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LETTER TO THE EDITOR

Medical simulation with a twist Neel Sharma wrote in to BJN about the importance of medical simulation opportunities for nurses.

Dear Editor,

U

ndergraduate and postgraduate training instructors have been quick to recognise that adequate patient exposure is key to gaining experience in the assessment and management of an array of illnesses. The difficulty lies in the ability to gain exposure to such illnesses and finding patients and, of course, senior doctors willing enough to allow students and trainees to dive right in. Mannequin-based simulation has been regarded as a possible solution and evidence in the literature speaks highly of its role in effective replication of clinical scenarios as well as its place in assessment and feedback. During simulation sessions I have attended and delivered, I realised something that’s clearly lacking. For example, a session I

undertook involved me demonstrating my competence in the management of a gastrointestinal bleed after being called by a nursing staff member who noticed new onset peri-rectal bleeding. And a session I helped deliver involved medical students managing a patient with COPD after the nurse had noted a drop in oxygen sats. What we fail to appreciate in such interprofessional learning domains is that surely our nurses should be learning too. After all, they are our guardians of the ward, monitoring patient progress around the clock. And when it may prove difficult to attend to a critically unwell patient straight away, they are left to struggle. I feel we have a duty to educate our nursing colleagues as well and simply not view them as our loyal messengers. After all anyone who is equipped with knowledge of human physiology and illness

can easily undertake an ‘ABC’ assessment and instigate some form of initial treatment with the appropriate training. Many doctors view nurses as their inferiors, but the reality is, they are our ears and eyes in the workplace. We should therefore take it upon ourselves to switch simulation on its head and allow them to also dive right in. After all, health care shouldn’t be about our professional insecurities but rather about the patient lying in front of us.

Neel Sharma Honorary Clinical Lecturer, Centre for Medical Education, Barts and the London School of Medicine and Dentistry

Would you like to share an opinion about a nursing issue or an article published in the BJN? Send it to [email protected] with the subject line ‘Letter to the Editor’ and see your letter in an upcoming issue.

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