Clinical/Simulation Expectations

Clinical Expectations

I. Students will be assigned to the appropriate clinical rotation/practicum by the Clinical Placement Coordinator (CPC).

II. CPC will send announcements via e-mail to students in regards to their clinical schedules.

III. Clinical schedules may be altered/changed by the CPC based on clinical agency requirements or changes up to 24 hours prior to the rotation start date.

IV. Completion of clinical practicum experiences must be a priority in order to achieve success in the nursing program. Therefore, students are expected to commit to 100% attendance for their clinical assignments during a quarter. Students are advised not enroll in a clinical practicum course if students have knowledge that vacations, weddings, child care arrangements, or employment obligations may conflict.  The CPC will not be able to accommodate individual preferences for clinical schedules. 

V. Students may not switch or manipulate their assigned clinical schedule at any time.

VI. The CPC may change the clinical schedule at any time to avoid conflicts in course schedules and/or at the request of a clinical site.

VII. Students may be assigned to a clinical site where they are employed, but not the unit where they are currently employed.

VIII. Certain clinical experiences during the junior and senior quarters may warrant student preferences.  In these cases the CPC will interview students and assign students based on their preferences if they are appropriate, available and authorized by the faculty teaching particular course.  These placements are in no way guaranteed and are evaluated on a "case-by-case" basis.

IX. A clinical agency has the authority to cancel the clinical prior or during the scheduled clinical and reschedule the clinical according to site availability. An example might be: When a State Health Department or The Joint Commission survey is conducted. Agencies are not given advanced notice for these regulatory visits. Students are not allowed in the agencies during these times as stated in our Educational Affiliation Agreement.

Smoking at Clinical Agency

At clinical sites, each student is responsible for locating the designated smoking area and smoking only in this area. Any student found smoking outside the designated area may be suspended from the clinical rotation. Smoking should only occur on assigned breaks. In general, breaks are 15 minutes and lunch is 30 minutes. Students who smoke are considered tardy if he/she does not return in a timely fashion from breaks. Students are referred to the attendance policy on the Platt College web site for further information.

Student Illness in the Clinical Area

Students who become ill during a clinical experience must notify the clinical instructor at once. Do not leave the clinical area without the clinical instructor's permission. The professional nurse assigned to the student's patients/clients should also be notified to assure continuity of care. The clinical instructor will evaluate the situation and take appropriate action. A student who is becomes ill will be asked to leave the clinical agency if it is determined that it is in the best interest of patient/client safety, or of your health.  Clinical faculty determines if a student has participated sufficiently during the clinical day before declaring a clinical failure.

Termination of Clinical Experience

A student demonstrating a pattern of unsafe performance, lack of accountability, or inconsistency in performance in the clinical area, may be immediately terminated from the clinical area by the clinical faculty, even if there are days remaining in the clinical rotation.

The concerns are related to the following situations and include, but are not limited to: high patient/client acuity; the need for patient/client, or the safety of others; and concerns voiced by the clinical agency. If a clinical agency or facility requests that a student NOT return to their facility (to complete a clinical rotation the student is currently taking or for a future clinical) due to behavioral issues, substance abuse/drugs, etc., the nursing program has the right to terminate a clinical experience and/or assign a failing grade. These situations impact future completion of coursework and continuation in the nursing program.

A student will be sent home and receive a failing grade for the clinical day if the clinical instructor feels a student is unprepared to deliver safe nursing care to the assigned patient/clients. A charge will be made to make up the missed clinical experience.

Subpoena or Legal Issues

Receipt of a subpoena or other legal documents involving a clinical agency require that the students immediately notify the Associate Dean, School of Nursing.

Simulated Clinical Experiences

Simulation Vision Statement

Provide a high quality student-centered learning experience utilizing human simulation experience to create realistic, life-like scenarios where students engage in the practice of nursing skills and theory for the purpose of facilitating competence in provision of care, evidence-based practice, informatics, professional standards, and interprofessional communication and collaboration.

Simulation Mission Statement

Platt College offers simulated clinical experiences to nursing students who will assume accountability for safe, holistic, and patient-centered care as professional nurses.  Within our Simulation Lab, the simulation team creates immersive patient care environments and utilizes high fidelity simulators and a Simulation Learning System that support student-centered learning.

Definition: Clinical Simulation

Clinical Simulation is a care setting utilizing human simulation experience to create realistic, life-like scenarios where students engage in the practice of nursing skills and theory for the purpose of teaching and evaluating students (CBON Chapter II section 1.5). Contact hours are determined by Simulation Lab Coordinator in conjunction with the Dean.  Each clinical course may be formulated to include a combination of Clinical Experience components. The course syllabus will identify the number of hours for each component.

Clinical Simulation Student Preparation

  • Clinical simulation has the same expectations as a clinical experience delivered in a clinical agency.
  • Students will receive a one-hour orientation regarding use of the Simulation Learning System one week before their simulated clinical experience. Students will tour the simulation lab and receive a brief demonstration of the patient care simulators, monitors, beds, equipment, med carts and phone system.
  • Students will sign the Student Consent for Audio/Visual Recording of Simulated Clinical Experiences
  • Students must come to the simulation prepared to deliver patient care in their Platt College scrubs and with all of the necessary equipment needed. See “dress code for clinical settings” that apply to the simulation clinical setting as well.
  • Student must register for an Evolve student account on https://evolve.elsevier.com
  • Students will be provided with the learning outcomes in accordance with the Elsevier Simulation Learning System (SLS) one week before their scheduled date. The assigned simulated patients will require nursing care indicated for the patient population and to fulfill the student learning outcomes for the course.

Pre-Clinical Simulation Assignments

Preparation for the clinical learning experience will begin with the SLS and will include a patient history, skills review, an overview of the problem, an admission sheet, hospital orders, labs and other diagnostic data, and a nursing report upon arrival to the clinical learning experience.

All students will complete documentation within the SLS and this documentation will be reviewed and graded based on the learning objectives by the clinical faculty member.

Debriefing, Evaluation and Post Simulation Assignments

All students will participate in the clinical simulation debriefing with their clinical faculty member. The debriefing process will also include guided critical reflection to be completed outside of the simulation environment using the student’s digitally recorded clinical simulation performance.

Students will be evaluated using a standardized evaluation rubric and daily clinical evaluation tool located in the course portal. Evaluation will include the totality of the clinical learning experience from patient care preparation within the SLS, to the clinical simulation learning experience, student patient care documentation, participation in debriefing and the completion of a critical reflection assignment.

Simulation Laboratory and Debriefing Room Etiquette

Students are expected to behave professionally in the nursing labs, much as you would in a clinical setting (e.g., do not sit on the patient/client bed).  Students are to follow HIPAA regulations and guidelines concerning patient Privacy and Confidentiality at all times.

All high fidelity simulators and mannequins will be treated with the same respect and dignity we afford live patients/clients. 

Students and faculty must be appropriately dressed and equipped to participate in skill and simulation lab activities.

Students and faculty are expected to keep all labs in a neat and orderly state. 

For safety reasons, food is prohibited in the skills and simulation labs. Beverages may be consumed only in the nurse's station in the skills lab (Room 207) and then only in covered containers.

Personal items (i.e., books, coats, nurse kit, etc.) shall be placed in an area that is not obstructive to the personal safety of each individual or which may damage equipment. Personal items are not allowed in the simulation lab or control room.

All students and faculty will adhere to the Occupational Safety and Health Administration (OSHA)-mandated safety practices at all times when in the nursing and simulation laboratories.

Nursing lab faculty may add additional rules at any time to ensure the safety of all individuals in the nursing and simulation labs.

Students participating as patient/clients in the nursing or simulation labs are under the guidance and direction of nursing faculty. No one shall attempt to administer medications, injections, insert IVs or other tubing, or provide any other medical procedure without nursing faculty present.

Nursing faculty must be immediately informed of any accidents or injuries.

Clean up spills immediately. It is difficult to see water and other liquids on light colored floors. Inform nursing faculty of any large spills.

Faculty is responsible for teaching proper use of all equipment in the nursing and simulation  labs. Equipment manuals are available for reference. Improper or unauthorized use of lab equipment is prohibited.

Electrical equipment safety and maintenance:

  •   Knowing the equipment before usage to prevent mishaps.
  •   Check for frayed or splitting cords, missing dials, or general damage to the equipment.
  •   Report damages to the faculty immediately.
  •   Ensure other equipment is not resting on electrical cords.
  •   Ensure that electrical cords do not become a tripping hazard.
  •   Ensure electrical cords are plugged into the proper, grounded, electrical outlet.
  •   Unplug all electrical equipment by gripping and pulling on the plug base and not on the cord.
  •   Ensure all equipment is turned off before leaving the lab.
  • All sharps will be disposed of in the sharps container. There are no exceptions to this policy. Clinical faculty will discuss the importance of this procedure in greater detail during lab activities.

Dispose of contaminated materials in the appropriately marked, red biohazard containers.

All furniture will be returned to the respective place after each lab activity. This means:

  •      Beds against the wall (Be careful not to damage the electrical cords), bed linens straightened, and not dragging the floor.
  •      Bedside tables next to the bed; over-bed tables placed at the foot of each bed.
  •      Mobile carts, IV poles, etc. are not obstructing the general movement of the room nor blocking exits.
  •      Mannequins are returned to beds, properly positioned, and covered, and treated
  • Do not move HAL®, HAL JR®, NOELLE®, Newborn HAL® and/ or VitalSim Anne™ and SimMan™, without supervision of lab faculty.
  • Do not use povidone-iodine (Betadine) or lubricants on, HAL®, HAL JR®, NOELLE® Newborn HAL® and/or VitalSim Anne™ and SimMan™ other than what is supplied by the lab personnel.
  • All students must wash hands before touching the mannequin or equipment.
  • All pens, pencils, marking pens, and other writing implements are to be kept away from HAL®, HAL JR®, NOELLE®, Newborn HAL® and/or VitalSim Anne™ and SimMan™.
  • Pens and markers are not allowed in the patient care area of the simulation lab.  
  • All trash should be placed in the trash receptacle. No sharps, or broken class, biohazard bags, or contaminated materials are to be placed in regular trash containers.
  • Simulated medications are to be used for practice purposes only. Many are not approved for human consumption or administration; therefore, they are not to be taken or given.
  • Open skills lab hours are posted on a quarterly basis. If a student feels she/he needs additional practice or instruction on a specific skill, the time must be arranged with the nursing lab faculty.
  • Students are not allowed to be in any lab, including the simulation lab and debriefing room, without a faculty member present.
  • Students are not allowed in the simulation control room at any time.  Students must use the sliding glass doors to move between simulation Bay’s A and B during scenarios.
  • Students will need to get permission from the Simulation Lab Coordinator for any pictures to be taken of the simulation lab or its contents (for specific use only).
  • Do not remove any items or equipment from the simulation lab or debrief room.

Student Consent for Audio/Visual Recording of Simulated Clinical Experiences

Platt College requires nursing students give consent to the use of images and/or recordings of their individual or group performances in simulation sessions for educational purposes. The nature of audio/video recording in the Simulation Lab at Platt College is for faculty to be able to observe, evaluate, and debrief the performance of nursing students who deliver nursing care during Simulated Clinical Experiences. Students may view an archived audio/video recording for purposes of self-reflection following simulation and debriefing. The audio/video recordings may be permanently deleted at the discretion of Platt College. 

The following guidelines apply to students giving consent:

  • The student understands that consent is for the Educational Use.
  • The student understands that all patient information is confidential, even information developed for or as part of a simulation session, and any inappropriate viewing, discussion, or disclosure including but not limited to posting on social media of this information is a violation of Platt College Policy 07:12:00 Ownership of Instructional Materials and Protection of Copyright. Any inappropriate viewing, discussion, or disclosure of this information is a violation of Platt College policy and may be a violation of HIPAA or other state and federal laws.
  • The student understands that simulation and debriefing sessions may be videotaped, audio taped or otherwise recorded and agrees to maintain the confidentiality and security of any and all recordings.
  • The student understands that a signed consent will release Platt College, its owners, officers, employees, successors and assigns from any and all claims which he/she might have in connection with any use of his/her name, works/designs, photograph, likeness, voice, and/or personal data.