Award Candidate Poster Presentation

Poster

Pressure testing using simulation to safely open a Pediatric hospital

Tuesday, May 15
09:45 - 10:45
Location: Neptune 1&2

Abstract : Opening a tertiary care hospital for women and children in a Middle Eastern country creates an exciting and challenging opportunity. Patient safety is paramount and is reliant on developing a comprehensive approach to education and environmental process testing. In order to finalize and validate the team's simulation based training, the opening units of a hospital were run for a 48 hour period of 'pressure testing' using simulated and then volunteer patients. The simulations were based on patient care guidelines that been practiced during orientation for at least 6 weeks. Each unit was expected to provide 24 hour care for two consecutive days for their patient load. Scenario scripting guided staff task work and potential complications to mimic real practice. Clinic staff were expected to demonstrate effective management of the patients day and night for 48 hours. Staff were scheduled according to their unit policy, and all supportive staff including a unit clerks, patient experience staff, child health specialists, and clinical staff from pharmacy, diagnostic imaging and laboratory services were expected to participate in their roles. Non clinical staff such as housekeeping, dietary services, parking and security and information staff were also on duty and expected to participate in their respective roles. Manikins and volunteer staff were used to create the unit patient load for the first 24 hours, which focussed on more complex scenarios such as sepsis, and operative interventions. This approach transitioned to using real children with their parent for the second 24 hours. Children with their parent checked in at 2 pm and were orientated by a child life specialist to admission expectations. Although each child had a medical or surgical condition, and simulation scripting dictated staff management, clinical care was limited especially when it involved young children. Staff focused on documentation in the electronic health record or consulting relevant services for identified scripted needs. Management included sending children to different areas to test the portering system, signage and doors. All participants were followed by a team of evaluators, examining for safety. All patients and families were surveyed for feedback. Feedback on staff readiness was positive. The experience affirmed leadership's observations and the utility of using 48 hours to pressure test. An effort to extend that another 24 hours may be trialed for the next unit opening. Lastly staff feedback reinforced the value of working with real parents and real children. Efforts to look at how to make that experience more authentic will be discussed prior to the next pressure test for next opening units.





Elaine L. Sigalet, PhD, MN,RN

Adjunct Professor; Independent consultant
University of Calgary
Doha, Qatar

ELAINE SIGALET RN, BSCN, MN, PHD
ADJUNCT PROFESSOR UNIVERSITY OF CALGARY
COMMUNITY HEALTH SCIENCES

EMERGENCY ROOM NURSE 25+ YEARS
DIRECTOR OF EDUCATION AT SIDRA MEDICAL AND RESEARCH CENTER 2013-16-OPENED OUTPATIENT CENTER USING INTERPROFESSIONAL SIMULATION BASED MODEL OF EDUCATION
VERY ACTIVE IN GLOBAL HEALTH IN AFRICA: HELPING BABIES BREATHE AND HELPING MOTHERS SURVIVE IN TANZANIA
EMERGENCY TRIAGE ASSESSENT AND TREATMENT COURSE IN MALAWI

Presentation(s):

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Guy Brisseau, MD

Education Lead Department of Surgery, Pediatric Surgeon
Sidra Medical, Qatar

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Kribin Naidu, BSc

Activation Manager
Sidra Medical, Qatar

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David Lazarus, National Diploma in Nursing, Midwifery Community & Psychiatry, Trauma Diploma BSc(Nursing) MBA

Clinical Nurse Manager
Sidra Medicine
Doha, Qatar

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Ella Scott, RN, RSCN, Grad Cert-PIC, MA

Senior Simulation Operations Manager
Sidra Medicine, Doha, Qatar

Ella Scott RN RSCN MA
Registered Nurse, Registered Sick Children’s Nurse with a background in Paediatric Intensive Care and Emergency Nursing
Current Position:
Senior Simulation Operations Manager, Department of Simulation, Sidra Medicine, Doha, Qatar.

Previously worked as the Co-Lead in Simulation for six years across the Sydney Children’s Hospitals Network in Australia
Prior to this Ella has had extensive clinical experience in general and specialist paediatric nursing including humanitarian work in Sudan, Kenya, Haiti and Afghanistan.
Ella's current position has focused on inception of a hospital wide simulation program and Centre development. Recent projects have included using simulation to activate in patient clinical areas with an international workforce.
Other activities include safe quality care provision within paediatrics and Women’s health through simulation education and research based practice.

Presentation(s):

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Sigalet David, MD, PhD

Chief of Surgery, Deputy Chief Officer of Activation
Sidra Medical, Qatar

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