Thompson Rivers University
Thompson Rivers University

School of Nursing Capital Infrastructure

Nursing and Health Science Building

Investment: $16-40 million

Timeline: 2016

Description: A three storey (12,500 sq ft) building to house several critical research elements including, researcher offices (20), a 100-seat classroom, (6) 400 sq ft research labs, clinical space and a simulation laboratory focused on (but not limited to) health research problems (2500 sq ft), clinical space for research, diagnosis and treatment of sleep disorders (2500 sq ft.), and a centre for research into Computation, Optimization and Decision Science both in areas of industry and in the realm of public health (750 sq ft.), and lab and office space for Natural products research, (3250 sq ft) and Environmental Research (3500 sq ft).


Research Space

Investment: $2 million

Timeline: 2016

Description - Currently TRU School of Nursing does not have any dedicated research space and/or research resources to support our faculty. We identify two types of research facilities that would support current and new programs of study into the future:

a) Qualitative Research Center : The majority of the current faculty conducts qualitative research studies that require very rigorous methodologies and analysis. Yet this occurs of the side of their desks, in space rented or borrowed from colleagues and always in places that require nursing faculty to move, set up and dismantle. Such hidden work does not reflect a University program that values, supports or enhances research capacity. Therefore we need a dedicated qualitative research center that includes space for: at least 2-3 focus group rooms where groups of up to 20 can participate (these can also serve as seminar rooms for teaching when not in research use); interview rooms with phone lines for confidential interviews; transcription equipment for multiple transcribers to translate the interviews and focus groups verbatim; data analyses computers (desk tops as well as tablets) and software and hardware that is equipped with the highest quality software programs. Training space for teaching graduate students and faculty in new modalities of transcribing, coding and data analysis. Space should be comfortable with tables and chairs as well as technology to support taping and transcribing individual and groups’ discussions and direct quotations.

b) Quantitative Research Space : 4 -8 rooms that can be shared across faculty. Each room is equipped with desks, computers, file cabinets for storing confidential documents such as consents, surveys, research protocols, training manuals, research protocols, data analysis plans. Data analysis center with high quality software computing including SAS, SPSS, Epidemiological data programs, multi and higher-level modeling. Training center capacity for ongoing training in quantitative analysis techniques including SAS, SPSS, HLM , Higher Linear Modelling so that faculty across the campus can continue to update their skills and knowledge in quantitative methods. Computer system that is available for training sessions several times each year with invited experts in the field from TRU as well as from other training centers. Summer training camps could provide a leading edge environment for people who travel to the tournament capital for sports with their families may be able to attend a leading edge workshop at the same time.


Teaching and Office Space:

Investment: TBD

Timeline: 2016

Description - Currently there is no dedicated teaching space for faculty to engage in the interactive, course smart technology that should be supported for our teachers and their students to use. In essence we need teaching space that is flexible. Nursing classes are developed to be interactive, case study domain and use group and team approaches. Therefore at least 3 classrooms that can hold up to 60 students with desks and chairs that are compatible to multiple approaches of learning rather than typical didactic approaches. We also suggest that we build a theatre style classroom where we could host large groups with key note speakers who come to campus. This request is in response to the classroom space issue that is real concern for faculty and students.

We envision all faculty and staff of the School of Nursing can be housed in this new building. That would require meeting space and administrative office for Dean and 5 support staff; Office space for 50 faculty members and shared office space for 14 sessional faculty members. This represents our present faculty needs and should probably be increased for our new program for a MN program that is in development as well.


State-Of-The-Art Learning Lab Resource Center:

Investment: $10 million ($5 million in infrastructure & $5 million in technology)

Timeline: 2016

Description - We envision a 3-4 room learning lab that is multi-purpose particularly for nursing and the respiratory lab science group. There are also other areas of growth on campus that may benefit from such a center such as the sleep research group, computer science and groups such as education and arts where there is a need for interactive learning environment. The state of the art learning lab that is a major recruitment for students and faculty would position TRU Nursing program as a destination site for student locally nationally and internationally. When a school of nursing is able to demonstrate a learning environment that provides students to work with real life high quality technology that provides a safe learning environment where student can learn with real case study scenarios that are computerized programming with high fidelity mannequins, that have the computer software as well as the interactive audiovisual equipment to support multiple case study learning during each lab. In addition space is also required where the results from the lab can be enhanced through debriefing process.

For example one lab may be students working with mannequins who are programmed to be exhibiting signs of cardiovascular distress. Students will have to critically appraise the client (mannequin) who has real pulse, blood pressure, breath sounds, veins to insert a intravenous line, airway that can be intubated etc. During the assessment the mannequin case study will allow the faculty to change the symptoms and the assessments to truly reflect a full heart attack and then move into a cardiac arrest. In a second room a group of of second year students can be working with a high fidelity child mannequin and completing an assessment that will have the child mannequin programmed with typical physical data such as a rapid pulse, striated breathing predictive of airway distress that could be due to asthma or due to developing croup. In a third room third year students may be working with a client who has had surgery for removal of a breast cancer. The client is distressed about the diagnosis and as the student assesses the incision and learns how to empty the drain from the wound the client begins to talk about her fears of dying. This type of scenario allows student to develop critical thinking skills and high level communication skills that are typical of a nursing situation. The mannequin is programmed to continue the conversation with the student under a safe learning environment. In a fourth room a group of senior students is learning how to care for clients with complex psychiatric issues. This might include a client who is bi-polar and exhibiting signs of severe depression after spending their life earnings on buying property in Africa, or a client with severe personality disorder who is disruptive and unable to function in their grade 3 classroom or a client with addiction issues to both alcohol and crack cocaine. For these types of learning labs we require two way mirrors, actors to work with the students, video system to tape and debrief the interview processes. We would require room furniture that is multi-functional so that it may be a bed side conversation, a small interview room with comfortable chairs, a group process room where students can learn to facilitate group process or to host as the coordinator a team or case conferences. All of these situations can be videotaped and uploaded to black board or Moodle so that students can debrief with faculty with respect to what worked well, what might work better and what is the relationship between what the students is practicing with respect to evidence based theory and practice.

Requirements for a new state of the art learning lab include: Large 3 room space with each room being equipped with 4 fidelity mannequins, 4 beds, fully equipped system for blood pressure monitoring, oxygen, cardiogram/EKG capability, TV monitors, computer system etc. We have pictures of what a typical set up would look like. The audiovisual needs for such a system will be over $300,000. The electrical needs and requirements for the computerized system for working with the high fidelity mannequins require the infrastructure to support it including electrical, computerized system and technology support. Costs also include equipment such as new electric beds, iv equipment, blood pressure monitoring systems, mannequins that reflect adults, adolescents, children as well as female mannequins who have been designed as being high risk pregnancy.

The fourth room will be an interactive communication training lab that will facilitate high level communication and leadership training for students with clients, teams, board or community meetings or presenting briefs to funding or community groups. This room requires audiovisual support, two way mirrors, videoconferencing, Smart Boards, furniture that facilitates one: one interviews, as well as group process and board meetings.


Nursing and Health Sciences Space:

Investment: $3 million to fund bottom floor

Timeline: 2016

Description - Creating a presence for Nursing on TRU campus is a wonderful recruitment and fundraising priority. The community of Kamloops is a strong supporter of TRU. Across the country the number one professional groups who are valued most by the community are Nurses. Further, the importance of TRU leadership in the area of Aboriginal peoples speaks to the importance of the School of Nursing building that presence in Nursing while also addressing the significance of aboriginal health. We suggest a meeting space in the Nursing and Health Sciences building that truly brings the community of nursing and aboriginal peoples together with our TRU and Kamloops communities. The space would reflect a circle of health theme with historical documents from Nursing in Kamloops as well as historical documents in aboriginal health. This large meeting space in the ground floor of the new building would show case that history, while providing greeting space where students can come together, where visitors can hold special events and where we can truly embrace our heritage and our support for nursing and health sciences.

Infrastructure Requirement Summary

Research Theme

New Office Space Requirements

New Lab Space Requirements

Quantitative Research lab

Qualitative Research Lab

Graduate Study Rooms

Teaching Space

3 class rooms 60 students with movable chairs and tables

1 large theatre style classroom

Learning Lab Space

3 rooms with high fidelity mannequin set up with hospital like systems

Cause and Consequences of Sleep Disorders

1500 sq ft clinic

1500 sq ft lab space

Simulation for Training Health Care Professionals

2000 sq ft clinic

1500 sq ft lab

1 large room with pods that allow for variety of communication training systems (1:1 interviews; bedside and chair conversations; meeting rooms; board room, small seminar room; flexible community ‘Circle of Wellness’ space for SON faculty and students, as well as a place to welcome donor prospects and host receptions.


Breakdown of Multi-Disciplinary Learning Lab Equipment

Investment - $290,108

Timeline: Ongoing

Description – List of equipment needs & costing breakdown as follows:


5 Baxter Sigmapectrum Infusion System “smart pumps”

Investment - $15k

Description – Designed with features to help reduce errors when programming an IV infusion. It is the equipment used in all of the Interior Health Authority. At present, the SON has only one of these pumps. Most students at TRU learn about IV infusions on manual systems in the laboratory that are no longer used in Canadian health care. This was identified by the CRNBC reviewers for the approval of the BScN program in 2012 as an item that must be addressed prior to the next approval.

MimioTeach™ Interactive System

Investment - $4,850

Description – Turns any dry-erase board into an interactive whiteboard. The portable, durable bar, powered by infrared and ultrasonic technology, attaches easily to a whiteboard. The wireless receiver can be plugged into a computer, connected to a projector, and the MimioTeach bar activates a projected display area up to 4 feet by 8 feet. The MimioTeach system comes with MimioStudio™ software, which provides all the simple yet powerful features needed to create and present interactive lessons. 2; one to be placed in each of the two laboratories.

Clinical Care Recliner Chairs

Investment - $2,099

Description – (2) w/ 3-Position & Dual Swing Arm

Moveable Storage Cart

Investment - $2,495

Description – Encloses and locks items to protect them from pilferage and grazing. Items are visible for inventory checking without having to open the cabinet.

7-Drawer Adult Crash Cart with Emergency Package

Investment - $4,300

Description – This wheeled crash cart is equipped for demanding Emergency situations, including simulated medications and a defibrillator arm, to prepare students for responding to and assisting with resuscitations and other emergency clinical care situations.

Laerdal SimMom

Investment - $45,266

Description – An advanced full-body interactive birthing simulator. SimMom offers the functionality required to train in a wide range of midwifery and obstetric skills. SimMom provides realistic practice of multiple delivery positions and maneuvers, teamwork, leadership and communication skills in a risk-free environment. Uterus modules add further realism and extend the application of the simulator. The manual delivery system of SimMom requires the user to actively progress the baby through the birth canal and has been designed to replicate delivery scenarios in a realistic and reliable manor. This allows for more control over the birthing process to optimize student learning while providing educators the flexibility to give immediate response to student actions and promptcorrective action where appropriate.

Pediatric Crash Cart

Investment - $3,599

Description – Equipped with medications and supplies for resuscitation of children and infants.

Automated External Defibrillator

Investment - $2,999

Description – AEDs have voice prompts that can guide anyone who possesses a calm head in a crisis, standard CPR training, and an ability to follow directions through an emergency resuscitation.

Stretcher

Investment - $6k

Description – Used for transporting patients.

IV Pump

Investment - $6k

Description – Essential life-saving equipment.

Defibrillator/Monitor

Investment - $5k

Description – Defibrillators are used to shock a person’s heart into a normal rhythm. They are found in all ER’s.

Glidescope

Investment - $10k

Description – A glidescope is used to facilitate the intubation of adults, pediatrics and infants, especially in the more difficult cases as it has a video display for better visualization.

Lab Basics

Investment - $41,500

Description - Infant/Pediatric Ventilators , (1) Over-Bed Table, (1) Bedside Table, (1) Privacy Screen, Wall Units With Sink, Mayo Stand, Bedside Equipment: Basin, Kbasin, Bedpan & Urinal, Linen Hampers, Footstool, IV Pole, BP Cuff, Stethoscope, Thermometer, O2 Sat Monitor, Ambu Bag, Waste Recepticles & Chart Holder.

Adult Male Laerdal 3G Simulation Manikin & Adult Female Simulation Manikin

Investment - $149k (Adult Male Laerdal - $96k / Adult Female Laerdal - $53k)

Description – Mannikins in the Simulation Laboratory have a pulse, breathe, and can be intubated. These dolls allow nursing students to practice responding to real-life situations without risk.