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Multi-discipline Emergency Training Planning
Tim Hardy, BS, FF/LP
EMS Lab Coordinator /Simulations Tech
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Objectives
• Recall the components necessary toplan and facilitate multi-disciplinarytraining using simulation
• Discuss relevant opportunities formulti-disciplinary training.
• Discuss obstacles for multidisciplinarytraining and potential solutions to overcome those barriers.
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Blinn College Health Sciences
• ADN Program • VOCN Program• EMS Programs• PTA Programs• Surgical Tech Programs• Rad Tech Programs
•Dental Hygiene•Vet Tech
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Simulation Impact at Blinn
208 ADN
30 VOCN
195 EMS
15 Surg tech
30 Rad tech
50 PTA
528 students a year
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Blinn College HSC August
2011
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Simulation 9 Step Process
1. Identify the need.
2. Identify all the players.
3. Develop the measurable goals.
4. Determine the environment.
5. Understand the technology.
6. Develop & validate the scenario.
7. Implement the scenario.
8. Analyze the data & debrief.
9. Did you solve the problem? (Reflect)
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All humans make mistakes.
Healthcare workers are human.
Healthcare workers make mistakes.
~ Dr. Meera Kelley
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Identify the Problem
• Define objectives and goals.
• What are the areas of concern?
• What do you hope to accomplish?
• What options are available?
• What have you tried? Results?
• Is funding available?
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Identify the Players
• Who are the stakeholders?• Community or in house?• Single discipline or multiple?
• Who does the problem effect (directly or indirectly)?
• Is the problem small or big?
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Develop the measurable goals
• Outlines a purpose.
• Look for measurable processes.
• Defines educations role.
• Insures all pertinent information is being passed on.
• Allows for a formalized debriefing process to be developed.
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Understanding the environment
• What group of clinical professional are your target?
• Scope of Practice or Service?
• Do you have all of the necessary equipment?
• Alter measurable processes…
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Understanding the technology
• Physiology Model or Instructor Driven
• Computer Game vs. human sim
• Haptic
• 3D immersive or Wii?
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3 Event Scenario
• Pre-Event Briefing• Event Management• Post-Event Review (Debriefing)
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Types of Simulations
• Computer-Based Simulation• Haptic Simulation w/ Haptic Simulators• Virtual Reality Simulation (Full Immersion
Simulation)• Full Body Simulation• Standardized Patients
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Computer-Based Simulation
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Haptic Simulation –Virtual IV
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Full Body Simulation
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Insert pic of standardized patient
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Types of Simulators
• Partial Task Physical Trainers
• Haptic Simulators
• Full Body Simulators
– Instructor driven Simulators
– Physiologic Model driven Simulators
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Develop & validate the scenario
• After developing goals and objectives.
• Translate real world situations.
• Have a process for testing / evaluating the scenario
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Programming the Scenario
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Implement the scenario
• Have the learners work through the case.
• No interruptions…
• Be safe.
• Have a program facilitator watch and grade.
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Simulation Rules of EngagementCode of Conduct
• Patient is real
• No torpedoes / bombs
• Support only when requested
• Never discuss performance outside the simulation / debriefing
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Debriefing Rules of Engagement Code of Conduct• Follow “Initial Goals and Objectives”
• Maintain Privacy
• Follow Adult Learning Principals
• Have a backup plan
– (In case of a change in the participants behavior or actions that need to be addressed)
• Be open to changes in the Sim
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Analyze the data & debrief
• Facilitate a discussion on the experience.
• Provide information on their performance.
• Site examples.
• Utilize video recordings to reflect and reinforce.
• Discuss – Discuss – Discuss
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DEBRIEFING
“Feedback that enhances
learning.”
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Debriefing Objectives
• Reflective learning
• Focus on performance, not performer
• Safe environment to express feelings and ask
questions
• Link what has been learned in the simulated
setting to the “real world”
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Video of Simulation for Debriefing
• Students must know in advance that they are
being videotaped how it will be used and when it will be erased
• Signed permissions
• Should you erase the tape after the debriefing?
• If kept for viewing by others, permission needs to be provided by students
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Video Debriefing
• Tag a moment for instant return
– Mark a situational event
– Flag for review
• Annotate points in time
– Text and Audio notes
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• Screen shot of debriefing video
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Successful Simulation Debriefing
• Improves communication (SBAR)
• Improves team work skills
• Improves awareness through clarity of roles/responsibilities
• Improves information sharing
• Eliminates barriers to quality and safety
• Increases positive outcomes
• Reduces errors
• Creates a culture of safety
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Successful Simulation Debriefing cont….
• Examine the entire simulation process.
• Obtain feedback from the students, instructors, and operators.
• Examine how the simulation impacted the program. Was the original problem solved?
• Did you change any process or a step within the entire process?
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• Collaborate with other departments• Look for partnerships• Apply for grants (NIH, AHRQ,NLN)• Mass Casualties…how many organizations are present?• Who is impacted?• Join a consortium…• Share your experience
Simulation Opportunities
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Integration Simulation
• EMS• LVN• ADN • Rad Tech• Surg Tech• Respiratory Therapy• Fire Science• Vet Tech• Dental Hygiene• Others…..
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Integration Simulation cont…• Know each programs capabilities• Coordinate objectives together• Allow students to help write the scenarios• Purchase equipment together
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• Pic of multi scenari
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Obstacles…..
• The Nay Sayers• Be prepared to explain to others how their students can play in
• Over come resistance of integration
• May need to ask what other do so that you know how they can play in to simulation.
• MONEY!!!• In house champions• Buy In (bottom to top or top to bottom?)
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Review
• Discussed the components necessary toplan and facilitate multi-disciplinarytraining using simulation
• Discuss relevant opportunities formulti-disciplinary training.
• Discuss obstacles for multidisciplinarytraining and potential solutions to overcome those barriers.