While medical simulation training is becoming firmly established within our Acute Hospitals and Schools of Nursing and Medicine, the needs of Primary Care are no less important. Jim Milligan, Primary Care Resuscitation Officer of the NHS Fife region invites us to look at the newly built simulation training suite at the Cardenden Health Centre and tells us how their simulation programmes are helping to overcome some of the unique challenges in primary care. [Read more...]

The simulation team at the hospital is now adding another dimension to staff training by running specifically tailored simulations away from the simulation suite and into the actual workplace, so that teams working together also train together, and so further help to improve patient outcomes. [Read more...]

Allina Hospitals & Clinics, a non-profit network of hospitals, clinics and healthcare services, employs 22,000+ people and provides care in Minnesota and Western Wisconsin. Ten Allina hospitals offer obstetrics services, with 16,101 births recorded in 2008. [Read more...]

St Vincent's Hospital in Sydney trains hundreds of staff with a multidiciplinary approach in a sophisticated education centre that operates six days a week. [Read more...]

Their pupils can dilate. They can replicate abnormal breathing patterns. They can bleed and even go into shock.

They can also help save lives.

That’s a lot to ask of a manikin, but the staff of the newly opened III Marine Expeditionary Force Casualty Simulation Center is confident in its state-of-the-art gear.

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Founded in 1949, the National Federation of Licensed Professional Nurses (NFLPN) is the official voice of licensed practical nurses (LPNs) and licensed vocational nurses (LVNs) in the United States. It provides leadership for nearly one million members and is the only organization governed entirely by LPNs and LVNs. The NFLPN fosters high standards of nursing care and promotes continued competence through education/certification and lifelong learning, with an emphasis on public protection. NFLPN established the first continuing education program in the US nursing field in 1968; they continue to evaluate programs and award continuing education credits (CEUs) when programs meet their high standards.

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To better facilitate learning of clinical and communication skills, the University of Bath invested in a state-of-the-art training suite for their pharmacy students. A full size human-like advanced simulator further enables the students to practice examination skills, including diagnosis and treatment of patients. 

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The Clinical Skills Managed Educational Network (CS MEN) in Scotland has risen to the challenge of delivering its core principles of clinical skills education across Scotland by pioneering a fully equipped, mobile simulation suite.  [Read more...]

"The post-op patient was going into hypovolemic shock," shares a junior BSN student at Jefferson School of Nursing in Philadelphia, Pa. "He was hollering at me, the vitals were dropping, I had to think quickly—what’s my first nursing intervention? Who do I call? How can I utilize my resources? How can I reassure my patient?"

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A new Guinness World Record for the ‘Largest Training CPR Lesson’ has been made in Arlington, Texas. One hundred and four school buses transported 4,626 Arlington Independent School District eighth grade students to Cowboys stadium in Arlington to take part in the 30 minute training session.

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In 2005, the National Board of Health and the Danish Red Cross launched a project distributing free CPR training kits to all Danish 7th Grade school children. With their strong focus on CPR training and already engaged in a number of community CPR programmes, the TrygFonden foundation considered this school project an excellent opportunity to further widen the scope of CPR competence among the lay public.

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Challenges for the Weisses Kreuz EMS   

• Scattered villages
• Typical alpine landscape
• Shifting weather conditions
• Steep and winding mountain roads 

The region’s main EMS Weisses Kreuz (White Cross) was established in 1965 with the aims to:   

• Provide help for ill and injured people
• Ensure safe transportation to the hospitals 

    

The Training    

The paramedics undergo thorough training at the Weisses Creuz’s own ambulance school and the training is carried out in accordance with national- and regional standards. [Read more...]

''What we do to develop the simulation training is quite unique here in Scandinavia'', says specialized nurse and operational coordinator at the Army Medical Service Course Center (FSAN) Lotta Lyden. ''To bring a greater sense of reality into the practical training, a new concept has been developed inside the surgery building where we can build mock-up trenches and apply requisites likes smoke, light, heat, and odors. The manikins are painted and made up to resemble patients with real injuries'', says Lyden.

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SimMan 3G appeared on national television. Simman 3G was used to demonstrate how to conduct CPR in a home emergency situation.

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The center for Military Medicine was looking to renew its educational models as the instructors wanted to bring more realism into the replicated war-like scenarios that are developed for paramedic training. The center found that a simulation studio would enable the training team to recreate more lifelike battlefields, treatment sites, and rare types of emergency situations than the more traditional methods had previously allowed for.

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To reflect the needs of their diversified customer base, ETR looked for a way to provide multiple realistic training scenarios; whether the trainees were family members who wanted to know how to deliver CPR for a rehabilitating cardiac patient or emergency room physicians who needed to respond to a gunshot wound.

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More than 5000 employees completed CPR training during a scheduled 6 month period, and people reported back that their confidence in basic life support skills had improved significantly as a result of the training. People enjoyed practicing side by side, irrespective of professional background; that the training was more fun this way. [Read more...]

Three hospitals investigate ways to achieve these objectives with their BLS training and adopt the HeartCode program.

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Emergency Consultants Inc. started quite by chance in 1984. The Texas Department of Health called upon Jerry Reichel to help provide EMS training. As an EMS provider, he had already conducted training to meet the specific needs of Emergency Services personnel in West Columbia, Texas.

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Inga-Britt from Lesja in Norway reacted instantly as her father arrested and collapsed across the dinner table. First she dialed for an ambulance. Then she instructed her mother how to perform CPR on the father.

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Motivated by the understanding that simulation training translates into improved quality of care and increased patient safety, The Public Emergency Medical System of Galicia implemented simulation training for their personnel to benefit the population throughout the region of Galicia.

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As the Anaesthesia Department at Herlev University Hospital in Copenhagen, Denmark played a central role in the development of a Danish simulator for anaesthesia in the early 1990s, staff from this department gained early experience with simulation training. Anaesthesiologists and and nurse anaesthetists grew enthusiastic with this new way of training, and wanted to make it available to more medical personnel. Hence, the idea of an institute for simulation training was formed, and along with it, the endeavor to fund this undertaking. [Read more...]

Lucile Packard Children’s Hospital (LPCH) can trace its roots to the Stanford Home for Convalescent children established in 1919 and today offers a comprehensive range of treatments and services from over 650 physicians and 4750 staff support and volunteers. LPCH is a world-class, non-profit hospital devoted entirely to the care of babies, children, adolescents and expectant mothers with an extensive network of community and outreach services in dozens of locations around the San Francisco Bay area, and the greater Pacific Northwest.  [Read more...]

Recognising that human factors underlie most medical errors, Tubingen University Hospital considers that Crisis Resource Management (CRM) training offers the most effective means to counteract the human factor threat, and that simulation provides the best tool to identify deficits in current practice, as well as implement training solutions to rehearse corrective measures.

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Incorporating simulation and the use of a manikin that can breathe and talk into a nursing curriculum can be intimidating and time consuming for faculty. Instructors at the University of Texas at Arlington’s School of Nursing and Smart Hospital™ experienced these feelings as they started to confi gure their courses to incorporate simulation activities with their didactic lectures. [Read more...]

Modern healthcare is a highly complex process, with numerous dynamics and pressures that challenge the delivery of continuous and consistent quality patient care. Yet, can it be said that the training environment realistically mirrors the work environment and equip healthcare students with the expected self-efficacy to perform reliably to text book and error-free standards? Goldfarb School of Nursing reflected on their nurse training programs and asked themselves this same question. [Read more...]

Many nursing educators face the challenge of incorporating simulation into the classroom and clinical time. They want to plan and implement a simulation training program but aren’t sure where to start. Ridgewater College faced that challenge head on and has experienced success with bringing simulation training into the curriculum and the community. [Read more...]

Like many educators, Dr Savoldelli wanted to provide better training methods for the hospital's physicians, nurses, and medical students. He was convinced that simulation training would enhance the quality of care and increase patient safety.  [Read more...]

Founded in 1855, The Children’s Hospital of Philadelphia has emerged as one of the world’s leading paediatric hospitals and research facilities. The nation’s first children’s hospital and largest paediatric healthcare network, CHOP has facilities throughout the tri-state region (Pennsylvania, New Jersey and Delaware). The hospital is highly acclaimed for its quality training that has created successive generations of paediatric healthcare professionals, as well as for its pioneering research initiatives, which have resulted in being ranked second in the National Institutes of Health Funding. [Read more...]

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Great Western Hospital implmented simulation training in order to improve quality of care and to increase patient safety. [Read more...]

Simulation centers prepare soldiers for bloody toll of war

by Jack Weible
Copyright Army Times Publication Company

The U.S. Army's first---and so far, only medical simulation program is gearing up to expand the ability of medics and first responders to respond knowledgeably to battlefield injuries. [Read more...]