Connecting Healthcare Students in a High Fidelity Trauma Simulation Morag Howard Laura Binnie School of Health Sciences Festival of Learning April 2015

Medical Students Diagnostic Radiography Students Nursing Students Faculty Communication Teamworking Safety

In the beginning…… Research indicates radiography graduates feel unprepared for multi-trauma imaging (1) and that 70-80% of healthcare errors are due to poor teamwork and communication particularly in the trauma setting (2) ‘Hands on’ undergraduate experience not always available due to pressurised trauma environment Low fidelity trauma simulation introduced in year 2 of diagnostic radiography programme

Student feedback Small focus group (n=5) plus one interview Positives Low fidelity simulation seen as beneficial Development of empathy More prepared for trauma setting Awareness of own role Fun learning experience with peers

Student feedback Negatives Lack of awareness of other trauma team member’s roles Low fidelity simulation lacked realism Not fully prepared for trauma setting Experience not challenging enough

Student needs More realistic setting High fidelity simulation Inter-professional learning A challenge! Led to discussions with neighbouring university and other schools within our faculty

What we did ‘In situ’ High fidelity Inter-professional Trauma simulations – 2 scenarios Faculty collaboration from two Universities - specialists within their own disciplines in trauma 2 nd year radiography, 2/3 rd year nursing and 4 th year medical students

Use of technology SimMan 3G Trauma (Laerdal) IPad Mobile x-ray machine and accessory equipment ‘GoPro’ camera

Use of technology for student assessment Continued technology theme for radiography student assessment (Trauma radiography module) Students (in small groups) constructed a Wiki on the topic of the ‘Trauma team’

Example of Wiki page

Timetabling Availability of resus room Resource intensive Sustainability Challenges Preparedness for practice within trauma setting using technology to create realism Awareness of own role and other professionals within trauma team Team-working and communication – connecting healthcare students Simultaneous specialist feedback Collaboration between two Universities Benefits

Moving forward… All healthcare students voiced the need for more high fidelity simulation in other complex care areas such as theatre and CT A large scale simulation in ITU setting involving more healthcare disciplines?? GoPro technology creates innovative possibilities to develop clinical skills at both undergraduate and postgraduate levels Using these new technologies to further develop our CPD/Postgraduate courses offering both blended and online learning

Conclusions The use of technology can… Nurture team-working Improve self awareness and communication Develop an effective collaborative workforce Ultimately optimise patient outcomes

References 1.MACKAY, S, ANDERSON, A, and HOGG, P Preparedness for clinical practice- perceptions of graduates and their work supervisors. Radiography 14; COURTENAY, M., NANCARROW, S, and DAWSON, D Interprofessional teamwork in the trauma setting: a scoping review. Human Resources for Health. 11; 57 published online 2013 November 5.doi /

Thank you for listening Any questions?