Multi-discipline
Emergency Training
Planning
Tim Hardy, BS, FF/LP
EMS Lab Coordinator /
Simulations Tech
tim.hardy@blinn.edu
979-209-7334
Objectives
• Recall the components necessary to
plan and facilitate multi-disciplinary
training using simulation
• Discuss relevant opportunities for
multi-disciplinary training.
• Discuss obstacles for multidisciplinary
training and potential solutions to
overcome those barriers.
Blinn College Health Sciences
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ADN Program
VOCN Program
EMS Programs
PTA Programs
Surgical Tech Programs
Rad Tech Programs
•Dental Hygiene
•Vet Tech
Simulation Impact at Blinn
208 ADN
30 VOCN
195 EMS
15 Surg tech
30 Rad tech
50 PTA
528 students a year
Blinn College
HSC August
2011
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)
All humans make mistakes.
Healthcare workers are human.
Healthcare workers make mistakes.
~ Dr. Meera Kelley
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?
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?
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.
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…
Understanding the technology
• Physiology Model or Instructor Driven
• Computer Game vs. human sim
• Haptic
• 3D immersive or Wii?
3 Event Scenario
• Pre-Event Briefing
• Event Management
• Post-Event Review (Debriefing)
Types of Simulations
• Computer-Based Simulation
• Haptic Simulation w/ Haptic Simulators
• Virtual Reality Simulation (Full Immersion
Simulation)
• Full Body Simulation
• Standardized Patients
Computer-Based
Simulation
Haptic Simulation –
Virtual IV
Full Body Simulation
Insert pic of standardized patient
Types of Simulators
• Partial Task Physical Trainers
• Haptic Simulators
• Full Body Simulators
– Instructor driven Simulators
– Physiologic Model driven Simulators
Develop & validate the scenario
• After developing goals and objectives.
• Translate real world situations.
• Have a process for testing / evaluating the scenario
Programming the Scenario
Implement the scenario
• Have the learners work through the case.
• No interruptions…
• Be safe.
• Have a program facilitator watch and grade.
Simulation Rules of Engagement
Code of Conduct
• Patient is real
• No torpedoes / bombs
• Support only when requested
• Never discuss performance outside the simulation /
debriefing
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
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
DEBRIEFING
“Feedback that enhances
learning.”
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”
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
Video Debriefing
• Tag a moment for instant return
– Mark a situational event
– Flag for review
• Annotate points in time
– Text and Audio notes
• Screen shot of debriefing video
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
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?
Simulation Opportunities
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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
Integration Simulation
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EMS
LVN
ADN
Rad Tech
Surg Tech
Respiratory Therapy
Fire Science
Vet Tech
Dental Hygiene
Others…..
Integration Simulation cont…
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Know each programs capabilities
Coordinate objectives together
Allow students to help write the scenarios
Purchase equipment together
• Pic of multi scenari
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?)
Review
• Discussed the components necessary to
plan and facilitate multi-disciplinary
training using simulation
• Discuss relevant opportunities for
multi-disciplinary training.
• Discuss obstacles for multidisciplinary
training and potential solutions to overcome those
barriers.
Any Questions?
Contact information:
Tim Hardy, BS, FF/LP
Blinn College
979-209-7334
tim.hardy@verizon.net