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

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

3. 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?

4. 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

5. 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!

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

7. Finding The perfect Manikin

9. 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

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

11. 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