SIM Scenario Exchange

COPD Incorporating High Flow and Palliation

Contributed on August 24, 2023, last updated September 29, 2023.

English

Author(s)

Christine Hernando, RN MN, Orillia Soldiers Memorial Hospital

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A two-part scenario, designed for an interprofessional group of clinical externs, this was made to meet two of the learning goals they had requested: high flow and palliation. Patient is sick and while initially responding to treatment, a time warp in the scenario allowed us to also fit in palliation in the same education session.

Learning Objectives:

  1. Identify when to call RT for help
  2. Practice giving a MDI through the port on the high flow
  3. Utilize comfort measures to reassure a patient struggling with shortness of breath
  4. If there is an RT participant
    — Respond to shortness of breath by adjusting the flow rate of the high flow
    — Respond to decreased oxygen saturations by increasing the FiO2

Simulation Modality:

Manikin-based

Equipment:

High flow oxygen, MDI, syringe, alcohol swabs, manikin, IV, blankets and hospital gown

Competencies:

Respiratory assessment and treatment.
Palliative approaches to care
Utilizing high flow oxygen

Evalution/Validation:

Reviewed by Anita Montgomery RT prior to first use

Utilized with a groups of clinical externs and minor revisions made after to clarify

Citation:

Hernando C. COPD Incorporating High Flow and Palliation. Simulation resource published by Simulation Canada; 2023. Available from https://simulationcanada.ca/scenario/copd-incorporating-high-flow-and-palliation/.

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License:

The information about this resource and any downloadable files are shared under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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Target Learners

Interprofessional:

Yes

Profession:

Nursing
Respiratory Therapy

Levels:

Undergraduate / post-secondary

Fields / Disciplines:

Medical
Palliative & end-of-life care

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