Home Health Professional

by Kathy Peterman

Kathy is an R.N. at Sharp Home Health. She began the EdTec program in 1987 and hopes to graduate in May of 1992. She loves teaching and the creative process.

Instructional Objective This game is designed to simulate a day in the life of a Home Health Professional, complete with obstacles, challenges and paperwork. The game is designed to take place after orientation to assist learners in applying the content to reality before seeing patients.

Learners/Context Learners are nurses that have completed orientation to Sharp Home Health and are ready to begin seeing patients. Some may have had home health experience. Others may be new to home health. A mixture of new and old players would be interesting to test out to see if they assist one another or if they have a clear advantage that creates a wide spread, making the game less fun.

Rationale This game was developed to assist new orientees at Sharp Home Health apply the information they have learned to a simulation of reality before they see patients. It is designed to be fun, to identify obstacles and assist them in organizing their day. Paperwork is completed as part of the game since this continues to be one of the major challenges to new orientees.

Rules The game takes approximately 30-60 minutes depending on the number of players and the specific cards drawn.

The game begins with each player picking a colored car as a game piece and placing it at the start (Home Health Office). Shuffle the cards and stack them face- down around the board in piles according to color (subject). Each player spins to see who goes first; the player with the highest number goes first. If there is a tie; a second spin will determine who gets to go first. The first player selects 4 patient cards, then the player to their left goes next by selecting 4 patients until all have their patient assignments. Players then determine the order in which they hope to see their patients and they begin their Daily Activity Sheet to simulate a real day.

Players then spin to get out of the office, advancing by the number of spaces the pointer indicates. The space in which they land determines the subject card another player must draw and read to them. To get your next turn you must answer correctly. If you do not know the correct answer you lose a turn. This serves to simulate reality where not knowing the answers is not wrong, but it will slow you down. Obstacle cards and spaces will also give events that may slow the player down.

At Paperwork Pass the player presents their paperwork for review and feedback from the orientation nurse. The first player to get to their own home at the finish line wins.

Game Board The board is the size of a checkerboard. The game begins at the office. Players then get in their cars and go throughout a city to see their patients. To finish the game you must pass the Paperwork Pass square and then you get to go home and relax.

Ancillary Materials Ancillary materials include:

* colored cars as game pieces,

* a spinner with numbers 1 through 4 for spaces to advance,

* cards for patient assignment, and

* cards for the four categories (lab questions, patient challenge, random events, and paperwork).

Other Card Ideas Lab Questions

* What color tube does a PTT go into?

* What color tube does a fasting blood sugar go into?

* Is magnesium a part of a SMAC panel?

* Should you ice your blood specimen?

Patient Challenge

* Your patient codes right in front of you - What do you do?

* Your patient has expressive aphasia - how can you help them understand you?

* You need to do a joint HHA visit on this patient - how will you arrange this?

* The patient has a dog that bites - what will you do?

Random Events

* You accidentally lock your keys in the car- What will you do?

* You need to attend the in service at 3 PM today - how will you work this into your schedule?

* There is a traffic jam on the freeway - what will you do?

* It starts raining and you have no umbrella - what will you do?


* You have a CNTO "Case Not Taken On" - how will you document this?

* Fill out a lab slip for your second patient needing a PTT.

* Last Monday was a holiday - how do you mark this on your time card if you had the day off and you are full-time?

Design Process In developing the game I originally sketched out two possible scenarios - one for orientees and one for managers. There are many more new orientees and their needs are easily identified. Management has only a few new people and their needs are not known by the designer. This made the decision to go with the game for new orientees an easy one. Then a rough sketch of the board and ways to keep reality in but make it adventurous were explored. The fact that we see patients in a variety of setting makes our jobs interesting and that became the main pictures for the board. Sometimes we have to drop off lab specimens and that is another path that can be a detour in our day.

One of the goals is to get done so one can go home - this became the finish. Nurses need to know a wide variety of content and get a wide range of patient challenges. These became the categories. Nurses need to know as much as possible within each of the categories. To develop knowledge within each category, the option to choose a category was eliminated. A range of hard to easy questions are in all stacks. Shuffling is done to make the questions random. It is hoped that others may assist with the answering of questions and get some discussion going.