People don’t usually expect the heart of Illinois to be the source of groundbreaking work in simulation education, research, and innovation. But Jump wants to change that mentality.
The leadership, faculty and staff here want to do more than just educate. It’s our facility’s vision to improve patient outcomes and reduce health care costs.
We are ready to show the world that innovation really does come from the most unexpected of places. I’m proud to share that The Gathering of Healthcare Simulation Technology Specialists or SimGHOSTS chose Jump to host the 2016 U.S. symposium. The Multimedia team at Jump wonderfully put this video together as part of the announcement.
SimGHOSTS offers hands-on training workshops for simulation specialists and technologists from all over the world. Participants learn new techniques that enhance the realism in scenarios, and increase reliability and flexibility of a simulation center’s systems. It also gives attendees an opportunity to learn how others conduct simulation and network with each other.
It was amazing to see how the duties for simulation specialists differ from site to site. Some are tasked with setting up and tearing down simulations. Some deal with only the technology aspect of scenarios. Others (including Jump) run entire simulations from beginning to end.
It was also interesting to hear about the different practices taking place within various simulation centers. A hot topic among attendees was whether it’s beneficial to learners for manikins to die in scenarios.
A majority of participants are of the mindset that young doctors and nurses-in-training should be exposed and desensitized to death. Others believe it’s damaging to the learners and taints the overall simulation experience.
There is no one way to run simulation until there are standards in place. That’s why SimGHOSTS is such an important gathering for professionals responsible for operating simulation.
Why SimGHOSTS is Important
There are hundreds of simulation centers around the world, but there aren’t a lot of educational programs for this developing field. Some simulation specialists come from an information technology background. Others have more clinical experience. That makes it difficult for those charged with running simulations to be on the same page.
SimGHOSTS aims to be a thought-leader in standardizing the way simulation takes places across the world. It also works to advocate on behalf of the simulation community to the greater public. This aligns perfectly with what Jump works to do every day.
Jump is thrilled to be hosting the 2016 U.S. symposium. We hope to share our best practices and inspire the more than 200 simulation specialists who will likely fill our facility during this event. Jump wants to prove it is a tremendous asset to the entire simulation industry.
You can spend a lot of time Preparing for a Simulation, but even when you think you have everything covered; there can be equipment malfunctions or other issues that occur.
Here are troubleshooting tips courtesy of our simulation specialists!
Air Compressor showing valve is open.
Manikins are complex pieces of equipment. With more different functions, there’s more of a chance for something to malfunction.
Case 1: If the manikin’s chest is not rising, here are some possible causes:
Link box is turned off or disconnected
Air regulator is not turned on and/or someone turned the valve to open
There is a popped lung
Case 2: SimMan program not providing feedback on manual ventilations, both with and without advanced airway insertion. Here are some possible causes:
Cricothyroid tape under neck skin of manikin
Trachea inside manikin is disconnected
There is a puncture in the lung.
Link box is turned off or disconnected
Endotracheal tube has been placed improperly
Endotracheal tube has a faulty cuff or was not inflated
There is an air leak under neck skin due to cricothyroid tape being spliced
Monitor Not Displaying Vitals
While preparing for and running a simulation, not only do you have to worry about the manikin, sometimes the audio-visual support equipment made not be working correctly.
If you’ve logged into the Laerdal software, here are some possible causes for if your monitor is not coming on the screen, the first step is to make sure all of the cables are plugged in on both the monitor and the computer.
Next, ensure that you have extended your desktop to the second monitor. If you have extended desktop but still the monitor has not appeared, try closing the software and then getting back in. You must always extend prior to starting the program.
Tips for Recovering
The use of a confederate in the room is a great way to aid in the recovery of an error. If you use a one-way microphone system, you can have them either fix or check something without the simulation specialist having to go into the room.
For example, if the manikin is not breathing, a confederate could easily look at the air compressor to see if the valve is open or shut.
If you have multiple simulation specialists or staff, you can have them enter the room and act as extra nursing staff. This enables them to also help with an issue that arose in the room, like a clamped drain bag or misuse of a piece of equipment.
For example, in the past we have sent staff into simulations to aid in switching a LP20 from AED mode into manual mode and they were considered as extra nursing staff that was pulled to help with the situation in the room.
If there is an issue with a manikin, you can hookup another computer to the vitals monitor and try and restart the computer to see if that helps.
Our SimMan 3G will sometimes show air in the stomach when breathing on his own. If this happens, we have to logout and log back into the instructor application. This fixes the problem.
Finally, after everything is over, some of the most important steps happen after the event or simulation is over.
To keep everything in optimal condition, clean all of the equipment so that it’s ready for its next use. Remember to put things back in place, which helps ensure that it doesn’t get misplaced or damaged. Finally, restock when low on supplies, to ensure you’re prepared for the next simulation – you’ll thank yourself later!
Learners often like simulations because they are hands on experiential learning, and they’re not necessarily pre-programmed. Simulations are dynamic, and just about anything can happen.
At the end of a simulation, we want the learners to have had a positive experience, even if they did everything wrong. Their confidence should be raised, and they’ll be more prepared for the next time they take part in a simulation.
For facilitators, they should walk away feeling that the simulation met or exceeded their expectations, and that the learners did very well.
And, at the end of a good simulation, the simulation specialists that were working behind the scenes setting up and operating the manikins or other technology in the room, want to walk away smiling… thank goodness there were no glitches!
What Just Happened?!
Alternatively, what we don’t want happening is everyone walking away wondering what just happened. There are many risk factors involved with running a simulation.
Some of them can be caused by human error. For example, the equipment may not have been checked to see if it’s charged, the room may have been set up incorrectly, or the facilitator may not be familiar with the scenario.
Human factors are easier to plan for and avoid than technical risk factors. Any kind of equipment can malfunction, including manikins and cameras. These are much more difficult to anticipate, which is why simulation specialists need to be prepared for anything.
When preparing for a simulation, don’t forget the obvious equipment. Know what you need to have before you actually need it.
Reviewing the curriculum at least a month in advance is crucial. It should highlight all of the supplies necessary, and also give you a chance to ask and clarify details and discrepancies long before the actual simulation.
At Jump, everyone is held to the same extensive curriculum process. This creates the consistency necessary for the ultimate learning experience. We have standardized templates to obtain all of the necessary information.
Before a simulation is even scheduled, it has to initially be reviewed by our curriculum director. If it passes the initial review, it is forwarded to the curriculum committee and simulation technicians, who both review it. Only after full approval can the simulation be scheduled.
To ensure that our facilitators and instructors are properly prepared for simulations, they must go through a training course. The course has a strong focus on learning objectives and explaining how to properly debrief learners’ post-sim.
Remember: the earlier you setup for a simulation, the better off you are. The more time you have to go through system checks, the more time you have to ensure that everything is working and setup properly.