Download Simulation activity running sheet

Simulation activity running sheet
About the simulation
Title:
Radiation safety and communication
Date:
Duration:
60 minutes
Venue:
Faculty
Facilitator/s:
Simulated patient/s:
Confederate/s:
Learning objectives
At the conclusion of this simulation, participants will be able to:
1. Identify the key safety aspects involved with working in a radiation area.
2. Demonstrate the appropriate communication required when interacting with radiation therapists
delivering patient treatment.
3. Demonstrate safe conduct in a radiation area.
4. Manage a highly distressed patient in a radiation area (Radiation Therapy students only).
Scenario – Health Professionals
Participants need to urgently speak with either the radiation therapist or the patient who is currently receiving
treatment. The contexts will reflect their usual clinical role:
Social work
Needs to follow up with a patient who is currently in receiving treatment about a
referral to services.
Dietetics
Needs to liaise with to the radiation therapist about PEG feeds for another patient
who will be receiving radiation therapy.
Occupational Therapy /
Physiotherapy
Needs to communicate with the patient receiving treatment about follow up for
their lymphoedema.
Medicine:
Needs to communicate with the patient receiving treatment about changing their
medications to better manage their treatment symptoms.
Nursing
Needs to speak to the radiation therapist about organising chemotherapy
appointments for a patient that is attending for treatment later that day.
Scenario – Radiation Therapy students
Participants are assuming the role of radiation therapist. Participants will need to collect the patient from the
waiting room, bring them into the treatment room, and prepare them for treatment .
DISCLAIMER
Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors
and publisher are not responsible for perceived or actual inaccuracies, omissions or interpretation of the contents of this simulation.
All characters appearing in this simulation are fictitious. Any resemblance to real persons, living or dead, is purely coincidental.
Scenario 1: Console attended
Setup
Faculty actions
Console area only
Non-treating radiation therapist:
BEAM ON sign
illuminated
1 x non-treating
radiation therapist
1 x treating radiation
therapist
1 x participant
Observers standing to
the side of the
console.
Treating radiation therapist:
• Seated at the console, away from
the treating radiation therapist.
Working on the computer.
• Seated at the console near the
monitors, operating the Linear
Accelerator
• If approached by the participant,
then greet them and assist them
with their enquiry.
• Should ignore the participant
unless the participant attempts to
get their attention (eg. speaks or
waves)
• If the participant approaches the
treating radiation therapist, do not
intervene until the treating
radiation therapist asks them to
assist.
• If the participant attempts to get
their attention, then respond, but
indicate that the patient’s
treatment has been interrupted.
Ask the person to speak to the
non-treating radiation therapist.
Expected participant actions
Debriefing points
Participant:
If participant
approached the
treating radiation
therapist, what could
have been the effect
of that interruption?
-
observes the safety signs.
conducts themselves in a safe
manner.
observes the “Beam ON” sign.
• Participant does NOT approach the
treating radiation therapist.
• Participant approaches the nontreating radiation therapist to
assist with their enquiry.
Scenario 2: Console unattended
Setup
Faculty actions
Expected participant actions
Debriefing points
Console area
unattended
Radiation therapist:
• In the treatment room, attending to a patient.
Treatment room
•
Participant:
- observes the safety signs.
- conducts themselves in a safe manner.
- observes the “Beam OFF” sign.
If participant entered
the treatment room
without invitation
from the radiation
therapist, what could
have been the
potential
consequences?
BEAM OFF sign
illuminated
1 x radiation therapist
1 x participant
Observers standing
near the entrance of
the MAZE but not
blocking access.
•
If the participant calls out from the entrance of the
treatment room, then respond to them appropriately
and you may come around to speak to them at the
treatment room entrance.
If the participant enters the treatment room without
invitation from the radiation therapist, then indicate
that it is inappropriate for them to enter as the patient
may be indecently exposed and they will be invading
the patient’s privacy as well as delaying the preparation
for their treatment.
• When the participant notices console unattended, the
participant approaches the entrance of the treating
room, but does not go past the door.
• Participant calls out to radiation therapist from the
entrance of the treatment room and states who they
are and asks whether the radiation therapist would be
able to speak to them about their enquiry.
DISCLAIMER
Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors and publisher are not responsible for perceived or actual inaccuracies,
omissions or interpretation of the contents of this simulation.
All characters appearing in this simulation are fictitious. Any resemblance to real persons, living or dead, is purely coincidental.
Scenario 3: Radiation Therapy students
Setup
Faculty actions
Expected participant actions
Waiting Area
Simulated patient:
Participant:
Treatment room with
a treatment table.
• Sitting in the waiting area. May be slightly fidgety or
appearing somewhat anxious.
-
Another private room
(eg. nursing room)
• The participant will come to collect the patient and
bring them around to the treatment room.
•
Collects the patient from the waiting area and brings
them to the treatment room.
BEAM OFF sign
illuminated
• The participant will ask the patient to put on a gown
and then lie down on the treatment table.
•
Uses appropriate and polite professional
communication when interacting with the patient.
1 x simulated patient
• When lying down, the patient’s anxiety increases. This
might present as heavy breathing, asking lots of
questions, or crying.
•
Gives clear instructions to the patient about preparing
for treatment.
•
Respects patients privacy when putting on the gown.
•
Places the mask on the patient, but immediately
removes the mask when the patient becomes very
distressed.
•
Brings the treatment table down to a safe height for
the patient, and considers patient safety at all times.
•
Assists patient to sit up and uses communication
strategies to help the patient calm down.
•
If/when appropriate, take the patient around to a
private room.
•
Call nursing staff and make a referral to the social
worker/psychologist if patient agreeable.
Observers standing in
the treatment room in
an unobtrusive
position.
• When the participant places the mask on, then the
patient becomes extremely anxious and begin yelling
and trying to take off the mask.
• The patient gradually decreases anxiety as the
participant uses appropriate strategies to calm them
down.
Debriefing points
observes the safety signs.
conducts themselves in a safe manner.
DISCLAIMER
Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors and publisher are not responsible for perceived or actual inaccuracies,
omissions or interpretation of the contents of this simulation.
All characters appearing in this simulation are fictitious. Any resemblance to real persons, living or dead, is purely coincidental.