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Connecting Healthcare Students in a High
Fidelity Trauma Simulation
Morag Howard
Laura Binnie
School of
Health Sciences
Festival of LearningApril 2015
• Medical Students
• Diagnostic Radiography Students
• Nursing Students
• Faculty
Communication
Teamworking
Safety
In the beginning……• Research indicates radiography graduates feel unprepared for
multi-trauma imaging (1) and that 70-80% of healthcare errors are due to poor teamwork and communication particularly in the trauma setting (2)
• ‘Hands on’ undergraduate experience not always available due to pressurised trauma environment
• Low fidelity trauma simulation introduced in year 2 of diagnostic radiography programme
Student feedbackSmall focus group (n=5) plus one interview
Positives• Low fidelity simulation seen as beneficial• Development of empathy• More prepared for trauma setting• Awareness of own role• Fun learning experience with peers
Student feedback
Negatives• Lack of awareness of other trauma team
member’s roles• Low fidelity simulation lacked realism• Not fully prepared for trauma setting• Experience not challenging enough
Student needs• More realistic setting• High fidelity simulation• Inter-professional learning• A challenge!
Led to discussions with neighbouring university and other schools within our faculty
What we did• ‘In situ’ • High fidelity• Inter-professional• Trauma simulations – 2 scenarios• Faculty collaboration from two Universities -
specialists within their own disciplines in trauma
• 2nd year radiography, 2/3rd year nursing and 4th year medical students
Use of technology• SimMan 3G Trauma (Laerdal)• IPad • Mobile x-ray machine and accessory
equipment• ‘GoPro’ camera
Use of technology for student assessment
• Continued technology theme for radiography student assessment (Trauma radiography module)
• Students (in small groups) constructed a Wiki on the topic of the ‘Trauma team’
TimetablingAvailability of resus room Resource intensiveSustainability
Challenges• Preparedness for practice within
trauma setting using technology to create realism
• Awareness of own role and other professionals within trauma team
• Team-working and communication – connecting healthcare students
• Simultaneous specialist feedback• Collaboration between two
Universities
Benefits
Moving forward…• All healthcare students voiced the need for more high
fidelity simulation in other complex care areas such as theatre and CT
• A large scale simulation in ITU setting involving more healthcare disciplines??
• GoPro technology creates innovative possibilities to develop clinical skills at both undergraduate and postgraduate levels
• Using these new technologies to further develop our CPD/Postgraduate courses offering both blended and online learning
Conclusions
The use of technology can…
• Nurture team-working• Improve self awareness and communication• Develop an effective collaborative workforce• Ultimately optimise patient outcomes
References
1. MACKAY, S, ANDERSON, A, and HOGG, P. 2008. Preparedness for clinical practice- perceptions of graduates and their work supervisors. Radiography 14;226-32
2. COURTENAY, M., NANCARROW, S, and DAWSON, D. 2013. Interprofessional teamwork in the trauma setting: a scoping review. Human Resources for Health. 11; 57 published online 2013 November 5.doi. 10.1186/1478-4491-11-57