Props and Equipment and Laboratory Supplies Needed

Appendix C

Props and equipment and Laboratory supplies needed:

Simulated urine positive LabStix for glucose

Simulated blood positive for a high serum glucose level

Making Fake Blood and Urine

URINE - Ketones 80-160mg/dL [dark purple (large amount)]

Glucose high glucose [dark pink]

1. Put 30ml ddH2O into a conical tube.

Add .036g acetoacetic acid.

Check with ketone stick.

Dip ketone stick in urine.

Wait 15 seconds.

Compare test area on strip to color chart.

Add 1/2 tsp glucose to tube.

Check with glucose stick:

Dip glucose stick in urine.

Wait 10 seconds.

Compare test area on strip to color chart.

BLOOD Glucose 400mg/dL or more

1. Put 30ml ddH2O into a conical tube.

Add red food coloring to simulate blood color.

Add blue food coloring in small amounts to enhance simulated blood color.

Check with glucose meter.

Add glucose to get desired concentration.

Calibrate glucose meter:

Insert test strip onto glucose meter.

Add control solution to test strip.

Make sure number on tube matches glucose meter.

Make sure glucose value falls into range.

Simulated ketone smell

Plan A: in a closed container (need a fresh one every day)

Plan B: use alcohol and acetone swabs in separate containers.

Urine bag with 2 liters urine – having been produced in 6 hours
(normal urine production is 3 liters per day – this will be 4 times 2 liters in 24 hours)

(Foley catheter to show what it actually looks like

–  syringe to inflate balloon

–  spare Foley catheter)

Patient will not be catheterized in this scenario

Lay out of Sim Lab

METI HPS simulator (METI version 6D software=6, hardware=D)

Wig to indicate female patient

Add endotracheal tube for accurate ETCO2 sampling

Room set-up – 8 chairs facing simulator and monitors

Vital signs monitor on anesthesia machine to the simulator’s left side (same side as trainees)

Set alarms to OFF on monitor

Set sound ECG to 10% on vital sign monitor

Make sure capnograph sampling is plugged in, and microsampling tube is available

IV infusion (R/L or NaCl running)

Nasal cannulae for Oxygen (and O2 mask for demo)

Student hand-outs

Place pages 1-6 on electronic bulletin board prior to the day of the session

Day of the session, immediately before the session:

Questionnaire exploring attainment of Educational Objectives
(typically based on Bloom’s taxonomy – 6 levels
facts, understanding, application, analysis, synthesis, evaluation)

Pages 1-2 outline of session

After the session

Pages 3-6 of Instructor hand-out (includes DKA summary from PBL session)