title: Developing team based acute care scenarios: a rural hospital experience.
abstract: BACKGROUND
  Health professionals work in teams in a variety of health care settings especially in medical emergency teams at times of crisis. However, Registered Nurses (RNs) rarely have the chance to partake in educational programs designed for teams of nurses to practice working together in life-threatening situations. Further RN's employed in rural setting have less opportunities for professional development than their city based counterparts. Simulated scenarios with a patient actor in a rural hospital have been utilised in this study to provide nurses with the opportunity to work as a team in the early recognition and management of patients with acute medical conditions.
  
  
  OBJECTIVE
  This discussion paper focuses on one aspect of a larger research project with the aim of describing the development of team based scenarios for a rural hospital setting, focusing on the detection and management of a deteriorating patient.
  
  
  METHODS
  Three team based scenarios, the related assessments and feedback techniques are all described.
  
  
  CONCLUSIONS
  Team based simulation provides a unique opportunity to assist registered nurses in rural settings in re-skilling or maintaining their emergency management skills.
authors.affiliation: School of Nursing and Midwifery, Monash University, Gippsland Campus, Northways Road, Churchill, Vic. 3842, Australia. Karen.missen@monash.edu
authors.forename: Karen
authors.initials: K
authors.lastname: Missen
authors.forename: Louise
authors.initials: L
authors.lastname: Sparkes
authors.forename: Joanne
authors.initials: J
authors.lastname: Porter
authors.forename: Simon
authors.initials: S
authors.lastname: Cooper
authors.forename: Tracy
authors.initials: T
authors.lastname: McConnell-Henry
mesh_terms: D000208:Acute Disease; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D016529:Emergency Nursing / Q000193:education*; D005260:Female; D006780:Hospitals, Rural / Q000458:organization & administration*; D006801:Humans; D008297:Male; D009730:Nursing Assessment; D010348:Patient Care Team / Q000458:organization & administration*; D016544:Patient Simulation