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With the addition of Laerdal’s SimMan 3G we have the ability to take high fidelity out of the classroom and into the real world. Everything in the room is functional and works like the real healthcare environment, from the oxygen on the wall to the monitor that is attached to the patient. If the patient needs oxygen then oxygen is applied. If an x-ray, CT or latest lab values are needed then the student can press the monitor to see these results as the scenario progresses.
The control room has the ability to record both the audio and video for three scenarios at the same time. Once the scenario is complete the instructor can replay the scenario during debrief to create a valuable learning opportunity for the participants as they see themselves perform. From the control room we have the ability to present and manipulate the patient’s objective findings to arrive at a proper diagnosis. We can replicate heart arrhythmias, advantageous lung sounds, difficult intubation, abnormal bowel sounds, active bleeding and body secretions, among a host of other clinical findings. There are one-way observation windows throughout the lab for the controllers and faculty to observe without influencing or increasing participant stress during the scenarios.
Picture this: You are pulling nightshift at a rural hospital in upstate New York. It is 2 o’clock in the morning and the ER is particularly slow. As you sit down to drink yet another cup of coffee you hear the crackle of a speaker announcing an incoming ambulance.
Memorial this is AMB 536 inbound with an ETA of 5 minutes. There’s been multi-car MVA with possibly 5 causalities in route. We are carrying a 26 year old female that has complaints of abdominal pain and has sustained a blunt impact to her left chest. She has not lost consciousness. Patient is immobilized and on oxygen. We started two large bore IVs and started .9 on her. Blood pressure is 90/60, Heart Rate 120 beats per minute in sinus. Oxygen saturation 86%.
It looks like your night is going to get busy… how will you handle it?
When students enter the simulation lab every effort is made to create a realistic experience. There are six simulation suites designed to look like an Emergency Room, ICU, operating room and delivery room. Ambient sounds are played on speakers in the hallway to mimic the sounds of the hospital. Full-body simulation manikins and partial body simulators are used to teach, train and assess student competency. The use of high fidelity manikins is ideal for emergent situation training. Manikins simulate physiological changes unlike a Standardized Patient. Videotaped encounters will be assessed and debriefed by faculty and students to reinforce learning.
The rooms are staged with patient belongings and at times actors are used to replicate a real world experience. The crying mother, the irate nurse and the aggressive family member are all encountered in a real environment and are introduced here to better equip the student for real world possibilities.
Students can independently use skills trainers and learning modules to improve their patient skills. Critical airway trainers are used to teach the skills necessary for normal, difficult, and critical airway management as well as pediatric intubation. The simulation suites are staged like settings one would be find in a healthcare care setting. This is done for familiarity and functional learning before entering real situations in the field.