1. LOVE - Simulation - HATE
Really consolidates learning
LOVE IT !!!
Improves confidence
Reinforcing
LOVE - Simulation - HATE
I’ll do something wrong
Actual hands on practice
HATE IT !!!
Worrying
Everyone watching
Can’t act

2. Clinical Education Deteriorating Patient Simulation
ABCDE Assessment (Janis Langdale, Clinical Educator)
Escalation & SBAR Handover (Dr Ailsa Howie, Consultant General Medicine)
Emergency Respiratory management (Dr Elizabeth Steele, Consultant Anaesthetist, Neuroscience)
Simulation
Stephen Hartley & Dina Robertson Resuscitation Officer
Clinical Education Team
3 x simulation stations
Seizure
Acute Head Injury
Sepsis
Reflect on:
What went well
What would they do differently
What was the main take home point

3. Feedback NEGATIVE POSITIVE “Not enjoyable doing the actual sim”
“Don’t like acting”
“Did not enjoy this activity (at first), however found this method of learning very effective”
POSITIVE
“Reflecting on how I react and communicate in deteriorating situations”
“Makes you think methodically”
“Reinforces learning”
“I realise I know more than I think”
“Debriefing as a team was really useful”
“Improves confidence”
“hands on time to practice, make mistakes, then get it right”

4. Simulation as a quality improvement tool
Location – Ward 32, Neurosurgery
Aim – Test the effectiveness of the emergency escalation policy
Scenario – 56 year old man arriving on the ward post surgery following C6/7 Anterior Cervical Decompression and Fusion and subsequently developing life threatening airway compromise from an expanding neck haematoma
Preparation – Story Board, Learning outcomes, intro to SimMan3G, staff engagement,
Target Group - DCN ward staff – Staff nurses, CSW’s, FY2’s, On call SpR, Resource nurse, Anaesthetist, Ward managers
Simulation – Real time, location, staffing numbers
Feedback – Discuss anxieties, barriers, difficulties, reflect on what went well and improvements can be made

5. Difficulties faced – Action –
It was taking up to 6 mins for switchboard to answer, to get help.
Staff had to search lists to find which SpR was on call
Difficulty getting hold of an Anaesthetist
Action –
Adapt the current NHS Lothian poster’s headings to specifically fit with Neuroscience requirements with specific bleep numbers and names
Ensure all staff know how to “fast bleep” in a medical emergency
Adopt a single emergency bleep number for an SpR who is on site to carry

6. Before
After

7. Consolidates learning
Improvement tool
It can empower and give confidence
It is a safe and reflective learning tool