Blood & Guts On A Budget Clinical Based Simulation Stephen Hartley Resuscitation Officer NHS Lothian

WHY? Supporting organisational change Testing systems Testing policies and protocols in the real world Supporting staff in improving team management skills

Human Resources Consultant Lead for Sim (3 sites) Sim Manager Sim Techs x 3 Sim Administrators Education Fellows Numerous other medics Reg or Consultant RO input Nursing Input?

Physical Resources 1 Fully equipped Sim suite at St Johns 1 Fully equipped Sim suite at UoE based RIE 1 Shared facility at RHSC 1 Shared facility in CSAC at WGH 1 Planned new suite to be built at RIE for postgraduate use 1 Planned new suite to be built at WGH

Physical Resources cont. Sim Man x 4 Sim Mum x 2 Sim Junior x 2 Sim Baby x 1 Smots video/audio recording systems AND Just Build your own or use a friend!

WHERE so far @WGH Medical Surgical Surgical HDU Theatre Recovery Haematology Rheumatology Neuro Theatre Neuro Ward Acute Receiving Oncology Clinical Research

Finding The perfect Manikin

SIM Themes Team roles Closing The Loop Making everyone aware of support equipment (Sepsis) Inappropriate giving sets for MH Escalation blocks, Bleeps & Phones Number of Porters out of hours Blood bank porter role in MH

DEBRIEF Important part of Simulation Training Objectives Achievable Goals Method of assessment Experience in debrief Appropriate people involved in the debrief

SIMULATION TO EMPOWER CHANGE It has worked Very resource & finance heavy or on a budget! Keeping it sustainable Constant evaluation required Stephen Hartley Resuscitation Officer NHS Lothian