Moulage: Nuts & Bolts - HealthPartners Clinical Simulation · –Cornstarch for thickness –Rice...
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Simulation Facilitator Workshop Moulage © HealthPartners Clinical Simulation 2016 1 Moulage Magic Adapted from Gail L. Johnson, PhD, MS, BSN, CHSE, CHSOS Moulage : Mannequin Safe Tips &Tricks Lori Winters, MS, RN Create realistic looking wounds using one or more moulage techniques Demonstrate how to use moulage to create realism for simulation scenarios Objectives Moulage : – The artistic technique of incorporating realistic cues, such as wounds, perspiration, blood, or therapeutic devices, to increase the “psychological fidelity” of a simulation. Moulage
Transcript of Moulage: Nuts & Bolts - HealthPartners Clinical Simulation · –Cornstarch for thickness –Rice...
Simulation Facilitator Workshop Moulage
© HealthPartners Clinical Simulation 2016 1
Moulage Magic
Adapted from Gail L. Johnson, PhD, MS, BSN, CHSE, CHSOS Moulage: Mannequin Safe Tips &TricksLori Winters, MS, RN
Create realistic looking wounds using one or more moulage techniques
Demonstrate how to use moulage to create realism for simulation scenarios
Objectives
Moulage:
– The artistic technique of incorporating realistic cues, such as wounds, perspiration, blood, or therapeutic devices, to increase the “psychological fidelity” of a simulation.
Moulage
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“the addition of moulage will urge students to undertake key life-saving interventions more quickly.” (Mills et al, 2018)
“each generation expecting better portrayal of authenticity than the previous” (Stokes-Parish, et al, 2017)
“every simulation session must have enough realism for the participants to become fully engaged in the scenario. …enough to overcome the sense of playacting.” (Hwang & Bencken, 2008)
Does Appearance Matter?
Alignment with objectives Participant considerations
– Level of experience– Environment– Inter-professional education
Subject– Human– Manikin
Knowledge– Physiology of the situation– Mechanism of injury
Considerations
What do you need?
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Mixing Basics
– Secure locking containers
– Spoons/tongue depressors
– Leur Lock syringes
– Cath tip syringes
– Drainage bags for IV fluids
– Funnels
– Measuring cups
– Mixing cups
Moulage Supplies cont…
Human Manikin
Example of Bruises
Example of Bruises
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Example of Wounds
Oozing Blood
– Mix
Blue dish detergent
Red food coloring
– Commercial products
Road Rash
– Commercial products
Ben Nye
Graftobian
Blood
Example of Burns
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Example of Burns
Body Fluids Magic
Snot– KY Jelly– A toothpick tip of yellow or green finger pain
Meconium– Green finger paint– Yellow finger paint– Blue dish detergent
Mix finger paints, adding until desired color. Add dish detergent for color and consistency.
Sample Recipe
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Liquid C-diff Stool
– ½ cup Corn starch
– 2 tsp Shaving cream
– Black finger paint
– Green finger paint
– Red finger paint
– 2 drops green food coloring
– 1 drop red food coloring
– Blue dish detergent
Pour distilled water into a bowl for the approximate amount of stool, add green and red finger paints to make a brown color, add a tiny amount of black finger paint and food coloring. Mix corn starch, shaving cream, and blue dish detergent for realistic consistency.
Sample Recipe
Blood Clots
– 1 box Gelatin
– Food coloring
– Water
Mix according to box directions but use half as the amount of water. Add food color until desired color obtained. Pour into a cake pan (9x13). Place in refrigerator overnight to settle.
Sample Recipe
Avoid
– Mold Growth
Food Products?
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Possible Exceptions:
– No direct contact with manikin
Edema: Cream of wheat/oatmeal in secured bags covered with nylons
Coffee grounds added to a fluid presented in a basin
– Cornstarch for thickness
– Rice crispies/broken chips in a baggie for crepitus
– Plain gelatin with red food coloring for clots
Food products?
Adhesive & Make Up
– “White” eraser
– Powder- Talc
– Goo Gone
– Mild soap & water
Ink
– 10% Benzyl Peroxide Cream
– Light source 10 inches from area
Clean Up
Basic device needs– Dressings– Basins– Drainage collection devices
IV infusion over flow Foley Stool collection device
– Medications– Intravenous supplies– Chux– Armbands– Oxygen flowmeter– Oxygen Adjuncts
Moulage Supplies cont….
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Medications
Made EASY:
– 1 Empty IV bag
– 2 Sets of secondary tubing
– 1 three-way stopcock
Refilling IV Bags
Additional medical device considerations:
– Bag valve mask
– Splints
– C-collar
– Backboard
– Traction
– Chest tubes
– JP bulbs
– IV pumps
– Feeding pumps
– Feeding tubes
– Suction Canister
– Yankeur
THE LIST IS ENDLESS!!!
Medical Supplies cont…
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Clinical Supplies & Equipment
Use expired materials (ie. Medications, defib pads)
– Empty according to OSHA Standards
Repackage materials (ie. Cath kits, central line kits)
– Take photos of kit contents & arrangement
Predetermined disposal site during the simulation
Make friends with ancillary departments (ie. Pharmacy, Biomed, Materials)
Refill & Reuse… Reuse… Reuse
Show me the money!!!
Wardrobe
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Clinical Supplies & Equipment
Environment
Chow, R. E., & Naik, V. N. (2008). Realism and the art of simulation. In R. R. Kyle, & W. B. Murray (Eds.), Clinical simulation: operations, engineering, and management (pp. 89-94). Amsterdam: Elsevier.
Merica, B. J. (2012). Medical moulage: How to make simulations come alive. Philadelphia: F.A. Davis Company.
Mills, B.W. et. al. (2018). Investigating the extent realistic moulageimpacts on immersion and performance among undergraduate paramedicine students in a simulation-based trauma scenario.Journal of the Society for Simulation in Healthcare, 13(5), 331-340.
Muckler, V. C. (2016). Exploring suspension of disbelief during simulation-based learning. Clinical Simulation in Nursing, 13(1), 3-9.
Stokes-Parish, J.B., Duvivier, R. & Jolly, Brian. (2017). Does Appearance Matter? Current Issues and Formulation of a Research Agenda for Moulage in Simulation. Journal of the Society for Simulation in Healthcare, 12(1), 47-50.
References
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Moulage Magic
Lori Winters, MS, RN
