The STRATUS Center for Medical
Simulation
The simulation Suite
• Located at Hartford Hospital in Hartford, CT
• 20,000sqft facility
• 5 Patient Simulation rooms
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Labor and Delivery
Resuscitation
ICU
ED/Trauma
OR
• Skills Lab
• Surgical Simulation
• Airway Task Training
• Ultrasound Task Training
• Robotics Lab
• DaVinci Robot Simulation
Description
When implemented correctly, technology can
help improve the efficiency within our
programs. Technologies to improve asset and
inventory management and file storage can
reduce administration time, allowing more time
with learners.
Learning Objectives
1. Discuss asset and inventory management.
2. Demonstrate how to create simulation check
lists.
3. Understand file storage structures and
techniques to prevent data loss.
Technical Challenges
-Keep the curriculum experts focused on the action
– Simplicity & Ease of use
– No setup or breakdown for instructors
– Remove the technology as a barrier
– Consistent and reliable
– Flexible Scheduling, including off-hour courses
– Sim techs whom know the equipment
– Having all the equipment for the course
– Provide “recording studio” style services
File saving and Universal Naming
Conventions
Standardized how you save your debriefs!
Filing and Archiving : Universal Naming
Convention for all simulators and debrief files
Networking: These files are centralized and
accessible anywhere on your LAN
Can be accessed by PC, or MAC
Have a complete backup as redundancy
in the event of a disaster or hardware
failure
Saving and finding debrief video files
easily
UNC = Course name > Director > Date > file extension
NAS
Example: Code Team Training Dr.Pozner-4/11/2012.sbr
Server location: \\storage1\Debriefs
5TB Space
• A large file storage device that can
be accessed from any computer on
the network
• Easily to install, connect to and
expand
• Can be physically located anywhere
with network access
• Handles many connections
simultaneously
• Models with RAID support create
real-time backups automatically
Simple Networking
•Centralized Playback
•Files are identified by the
UNC
•Files are backed up from
NAS1 to NAS2
•Expandable/scalable
storage space
•Plug and play to your LAN
PC
NAS1
PC
PC
NAS2
File and Folder Permissions
Backup your data
Backup methods use client software like time machine and windows backup
Set your hardware devices to backup on a pre determined automated schedule
Have your devices located away form one another in the event of a fire ,flood, or
other form of Unexpected disaster that may result in loss of your data
Primary
Backup copy
Checklists√ Checklists√ Checklists√
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Manikin specific checklist
Listing all features and Functions
All associated and critical components
Cables , connectors , hoses, compressors
Accessories, probes, cuffs, IV’s
Check fluids & Receptacle bags
Appropriate drugs for today’s scenario
Imaging ,labs, charts
SimMan Checklist √
SIMMAN CHECKLIST
COMMENTS
SERIAL # _38SM263000_________________________________________________________
ACTION TAKEN _______________________________________________________________
______________________________________________________________________________
PROBLEM NOTED IN REPAIR LOG:
YES
REGULATOR
Tubing Connected
Valve Open
APNEA
□Y □N
BREATHING RATE
Down
Up
□Y □N
□Y □N
LINKBOX
Power Connected
Manikin Connected
Pulse Ox Connected
□Y □N
□Y □N
□Y □N
□Y □N
□Y □N
Remote Connected
PC Connected
Monitor Connected
REMOTES
Wired
Bluetooth
□Y □N
□Y □N
□Y □N
MONITOR
□Y □N
BP CUFF
□Y □N
CAN’T INTUBATE
-- Can Ventilate
CAN’T INTUBATE
-- Can’t Ventilate
RESET
□Y □N
□Y □N
□Y □N
□Y □N
□Y □N
BREATHING BLADDER □Y □N
DEFIB
Pads
Paddles
NO
□Y □N
□Y □N
TRISMUS
TONGUE EDEMA
LARYNGO SPASM
PHARYNGEAL OB.
LUNG COMPLIANCE
PNEUMOTHORAX
STOMACH DECOMPRESSION
CERV. RANGE
CRIC MEMBRANE
PULSES
Carotid
Brachial
Radial
Femoral
Pedal
□Y
□Y
□Y
□Y
□Y
Date: ________ Checked By: ____________ Checked By: ____________
□N
□N
□N
□N
□N
□Y
□Y
□Y
□Y
□Y
□Y
□Y
□Y
□Y
□N
□N
□N
□N
□N
□N
□N
□N
□N
SimBaby Checklist √
SimBaby CHECKLIST
COMMENTS
SERIAL # _____________________________________________________________________
ACTION TAKEN _______________________________________________________________
______________________________________________________________________________
PROBLEM NOTED IN REPAIR LOG:
YES
REGULATOR
Tubing Connected
Valve Open
□Y □N
□Y □N
PULSE OX
100%
Down
Up
□Y □N
□Y □N
□Y □N
LINKBOX
Power Connected
Manikin Connected
Pulse Ox Connected
Remote Connected
PC Connected(SM)
Monitor Connected(SM)
APNEA
□Y □N
□Y
□Y
□Y
□Y
□Y
□Y
BREATHING RATE
Down
Up
□Y □N
□Y □N
□Y □N
CAN’T INTUBATE
-- Can Ventilate
□Y □N
REMOTES
Wired
Bluetooth
□Y □N
□Y □N
CAN’T INTUBATE
-- Can’t Ventilate
□Y □N
MONITOR
□Y □N
RESET
□Y □N
BP CUFF
□Y □N
□N
□N
□N
□N
□N
□N
BREATHING BLADDER □Y □N
DEFIB
Pads
Paddles
□Y □N
□Y □N
NO
TONGUE EDEMA
LARYNGO SPASM
PHARYNGEAL OB.
LUNG COMPLIANCE
PNEUMOTHORAX
STOMACH DECOMPRESSION
CRIC MEMBRANE
See-Saw Breathing
Subcostal Retractions
Unilateral Breathing
PULSES
Brachial
Radial
Femoral
□Y □N
□Y □N
□Y □N
Date: ________ Checked By: ____________ Checked By: ____________
□Y
□Y
□Y
□Y
□Y
□Y
□Y
□Y
□Y
□Y
□N
□N
□N
□N
□N
□N
□N
□N
□N
□N
SimNewB Checklist √
SimNewB CHECKLIST
COMMENTS
SERIAL NUMBER # ____________________________________________________________
ACTION TAKEN _______________________________________________________________
______________________________________________________________________________
PROBLEM NOTED IN REPAIR LOG:
YES
REGULATOR
Tubing Connected
Valve Open
□Y □N
□Y □N
LINKBOX
Power Connected
Manikin Connected
□Y □N
□Y □N
REMOTES
Wireless
□Y □N
Cyanosis
Lung Resistance
MONITOR
□Y □N
PULSES
Umbilical
Brachial Pulse
NO
APNEA (blue light)
□Y □N
BREATHING RATE
Down
Up
□Y □N
□Y □N
□Y □N
BREATHING BLADDER □Y □N
Date: ________ Checked By: ____________ Checked By: ____________
□Y □N
□Y □N
□Y □N
□Y □N
Mega Code ACLS √
Mega Code / ACLS CHECKLIST
COMMENTS
Tag # _____________________________________
ACTION TAKEN _______________________________________________________________
______________________________________________________________________________
PROBLEM NOTED IN REPAIR LOG:
LINKBOX
Manikin Connected
Scenarios Loaded
Remote Connected
Power Connected
REMOTES
Tethered
Wireless
BREATHING (ACLS Only)
Respirations
Down
Up
□Y
□Y
□Y
□Y
□N
□N
□N
□N
□Y □N
□Y □N
YES
NO
TONGUE EDEMA (by bulb)
PNEUMOTHORAX (by bulb)
□Y □N
□Y □N
PULSES
Carotid
Brachial
Radial
□Y □N
□Y □N
□Y □N
DEFIB
Pads
Paddles
□Y □N
□Y □N
□Y □N
Date: ________ Checked By: ____________ Checked By: ____________
□Y □N
□Y □N
Course Requirement Checklist
• Inventory Management is a system designed to track the use of
equipment and supplies. Effective systems can also generate
valuable statistics based on the captured data.
• Commonly Captured Information
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Current supply inventory
Equipment location
Supply costs per course
Equipment depreciation
Reorder schedule
Maintenance schedule
• Depends on staff to locate, retrieve and track the use of
consumables and equipment
• Benefits
• Compliance: Employees are
trained in the system and use it
frequently
• Low Waste: Students given a
fixed number of supplies, no
direct access to refills
• Security: Expensive Equipment is
kept under lock and key
• Centralized: Supplies easy to
inventory and maintain
• Low Cost
• Challenges
• Staffing: Available staff member
is needed to retrieve supplies as
needed
• After Hours: Classes cannot
access supplies after hours
• Proximity: Centralized storage
requires additional
transportation time in large
centers
WASP
• Easily track valuable organizational assets with Wasp
Mobile Asset. Mobile Asset allows you to capture important
information about each asset, including location, check-in
and check-out, maintenance schedules and cost, warranty
contracts, and depreciation. Generate business
management reports quickly and effectively.
• Mobile Asset takes asset management to a higher level,
giving you the ability to save time and money, end asset
loss, improve equipment maintenance, and more
accurately compute taxes based on depreciation schedules.
What assets can you track?
• WASP barcode
• Mobile Asset is for managing assets within your center
Commonly tracked assets include:
• Company property, furniture and fixed assets
• IT Assets, including laptops, PDAs and servers
• Medical equipment, simulators, trainers,
• Tools and Biomedical devices
• Scopes, instruments, etc…
• Track off-site or loaned out equipment
•Print barcode labels
•Track asset specific locations
•Check assets in or out of your center
•Track regular maintenance
•Picture of the asset
•Depreciation schedule
•Associate all documents/manuals to an
asset
Managing your Manuals
Portable scanner
Quick ROI
Easy setup
Needed for asset
reporting
Asset location
Excellent for insurance
• Depends on students to retrieve supplies and equipment directly
through the use of a “vending” type machine
• Benefits
• Automated: Staff is only
required to stock supplies as
depleted
• Fast: Instant delivery of supplies
as needed
• After Hours: Students can access
supplies at any time
• Proximity: Machines located in
each room for easy access
• Challenges
• Security: Relies on students to
return expensive reusable
equipment
• Size: Large equipment is difficult
to dispense
• Waste: Students more likely to
use additional supplies
• Restocking: Staff needs to
restock multiple devices in
different locations
• Expensive
• Some EMS programs have started using vending machines to
restock supplies
• Checks ID badge before dispensing
• Software generates invoice and notifies on low stock or expired
products
www.vendweb.com
• Work-In-Progress
• Automated vending system
for surgical skills lab
• Low cost
• Flexible container size
• Individual user filters and
usage tracking
• RFID badge or biometric
verification
• Security video recording
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Imperative to pre-class preparation
Ensure equipment and supply availability
Record number and discipline of attendees
Calculate course costs and appropriate charge
Organize course contact information
Generate utilization reports by department/company
Track valuable statistics such as:
• Number of Courses Offered
• Total Learners Trained
• Total Learner-Hours Trained
• Traditional
• Instructors contact simulation staff to request a timeslot
• Staff list available slots and schedule the class
• Online Viewing
• Instructors can view available slots online then contact staff with request
• Staff schedule the class if possible
• Online Requesting
• Instructors login to view available timeslots online and submit a request
• Staff reviews the request and approves or denies it into the schedule
• Online Scheduling
• Instructors login to view available timeslots and schedule classes
• Staff rarely intervene
Posting A course
Course Details
Learning Management System
• Custom system developed
in-house
• Online schedule viewing
• Hallway schedule display
• A system to keep track of the individual users in a class. Also
capable of administering pre and post tests as well as a course
evaluation.
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Keep track of class attendance for instructors
Determine course effectiveness through pre and post-tests
Collect evaluations of center facilities & staff
Generate training reports for users
Award skills module completion certificates
Store user contact information
Potential for CME/CEU’s
• Students browse a list of available courses and register for a
specific timeslot
• Works well for institutions that have educators on staff or a few
key department educators
• Difficulties arise when each class has its own educator from
another department
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Instructors need to schedule class with center staff
Each educator needs to send registration instructions to students
Need to verify that all students pre-registered
Educators need to make sure students filled out post-test
Potential for varying delay between class and post-test
Provide technical support for users
Learning Management System
The LMS allows us to account for whom attended what course , when and which
Department/s the participant is from.
We are able to report center utilization of our center to BWH leadership by
primarily by department.
Our users have a individual profiles that track courses they attended at STRATUS,
which they can access course materials pre & post. including post course
quizzes, surveys and evaluations for that course.
The system also has a library DB which provides course specific instructional
videos, reading materials for a course.
With an anticipated attendance list for an upcoming course
We assign participants to a course and the LMS will automate reminders
2 weeks,1 week and 1 day prior .
Attendance is captured the day of a course for accurate reporting
A participant’s experience
Course summary Reporting
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By Department
Total # of courses
Course length
# of students in attendance per course
Total user hours
# of instructors & facilitators per course
Center usage Report
• Students sign-in to their class at kiosks upon arrival
• Works well in institutions that serve many different departments
with their own educators
• Potential for integration into inventory management systems
• Requires additional time before classes
• Need to have enough kiosks to avoid long line formation in
large classes
• Staff and instructors need to remind students to sign-in and out
• Limited length of pre and post evaluations to avoid lines
• Custom system developed
in-house
• Touchscreen kiosks in every
simulation room
• Quick and easy animated
process
• Course specific pre and post
tests
• RFID badge reader capable