Simulation involves using a synthetic environment to achieve optimal learning outcomes. It goes beyond performing resuscitation on a manikin. While its impact on reducing medical errors and improving patient safety has not been specifically studied, it allows you a safe environment to learn procedures and team processes. This gives you a great opportunity to identify things you don't even know you don't know.
To err is human. We all make mistakes. We should, cause our mistakes shape our attitude, behavior and learning. The simulated environment allows you to convert mistakes into learning opportunities than potential tragedies.
Keeping this in mind we have designed a curriculum for our Simulation Lab located on the 1st floor of the Hoffberger Building behind the library. The training sessions we plan to include are not restricted to performing resuscitations but will expand to include sessions for team processes, procedures and soft skills.
We will schedule
We look forward to your feedback, comments, and suggestions to make this a meaningful learning experience!
The Simulation lab is well equipped for the following sessions:
1. Procedures: We recommend that you review procedural videos for each procedure prior to attending a session and also each time before you do an actual procedure on a real patient. Some valuable resources include but are not limited to NEJM videos,YouTube etc.
Subclavian Line insertions
Lumbar Puncture
Paracentesis
Venipuncture
Thoracentesis
2. Team Processes
Mega Codes: to familiarize oneself with different life-threatening arrhythmias, shockable and non-shockable rhythms in a code. Participants: Max. 4 residents (including interns)
Each one gets to identify and manage an abnormal rhythm (total 5 rhythms to be discussed)Mock Codes (currently on hold due to restrictions on how many people can participate at one time): to learn to run an actual code completely.
Participants: Residents(including interns) + RN+ RTs.
Manage a complete code in a multi D setting, followed by a detailed debrief. At the end of these sessions,you should feel comfortable running a complete code from start to finish, deciding when to intubate, what drugs to give, lead a post-code huddle. Important to have these skills as a senior.CLABSI (Central Line Associated Blood Stream Infection) Prevention (on hold): to practice placing Central lines in a completely aseptic fashion to reduce the incidence of CLABSIs.
Participants: Residents(including interns) + RNs Insert an ultrasound guided Central line in a multi D setting, followed by a detailed debrief.
Rapid Response Scenarios: TBD
3.Soft Skills
Breaking Bad news
Addressing Goals of Care
The "Difficult " Patient