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Type of simulator: high vs low fidelity simulation. Not everything needs Sim Man!
Be specific (ie Laerdal intubation head vs Sim Man 3G)
Type of bed (i.e.: OR table/ Hill Rom bed/
crib)_____________________
Furniture (Bedside table/chairs/couch)___________
Scenario Development
Template
Systems (for manikin set-up and facilitator use)
Initial Scene (only include abnormalities)
Neuro:
Respiratory:
Cardiac:
GI
GU
Make sure that you have a list of ALL of the supplies that you will need.
This is difficult the first scenario.
Scenario Development
Template
Meds:
Name
Drug concentration
Dose to be given
How supplied (ie: tablet, solution etc)
Do this for every medication that you will want them to use.
Scenario Development
Template
Moulage (i.e.: secretions, urine, blood, simulated
products):
Supplemental Media (i.e. photos or videos of skin appearance,
EHR, X-rays, ECG, Echocardiogram, Endoscopy video):
Supplemental References(pediatric formulary, educational
references)