Traditional Poster Round
Context: : The SimPeds department at BCH hosts quarterly simulation courses in the department of OMFS. These courses included didactic instruction on crisis resource management principles (CRM), 2 simulation scenarios using manikins, and a debriefing. SimPeds, with a nurse course facilitator orchestrate a unique learning experience. Scenarios are designed to strengthen team skills and dynamics in emergency situations. In debriefing sessions, participants are asked to describe strengths and areas for improvement that occurred during the simulation. This course is a safe platform in which participants are free to practice, “respectful curiosity” and have conversations about roles, team behaviors and practice changes to improve patient safety. Enhancing knowledge and skills of emergency situations serves as a catalyst for future educational opportunities. Due to increased focus on simulation training, the team has grasped the concept of global awareness, gained confidence and self-awareness. Positive contributions promote safe patient care.
Description: : After the first simulation course, participants noted a lack of understanding of the location and functionality of emergency equipment. Some of the less experienced staff reported little to no knowledge regarding use of supplemental oxygen, masks and airway equipment. The code cart was difficult to maneuver and blocked entrance to the patient room. Others reported uncertainty of their roles and recognition of the event leader. Reflection occurred on potential practice changes and educational weaknesses. As a result, we created and launched the “Emergency Management Core Curriculum.” This is a series of 9 learning modules regarding basic emergency skills and equipment. Each attending surgeon reviews 1 module each month for 3 consecutive months, facilitated by an RN. In a 3-month time period, all staff will have an opportunity to participate in these modules. The oral surgeon hosts a “lunch and learn”, a relaxed and positive learning environment for these sessions. Surgeons also hold interactive sessions to demonstrate skills and provide hands-on learning.
Observation/Evaluation: : Our department has integrated practice changes to improve safety of our patients and staff. Changes include: relocation of code cart, standardization of emergency drawers, patient weight on time-out board, RN performing time-out, role clarity, and team leader cards being developed with algorithmic flow for team to follow during an emergency situation.
Discussion: : Our simulation course is a strong team building and educational initiative. Our team has recognized the tremendous value that this course lends to increased safety. Practice changes have been adopted with ease, and emergency situations have been handled in a more organized and calm manner. As we hold regular simulation courses, we expand and evaluate lessons learned.