AWHONN Conference 2015, Long Beach

I’m back from another blogging hiatus, and feeling motivated after a fantastic and energizing conference.  I love conferences!

This was my first conference with AWHONN, and by far the biggest of any conference I have attended.  When I saw how big it was I was a little nervous of having come by myself.  Its easy to feel small and alone in a crowd like that! It ended up just fine of course.

No matter where I went in Long Beach I ran into fellow (and easily identifiable) conference attendees. Before I knew it I had a walking buddy to my hotel, a different lunch buddy, some folks to chat with on the Queen Mary (a gorgeous ship and wonderful tour, btw), etc. It was fun. Though I was able to go where and when I wanted to, I wasn’t really alone unless I truly wanted to be.

One of the things I appreciated about this conference was the balance between having sufficient sessions and getting breaks. It was very well done.

Besides wanting to learn what I could about my specialty for both my full time teaching job and my per-diem birth center (RN) job, I also wanted to scope out DNP programs and consider project ideas. I would say I was very successful in both areas! Because of the exhibit hall I have a few options for programs that I never would have thought of, and ideas-and perhaps more importantly- networks for a number of different projects that energize me.

I intend for my next few blog posts to be about the sessions that I found most interesting,  valuable,  memorable, or relevant for me.

Nursing errors: I know nurses are human. I think we need to forgive ourselves for that, and better understand why we make mistakes in order to prevent them. Also we need to change how we respond when people make mistakes. Take a look at “Just Culture” for one of my many ideas for a DNP project. More to come in another post.

NitrousOxide for labor (and other uses): we are using this where I work at the Minnesota Birth Center. I am only still learning but grateful women have this option.  Because the birth centers are using it it is catching on like wild fire in the Twin Cities.  I expect my project will be too late for hospital implementation, though I may look at working with a clinic to use it for IUD placement,  colposcopy, etc. More to come in another post.

Resuscitation with the cord intact: also something we already do in the birth center. It was one of my biggest frustrations as a practicing hospital midwife; having to cut a baby off from its own blood and oxygen supply in order to move it and administer oxygen. This is another thing I would love to work with a hospital to implement.   More to come in another post.

BirthTOOLS: an evidence-based website for promoting physiologic birth;  put together by the American College of Nurse-Midwives and partners. I have a lot more reading to do to understand the full picture on this site, but it appears to be a one-stop shop for evidence-based practice protocols, decision support tools, and quality improvement tools; all related to promoting “normal”, or “physiologic”, or “optimal” birth in hospital units. More to come in another post.

I enjoyed this conference very much and highly recommend it. Next year its in Grapevine, TX (near DFW). Its hard for me to get to out of state conferences, but I definitely plan to make it to another AWHONN conference.  Who knows… maybe some day soon I’ll be presenting on the successful implementation of my DNP project! ;-)

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NLN Technology Conference 2013

Last weekend I attended the NLN Technology conference in Philadelphia, on the campus of Thomas Jefferson University.  It was a great weekend with experts in technology from all over the nursing education landscape.  There were many great sessions relating to the 4 main topics: simulation, e-learning, telehealth, and informatics.

There was an attempt by a few of us to bring Twitter into the conversation at this conference.  There was some conversation, and I hope to see this continue to grow and expand.  Here are the tweets from the conference, in reverse chronological order.

JeffNurseEdOct 27, 3:17pm via Twitter for iPhone

We are ignited! Great conference, great speakers and presenters and ideas #NLNTechConf #innovationJSNfaculty

NursingTheIssueOct 27, 9:01am via HootSuite

Nursing CEU’s are available by MOOC’s (particularly by JHU)#NLNTechConf

NursingTheIssueOct 27, 8:12am via HootSuite

“The Science of Safety in Healthcare” from John’s Hopkins U via Coursera #NLNTechConf

NursingTheIssueOct 27, 8:04am via HootSuite

Talking about MOOC’s with John’s Hopkins #NLNTechConf

JaniceHobbaOct 27, 8:01am via Twitter for iPhone

Final day in Philadelphia-learning new technology advances in education #NLNTechConf

CPMRCmichelleOct 26, 2:40pm via Twitter for iPhone

Attending “Unconference on #informatics ” w/ Judy Warren Biggest topic is barriers to faculty adoption @AboutTIGER#NLNTechConf

DrTeseOct 26, 7:51pm via Instagram

This is one of the coolest things I’ve seen. Outside Jefferson Univ. #nlntechconf

CPMRCmichelleOct 26, 2:40pm via Twitter for iPhone

Attending “Unconference on #informatics ” w/ Judy Warren Biggest topic is barriers to faculty adoption @AboutTIGER#NLNTechConf

NursingTheIssueOct 26, 2:05pm via HootSuite

Integrating informatics: teaching ethics r/t data #nlntechconf

NursingTheIssueOct 26, 1:12pm via HootSuite

NCSBN simulation study #nlntechconf

NursingTheIssueOct 26, 10:46am via HootSuite Poster #4 Nlntechconf

DrTeseOct 26, 10:41am via Instagram


CPMRCmichelleOct 26, 10:06am via Twitter for iPhone

Need point of care references in #simulation #evidence-based practice #NLNTechConf @IPETracy

CPMRCmichelleOct 26, 9:57am via Twitter for iPhone

Attending “Unconference session on Simulation” great sharing & learning Need #standardization and tools to evaluate learning #NLNTechConf

DrTeseOct 26, 9:21am via Instagram

Oh yeah! It’s getting exciting here!

IPETracyOct 26, 9:05am via Twitter for BlackBerry®

Excited to be sharing “IP Faculty Perceptions: A Technology enhanced Program to Facilitate Interprofessional Education”#NLNTechConf

NursingTheIssueOct 26, 8:57am via HootSuite

“Blue Button” People should be able to download their own health data #NLNTechConf

DrTeseOct 26, 8:38am via Instagram

Having fun in an amazing sim lab!

CPMRCmichelleOct 25, 12:14pm via Twitter for iPhone

Welcome to the #NLNTechConf ! Thank you Thomas Jefferson SON for hosting. Missed you @BethAnnSwan

NursingTheIssueOct 26, 8:25am via HootSuite

Regional Extension Centers are resources for health informatics#NLNTechConf

NursingTheIssueOct 26, 8:11am via HootSuite

Warren challenges faculty to sign up for an NPI number#NLNTechConf

NursingTheIssueOct 26, 8:04am via HootSuite

Take your notes by Twitter today! You’ll have them available online and others will benefit as well! #NLNTechConf

CPMRCmichelleOct 26, 7:46am via Twitter for iPhone

Ready to start Day 2. Opening with Judith Warren on Meaningful Use, eMeasures & Blue Button:What to Teach? #NLNTechConf

CPMRCmichelleOct 25, 5:04pm via Twitter for iPhone

Another great TIGER session. #NLNTechConf by TIGERS @sschlak @mjbTIGER @PatHintonWalker

NursingTheIssueOct 25, 3:50pm via HootSuite

Looking for group discounts for TIGER VLE contact #NLNTechConf

NursingTheIssueOct 25, 3:40pm via HootSuite

Wow. TIGER VLE looks like a very rich resource for all things informatics #NLNTechConf

CPMRCmichelleOct 25, 3:35pm via Twitter for iPhone

@sschlak Demonstrating the TIGER VLE Amazing platform to learn and share! @AboutTIGER

NursingTheIssueOct 25, 3:34pm via HootSuite

Register for TIGER VLE Only $25 a year and “you can live in there” =) #NLNTechConf

NursingTheIssueOct 25, 3:24pm via HootSuite

Learning more @AboutTIGER Initiative and the Virtual Learning Environment #NLNTechConf

NursingTheIssueOct 25, 3:09pm via HootSuite

TIGER Initiative Foundation is a 501c3 under the umbrella of HIMSS #NLNTechConf

NursingTheIssueOct 25, 3:06pm via HootSuite

TIGER Summit in 2006. Brought together nurses from all specialties around informatics. Developed a 3 year and 10 year vision #NLNTechConf

CPMRCmichelleOct 25, 3:00pm via Twitter for iPhone

Marion Ball kicking off TIGER session!! #NLNTechConf@AboutTIGER

NursingTheIssueOct 25, 2:27pm via HootSuite

E-ICU: when camera turns on its not towards nurse or patient, and ask “may I come in?” Just like knocking on a door#NLNTechConf

NursingTheIssueOct 25, 2:21pm via HootSuite

Lehigh Valley Health Network telehealh website. Check out the videos. #NLNTechConf

CPMRCmichelleOct 25, 2:00pm via Twitter for iPhone

Magnet Prize winners #LHVN Joe Tracy and 4 nurses sharing their #telehealth success stories #NLNTechConf

NursingTheIssueOct 25, 1:48pm via HootSuite

School telehealth visits: keep kids in school longer, keeps kids healthier #NLNTechConf

NursingTheIssueOct 25, 1:48pm via HootSuite

E-ICU showed a 30% reduction in mortality #NLNTechConf

NursingTheIssueOct 25, 1:37pm via HootSuite

One of the biggest Issues in telehealth: licensure.#NLNTechConf

DrTeseOct 25, 1:28pm via Instagram

Back to the Future per Joe Tracy -telehealth predicted #NLNTechConf

NursingTheIssueOct 25, 1:28pm via HootSuite

How can we pay for telehealth? Giving patients the right care and the right time in the right place. #NLNTechConf

DrTeseOct 25, 1:23pm via iOS

Telehealth with Joe Tracy

NursingTheIssueOct 25, 12:51pm via HootSuite

Prezi presentation website #NLNTechConf

NursingTheIssueOct 25, 12:43pm via HootSuite

New York Times video on MOOCs (Massively Openly Online Courses) #NLNTechConf

AlisN1derlandOct 25, 12:49pm via Twitter for iPhone

@livingston_dr Welcome to Twitter! #nlntechconf

NJCU_NursingOct 25, 12:17pm via Mobile Web (M5)

Great pre-conference presentation on mobile technology in nursing education by Dr. Brent Thompson at #NLNTechConf

NursingTheIssueOct 25, 12:43pm via HootSuite

New York Times video on MOOCs (Massively Openly Online Courses) #NLNTechConf

CPMRCmichelleOct 25, 12:41pm via Twitter for iPhone

Massive Open On-line Courses (MOOCs) #NLNTechConflearned something new!

DrTeseOct 25, 12:39pm via iOS

Welcome to the Brave New World of MOOCs (Massive Open Online Courses) NLNTechConf

DrTeseOct 25, 12:38pm via iOS

One of the greatest! Dr. Diane Billings

NursingTheIssueOct 25, 12:33pm via HootSuite Link to conference handouts online #NLNTechConf

CPMRCmichelleOct 25, 12:32pm via Twitter for iPhone

Janet Willhaus igniting participants with #simulation teasers!#NLNTechConf

NursingTheIssueOct 25, 12:24pm via HootSuite

Hashtag announced at beginning of main conference session#NLNTechConf Will be using from now on instead of#NLNTechConf13

NursingTheIssueOct 25, 12:22pm via HootSuite

[] Blog about technology in Nursing Education by Brent Thompson (our preconference presenter)#NLNTechConf

NursingTheIssueOct 25, 12:19pm via HootSuite

Learn more about Twitter so you can join the conversation at#NLNTechConf

NJCU_NursingOct 25, 12:17pm via Mobile Web (M5)

Great pre-conference presentation on mobile technology in nursing education by Dr. Brent Thompson at #NLNTechConf

CPMRCmichelleOct 25, 12:14pm via Twitter for iPhone

Welcome to the #NLNTechConf ! Thank you Thomas Jefferson SON for hosting. Missed you @BethAnnSwan

JaniceHobbaOct 25, 12:13pm via Twitter for iPhone

Beginning my afternoon in Philadelphia at the NLN/Elsevier Technology Conference #NLNTechConf

IPETracyOct 25, 12:12pm via Twitter for BlackBerry®

Attending Elsevier NLN Technology Conference #NLNTechConfwith @CPMRCmichelle

KteeleyOct 25, 12:12pm via Web

Great to be here at #NLN #NLNTechConf

School telehealth visits: keep kids in school longer, keeps kids healhier #NLNTechConf13

NursingTheIssueOct 25, 1:46pm via HootSuite

E-ICU showed a 30% reduction in mortality#NLNTechConf13

NursingTheIssueOct 25, 12:24pm via HootSuite

Hashtag announced at beginning of main conference session #NLNTechConf Will be using from now on instead of #NLNTechConf13

NursingTheIssueOct 25, 12:13pm via HootSuite

Looking forward to the sharing of pearls and a great back channel discussion on Twitter#NLNTechConf13 #NLNTechConf

NursingTheIssueOct 25, 10:44am via HootSuite

Any tool or technology can be misused. Must have electronic device policy to inform students & cover the program on misuse. #NLNTechConf13

NursingTheIssueOct 25, 9:55am via HootSuite

Free reference apps: Medscape & Epocrates#nlntechconf13

NursingTheIssueOct 25, 9:48am via HootSuite

Coach’s eye: students video themselves and faculty analyze, annotate, and give feedback (small cost for IOS and Android) #NLNTechConf13

NursingTheIssueOct 25, 9:38am via HootSuite

Free reference app: Medscape#NLNTechConf13

NursingTheIssueOct 25, 9:24am via HootSuite

Ask for faculty copies of titles from Unbound, Skyscape, etc. #NLNTechConf13

NursingTheIssueOct 25, 8:38am via HootSuite

iPod Touch good option for no monthly-fee mobile computing (wifi only) $200-400#NLNTechConf13

NursingTheIssueOct 25, 7:45am via HootSuite

[] Blog about technology in Nursing Education by Brent Thompson (our preconference presentor) #NLNTechConf13

NursingTheIssueOct 25, 7:28am via HootSuite

Pre-conf session on mobile computing about to get started. Here we go! #NLNTechConf13

NursingTheIssueOct 24, 9:28pm via HootSuite

Had a great time this eve with a brilliant nurse educator @robin_dewald. So excited for this conference to start tomorrow! #nlntechconf13

NursingTheIssueOct 24, 7:06pm via HootSuite

Twitter 101 at the bar! Join us! #nlntechconf13

robin_dewaldOct 24, 7:04pm via Mobile Web (M5)

#nlntechconf13 hello all! Glad to be here with you.

NursingTheIssueOct 24, 12:29pm via HootSuite

Learn more about Twitter so you can join the conversation at

DrTeseOct 23, 6:54am via Twitter for Mac

Looking forward to #NLNTechConf13 in Philly!

MaryAnneRizzoloOct 21, 11:24am via web

Conference sold out but you can still register for precons. Notify if interested.#NLNTECHCONF13

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Twitter for Nurse Educators

This seems like a good time to update and repost my Twitter 101.  I am heading to the NLN Technology conference where I am looking forward to meeting other nurse educators who will share their various ways of incorporating technology in teaching and our lives.

I am also hoping to see the active use of Twitter for sharing conference pearls and for vibrant back channel conversation.

About Twitter

Twitter is microblogging: using 140 characters or less to convey a thought, idea, or message.  During a conference, you might tweet some nuggets or pearls that you heard, like

#HITS12 Reflective listening – a critical communication skill – challenge in virtual situations per Dr. Smith

You might also use it to organize, like

Waiting in the lobby… heading to McCormick & Schmicks for chocolate bags. Join us #HITS12

Those who are present and those who are not can converse on the Twitter “back channel” and keep the dialogue going.

Getting to Twitter

There are several ways to get to Twitter.  On a computer go to and create a log-in (more on this later).  On your smartphone you can use a Twitter app (Twitter, Peep, Seesmic).  If you don’t already have it, go to your app store or market to download.

If you really want to follow your tweets closely, you can have it send notifications to your cell phone every time one arrives, either all tweets or those from a particular person.  But don’t think you have to do this- you can choose to only see your tweets when you go to the website or app.

Finding the tweets you are interested in

You can follow people or organizations whose tweets you would be interested.  Find people with the same interests as yours and follow them.

You can also search through topics; that’s what hashtags [#] are for.  Search for a topic of interest, and save the topic for easy future searches.

Making the best of your tweets

Helping others find your tweets are important.  After all, you have important things to say, right?  Use hashtags [#] anywhere within your tweet to help catalog your topic and for people to find it.

Retweet (RT) important tweets from others that you think your followers would enjoy.  Its like forwarding an e-mail.  You can simply RT a message or RT it with a comment and add your thoughts.

Carry on a conversation

Once you’ve found interesting people and topics you can use Twitter for back and forth conversations with one or many people.  Hitting ‘reply’ will direct a message to someone putting @username in the Tweet for you.  One pearl of wisdom I recently learned is that when a tweet begins with @username, it will only be seen by the user you are replying to, and anyone else who happens to be following both of you.  If you want everyone who follows you to see a reply or directed tweet, be sure to put a character in front of the @ symbol.  This explains the “.@” you will often see.

What if I need more than 140 characters?

Though you don’t want to do it often, there may be times when you need a longer tweet, like if you’re including a link.  Most Twitter apps will accommodate this by shortening your tweet and including the link.  Again, this isn’t something you want to do often, because your followers won’t always want to click through to read your full thought.   One of the big lessons with Twitter, of course, is to be brief and concise.

Why and when to tweet

There are many reasons to tweet besides conferences.  You can tweet to your students about news and important items.  You can keep the conversation going about topics you discussed in class or clinical or open a back channel for student chatter that will allow them to ask and answer questions.

Personal reasons to tweet might be when traveling to keep friend/ family aware of your location and adventures.  You might let people know where you’re going if you want people to join you.  The possibilities are really endless.

Your Twitter presence

When you sign up for Twitter you’ll want to think about what you want your Twitter presence to be.  Some people like to keep separate personal and professional accounts.  On my personal account I might talk about something silly my kids did, and follow my friends.  I might make political statements or send quirky jokes.

On my professional account I only tweet about things I would want my students or colleagues to see.  I follow other professionals with similar interests and RT those that would be beneficial to other nurses, midwives, or educators.

Its that easy!

So it really is that easy to Tweet.  If you get on, let me know!


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The other morning, I picked up my phone, opened an app, and typed the following words: “the kids won’t leave me alone while I’m trying to write a speech”.

Then I thought about it for a while and wrote “The kids need time and attention from me, and I’m not available much during the week.”

With further thought I typed: “The kids need reassurance from me they will get the time and attention they need, even if it can’t happen right now”.

Ultimately I wrote “I will set aside time when I will completely focus on my kids, and will tell them now when that will be.”

It was a worthwhile few moments of self-reflection and saved me and my kids a lot of frustration.

I was thinking about self-reflection and preparing to give a speech on it.  With annual milestones and rituals such as back to school and harvest festivals we are encouraged to reflect on our lives.  Where am I now compared to where I intended to be?   What are my triumphs and what are my regrets?  I have become one year older, but how have I become one year wiser?

I teach in a nursing program, and the team of instructors that I work with has been looking at the concept of self-reflection.  We see frequent self-reflection as essential to learning and personal growth. As a way of processing an experience, reflection can help us learn, develop emotional intelligence, and improve our work, our relationships, and our overall perspective on life.  As one of my co-instructors said recently, “we don’t learn from our experiences, we learn from our reflections on those experiences”.

To do so though, it can’t just happen once a year, of course.  It must happen often; after an experience or encounter, or perhaps at the end of each day.

As a teacher and a mother, I’ve been wondering how I teach this important skill.

I went looking for various frameworks for self-reflection; a systematic way that I could teach others.

One framework used in our nursing program is a 3-part method called “What? So What? Now What?”

You start with the “What”.  Reflect on the facts. What happened. Who said what.  How did you respond.

Next reflect on the “So What?”  Here’s where you analyze what all of it means. How does it make you feel?  Why did you respond the way you did? What impacts the way you view the experience?

Finally reflect on the “Now What?” What did you learn from this experience?  What would you do differently next time? How can you apply this experience to other areas of your life?

As I continued to search for frameworks I asked that ever important question: ‘is there an app for that?’  And the answer is ‘of course!’.  I found a few.

One app asks you to record how you are feeling periodically. By recording how you feel over a period of time you can review then analyze, reflect, and hopefully gain some self-insight into your own moods and feelings.

Interesting, but not exactly what I was looking for.

There are a wide variety of mind mapping applications out there.  Mind mapping allows you to turn your thoughts into visual representations you can move and manipulate.  This is a way great for visual thinkers to process thoughts and reflect.

The app that I used the other morning to reflect on the issue with my kids is an interesting but simple one.   Its called “4 Lines Diary” and has a very simple premise. You reflect in 4 lines: Fact, Discovery, Lesson, and Declaration.

Fact: what happened?

Discovery: how do you analyze it?

Lesson: what did you learn?

Declaration: what do you change moving forward?

The interesting part is its true to its name; you have only one line with 64 characters for each.  Its micro-self-reflection, if you will.  It’s an interesting exercise in not just reflecting, but in really boiling the issue down to what it’s all about.

Reflecting can be done in many other media as well- you certainly don’t need a smart phone: drawing or painting, role playing, poetry, or montage to name a few. It isn’t the method that’s important; it’s finding the way that works best for you.

Reflecting is a simple way to become more conscious, more intentional, and ultimately make better decisions.

Its something I am trying to build more of into my life, both informally and formally.

How do you build self-reflection into your life and what effect has it had?

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Summer simulation course

I had the pleasure of developing and running a summer simulation course this year.  This was the first elective nursing simulation course to be run at my college.  It was a great success!

Developing the course and taking it through the college approval process was a tremendous learning opportunity for me.  It helped further my understanding of college structure, along with the many barriers that exist to making simulation a financially viable method of instruction in the current environment.

It took significant thought and time, but I was able to develop a method to teach simulation to a large group (20+ students), over a reasonable amount of time, in a method that was sustainable for me as an instructor, while providing a solid and satisfying experience for students.  Ultimately, this 7 week course was very successful.  I had wonderful feedback from student participants who appreciated the format along with the learning opportunities provided during the summer.

The advantage for students in learning from others in varying places in the nursing program, and continuing their studies during the summer months cannot be overstated.  I would encourage anyone considering learning options in the summer months to look into teaching a summer simulation course.

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Minnesota Simulation Conference 2013

I went to an amazing conference on May 31st in Austin, MN on simulation in healthcare (and am just now getting to write about it).  I was part of the planning committee so it was especially exciting for me to get to see it all come together.

I would say it was a huge success.

From the head of the planning committee:

Riverland Community College welcomed more than 90 attendees to the (first) Minnesota Simulation Conference on Friday, May 31, 2013. Combined with exhibitors, presenters and other guests, we were able to showcase our healthcare simulation lab, expertise, and the Austin West Building venue to approximately 110 people. It was a great day for learning, networking, and building/enhancing a simulation community that will, ultimately, result in better patient care and outcomes.

Here is some news coverage from the event:

Minnesota Simulation Conference in Town

Medical Simulation Conference Brings Visitors from 5 States to Austin

Riverland Puts on Medical Simulation

One of the highlights for me was the opening keynote speakers on “Teamstepps” and “Just Culture“.  It was a great reminder on what we can do compared to what we are doing for safety and teamwork in healthcare.  It was also an important reminder on the role of simulation in creating practitioners who are safe and effective team members.

Here are the tweets from the conference.  They are in reverse order so to read them chronologically start from the bottom and work your way up (although they are still somewhat out of order.  My apologies!).

SutureTutorPlus ‏@suturetutorplus

Congrats to Simulation Specialist Heather Anderson from Minnesota who won SutureTutorPlus kit & course at #MnSim13

Carrie Dickson ‏@NursingTheIssue31 May  is the website for the “Siminars” to sign up to moderate and/or sign up to get notifications. #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May  MSHEP site #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

RT @NursingTheIssue: Miraculous recovery for this GSW victim #MNSim13 

Carrie Dickson ‏@NursingTheIssue31 May


Carrie Dickson ‏@NursingTheIssue31 May


Dan Baumgardner ‏@danbaumgardner31 May

#mnsim13 Running a simulation…

Jay Reeves ‏@jamboems31 May  comp development in new RN grads Burns, P 2008 #MnSim13

Dan Baumgardner ‏@danbaumgardner31 May

#mnsim13 the panel taking questions

Jay Reeves ‏@jamboems31 May

#MnSim13  comp development in new RN grads Burns, P 2008

Jay Reeves ‏@jamboems31 May

#MnSim13 Our acute care sim lab at DCTC. Noelle on the left, SimMan on the right.

Laerdal Medical ‏@laerdalmedical31 May

RT @jamboems: #MnSim13 Our home for SimMan at DCTC

Dan Baumgardner ‏@danbaumgardner31 May

#mnsim13 Ridgewater College mobile lab

Carrie Dickson ‏@NursingTheIssue31 May

Wow! Simulation case library from the Society for Academic Emergency Med. Downloadable and free.  #MNSim13

Carrie Dickson ‏@NursingTheIssue3 May

MN Simulation Conference is attracting a diverse group from the upper midwest region! #MnSim13 


Carrie Dickson ‏@NursingTheIssue31 May

Debriefing for meaningful learning #MNSim13 Blind debriefing: done by someone who did not witness the sim

Carrie Dickson ‏@NursingTheIssue31 May

If its related to pt safety, it’s important to focus on. Unrelated to safety and not in objectives it may be tabled #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Put objectives up clearly for everyone to see, so it helps guide the debriefing and keep on track #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Instead of “negative”: “what could be done differently”, “areas of opportunity”, “areas of growth” #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Wait 6 seconds to give people time to think and respond #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Not all good experiences are easy experiences #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

RT @NursingTheIssue: Miraculous recovery for this GSW victim #MNSim13 

Carrie Dickson ‏@NursingTheIssue31 May


Carrie Dickson ‏@NursingTheIssue31 May


Carrie Dickson ‏@NursingTheIssue31 May

@jamboems …

Carrie Dickson ‏@NursingTheIssue31 May

Miraculous recovery for this GSW victim #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Videotaping sounds like a trust issue. Help people understand what is going to be done with it (not shared, not used punitively)


Carrie Dickson ‏@NursingTheIssue31 May

Show your outcomes in terms of patient safety to get management buy-in. #MNSim13


Carrie Dickson ‏@NursingTheIssue31 May

“Surprise” simulations in situ make for very realistic scenarios, but can upset staff. Administrator support is key. #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Burned German shepherd hair smells like surgical cautery =) #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Simulation is about being real, put them into the simulation and help them feel the emotions before they go out to the real world. #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Disaster sims include ricin, anthrax, corona virus… Keeping sims current to most up-to-date threat. #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Sorry, per program RT @NursingTheIssue: Academic subscription to Micromedex, approx $1650/year per campus #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Academic subscription to Micromedex, approx $1650/year per campus #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Peer to peer: after the sim debriefing with the “learners”, debrief the “instructors” about the sim and facilitation. #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

@jamboems Nice!

Carrie Dickson ‏@NursingTheIssue31 May

@ProfessorCR, I’d love to talk to you about senior students in MANE creating & running sims for students at their base CC. Oooooh #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

@ProfessorCR Check your hash tag #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Peer to peer: students in teams of 4-5, given subject and prepare 15 min sims w/ help of professors. Hi-fi or low-fi, their choice. #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Be sure to share the pearls from your breakout! #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Putting together a team of clinical experts, does not make them an “expert team” #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

4-3-1, 3: Briefing, huddle, debriefing. 1: handoffs #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Shared mental model can create efficiency and effectiveness #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Closed loop communication is a 3 step process. Send message, receiver confirms, sender confirms correct receipt #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Shared mental model: getting everyone on the same page #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

4-3-1. Individuals need to use these 4 things: situational awareness, standard language, closed loop comm, shared mental model #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

We can’t team train. We have to teach individuals to be better team members #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Those who float among units can really help promote culture change in an agency at large #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Coach at risk behavior, punish ONLY reckless behavior. How much better would healthcare be with these practices? #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

How to manage error: human error, product of current design system: console! Revolutionary thinking, sadly… #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

@jamboems Yes, but luck made the punishment different then it would be for someone who committed same crime. Look at the process #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Problem isn’t making mistakes- it’s not learning from them #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Greatest impediment to error prevention is punishing people for making mistakes. Leape #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Getting away from outcomes and looking at process: “Just Culture” #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

@jamboems Consider yourself challenged! #MNSim13

 Carrie Dickson ‏@NursingTheIssue31 May

Simulation: improving patient outcomes and saving lives! #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Nearly 100 people from 52 different agencies. Wow! #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Wow! Simulation case library from the Society for Academic Emergency Med. Downloadable and free.  #MNSim13

Carrie Dickson ‏@NursingTheIssue31 May

Thrilled to be here at #MNSim13!

Posted in Simulation, Teaching | Tagged , , , , , , , , | Leave a comment

Is 18 adulthood or is it not?

As I read the story of a young woman, Kate, from Florida, who is facing sex-crime charges for her relationship with a 14 year-old girl I was very conflicted.  I have spent several days thinking about how I feel about this issue.  One side claims that she is being charged because she is in a same-sex relationship.  The other side says that the age of consent is clear (16), and that an 18 year-old should not be having sex with someone under the age of consent.  Regardless.  Apparently their relationship started before the older girl turned 18, but once she did, the parents went to police.

I have a hard time with this one.  Is it possible this girl is being targeted because its a same-sex relationship?  When you see she might spend 15 years in jail its hard to think otherwise.  But the truth is I think its easy to exploit young kids, and I don’t care whether its a boy or girl under 16 and a boy or girl over 18.  The older girl should have known better.

Now, is knowing better enough?  I’ve never been in love with someone and told I wasn’t allowed to be with them.  I don’t know what risks I’d be willing to take- especially at that age- for love.

Still, according to our laws, 18 years is a hard and fast rule.  At that age a child becomes a adult, and is responsible for his/her actions.  We don’t, or can’t look at individual situations and say that ‘this one is different’.  This one merits a different decision.  Age is age, and we can’t change that.

Or can we?

In this story, a 17 year old in Oregon was stopped from committing what could have been a heinous crime.  He was found to have bombs, napalm, and Molotov cocktails, and planned to reign terror on his school.  Thank goodness someone stopped him.  And yet, the article including something I read so often these days: this 17 year-old will be charged as an adult for attempted aggravated murder.

Wait, what? Because of the severity of the crime- the circumstances of the situation-  this child will not be charged within the juvenile system which was created to protect him.  Instead we as a society have chosen to take this unarbitrary thing- someone’s age- and make it arbitrarily applicable in certain circumstances.

So which do you think it should be?  Should we hold people to their age and treat them accordingly and all the same?  Or should we look at the individual circumstances and make the best determination we can given the circumstances?

Posted in Gender Studies, Sexual health | Tagged , , , , , , , | 1 Comment