Introduction to Human Patient Simulation

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Introduction to Human Patient Simulation Powered By Docstoc
					    The practicalities of
introducing simulation to a
       department
 UK Simulation in Nursing Meeting
              2007



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     This document is proprietary and shall not be used or disclosed without the consent of METI.
                        Disclosures
 Matt Cox - UK Representative for METI, maker of
  health care simulation technologies and simulation
  learning content

 Ian Ballard - UK Technical Support & Training
  Manager for METI




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            This document is proprietary and shall not be used or disclosed without the consent of METI.
                    Overview
 Introductions

 Background

 Planning Concepts

 Resources Available

 Your Experience


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          Introductions




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             Background




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                      Background
 Simulation has long history
 Absence of quantitative validation
 Simulation enthusiast use increases
 Caution eroded by qualitative studies and
  industrial pressures
 Regulatory bodies begin to explore
 US experience


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Straightforward Benefits




* Gravenstein, JS. HPSN 2001 Conference, Sarasota, Florida




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Successful Clinical Simulation
   Quantitative Research




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Enthusiasts Generate a Mass of
Compelling Qualitative Evidence




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Industrial Pressures Begin to be
Represented in Patient Statistics




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Regulatory & Advisory Body Interest




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Recognition & Acceptance




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              US Experience
   US Industrial pressures 7 years ahead
   Development of tools
   Learnt what works
   Tuned tool development




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Planning Concepts




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     Practical Questions 1
 What is the mission of the simulation
  capability?

   Who are the learners?
   What do we want to teach?
   Where can we schedule this?


 What would be the through-put of students?




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          This document is proprietary and shall not be used or disclosed without the consent of METI.
   Practical Questions 2

 What Human Resources will be needed?
    Faculty
        Who, what training will be needed/provided
    Is an administrative post required? Technical staff?
    Important to show HR being kept to a minimum
           Can time be bought in from staff in other posts?
           Pre-developed comprehensive educational materials
           Effective local customer support
           High levels of equipment automation
           Multiple application use of equipment




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           This document is proprietary and shall not be used or disclosed without the consent of METI.
               Educational Content
   Educational design provides instructors and learners
    with content to facilitate learning and assessment
    using patient simulation
   Evidence-based educational approach provides
    Simulated Clinical Experiences
        Case synopsis
        Learning objectives with cognitive taxonomy
        Set-up and instructor notes
        Patient background and history
        Health care provider orders
        Clinical scenarios, including minimum behaviors
         expected and prompts for teaching
        Questions for learner preparation




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     Practical Questions 3
   What are the clinical environments to be created?
   What simulators are needed?
      What equipment set-up constraints need to be considered?
   What clinical equipment is needed?
   What non clinical space is needed?
      Changing rooms, toilets, storage
   What teaching equipment is needed?
      Debriefing space, AV, Whiteboards …
   What furniture/non-clinical supplies are needed?
      Can decomissioned/used items be sourced?




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Ward Simulation




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Theatre Simulation




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        Dentist Chair




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                                            LiVE
 Central control of multiple
  patients
 Electronic transfer of patients
  from one simulator to another
 Central data logging for all
  patients
 Move patients through various
  levels of care
 Manage multiple patients at one
  echelon of care


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             This document is proprietary and shall not be used or disclosed without the consent of METI.
    Human Patient Simulators
 Three lines of patient simulators                                                                              Adult HPS
     Human Patient Simulator
         Adult HPS
         PediaSIM

     Emergency Care Simulator
         Adult ECS                                                                                              Adult ECS
         PediaSIM-ECS
         BabySIM

     iStan
         Adult




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                  This document is proprietary and shall not be used or disclosed without the consent of METI.
                                                     HPS
   HPS (Adult & Paed)
        Hospital-level capability system, appropriate for
         physician, nursing, and allied health professionals
        Primarily applicable to trauma, intra-operative, peri-
         operative, and critical care
   Selected key capabilities
        Physically characterizes an adult patient
        Interfaces with patient monitors, ventilators, and
         other real equipment
        Blinking eyes and dilating pupils
        Automated drug recognition system
        Lungs physically exchange O2 and CO2
        Optional anesthesia capability




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                      This document is proprietary and shall not be used or disclosed without the consent of METI.
                                                       ECS
   ECS (Adult Paed & Infant)
        Portable version of HPS--can be set-up in minutes
        Mannequin, software and physiology models identical to the Adult
         HPS
        Most appropriate for pre-hospital and emergency care
   Selected key capabilities
        Incorporates the METI Airway--an advanced airway based on CT
         scan data from a live adult patient
        Blinking eyes with adjustable pupils
        Optional convulsions and tremors
        Emergency and trauma life support procedures, such as
         cricothyrotomy and defibrillation
        Automatic responses to therapeutic interventions, such as
         ventilation, fluids, and intravenous medications
        Multiparameter monitoring, including ECG, blood pressure, pulse
         oximetry, cardiac output, and temperature




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                        This document is proprietary and shall not be used or disclosed without the consent of METI.
                                                    iStan
   iStan
        Extremely portable
        Software similar to other patient simulators
   Selected key capabilities
        Highly articulated joints
        Additional advanced clinical features
        Blinking eyes with adjustable pupils
        Optional convulsions and tremors
        Emergency and trauma life support procedures, such as
         cricothyrotomy and defibrillation
        Automatic responses to therapeutic interventions, such
         as ventilation, fluids, and intravenous medications
        Multiparameter monitoring, including ECG, blood
         pressure, pulse oximetry, cardiac output, and
         temperature




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                      This document is proprietary and shall not be used or disclosed without the consent of METI.
       Equipment constraints
   Control equipment
   Control area
   Wireless control
   Wireless systems - iStan




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Minimum Set-up Docs




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        What clinical equipment
             is needed?
 Identify equipment typically found in the clinical environments
  we wish to replicate
       Patient bed
       Patient monitors
       Ventilators
       Anesthesia delivery systems
       Suction devices
       Air and oxygen supplies
       IV poles
       Infusion pumps
       Supply carts
       Defibrillators
 Match equipment with capabilities of patient simulators


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      Debrief Room




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    Practical Questions 4

 How much space would be needed?
    Is a flexible environment required?
    Is building work required?
 What are the on-going costs?
 What is the budget?
    Can funding be sourced?




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Extremely Flexible Design




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Extremely Flexible Design




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   Business Case
 1. Introduction
 2. Background to Proposal
                     2.1 Definition of Capability Proposal
                     2.2 Outline of Steering Group
 3. Profile of Institution
                     3.1 General
                     3.2 Existing Capability
 4. Proposal to Develop a Simulation Capability
                     4.1 Proposed Skills to be Developed
                     4.2 Design Proposal
                     4.3 Summary of Costings/Forecasts
 5. Project Team
                     5.1 Members Outline




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This document is proprietary and shall not be used or disclosed without the consent of METI.
          Local Resources
 Experienced Clinical Educators
   Task force & Adjunct faculty,
 Technicians & Trainers with Clinical
  Experience
 DTI Trained Business Development Manager
   Business Case Plans
 Comprehensive Pre-Install Advice
 Network of Users



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             Floor plans




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             Floor plans




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Your experiences, questions &
        comments?




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      This document is proprietary and shall not be used or disclosed without the consent of METI.
Contact information

              Matt Cox
            mcox@meti.com

               Ian Ballard
            iballard@meti.com




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