Video Taping Nursing Students ?

Nursing Students General Students

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I was talking to one of our on campus skills instructors and she told me that they are going to try to pilot something at our CC starting this fall.

She says that instead of nursing students doing their skills in front of the instructors evaluating us we will be in a room where there will be one way windows ( instructors will be able to look through the window and see us but we can't see them), a video recording us, and an intercom.

This is how the whole thing will work:

Student (s) come in the room alone, student performs skill on Simm manniken, instructors are looking in and if student makes a mistake the instructor will let them know via intercom. Also, if the student makes a mistake they will have to follow a clinical pathway. For example if Susie forgets to do a step or something else that is critical the client will be placed in " ICU" and she will have to come up with the remainder of his plan of care based on his condition as a result of Susie missing something critical. Normally, if we make a mistake during skills we can stop and tell the instructor about the mistake and start over, we won't be penalize if we recognize the mistake.

After the whole skill set is done students will be able to watch themselves on video with the instructor to evaluate how the student did as a whole.

My question is : Do other nursing schools do this? She did tell me that medical students do this though.

I have mix feelings about this.... I'll be so nervous about them watching me through a window where I can't see them. The only time I see this is when they are interrogating criminals and let alone video taping. :icon_rollThe pros is that It simulate the real world doing beside nursing. When I get out into the real world I won't have my instructor standing there watching my every move and I'll have to either continue, modify, or terminate patients plan of care depending on my nursing interventions that will reflect my clinical skills.

I don't know ? What do you all think ?

We do that in Simm lab when they send us over to MUSC from our CC to practice. Not graded, but it's a fun experience.

Specializes in ER, Med-surg.

We don't do this for skill testing, but we do run simulator labs where we take care of the "patient" and our instructor controls the patient's responses via computer from the other side of a one-way mirror. We talk out loud about what we're doing and if we catch an error before we make it (and verbalize it so the instructor knows) we're not penalized, but they don't tell us anything over the intercom. We're expected to function independently and if we mess up, we have to deal with the mess we make, whether we realize why the patient is suddenly doing worse or not (which may mean calling the "doctor"- also our instructor- to report the decline in the patient's condition and receiving new orders to follow). Sometimes they video us, which is SO HARD to watch (who likes watching themselves on film, let alone on film making mistakes?).

On the other hand, it's really valuable as a learning tool. I remember things I did in sim lab so much better than things I learned in class or even clinical, sometimes, because I'm functioning more independently and I don't expect there to be any kind of safety net- I know if, say, I prepare a med incorrectly, it won't just be a matter of the instructor chewing me out in the med room for preparing something wrong- in sim there's no one to check me, so I'll administer the med and the "patient" could die. In some ways it feels more real, on a gut level, than clinicals, where we're subordinate to others and always running our plan of care past more experienced people. I get way more nervous before sim than before clinicals, silly as that might sound!

It's awkward at first, but try to get used to it- functioning alone in a room without your instructor there really is a good learning experience.

Specializes in Emergency Dept. Trauma. Pediatrics.

I would need to remember to not pick my nose or scratch my butt or something, that would be embarrassing to watch back :stone

Specializes in LTC.
I would need to remember to not pick my nose or scratch my butt or something, that would be embarrassing to watch back :stone

LOL !

Specializes in Trauma, Teaching.

Students tend to look at their instructors, to try to see if their reaction means the student is doing it right. Not having the instructor sitting there gives the student a chance to perform "on their own". Also, mistakes aren't fatal! And you get exposed to things that students may never have a chance to see. If a live patient starts to crump, students tend to get pushed out of the way, if they're lucky they can watch from a distance most of the time. Sim lets you keep going instead of losing control.

Our students seem to like sim very much, and want more time with it. Its a safe place to learn, but feels very real.

Specializes in Mental Health, Emergency, Surgical.
Emmy27: We do run simulator labs where we take care of the "patient" and our instructor controls the patient's responses via computer from the other side of a one-way mirror. We talk out loud about what we're doing and if we catch an error before we make it (and verbalize it so the instructor knows) we're not penalized, but they don't tell us anything over the intercom. We're expected to function independently and if we mess up, we have to deal with the mess we make, whether we realize why the patient is suddenly doing worse or not (which may mean calling the "doctor"- also our instructor- to report the decline in the patient's condition and receiving new orders to follow).

I would love that kind of simulated experience. Especially if it wasn't marked. But if it was I could probably handle that too. It would be so fun! As long as it wasn't worth a huge percentage of the mark.

And that is so true about getting the chance to follow the case through even if they decline seriously. You would get to practise extending your critical thinking skills further than usual without any risk of injury to the pt.

We have simulated wards where the students who play the patient get a page with a whole background, past Medical Hx, etc and it might say that 10 minutes after the session starts, you should try to get out of bed and walk to the toilet and fall or start complaining about your IV site. I was a pt who just had a hip replacement and I had to keep taking the triangle pillow out and lying on my side. The student nurse tried to put me on my side with the pillow there, ROFL!!! It just looks hilarious! And we have fake medications, fake ampoules (all labelled) and all the documentation to fill out (fluid balance, incident report, neurological and neurovascular obs etc etc.) That was one day of our workshop, the next day we did actvities such as a research of evidence based practice, a pre-op interview and a case conference re lady w/dementia.

So, that's about as "realistic" as our workshops get.

Nurse educators are always looking for innovative ways to deliver and assess the curriculum. Some ways are fun, some are "what the..?", some are fantastic ways to really engage with the material.

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