{"id":11821,"date":"2024-10-30T20:06:56","date_gmt":"2024-10-30T20:06:56","guid":{"rendered":"https:\/\/magazines.uthscsa.edu\/mission\/?p=11821"},"modified":"2024-11-14T22:42:56","modified_gmt":"2024-11-14T22:42:56","slug":"what-lurks-in-the-school-of-nursings-basement","status":"publish","type":"post","link":"https:\/\/magazines.uthscsa.edu\/mission\/what-lurks-in-the-school-of-nursings-basement\/","title":{"rendered":"What lurks in the School of Nursing&#8217;s basement?"},"content":{"rendered":"<p><em>It was a dark, quiet evening at the School of Nursing, the kind where shadows stretch long and every sound seems to carry an eerie echo. The halls were nearly deserted.<\/em><\/p>\n<p><em>With the soft hum of fluorescent lights flickering overhead, one lone housekeeper made his nightly rounds, pushing his supply cart through the hallways of the Center for Simulation Innovation when he heard it \u2014 a faint, unsettling moan coming from one of the rooms.<\/em><\/p>\n<p><em>Heart pounding, the housekeeper froze. The sound grew louder the closer he crept toward the door. Slowly, he peeked inside.<\/em><em>\u00a0<\/em><\/p>\n<p><em>There, on a gurney, lay a figure. Motionless at first glance, but then\u2026 it stirred.<\/em><\/p>\n<p><em>The housekeeper\u2019s breath hitched, a chill running down his spine as the figure let out a soft, low groan.<\/em><\/p>\n<p><em>The dim lighting cast shadows on its face, making it seem all too real. Panic gripped his chest, and before he could think, he let out a blood-curdling scream, abandoning the cart and bolting down the hallway.<\/em><\/p>\n<p><em>Later, campus police would say the gentleman had refused to return to his post that evening.<\/em><\/p>\n<hr \/>\n<p>The culprit behind the haunting? One of the school\u2019s most advanced medical manikins, left powered on after a long day of training students in realistic patient care scenarios.<\/p>\n<p>As spooky season descends, true stories such as this add a playful twist to the essential work happening inside the\u00a0<a href=\"https:\/\/uthscsa.edu\/nursing\/clinical-experiences\/center-simulation-innovation\" target=\"_blank\" rel=\"noopener\">School of Nursing\u2019s Center for Simulation Innovation<\/a>, where some of the most sophisticated medical simulators are helping to prepare practice-ready nurses.<\/p>\n<figure id=\"attachment_38724\" class=\"wp-caption alignright\" aria-describedby=\"caption-attachment-38724\">\n<p><figure id=\"attachment_38724\" aria-describedby=\"caption-attachment-38724\" style=\"width: 250px\" class=\"wp-caption alignright\"><img decoding=\"async\" class=\"wp-image-38724\" src=\"https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Hal1-scaled.jpg\" sizes=\"(max-width: 639px) 98vw, (max-width: 1199px) 64vw, 250px\" srcset=\"https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Hal1-scaled.jpg 675w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Hal1-638x850.jpg 638w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Hal1-768x1024.jpg 768w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Hal1-1152x1536.jpg 1152w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Hal1-1536x2048.jpg 1536w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Hal1-640x853.jpg 640w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Hal1-1024x1365.jpg 1024w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Hal1-1200x1600.jpg 1200w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Hal1-1920x2560.jpg 1920w\" alt=\"LouAnn Click removes the tip of a pediatric manikin's finger as it lays in a hospital bed cuddling a stuffed frog.\" width=\"250\" height=\"333\" \/><figcaption id=\"caption-attachment-38724\" class=\"wp-caption-text\">LouAnn Click removes the tip of a pediatric manikin&#8217;s finger as it lays in a hospital bed cuddling a stuffed frog.<\/figcaption><\/figure><figcaption id=\"caption-attachment-38724\" class=\"wp-caption-text\"><\/figcaption><\/figure>\n<p>LouAnn Click, BSN, RN, simulation lab manager, fondly recalls moments like this \u2014 where the realism of the manikins has even fooled nursing staff and, occasionally, students.<\/p>\n<p>\u201cOur simulators are so advanced, they can mimic nearly every aspect of patient care,\u201d said Click, who has been with the school for nearly 25 years. \u201cWe have manikins that can track you with their eyes or exhibit real-time changes in heart rate and lung sounds, they offer invaluable training experiences.\u201d<\/p>\n<p>In fact, one manikin, known as Miss Vivian, even had a run-in with U.S. Customs and Border Protection officials who mistook her for actual human remains due to her lifelike appearance when she was shipped from overseas in a coffin-like pine box.<\/p>\n<p>\u201cYou\u2019ve got to love British humor,\u201d said Click recalling the memory.<\/p>\n<h4><span style=\"color: #333333;\">More than a spooky surprise<\/span><\/h4>\n<p>The school\u2019s simulation center is home to a variety of manikins that enable students to gain hands-on experience in a risk-free environment. Low-, mid- and high-fidelity simulators can replicate scenarios from routine check-ups to critical emergencies, allowing students to practice their skills before interacting with live patients.<\/p>\n<figure id=\"attachment_38720\" class=\"wp-caption alignleft\" aria-describedby=\"caption-attachment-38720\">\n<p><figure id=\"attachment_38720\" aria-describedby=\"caption-attachment-38720\" style=\"width: 262px\" class=\"wp-caption alignleft\"><img decoding=\"async\" class=\"wp-image-38720\" src=\"https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Victoria1-scaled.jpg\" sizes=\"(max-width: 639px) 98vw, (max-width: 1199px) 64vw, 262px\" srcset=\"https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Victoria1-scaled.jpg 675w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Victoria1-638x850.jpg 638w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Victoria1-768x1024.jpg 768w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Victoria1-1152x1536.jpg 1152w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Victoria1-1536x2048.jpg 1536w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Victoria1-640x853.jpg 640w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Victoria1-1024x1365.jpg 1024w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Victoria1-1200x1600.jpg 1200w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Victoria1-1920x2560.jpg 1920w\" alt=\"Three female nursing students participate in a simulation with Victoria giving birth. The students attempt to assess and swaddle her newborn.\" width=\"262\" height=\"350\" \/><figcaption id=\"caption-attachment-38720\" class=\"wp-caption-text\">Nursing students assess a newborn manikin just delivered by Victoria during an obstetrics simulation.<\/figcaption><\/figure><figcaption id=\"caption-attachment-38720\" class=\"wp-caption-text\"><\/figcaption><\/figure>\n<p>\u201cWe have simulators that breathe, bleed and even deliver babies,\u201d Click explained.<\/p>\n<p>One of the most popular simulators, Victoria, allows students to assist her in childbirth. She provides them, male students in particular, the opportunity to experience something they otherwise might miss out on due to cultural or privacy concerns.<\/p>\n<p>\u201cIt\u2019s not common that you can have a real patient deliver on demand,\u201d said Click. \u201cVictoria can deliver her baby in under 10 minutes.\u201d<\/p>\n<p>She\u2019s not the only star of the center. Its inventory features a range of simulators, including pediatric and geriatric manikins, each designed to help students master different aspects of patient care.<\/p>\n<p>Miss Vivian, the geriatric manikin who startled customs officials, is a particularly important teaching tool.<\/p>\n<p>\u201cShe\u2019s so lifelike that our vein finder can detect her veins, allowing students to practice starting IVs,\u201d Click said.<\/p>\n<h4><span style=\"color: #333333;\">A sophisticated learning environment<\/span><\/h4>\n<p>Nursing education goes beyond access to lifelike manikins; it\u2019s about creating an immersive environment where students can hone their skills with the latest technology. Not long ago, the center added virtual reality (VR) training to its repertoire, enabling students to practice interacting with virtual patients before moving on to the manikins.<\/p>\n<figure id=\"attachment_38731\" class=\"wp-caption alignright\" aria-describedby=\"caption-attachment-38731\">\n<p><figure id=\"attachment_38731\" aria-describedby=\"caption-attachment-38731\" style=\"width: 261px\" class=\"wp-caption alignright\"><img decoding=\"async\" class=\"wp-image-38731\" src=\"https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Vivianhand-scaled.jpg\" sizes=\"(max-width: 639px) 98vw, (max-width: 1199px) 64vw, 261px\" srcset=\"https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Vivianhand-scaled.jpg 675w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Vivianhand-638x850.jpg 638w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Vivianhand-768x1024.jpg 768w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Vivianhand-1152x1536.jpg 1152w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Vivianhand-1536x2048.jpg 1536w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Vivianhand-640x853.jpg 640w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Vivianhand-1024x1365.jpg 1024w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Vivianhand-1200x1600.jpg 1200w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Vivianhand-1920x2560.jpg 1920w\" alt=\"A close-up photo of Miss Vivian's hand to show the extreme detail of the manikin. Winkles, discoloration, age spots and moles are apparent.\" width=\"261\" height=\"348\" \/><figcaption id=\"caption-attachment-38731\" class=\"wp-caption-text\">A close-up of Miss Vivian\u2019s hand shows the extreme detail of her design.<\/figcaption><\/figure><figcaption id=\"caption-attachment-38731\" class=\"wp-caption-text\"><\/figcaption><\/figure>\n<p>\u201cStudents wear VR headsets and walk through a patient scenario, interacting with both the patient and family members,\u201d said Click.<\/p>\n<p>This helps them prepare for the emotional and technical aspects of patient care, including how to communicate with family members in stressful situations.<\/p>\n<p>Once students complete the VR scenario, they transition to the physical manikins, where they perform hands-on tasks like changing wound dressings or administering medication. This multi-stage approach ensures that students are thoroughly prepared for real-world nursing situations. The simulators can even be programmed to respond to different medications, allowing students to see the effects of their interventions in real time.<\/p>\n<p>\u201cA nurse can do everything perfectly, the same way they\u2019ve done it multiple times and all of a sudden, a patient responds differently. We want to see how they react,\u201d Click said. \u201cDo they call a doctor; do they try something else? We have to practice that.\u201d<\/p>\n<p>The school also conducts special simulations, such as\u00a0<a href=\"https:\/\/magazines.uthscsa.edu\/mission\/dementia\/\" target=\"_blank\" rel=\"noopener\">The Virtual Dementia Tour<\/a>, which offers students and caregivers the opportunity to live with dementia for eight minutes. Participants\u2019 senses are temporarily impaired while they are instructed to complete a series of tasks.<\/p>\n<figure id=\"attachment_38721\" class=\"wp-caption alignleft\" aria-describedby=\"caption-attachment-38721\">\n<p><figure id=\"attachment_38721\" aria-describedby=\"caption-attachment-38721\" style=\"width: 270px\" class=\"wp-caption alignleft\"><img decoding=\"async\" class=\"wp-image-38721\" src=\"https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/dementia-joe-belt-768x743-1.jpg\" sizes=\"(max-width: 639px) 98vw, (max-width: 1199px) 64vw, 270px\" srcset=\"https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/dementia-joe-belt-768x743-1.jpg 768w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/dementia-joe-belt-768x743-1-640x619.jpg 640w\" alt=\"A male simulation participant wears a glove, glasses and headphones while he reaches for a belt as an evaluator watches.\" width=\"270\" height=\"261\" \/><figcaption id=\"caption-attachment-38721\" class=\"wp-caption-text\">The Virtual Dementia Tour participants are outfitted with a padded glove to impede dexterity, thick glasses to distort vision and headphones to simulate hearing loss.<\/figcaption><\/figure><figcaption id=\"caption-attachment-38721\" class=\"wp-caption-text\"><\/figcaption><\/figure>\n<p>\u201cThey are only given the instructions once,\u201d Click said. \u201cWe sometimes have participants who come out of the simulation feeling guilty for how they might have treated a loved one. It\u2019s not until you experience similar symptoms do you really understand how debilitating dementia can be.\u201d<\/p>\n<p>The school also runs the\u00a0<a href=\"https:\/\/www.patdeegan.com\/hearing-voices\" target=\"_blank\" rel=\"noopener\">Hearing Voices Simulation<\/a>, demonstrating schizophrenia. It\u2019s an eye-opening experience according to Braulio Amezaga, the lab\u2019s manager of audio visual and teaching support services.<\/p>\n<p>\u201cParticipants are given a list of tasks to complete in different areas of the school,\u201d Amezaga said. \u201cThey must try to complete them while wearing headphones the entire time. The sound coming from the headphones simulates the voices someone with schizophrenia might experience.\u201d<\/p>\n<p>Amezaga said the voice starts off by softly humming but vastly changes by the end of the simulation.<\/p>\n<p>\u201cWe warn participants that the voice becomes quite rude,\u201d he said. \u201cThe simulation was created by Dr. Patricia E. Deegan, a researcher and educator in mental health recovery who was diagnosed with schizophrenia as a teenager, so it\u2019s very realistic and participants find it extremely hard to concentrate.\u201d<\/p>\n<h4><span style=\"color: #333333;\">A glimpse of the future<\/span><\/h4>\n<p>As health care technology continues to advance, the Center for Simulation Innovation remains committed to staying on the cutting edge.<\/p>\n<figure id=\"attachment_38728\" class=\"wp-caption alignright\" aria-describedby=\"caption-attachment-38728\">\n<p><figure id=\"attachment_38728\" aria-describedby=\"caption-attachment-38728\" style=\"width: 260px\" class=\"wp-caption alignright\"><img decoding=\"async\" class=\"wp-image-38728\" src=\"https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Skin1-scaled.jpeg\" sizes=\"(max-width: 639px) 98vw, (max-width: 1199px) 64vw, 260px\" srcset=\"https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Skin1-scaled.jpeg 675w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Skin1-638x850.jpeg 638w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Skin1-768x1024.jpeg 768w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Skin1-1152x1536.jpeg 1152w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Skin1-1536x2048.jpeg 1536w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Skin1-640x853.jpeg 640w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Skin1-1024x1365.jpeg 1024w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Skin1-1200x1600.jpeg 1200w, https:\/\/news.uthscsa.edu\/wp-content\/uploads\/2024\/10\/Skin1-1920x2560.jpeg 1920w\" alt=\"LouAnn Click holds up a hyper-realistic latex mask that is used on manikins to give them the features of a senior African American male.\" width=\"260\" height=\"347\" \/><figcaption id=\"caption-attachment-38728\" class=\"wp-caption-text\">LouAnn Click holds a manikin \u201cskin\u201d used to transform simulators\u2019 appearance for different training scenarios.<\/figcaption><\/figure><figcaption id=\"caption-attachment-38728\" class=\"wp-caption-text\"><\/figcaption><\/figure>\n<p>\u201cWe are always looking for new ways to improve the learning experience for our students,\u201d said Amezaga, who mentioned that the school is preparing to add artificial intelligence (AI) to its tool belt.<\/p>\n<p>A special smart speaker will soon allow the school to use conversational AI, permitting students to practice patient communication skills across several scenarios. The system will offer real-time feedback on communication effectiveness and includes preloaded scenarios such as abdominal pain, chest pain and allergic reactions.<\/p>\n<p>\u201cWe\u2019ll be able to program medical history and a personality to our manikins,\u201d Amezaga said. \u201cWhen students interact within a simulation, the AI can take over and respond randomly. It will make the scenarios that much more lifelike.\u201d<\/p>\n<p>Whether it\u2019s through AI, VR, advanced simulators or even innovative moulage techniques that replicate real wounds, the center provides a comprehensive and immersive learning environment.<\/p>\n<h4><span style=\"color: #333333;\">Distinctive in South Texas<\/span><\/h4>\n<p>While spooky tales of manikins coming to life after hours may circulate, it\u2019s important to remember that behind the fun tales lies a serious mission: preparing the next generation of nurses with the skills and confidence to provide exceptional patient care.<\/p>\n<p>In the fall of 2023, the Center for Simulation Innovation\u00a0<a href=\"https:\/\/news.uthscsa.edu\/center-for-simulation-innovation-at-ut-health-san-antonio-school-of-nursing-earns-prestigious-accreditation-2\/\" target=\"_blank\" rel=\"noopener\">earned accreditation<\/a>\u00a0from the Society for Simulation in Healthcare for excellence in teaching and education. The recognition places it among the top simulation centers statewide and highlights its role in preparing nursing and inter-professional teams for clinical practice.<\/p>\n<p>The accreditation process took two years and validates the center\u2019s high standards in delivering simulation-based education.<\/p>\n<p>\u201cOur goal is to ensure that when our students graduate, they are practice-ready and confident in their abilities,\u201d said Click. \u201cThe technology we have allows them to experience situations they might not encounter in their clinical rotations \u2014 they\u2019ll be ready for anything.\u201d<\/p>\n<div class=\"addtoany_share_save_container addtoany_content addtoany_content_bottom\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Essential work is happening inside the\u00a0School of Nursing\u2019s Center for Simulation Innovation, where some of the most sophisticated medical simulators are helping prepare practice-ready nurses.<\/p>\n","protected":false},"author":599,"featured_media":11824,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"ppma_author":[291],"class_list":["post-11821","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>What lurks in the School of Nursing&#039;s basement? 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