Maternal Virtual Clinical and Swift River Assignments and Protocols

Maternal Virtual Clinical Overview

• Subject Focus: The first virtual clinical experience focuses specifically on maternal and newborn care. The instructor emphasized that "it's the baby now," indicating a shift in clinical priority to obstetric and neonatal nursing.

• Platform: The simulations are conducted through Swift River simulations $2.0$, accessible via the My ATI portal.

• Simulation Nature: The Swift River modules are designed to mimic a real clinical environment. Students receive a patient report, identify patient identifiers, and manage the case as if they were observing a patient in a physical hospital setting.

Clinical Scheduling and Deadlines

• Group A Schedule:

  • Start Time: The virtual assignment portal opens on Tuesday at $7\text{AM}$.

  • Deadline: Students have a window of $72$ hours to complete all required components from the start time.

• Group B Schedule:

  • Start Time: The portal opens the following week on Tuesday at $7\text{AM}$.

  • Deadline: Identical to Group A, students are allotted $72$ hours for completion.

• Assigned Patients:

  • Each group is assigned two different patients.

  • The instructor noted that this prevents unfair advantages regarding completion time.

  • For Group A, the assigned patients are named Clara and Stitch.

Workflow and Sequential Requirements

• Pre-briefing Component:

  • Just like in a Physical Simulation (Sim) or a traditional clinical, there is a mandatory pre-briefing assignment.

  • For the current module, the topics cover Health System and Postpartum Hemorrhage.

  • Gating Mechanism: The patient modules will not unlock until the pre-briefing questions are submitted. This must be the first step completed.

• Module Completion:

  • Students must go through the entire case for each patient.

  • Verification: Upon completion of each module in ATI, a transcript is generated. This transcript serves as the official proof of completion and must be uploaded to the corresponding submission box.

• Post-Clinical Debriefing:

  • At the conclusion of the clinical day (which is treated as a "free day" from the physical hospital to complete these tasks), a combined Debrief and Reflection assignment is required.

  • This involves answering questions related to the clinical experiences of the day and discussing them (referenced as talking to Patrick).

Specific Documentation and Deliverables

• Client Report Sheet:

  • This mimics the standard report sheet used in a physical clinical setting.

  • Required data points include: Room number, allergies, and other pertinent patient identifiers.

  • Instructions: If a specific data field (e.g., a certain allergy or room detail) does not apply to the virtual patient, students may leave it blank or mark it as DNA (Does Not Apply).

• Medication Concept Map:

  • Requirement: Students must select one medication that they administered to the patient during the simulation to create a concept map.

  • Focus: This is specifically medication-based and intended to deepen the student's understanding of the drug's application.

  • Example: If a patient is being treated for Postpartum Hemorrhage, a student might choose oxytocin or another related medication for their map.

  • Format: The instructor allows these to be handwritten (provided the handwriting is legible) or completed digitally. It should be concise but informative.

• Submission Formatting:

  • There are separate submission boxes for every component of the assignment.

  • Patient 1 Box: Requires the Swift River Transcript, the Client Report Sheet, and the Medication Concept Map.

  • Patient 2 Box: Requires the Swift River Transcript, the Client Report Sheet, and the Medication Concept Map for the second patient.

Swift River Access Steps

1. Log in to My ATI.

2. Scroll down to the Modules section.

3. Select Swift River simulations $2.0$.

4. Navigate to and click on Maternal Newborn.

5. The assigned patients will appear in this section on the day the assignment is scheduled to open.

Questions & Discussion

• Query regarding scheduling: A student asked if the next assignment was on a Friday. The instructor corrected this, stating the schedule reflects Tuesdays at $7\text{AM}$.

• Query regarding the number of medications: A student asked if they needed to do multiple medications for the concept map. The instructor clarified that they only need to pick one medication per patient.

• Query regarding visibility of patients: A student asked if both patients are visible at the same time or if they must be finished sequentially. The instructor noted they would "have to see," but confirmed that students often have to go back into the system to access the second patient after finishing the first.

• Discussion on Time Management: Students discussed the workload, with one student suggesting they would rather go to the hospital because of the amount of virtual work. The instructor and students discussed the "randomness" of some patients in the system and how ATI tracks time/activity, but the final grade is based on the specific assignments provided (Transcripts, Maps, Reports).