Appendix I: Simulation Confidentiality
SIMULATION LABORATORY CONFIDENTIALITY AGREEMENT
As a nursing student at Moberly Area Community College, I will be participating in clinical laboratory simulations. I understand the content of these simulations needs to be kept confidential to uphold the integrity of the learning experience for myself and fellow students in all nursing programs.
I agree to maintain the following guidelines:
- I accept that simulation is part of my clinical learning experience.
- The simulation lab is considered a safe place to apply what I have learned in the classroom to a simulated patient situation. I will practice skills such as professionalism, communication, delegation, teamwork, and critical thinking in this environment.
- I will treat the manikins and equipment in the simulation lab with the utmost respect and professionalism. The simulators should be treated as if they are live patients.
- I will maintain strict patient and peer confidentiality. This includes the scenario, my fellow students’ performance, and debriefing discussion.
- Inappropriate disclosure or discussion of the simulation experience will be considered academic dishonesty and will result in disciplinary action according to the academic dishonesty policy in the MACC student handbook.
- I agree to report any violations of confidentiality to an instructor or lab coordinator.
- I acknowledge that photographs and/or video may be taken during my simulations. These may be used in debriefing and/or for other MACC purposes.
I understand the above statements and have had all the questions regarding this agreement answered satisfactorily. This agreement is valid during the duration of my student nurse career at Moberly Area Community College.
Student Signature: _______________________________________________
Student Printed Name: ____________________________________________
Date: _______________________________