Safety

1
Safety

• Human Factors
• Infection Control
• Medication Safety
• Intranet
• Latex Allergy
• Device Management
• Abbott Pump
• Hill-Rom Bed
• Glucometer
• PCA Pump
• Quick Signs

2
Clinical Topics

• Skin and wound care
• Ostomy, tubes, and drains
• Pain assessment/comfort promotion
• Point of care testing verification

3
Weekly Schedule Weeks 2 - 9

• Functional Content Review 4 hours
• Respiratory Management
• Tissue Perfusion/Vascular
• Tissue Perfusion/Cardiac
• Psychosocial/Spiritual
• Neurological
• Elimination/Nutrition

4
Weekly Schedule Weeks 2 9

• Simulation Training to reinforce selected
  functional focus area
• At least 4 hours/week

5
Weekly Schedule Week 10

• Residency Testing
• Demonstrate competency in randomly selected
  events through simulation exercises

6
Weekly Schedule Weeks 11 - 12

• Unit- based continuation of residency.

7
Underlying Tenets

• Five, eight hour days through early weeks of
  residency program
• Weekly clinical focus on identified functional
  area
• Simulations developed from actual clinical
  practice

8
Simulations in Medical/Surgical Residency

• Selection of Scenarios
• Ability to make scenarios effective by
  incorporating
• equipment and processes,
• communication and team work, and
• medication management.
• Select scenarios that have a potential
  significant impact on failure to rescue
  conditions/situations.

9
Simulations in Medical-Surgical Specialties
Residency

• Respiratory
• Moderate sedation and airway management
• Chest tube insertion/care
• COPD with pneumonia
• Tracheotomy care
• Peripheral Vascular
• Heparin protocol/DVT
• Blood administration
• Cardiac
• Shockable and non-shockable rhythms

10
Simulations in Medical-Surgical Specialties
Residency

• Cardiac (continued)
• Acute coronary syndrome
• Hypovolemic shock
• Tachyrhythms
• Neurological
• Stroke
• Seizure
• ?ICP
• Confused patient/restraints
• Nutrition/Elimination
• Diabetes
• Tight glycemic control
• Renal failure

11
Responses from Participants

• At the moment when the scenario begins to
  deteriorate the simulation feels much like an
  actual crisis on the floors. There is confusion,
  most of which is related to my own inexperience.
  Repeated simulations will help build confidence
  as well as competency.