bag
  using twist ties through each of the blood bag
  holes
• The netting is placed over a 500 cc fluid bag.
  There is no need for red dyes.
• The student can do all of the checks and hang the
  simulated blood unit. (I have also attached the
  compatibility lab check sheet and the
  Addressograph label for checks) They can document
  on the blood tag using a wipe-off dry erase
  marker. When they are finished, they wipe off
  their documentation and the next student can use
  the simulated blood bag.

9
(No Transcript)
10
Addressograph for Blood recipient
11
Blood Bag Can Copy and Use PRN- 2 images
12
Blood Bank Unit Tag
13

• Central Line
• Supplies
• Central Venous Catheter from a vendor or get
  outdated supplies from local hospitals.
• Picture of the venous system for the upper body
  (original included in this email)
• Color copier
• Lamination
• Foam Core
• Tool to cut a small hole
• Secondary IV tubing and
• 50cc to 250cc empty IV bag
• Directions on next page

14
Directions for Central Venous Catheter

• Directions
• Make a color copy of the central venous system
  photo.
• Enlarge it to 11x17.
• Laminate the color 11x17 copy.
• Cut a 11x17 piece of foam core.
• Attach the laminated copy to the foam core.
• Place a tiny hole over the insertion site through
  the laminated copy and foam core.
• Insert the central venous catheter into the hole
  from front to back.
• Place a dressing over the insertion site.
• Insert the catheter end into the patient end of
  secondary IV tubing.
• Attach the secondary tubing spike end to a small
  IV bag (50cc-250cc)
• This can be attached to a display board or set up
  for students to practice assessing and flushing
  central lines.

15
IV Arm for infusing fluids

• Supplies
• Foam Swimming Noodle with hole in the center (4
  IV arms can be made from 1 foam swimming noodle)
• Used IV parts from skills courses or simulation
  experiences
• Empty primary fluid bag (1000 ml size works well)
• Secondary tubing (cut off the ½ inch hard plastic
  patient end of the tubing)
• Angiocaths used for manikin practice (just the
  angiocath, no needles)
• PRN or saline lock adapters

16
IV Arm Continued

• Directions
• 1. Connect a PRN adapter to an angiocath.
• 2. With the hard plastic end of the secondary
  tubing cut off, place the angiocath into the
  tubing.
• 3. Attach the spike end of the secondary tubing
  into the empty IV bag (collects the fluids from
  the IVs).
• 4. Using a knife, make a slit about 6 inches long
  on one side of one end of the foam noodle.
• 5. Place the PRN adapter part of the tubing into
  the foam noodle hole that is opposite of the slit
  you made. When it comes out the other end, slide
  the tubing through the slit and then pull the
  tubing taught until the PRN adapter rests against
  the foam noodle.
• 6. Place a dressing over the site.
• Just as with a purchased IV arm, you leave the
  clamp open to the IV bag to collect the student
  IV fluids. We often tape the arms to the table
  where the students are working. Each student has
  their own arm to work with while faculty
  demonstrates the skill or while they are
  practicing.
• See photo on next page

17
IV Arm Continued
18
IV Insertion Arm Supplies Foam Swimming Noodle (4
IV arms can be made from 1 foam swimming
noodle) Permanent Marker Directions 1. Draw veins
on the foam noodle. These IV insertion arms can
be taped to a table, one for each student. 2.
Supplies for inserting an angiocath can be placed
at the students sites as well. Faculty can
demonstrate IV insertion on a purchased arm while
all of the students practice the skill
simultaneously, using the foam noodle arm. We
leave the cleansing scrub pads in the package and
staple them shut so we dont wash off the vein
markings or waste supplies.
19
IV Pump

• Supplies
• Photo of a pump (see next few pages)
• Laminator
• Wipe off marker
• Directions
• Make a copy of the pump photo.
• Laminate the copy.
• Tape the pump to an IV pole.
• Attach a wipe-off marker
• Students may set the rates and volume to be
  infused using the wipe-off marker.

20
(No Transcript)
21
(No Transcript)
22
(No Transcript)
23
Ostomy Belt
Supplies Fabric for belt Red fabric for
ostomy Sew-on Velcro Wafer Ostomy bag with
closure See Directions on next page
24
Ostomy belt- Directions

• Directions
• Cut out fabric long enough for a two-sided belt
  that will fit most people, making it wider in the
  middle to accommodate the wafer and appliance.
  Sew together.
• Sew the hook side of Velcro to the back of a
  wafer.
• Sew the loop side of Velcro to the belt in the
  location that will simulate an ostomy, and where
  it will meet the hook side of the Velcro.
• Bunch up the red fabric into an ostomy-sized ball
  and sew it onto the belt where the wafer opening
  will be.
• Cut the wafer opening to fit around the ostomy.
• Attach the ostomy bag.
• Velcro the wafer and the belt together.
• Students can get a sense of what a patient may
  experience while they learn assessment and the
  challenges of an ostomy bag change.