Darin Bowers Regional Simulation Consultant Southern California Kaiser Permanente

Kaiser Permanente, southern California region No other financial interests Each SCAL Kaiser Permanente hospital owns Laerdal, Gaumard, and Blue Phantom simulators SCAL Kaiser Permanente uses the Laerdal Debriefing Software and Studiocode software

Discuss benefits of using video in debriefing Discuss confidentiality and consent issues related to video recording simulation performances Record a simulation using the simulator’s web camera Access and view the debriefing file using the debrief viewer Save and distribute the debriefing video Add comments to the debriefing video

4 years U.S. Army medic and National Registry EMT-B o Mega simulation (i.e., beans, bullets and bandages) B.A. and M.A. in Anthropology (Historical Archaeology) 8 years audio/visual and computer support o CompTIA A+ Certification (IT Technician) o Extron Certified A/V Associate 2 years simulation technician at Cal State Fullerton 2 ½ years simulation coordinator/consultant at Kaiser Permanente o ACLS

Why do we Simulate?

“Last week I gave a fire safety talk and nobody paid any attention. It’s my own fault for using PowerPoint. PowerPoint is boring.”

Simulation

Teamwork and Communication Majority of errors are related to communication Whole team participates (MD, RN, ED techs, etc…) System issues e.g., wrong IV tubing for pump Low frequency, high stress events Pediatric codes

Why do we Record Simulations?

“Many consider debriefing to be the most important component of simulation based education. One could use a static mannequin without all the bells and whistles and achieve profound success…by virtue of the skill, dedication and techniques of the debriefing instructor only. The instructor is the centerpiece of the endeavor.” Mort and Donahue, 2004

Perceived performance vs. actual performance Watching performance from the outside Golf swing Throwing the ET tube Three components of cultural behavior Concrete and indisputable Clearly illustrate “anchor” events Time to shockable rhythms, identification of shockable rhythm, decision to shock, etc…

Confidentiality and Consent Issues

All video/audio is erased after training session ends Precedence has been set from legal action Announce before training that recording will occur Visibly erase recordings after training session Scrub hard drives

Video recording without audio is typically legal without consent Except changing room, showers, etc… Video recording with audio is almost always illegal without consent

One Party-Consent Only one participant has to consent to recording e.g., Manager recording employees conversation Two Party-Consent All parties have to consent to recording Once informed if they continue talking, consent is implied

Let’s Record a Simulation!

Audio is most important, video is secondary Focal point of action is the participants, not the manikin Show segments of video with brief introduction Comments are added when you click enter… type fast Flash drives, CD-ROMs, and DVDs are not adequate for long term storage… use a hard drive

Properly dispose of debriefings Deleting a file from a computer does not erase it from the hard drive… scrub scrub scrub Ensure that videos are only used/distributed in accordance with your signed consent form

Questions?