Delta College Performs 6 Hour Trauma Simulation Scenario with Local Authories

long medical simulations

Recently this awesome update was shared by Lori Kloc, MSN, RN, CHSE Simulation Education Specialist at Delta College:

On April 5 Delta College brought seven healthcare disciplines together to participate in one 6-hour trauma scenario. The scenario centered around a victim of an auto accident and included trauma rescue/transport, triage, two surgical procedures, infant resuscitation, post-operative care, and rehabilitation. This scenario was important because it allowed students from various levels of education and disciplines to learn with, from, and about each other in collaborative care of two patients. Simulation is a method of active learning, where students have the opportunity to practice care in a safe setting, promoting teamwork and collaboration while reinforcing skills learned in their academic setting. The objective of simulated learning is the transfer of skills and behaviors to the clinical setting, positively impacting safe patient care.


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In this simulation, Mobile Medical Response (MMR) joined the division to add their expertise as first responders for our victim. The simulation will included a mock automobile accident with trauma to a pregnant woman, two surgical procedures, emergency care for the newborn who will be born via C-section but will have sustained injury, and post-op/rehab care for the victim.

Read more on the Delta College Website


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Southern California Simulation Collaborative Hosts TeleHealth Robotics and Laerdal Mini-SUN

telepresence in healthcare simulation

On Friday at Cal State LA about 50 Southern California Simulation Collaborative (SCSC) met for a day of simulation activities, starting with a presentation from CSL School of Health Lecturer Jane Hook MN RN about utilizing Telehealth robots in the simulation experience. The event was sponsored by Laerdal who helped to provide lunch for the participants.

The mobile telepresence was a product from Double Robotics device was controlled by an iPhone, which also provided the camera for the iPad like screen which represented Jane as she drove around the room. Following this the group moved to the simulation lab to watch how the telepresence robot moved into the room and engage with the simulated patient. For large rural areas, these devices will become more and more common as select medical personnel remain

The goals of the program to utilize TeleHealth were around promoting interprofessional education:

  • Allow students in different programs to participate in simulation together
  • Allow the pre-licensure student to communicate with a HCP and give report, take oders, read back, etc.
  • Incorporate telehehalth technologies.

Further reading: “Clinical applications: telenursing and medicine to monitor critical care patients”. (Trenary, K. (2007) iCare Intensive Care, Banner Healthcare, Arizone Nurse Mar2007. 60(20)p6.

Check out this case study from the Duke University School of Nursing highlighting the use of the Double Robotics telepresence mobile device.

Later in the afternoon meeting sponsor Laerdal provided a “mini” SUN, providing CEUs on various product showcases.

For more information check out these websites:

Southern California Simulation Collaborative

Double Robotics Telepresence Website

Cal State LA Nursing Simulation Center

S-Scope Stethoscope Simulator from MT Tool – IMSH 2016 Interview

auscultation simulator

At IMSH, HealthySimulation.com was on hand to interview a new auscultation simulator in the guise of a stethoscope. This simple-to-use product allows you to simulate body sounds in-order to teach learners about the specific sounds of the body. We had a chance to check out the included app and considered the ability to add your own sounds very useful! Check out our interview below:

About MT Tool

MT Tool is a group of people with backgrounds in medicine, teaching, manufacturing, and engineering, providing teaching tools to enhance the learning experience of medical students through simulation. After taking on multiple projects related to medical education we recognized an opportunity to provide a more accessible, easier to use simulation stethoscope and app, to bring a more realistic learning experience to a larger number of students. Meanwhile we are ready and willing to take on custom projects, and help bring your medical teaching tool concepts to reality. When it comes to simulation stethoscopes you have choices. The MT S-Scope and App offer a new option for bringing versatility to the classroom and lab. Contact us today with questions or for anything we might be able to help you with.

Included with the S-Scope Kit:

  • MT S-Scope Simulation Stethoscope with built in receiver
  • Smart device preloaded with the original MT S-Scope App
  • Dual USB charging station with cables
  • Durable hard plastic storage and transportation case

Teaching Opportunities:

  • Offers learning in a variety of ways; seeing, listening, and doing
  • Helps students understand the nuances of different sounds
  • Makes it easy for faculty to use in the lab with minimal setup
  • Brings a higher level of fidelity into the testing arena
  • Student can be asked to identify a sound in real time
  • Makes an OSCE encounter more realistic

Once a student places the stethoscope on the appropriate listening post the instructor / SP activates the sound file. The student hears the sounds through the stethoscope. Setup is as simple as pairing the scope with the device that will be used to transmit the sounds. The stethoscope is completely wireless and receives stethoscope sounds from the device at a range of up to 30 feet. Scopes come packaged with device and app, including multiple different heart and lung sounds with optional cases. Instructors are also free to use their own devices and sound files.

The first generation MT S-Scope App allows users to access proprietary stethoscope sound files for a variety of conditions. Case files are included to provide an enhanced learning experience, with complete sets of sounds for each case. Sound files can also be accessed directly for each condition to aid in the evaluation process. The simple and easy to use app is ideal for OSCE encounters. Standardized patients simply tap the appropriate listening post icon to play the corresponding sound through the student’s MT S-Scope. Case files are perfect for teaching. At the end of each case the user is prompted to select an organ, which takes them to the listening post icon map for the selected case. The app gives students a more realistic auscultation experience. Current standard cases include Pneumonia, COPD, Crohn’s Disease and Asthma, which include 33 unique stethoscope recordings.

Learn more at the MT Tool website today!


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Video Enhances Nursing & Interprofessional Healthcare Education

video enhances nursing education

Freelance writer Marcia Frellick recently shared this article on Nurse.com entitled “Video enhances interprofessional education”, and in an age where an estimated 400,000 patient deaths occur to due to medical error in the United States alone each year — we need every tool possible to help improve the educational process. Simulation obviously plays a huge role with professional healthcare education, and the importance of utilizing video recordings should never been undermined. Frellick shares that using the video systems, learners reflected on their own performance and realized “I need to speak up” and “I need to find my voice.”

Nurse.com Article Excerpt

Interprofessional training has gained prominence in the RN-to-BSN program at Drexel University in Philadelphia with a 10-week program launched in fall 2015 focusing on patient safety. Nurses watch video scenarios with actors including anesthesiologists, surgeons and other care providers from several disciplines, and use online simulation to respond as a nurse in a specific emergency.

Gloria F. Donnelly, PhD, RN, FAAN, dean and professor at Drexel’s College of Nursing and Health Professions, provides an example from the course: A patient arrives for a routine procedure. A nurse is working with an anesthesiologist who can’t access the airway but brushes aside the nurse’s concerns that the patient has been hypoxic for too long. The nurse sees the anesthesiologist is not following protocol. The nurse must use the TeamSTEPPS model — a system developed by the Agency for Healthcare Research and Quality that encourages open communication and calling out procedure violations.

Nurses in the class videotape themselves and submit their responses. Members comment as a group and rate the responses. “A problem with claims and suits against nurses is failure to act,” Donnelly said. “This program raises the nurse’s level of awareness of her obligation to speak up. Your license is on the line.”

Video is the Future

Consider that the costs associated with a/v recording and video performance analysis will continue to decrease as the technology continues to improve. Mix that with research that proves that video recording increases provider performance and the future of healthcare starts to become more clear. Read our post about the JAMA research which showed a 31% increase in surgical performance with video recording. More on this important topic shortly!

Read the full article on Nurse.com!

Johnson College Simulation Conference Recaps Suzie Kardong-Edgren Keynote on Why Simulation is so Important for Nursing

suzie kardong edgren

At the 8th annual Johnson County Community College Simulation Conference, Clinical Simulation in Nursing Journal Editor Suzie Kardong-Edgren PhD provided a keynote address which was highlighted on the college’s website. Suzie is one of the leading simulation champions in the world and is driving the future of our profession.

Article Excerpt:

To a packed house in the Capitol Federal Conference Center, Suzie Kardong-Edgren said, “We are all in this room concentrating on moving simulation forward.” Kardong-Edgren, internationally known for her research in simulation as a way to teach healthcare professionals, spoke as part of the Healthcare Simulation Conference Sept. 11 at Johnson County Community College.

The conference, now in its eighth year, allows healthcare professionals and healthcare educators explore and expand their understanding of simulation as a teaching/learning strategy that immerses the learner into the healthcare role as they provide care for the patient situation. Educating students to become nurses needs to change, she said, not only to respond to students’ needs but also to meet the expectations of patients.

“In the informal analysis, there’s nothing really new there (in nursing),” she said. A reliance on classroom settings, basic instruction and problems from textbooks isn’t preparing nurses for the world in which they’ll be employed, she said. Students also have started asking questions about the value of their education, she said. “There are rumblings of, ‘What are we getting for all this money we’re spending?’” Kardong-Edgren said. “And yet we are rearranging the deck chairs on the Titanic…why do we keep doing the same things over and over?”

Kardong-Edgren is professor and director of the Regional Research and Innovation in Simulation Education (RISE) Center at Robert Morris University in Moon Township, Pennsylvania. She also is editor-in-chief of the journal “Clinical Simulation in Nursing. She urged those in attendance to continue to lobby for even greater use of simulation in nursing education and other healthcare preparatory programs.

“Often we are the lone pioneers trying to drag (our fellow) faculty into the 21st century,” Kardong-Edgren said.

Read the Full JCCC article on Suzie here!


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New ‘EHR Tutor’ Enables Simulated Learning From Cloud

ehr tutor

Today I was made aware of a new Electronic Health Record Training System called “EHR Tutor”. Their website suggests that “EHR Tutor provides functionality and features that will give your students the experience they need to confidently enter today’s technology based workplace and the world of electronic records.” Have you started teaching EHR in your simulation lab yet? Direct integration into your simulation scenarios can be challenging so I would love to hear how you do it!

EHR Tutor Features:

  • Similar to EHR systems currently in use at medical facilities including flowsheets for common workflows
  • Preloaded patients for easy lesson creation
  • Patients’ charts and activities can be added or modified to meet instructors’ needs
  • Instructors can view and grade student activities

Learn more about on the EHR Tutor Website!

TODAY: 11AM PT / 2PM ET Live Hangout With Social Media Savvy Nurses!

social media nursing

In just 20 minutes you can “Hangout Live” with +Marsha Battee,+Beth Boynton,+Kathy Quan and+Donna Maheady during our next LIVE Google Hangout, with a little tech help from Nerdy Nurse Brittney Wilson!

These nurses will discuss the ups and downs of social collaboration online and share how you can get the most out of it. If you’re a nurse, nurse educator, or support nurses, this event is for you!

Be sure to also check out these communities and links to continue the social collaboration:

Beth Boynton says about the event “I never planned on being a Social Media expert, but alas I have acquired some expertise! No one can know everything about Social Media or probably any healthcare diagnosis, technology, or treatment options, right? I’m looking forward to this Friday’s Google Hangout at 2pm ET sponsored by Next Wave Connect (NWC), because it will be fun to share some insights and experiences I’ve had AND learn from other nurse experts!”

Join them now by clicking here!


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Adopting New Technology in Healthcare Education: Tallahassee Community College’s Simulation Center Implements Electronic Health Records Enhancing Simulations

Adopting New Technology in Healthcare Education: Tallahassee Community College’s Simulation Center Implements Electronic Health Records Enhancing Simulations

medaffinity simulation ehr

Article Written by: Carla I. Dormeus, M.S., EMT
Simulation Program Manager Healthcare Professions Division
Ghazvini Center for Healthcare Education
Tallahassee Community College

Developing and expanding usage in a Simulation Center is not an easy task. In the last 6 years as the Simulation Program Manager at Tallahassee Community College (TCC), I have seen the tremendous growth in our program and the challenges those changes created.

Our beginnings date back to the 1990’s when TCC converted two classrooms into simulation rooms with a separate control room.   The human patient simulators were used by various healthcare programs which created a need for more simulators and space. In 2011, the Healthcare Programs moved to the newly built Ghazvini Center for Healthcare Education located 6 miles from campus, in the heart of the Tallahassee medical community. TCC’s Ghazvini Center for Healthcare Education features more than 85,000 square feet of learning space devoted to diagnostic medical sonography, emergency medical services, nursing, radiologic technology, respiratory care, pharmacy technology, surgical technology and allied health. TCC’s Simulation Center is located on the second (main) floor of Ghazvini Center for Healthcare Education (GCHE). It is a 5,000 square foot facility used for training future and current healthcare professionals.

The Center has a total of six simulation rooms, two control rooms, one skills lab, three HeartCode rooms and two debriefing rooms. The simulation suites are designed as hospital rooms and provide real-world simulated experiences for the students in the Nursing, Emergency Medical Services, Respiratory Care, Radiologic Technology, and Dental programs. A variety of simulators are available to students; TCC currently has 14 adult, three pediatric, two infants, one newborn and one maternal simulator. These simulators allow staff to present different scenarios to students with the purpose of improving patient safety. In conjunction with faculty, the Simulation Center staff develops simulations that incorporate the use of team work, communication and psychomotor skills. Each simulator is unique and presents different features that can be used when training our students on specific skills. Besides the patient simulators, TCC’s Simulation Center also has four Virtual IV trainers and four complete HeartCode systems that allow students to obtain BLS and ACLS certification for Healthcare providers.

While there are many vendors that offer attractive systems with excellent features, it can be hard at first to choose the ones that will be a best fit to your programs. When TCC’s Health Care Programs moved to the new facility, we were faced with the great opportunity to upgrade our outdated technology to new state of the art technology. It was a great opportunity but challenging as well. New technology could definitely help our programs, but it could also hinder them if the wrong choices were made.

We often face the challenge of choosing the right vendor that will provide the best product to satisfy our needs and help with the usage and expansion of our program. Simulation has multiple components that need to be addressed: human patient simulators, task trainers, simulation staff, AV equipment, electronic health records (EHR), scheduling and supplies inventory among others. Input on technological decisions has to be a collaborative effort between faculty, staff and administration. The availability and quality of the educational technology used to train healthcare professionals requires a coordinated effort between faculty and staff to make sure the flow of the simulation scenarios is conducive to learning.

emr training nursingFour years after the grand opening of our simulation center we had top of the line human patient simulators and audio visual system, but we were still missing a big component: an electronic health record system (EHR). The use of EHR is becoming the norm in U.S. healthcare and the same is true for the Tallahassee medical community. It is important to faculty at TCC to provide health students with the experiences which are best practice and so more pressure was being exerted to find a solution.

I had spent over two years reviewing EHR systems that were available for education and specifically for simulation. The features we were looking for where very different than the ones we would need in a real clinical environment. The major challenges we needed to overcome where finding software with the feel of a real EHR but would allow the flexibility to work in “simulated time”. We also wanted to find a system that was user friendly so that faculty and students could be easily trained. We believe that learning a specific software should not take all the time allocated for a simulation exercise; this would frustrate student, faculty, and would defeat the original purpose of a simulation exercise.

In July, 2014, MedAffinity installed its electronic health records software, MedAffinity EHR, on computer workstations in simulation rooms at TCC’s GCHE. The first two programs that used MedAffinity EHR during simulations were Nursing and Respiratory care. Because these two programs most readily embraced simulation and wanted to see how this new technology was going to be welcomed by faculty, students and simulation staff. The response we received from faculty and staff was overwhelmingly positive. It took 15 minutes to train them on the basic navigation of the system. Faculty were able to input new “Physician Orders” during the simulations that would automatically populate in the patient’s charts for students to access. It gave us so much flexibility to be able to make changes “on the fly” as happens in the hospital setting.

Since the initial implementation, we have been adding new scenarios to the database. This has allowed us to keep all the scenarios we need during the semester readily available to be used at any given time, therefore minimizing the amount of time simulation staff need to spend looking through charts and trying to find the correct scenario. The feedback we have received from the students has been very positive as well. Students liked how user friendly the software is and also they enjoyed being able to experience a real EHR that has been tailored for education. Students no longer carry bits of paper around with orders written on them and so their experience is even more realistic. We believe that the experience the students receive at TCC’s simulation Center should be similar to the real world they will encounter as soon as they graduate and join the workforce.

We are currently close to start our third semester using MedAffinity’s EHR. The original plan was to implement the nursing program’s piece over 4 semesters, but they will complete implementation in three semesters. The features this EHR has that we have found to be most valuable for its usage in education and specifically in simulation are:

  1. The EHR interface is organized to allow the entire patient’s information to be accessible to the students on a single screen. There is no need to go over tabs and different windows to be able to find the information needed.
  2. The system is flexible and allows the creation of templates tailored to your programs or institution. Templates can be created in minutes and can be saved for future use. The system also allows importing PDF files and saving them as templates.
  3. Entering notes in the system is as easy as typing a word document.
  4. The system allows resetting patient charts at the end of simulation exercises. After the simulation exercise ends, simulation staff can easily reset the patient’s chart to the original state.
  5. The system generates a patient arm band that can be scanned for patient verification purposes.
  6. The medication administration record (MAR) is integrated with a scanner system so that students can administer medications and confirm patient identity.

Implementing MedAffinity’s EHR in our simulation center has been one of the smoothest adoptions we have undergone in our center. MedAffinity has enhanced the student’s experience by providing them with another tool to make simulated patient care more realistic and a better learning tool. It has also given the simulation staff and faculty the prefect flexible tool to teach students, digitally manage the simulation’s library and minimize prep time.

Learn more and at TCC’s Simulation Center & the MedAffinity’s Website

The National Council of State Boards of Nursing Releases Results of National Simulation Study!

national sim study

Breaking News – The NCSBN has released their Landmark Simulation Research Results! Here is a snippet about the overall results from the official NCSBN press release:

“The National Council of State Boards of Nursing (NCSBN) has released the findings of its award-winning research, “The NCSBN National Simulation Study: A Longitudinal, Randomized, Controlled Study Replacing Clinical Hours with Simulation in Prelicensure Nursing Education,” which concluded that substituting high quality simulation experiences for up to half of traditional clinical hours produce comparable end of program educational outcomes to those students whose experiences are mostly just traditional clinical hours and produce new graduates that are ready for clinical practice. 

The largest and most comprehensive research to date examining the use of simulation in the prelicensure nursing curriculum, this longitudinal study included incoming nursing students from 10 prelicensure programs across the U.S. who were randomized to one of three study groups: 

  • Control group (traditional clinical where up to 10 percent of clinical time was allowed in simulation) 
  • 25 percent simulation in place of traditional clinical hours 
  • 50 percent simulation in place of traditional clinical hours

The study began in the 2011 fall semester with the first clinical nursing course, continued throughout the core clinical courses to graduation in May 2013. Students were assessed on clinical competency, nursing knowledge and provided ratings on how well they perceived their learning needs were met in both the clinical and simulation environments. A total of 666 students completed the study requirements at the time of graduation.

It was found that up to 50 percent simulation was effectively substituted for traditional clinical experience in all core courses across the prelicensure nursing curriculum. Additionally, the use of up to 50 percent simulation did not affect NCLEX pass rates.

Study participants were also followed into their first six months of clinical practice. The study found that there were no meaningful differences between the groups in critical thinking, clinical competency and overall readiness for practice as rated by managers at six weeks, three months and six months after working in a clinical position.”

Read the full NCSBN press release here and then stay tuned to the Journal of Nursing Regulation website to download the full study for free as soon as its posted!

Smart Pump Training Simulator Through ‘HealthScholars.com’ of CSE Software

smart pump simulator cse software

Earlier this week I posted about the CAT Heavy Equipment Simulators from CSE Software, and today I am sharing about their mobile training simulator products for healthcare providers including a Heparin Adjustment Trainer and Smart Pump Training Apps. According to a report by CareFusion, 70% of heparin errors are caused by the wrong dose, omission and prescribing errors. The majority of heparin errors (47.6%) originate in administering the medication, followed by 18.8% in transcribing the order, 14.1% in prescribing the product, 13.9% in dispensing functions and 5.4% in patient/lab monitoring activities. These simulators can help train away these very errors! After reading the below information visit the “News->Videos” section of the Health Scholars website for more coverage of these apps.

Smart Pump Training Simulator
In this interactive app (shown above), hospital professionals will learn the proper operation of the Smart Pump and supporting software program used for patient safety. The actual pump has a built-in computer and it is constantly collecting and monitoring data. The system helps improve patient safety and reinforces best practices. Through the simulation of this device, healthcare professionals can ensure training on the infusion pump is delivered consistently and efficiently to personnel. The interactive app allows training to take place in a patient care environment, and in the presence of a preceptor. In addition, process and procedures can be covered to help personnel get a full understanding of the device.

heparin simulator

Heparin Simulator

In this interactive app, hospital professionals will learn how to properly administer the medication Heparin through a Smart Pump. Heparin is most often used as an anti blood clotting medication, and can be fatal if administered incorrectly. The app will take the user through several scenarios where he/she must correctly figure and administer the medication. Results can be saved for Internal viewing by administration.

So who is this innovative simulator company CSE Software?

cse software

CSE Software Inc. is located in the heart of the warehouse district in Peoria, Illinois. A technology company Founded in 1990 by Ken Pflederer, our current client base consists of large, Fortune 500 companies and small, family-owned businesses.  No company is too large or small to reap the benefits of our comprehensive services. They have developed over 2200 projects to more than 260 clients for 110 languages spoken around the world. As they are in Peoria, IL they have also started working with the awesome folks at JUMP Trading Simulation Education Center:

“In a strategic partnership between CSE Software Inc. and OSF Healthcare at the Jump Trading Simulation & Education Center, Peoria, Ill., CSE is developing simulations for both medical devices and medicine administration. The correct use of medical devices and proper administration of medication is critical to patient care and safety. The ability to train with realistic tools and environments ensures that medical professionals learn the same techniques as they will use in a real-world medical situation. CSE Software Inc. is proud to be a partner in this endeavor with OSF Healthcare.”

Visit HealthScholars.com to learn more about these Smart Pump Training Simulators and CSEsoftware.com to learn more about this innovative company!