Advanced Medical Surgical Simulations at Rasmussen College

Rasmussen College School of Nursing has developed novel simulation scenarios that offer nursing students the opportunity to develop competence, safe practice and keener critical thinking skills. Students in the nursing program are also scheduled clinical rotations where they are assigned to patients with different disease processes. The clinical experience is limited in some respects due to the student’s lack of exposure to the patient’s admission, treatment plan, transfer to a medical/surgical unit and disease escalation with elevation of acuity levels. Students are experiencing simulations where a patient is admitted to the emergency room in an acute episode of a disease process and is stabilized in the emergency room.

Students will follow the emergency room patient who is then admitted to a medical/surgical care unit for further nursing management and interventions. The students experience exposure to varying mini-scenarios threaded into the simulations where they will experience receiving and interpreting complex medical orders, family stress and anxieties along with a deteriorating patient. Students are placed into scenarios where therapeutic communication, assessment, and critical thinking skills are implemented and developed with progressive changes in the patient’s condition.

The students will experience the ICU setting simulation where the patient who progressed from the ER to the unit suffers deterioration. In the ICU students are exposed to higher levels of acuity and complex treatment plans and orders. The patient suffers exacerbations in the ICU setting that challenges the student’s capacity to identify critical data points during assessments, develop a plan of interventions, identification of expected and unexpected outcomes and evaluation of care. As the scenarios progress students are guided by the nursing instructor through self-evaluation, interpretation of orders, recognition of appropriate interventions and the student of their performance.

Nursing simulations are incorporated into the curriculum that replicates patient care experiences that may not be accessible to the nursing students during clinical rotations. The ultimate goal and objective for progressive simulations is to provide the student a safe practice learning environment. Students are provided the opportunity to utilize their clinical skills and theoretical foundation to develop nursing diagnosis, assessment of presenting signs, symptoms and interventions and then evaluate outcomes. Simulations offer a student the opportunity to develop self-confidence, competence, the opportunity to collaborate with multidisciplinary team members and cultivate a sense of safe practice. The student recognizes the potential for harmful practice in a safe environment during simulations.

Students who participate in high-fidelity nursing simulations find the stimulations have a strong impact on student self-confidence and clinical competence. *(Blum CA, Borglund S, Parcells D, 2010).

*Blum, C. A. (2010). High-fidelity nursing simulation: impact on student self-confidence and clinical competence. International Journal of Nursing Education and Scholarship, 7, 1-18.

Elizabeth Gotay

Elizabeth Gotay, MSN/INF,BSN,BS, is a Nursing faculty at Rasmussen College in Ocala , Fla. She has worked in the field for more than a year and a half. Gotay also has a degree from the University of Phoenix.

default blog author

Related Content

This piece of ad content was created by Rasmussen College to support its educational programs. Rasmussen College may not prepare students for all positions featured within this content. Please visit for a list of programs offered. External links provided on are for reference only. Rasmussen College does not guarantee, approve, control, or specifically endorse the information or products available on websites linked to, and is not endorsed by website owners, authors and/or organizations referenced. Rasmussen College is a regionally accredited private college.

Add your comment


Please enter your name.


Please enter your email.


Please enter your comment.


Take the Next Step—Talk to Us!

There are some errors in the form. Please correct the errors and submit again.

Request More Information

Talk with a program manager today.

Fill out the form to receive information about:
  • Program Details and Applying for Classes 
  • Financial Aid and FAFSA (for those who qualify)
  • Customized Support Services
  • Detailed Program Plan

Step 1 of 3

What's Your Name?

Please enter your first name.

Please enter your last name.

Step 2 of 3

Contact Information

Please enter your email address.

Please enter your phone number.

Please enter your five digit zip code.

Step 3 of 3

Program Preferences

Please choose a school of study.

Please choose a program.

Please choose a degree.

The program you have selected is not available in your area. Please select another program of interest.

By requesting information, I authorize Rasmussen College to contact me by email, phone or text message at the number provided. There is no obligation to enroll.

icon-colored-advance icon-colored-build icon-colored-certificate icon-colored-continual-developement icon-colored-growth icon-colored-national icon-colored-prep icon-colored-regional icon-colored-state icon-colored-student-centered icon-colored-support icon-colored-world-experience icon-general-connect icon-general-degree icon-general-discuss icon-general-email icon-general-find icon-general-laptop icon-general-leader icon-general-map icon-general-paperwork icon-general-phone icon-general-speak-out icon-camera icon-filter icon-info-circle icon-mail-forward icon-play-solid icon-quote-mark-left icon-quote-mark-right icon-share-square-o icon-spinner icon-tag logo-accreditation-acen logo-accreditation-ccne ras-logo-flame ras-logo-horizontal ras-logo-stacked icon-simple-chat icon-simple-desktop icon-simple-find icon-simple-hamburger icon-simple-phone icon-testimonial-quotes icon-social-facebook-square-colored icon-social-facebook-square icon-social-facebook icon-social-google-plus-square icon-social-google-plus icon-social-instagram icon-social-linkedin-square-colored icon-social-linkedin-square icon-social-linkedin icon-social-pinterest-p icon-social-twitter-square icon-social-twitter icon-social-youtube-play-colored icon-social-youtube-play icon-util-checkbox-white icon-util-checkbox icon-util-checked-white icon-util-checked icon-util-chevron-down icon-util-chevron-left icon-util-chevron-right icon-util-chevron-up icon-util-loading icon-util-open-window-button icon-util-open-window-link icon-util-pdf-button icon-util-pdf-link icon-util-refresh icon-util-x