The Innovation of Simulation in Critical Care Education

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The Innovation of Simulation in Critical Care
Education

• An Overview
• Michelle McKenzie Smith

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What and Where is MCSC ?

• Fred Anne Green
• Montagu Hospital, Mexborough
• 14 Centres nationally

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Revenue Costs

• 280,000 Annually
• Costs met by Yorkshire The Humber Strategic
  Health Authority

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Where did simulation come from?

• Antiquity
• Aviation
• Medicine

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What is Simulation in 2008 ?

• A high fidelity human patient simulator is a
  whole body manikin with driving mechanical and
  computer software

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A unique training experience!

• Responding pupils
• Palpable pulses
• Heart breath sounds
• Respiratory movements
• A voice
• Urine output
• IV / IM admin routes

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Simulation can provide-

• A safe learning environment
• An authentic environment
• Flexibility
• Role awareness
• Exposure to new ideas
• An opportunity to train with other members of
  the MDT

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• The NHS recognizes the importance of shared
  learning for healthcare professionals to develop
  integrated care services
  
  
  
  
  
  NMC 2007

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What simulation is not !
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The Simulation and Practice Learning Project

• Pre registration nurse training
• 13 Pilot sites
• Up to 10 of program hours can be in simulated
  environments

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• The findings are overwhelmingly positive and
  suggest strongly that simulated learning offers
  students opportunities to achieve practice
  outcomes which are not possible in the clinical
  setting NMC (2007)

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Risk reducing measures include enhancing the
role of simulation laboratories, to expose staff
to risk situations with no actual patients
involved

• Building a safer NHS for patients. DoH 2001.

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Crisis Avoidance and Resource Management

• (for Anaesthetists) !
• C A R M A

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CARMA Principles

• Teamwork
• Communication
• Leadership skills

• Situational awareness
• Declaring an emergency
• Human error / Fixation

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• Technical Skills

• Non- Technical Skills

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Critical Care Courses

• ICU for Nurses
• Transfer of the Critically Ill Patient
• MPOD
• PaedPOD
• PICU
• PSTAC
• Paed Retrieval

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A typical course day

• Introduction to CARMA principles
• Tour of MCSC, manikin and equipment
• 3 5 area specific scenarios (all video recorded)
• Facilitated debrief after each scenario

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The purpose of facilitation

• To assist delegates to positively critique their
  actions
• Encourage the group to learn from mistakes in a
  non-threatening environment
• To meet the educational aims

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Educational aims

• Recognition and Treatment
• Judgement and planning
• Expert review
• Advanced intervention
• Staff safety

• Primary survey
• Secondary survey
• Documentation and communication
• Referrals and definitive care
• Team work and leadership

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Any Questions