Simulation program

1. Click the “Book a simulation” link below to access the Providence Health Care Simulation Google sheet.
2. Fill out all necessary information regarding your simulation
   • Note: When inputting start and end times, keep in mind potential preparation time for facilitators, participants, and for John to travel, transport, and set up.
   • Tip: If you’re unsure, John generally recommends ~1 hour for set up.
3. Once booked, email John and wait for a confirmation reply.
4. After the simulation is booked and confirmed, please email John as soon as possible if any updates/changes occur to the information inputted in the Google sheet (including cancellations).

It is now mandatory to fill in the Simulation Learner Sign-in Sheet to record attendance for every session. This is the educator/facilitators responsibility. Please hand it back to John once completed.

If you are a physician conducting the simulation and qualify for reimbursement, please use Physician Reimbursement Sheet as well.

Book a simulation

There is a clinical skills lab (Room 541L) available for booking on the 5th floor, Burrard Building at St. Paul’s Hospital.

To book the lab, please email Malavika Menon.

• EM Sim Cases
• British Columbia Simulation Network
• BC Emergency Medicine Network

• Simulation Scenario Template
• Designing a Simulation Scenario

• Debrief2Learn
• Simulation facilitator cheat sheet
• Advocacy inquiry framework
• GAS debriefing template
• PEARLS framework
• Best practice debriefing techniques
• BC Hot debriefing guide
• Crisis resource management skills checklist

• Onboarding Simulation - International Nursing Association for Clinical Simulation and Learning (INACSL)

Simulation Facilitator Development Course Through Learning Hub

Space is prioritized for affiliated health authority staff. To add your name to course waitlists, please connect with Susan Bello. Payment may be required for these courses, please have manager approval prior to registration.

• Simulation Learning Strategies – Facilitator Development Course (Fraser Health – 1 day course)
• Simulation Learning Strategies: Facilitator Development (BCCW – 2 day course)
• Simulation Learning Strategies – Facilitator Development Course (VCH – 2 day course)

E-learning modules:

• Simulation Facilitation Pathways
• Crisis Resource Management

• Variation and Adaptation: Learning from Success in Patient Safety- Orientated Simulation Training - P. Dieckmann, Patterson, Lahlou et al (2017)
• There’s no such thing as “nonjudgmental” debriefing: A theory and method for debriefing with good judgment. - Rudolf JW, Simon R, Dufresne RL, Raemer DB. (2006) Simulation in Healthcare 1(1) 49-55
• Simulation I healthcare education: a best evidence practical guide. - Motola M, Devine LA, Chung HS, Sullivan JE & Issenberg BS. (2013) Web Paper, Amee Guide, Medical Teacher, 35, e1511-e1530
• Promoting Excellence and Reflective Learning in Simulation (PEARLS).  - Eppich W, Cheng A (2015) Simulation in Healthcare 10(2) 106-115

• Orientation to SimMan 3G Plus
• Simulation Facilitation Pathways with VCH

Features

• CPR
• LUCAS compatible
• Intubatable
• Comes with simulated patient monitor
• Comes with defibrillator cable/adapter

Additional information

• Advanced configurable airway, comprised of adjustable lung compliance and resistance
  • Allowing simulation of difficult airway management cases.
• Eyes respond to light and react according to the clinical state of the manikin.
• RFID Technology for automatic recognition of drugs and airway devices.
• Auto-measurement of volume and concentration for drugs and IV fluids.
• Live defibrillation (ShockLink adapter required).
• Bleeding and Wound modules are fed from an internal blood reservoir
  • External Blood Fill unit may be connected for extended bleeding cases.
• Simulation secretions
  • Sweat, tears, froth, urine, and ear fluids.
  • Fed from an internal fluid reservoir.
• Convulsions simulate seizures or small hand movements.
• Automatic Simulation Control based on pre-programmed and validated patient cases.

Read more product information

• CPR
• LUCAS compatible
• Intubatable
• Comes with simulated patient monitor
• Comes with defibrillator cable/adapter

Note: Automatic delivery mode not currently possible due to missing equipment

Advanced, full-body simulator available in both manual and automatic delivery modes.

Covers all stages of labor – from antepartum to postpartum.

Provides opportunities for enhanced in-situ training with cross-functional teams to work collaboratively.

Train for the low-frequency, high-risk incidents.

Prepare learners to recognize and respond to potential high-risk births and postpartum complications such as PPH.

Controlled wirelessly with LLEAP, Laerdal’s simulation software.

Read more product information

• CPR
• Intubatable
• Comes with simulated patient monitor
• Comes with defibrillator cable/adapter

 Note: Comes with a SimPad rather than a laptop

Full-body, designed for child advanced life support skills training in a wide range of pediatric life-saving skills used in pre-hospital emergencies.

Realistic airway for insertion of standard airway devices.

Intravenous drug administration via IV bolus or drip using the multi-venous pediatric IV arm.

Realistic needle insertion and feel at the medial malleolus and tibial tuberosity for intraosseous infusion.

Allows for the auscultation of normal and abnormal heart, breath, and bowel sounds.

Optional Pediatric Trauma modules add realism to the training scenario.

Read more product information

• CPR
• Intubatable
• Comes with simulated patient monitor
• Comes with defibrillator cable/adapter

Designed to deliver high-quality team and skills training in a wide range of ALS scenarios.

Ability to use real defibrillators.

Lightweight construction (ideal for in-situ training).

Key features:

• High-quality airway management with supraglottic airway devices
• Live defibrillation (ShockLink adapter required) and synchronized ECG
• Pulse monitoring
• IV insertion
• Quality CPR (QCPR) feedback to measure and improve CPR performance

Read more product information

• CPR
• LUCAS compatible
• Intubatable

Used mainly for CPR, intubation, etc.

Can help train a wide range of resuscitation skills.

Real-time compression and ventilation feedback.

Advanced airway features.

Read more product information

• CPR
• Intubatable

 Note: Comes with a SimPad rather than a laptop

Airway obstruction (head tilt/chin lift/jaw thrust).

Lifelike chest rise and fall.

Anatomical features.

CPR feedback from clicker device and detailed CPR evaluation including for ventilations and compressions.

Read more product information

• CPR – no feedback

Airway obstruction (head tilt/chin lift/jaw thrust).

Lifelike chest rise and fall.

Anatomical features.

CPR feedback from clicker device.

Read more product information

Standalone (In-Situ) Simulations

These are standalone education sessions wherein the realism of the equipment and scenario are critical to the learning. These simulations often take place in a lab or in-situ, often involving high-fidelity equipment and incorporating pre- and de-briefing learning techniques.

Embedded (Task-Training) Simulations

These are classroom sessions embedded within a larger workshop (e.g., nurse education days) which usually already have an associated attendance and feedback process. They are typically focused on training and reinforcing a hands-on skill.

We are requiring the facilitators who run the simulation to spearhead data collection efforts, in turn submitting attendance and feedback back to our Simulation Program for tracking. We will send reminders before and after your booked simulation of our data collection requirements.  Please see the process map to visualize the data collection strategy.

Have you participated or facilitated a sim? Please take our quick, two-minute survey:

Participant: Please take this survey

Facilitator: Please take this survey

The best of both worlds. Simulation is applying didactic learned knowledge into action. That ‘deer caught in the headlights’ look, your body is frozen while someone is dying in front of you. Making mistakes is a GOOD thing during simulation.

How about our multigenerational mix of staff? From 22 years old to 72 years old! We all learn differently but everyone must put it to the same action.

With simulation, there’s less talking and more doing. The learned tactile knowledge of how to use equipment and adapting procedures to our own physical limitations or the team’s physical limitations. When the bed is in the lowest position for the CPR provider, the physician has to squat in order to look into the patient’s mouth to put a breathing tube into the trachea. The most important person is the one performing the best CPR for optimal brain recovery. Improving patient care and saving lives. Team building with staff, learning each other’s quirks and bonding with side conversations. A bond that can last a lifetime.

Simulation provides peace of mind for instructors. We can see when the light bulb goes off and staff are applying knowledge to action. We can provide more practice with simulation for those that need a little more time. Responsive teaching with simulation. We can’t go backwards.

—

Susan Bello RN, BSN
Clinical Nurse Educator, ICU
St. Paul’s Hospital, Vancouver