Post on 15-Jul-2015
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Tips and pitfalls of setting up aSimulation Center
Łukasz Gąsiorowski, MD, PhD
Acting DirectorMedical Simulation Center
Poznań University of Medical Sciences
Introduction
• ‘one-size-fits-all’?• In-situ vs. Facility-
based simulation• Unable to cover
everything
QUESTIONS
• Mission & Vision – most overlooked component
• Rooms and spaces
• People involved in the design phase
• Equipment
• Budget
Defining Functional Needs:
• Training type– University-based– Hospital-based– Separate Center (?private)
• Target group:– Undergraduate training– Postgraduate training
Defining Functional need
• Assessment need?– Security issues
• Standardized Patients involved:– OSCE floor?– Separate halls
Rooms and spaces
• Universality: make planning flexible– YES: high-fidelity clinical simulation room– NO: critical care room
Clinical Simulation room
• Various sizes:– Regular (medical-
surgical unit) ca 20-25 sq m
– Large (e.g. OR) ca 40-50 sq meters
• Auxiliary Equipment
Control Room
• One control room per clinical room?– One-way looking
mirrors level– Problems: heat, noise
level, interruptions
Debriefing room
• Typical size: 20-35 sq meters for 10 to 15 people
• Debriefing to clinical rooms ratio
• White-board or smart-board technology
• Chair setup
Project Team
• Architect
• Simulation design consultant
• IT and AV designers
• Educators
• Equipment planners
• Vendors: bidding process
EQUIPMENT
• Considerations: – The real need ‘must have’ vs. ‘nice to have’
• Basic furnishings, finishes and flooring
• Medical equipment: beds, IV poles, defibrillators, exam lights, crash carts, IV pumps
Manikins
• Cost-effectiveness:– Fidelity level: it is the best but: do I really need
that one?
• Classes:– Patient simulator: adult, newborn, child– Labor Simulator– ALS simulators– BLS simulators
• Wireless capability?
Manikins
• Interpatient variability:– Can I use for different training purposes?
• Seek advice Manufacturer vs. End-user
AV Considerations
• Costly but underestimated or neglected
• Broadcast, monitoring, playback and recording capabilities
Design considerations
• Equipment mounting pitfalls:– microphone and vent
locations
• Camera types: – set vs. pan and zoom
– 360 degrees
Design considerations
• AV software:– Inter manufacture compatibility feature– Recording and playback possibility: intranet– Archiving: confidentiality notice– Scheduling
Support: Design phase
• Architectural project:– Initial– Final with technical details (instalations)
• Building phase
• Purchasing process:– Simulation equipment– Supplementary equipment
Support for operations:
• Staff
• Faculty
• Fixed costs: power, heating, water,
• Manikin maintenance– Usable parts– Easy breaking parts: Airways (intubation
policy?)
Sustainability
• Very difficult!– High cost of equipment depreciation (manikin
life-cycle?)– Consumables: excess or expired items from
hospitals– Faculty remuneration– Will they come if they have to pay?
Design Pearls
• Visit simulation programs– What are they
unhappy about?
• Goal:– storage area 10 to
25%
Design Pearls
• Furniture: tables that fold and roll with ease
• Stay away from labeling rooms with too much specificity
Common Pitfalls
• Not enough storage…• Wide doors• Faculty training
program• Inadequate debriefing
space/ rooms• Manikins in boxes
• April 2009 – Rector with visit @ Virginia Commonwealth University in Richmond, Virginia.
• May 2010 Grant obtained
• October, 2010 Simulation Center Opened