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Saving ‘SimMan’<br />

08<br />

RED REPORT<br />

Nursing students Katie Potter (background) and Emily Svelmoe (foreground) work on SimMan, who is controlled by professor Annette Browning (below).<br />

The patient lies propped up on his back,<br />

IVs inserted in veins in his arm. His vital<br />

signs are displayed on a monitor nearby.<br />

“I can’t breathe and my chest hurts,”<br />

he says. “Help.”<br />

From a computer a few feet away, <strong>Biola</strong><br />

nursing professor Annette Browning holds the<br />

patient’s fate in her hands. Literally.<br />

With a few strokes on her keyboard,<br />

Browning can change the patient’s heart rate,<br />

make him wheeze, even decide what he will<br />

say next.<br />

The “patient” is a high fidelity mannequin<br />

named SimMan, an advanced patient<br />

simulator that allows students to hone their<br />

skills without fear of harming anyone. Two<br />

video cameras mounted above SimMan’s bed<br />

record the students’ responses to particular<br />

scenarios.<br />

Browning can lead the students through a<br />

critical situation by programming SimMan to<br />

have different pathologies, such as septic<br />

shock or congestive heart failure.<br />

Acquired by <strong>Biola</strong>’s nursing department<br />

in May, SimMan has pulses, lung and heart<br />

sounds, realistic anatomy – even a catheter.<br />

Students can administer medication, take<br />

blood pressure and check temperature. They<br />

can also use SimMan to practice CPR when<br />

Browning makes SimMan “code” (go into<br />

cardiac arrest).<br />

SimMan rests in the Kartsman Simulation<br />

Michael Musser<br />

Lab in Soubirou Hall. The lab looks like a<br />

hospital room in an intensive care unit.<br />

While simulation has been used for<br />

decades in the armed services and in aviation,<br />

its use in nursing education is relatively new,<br />

said Browning, who teaches critical care<br />

courses. SimMan has the potential to be used<br />

in many clinical courses, she said, and should<br />

decrease students’ level of anxiety when they<br />

care for a patient.<br />

“In the real hospital situation, when the<br />

patient goes into a critical (situation), students<br />

tend to fall back into an observation role,” she<br />

said. With the simulator, “the students can<br />

attempt to problem solve and intervene and<br />

assess and treat and critically think without<br />

harm to the patient.”<br />

Nursing students who have practiced with<br />

SimMan say it provided a unique learning<br />

experience.<br />

Shannon Lawrence, a <strong>Biola</strong> graduate now<br />

working at Loma Linda <strong>University</strong> Medical<br />

Center, said SimMan gave her a chance to<br />

practice without the pressure of doing<br />

something wrong or hurting a patient.<br />

“It gives you the opportunity to try things<br />

and be comfortable and then try it again in the<br />

workplace,” she said. — Lisa O’Neill Hill<br />

BIOLA<br />

Michael Musser

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