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

FORM MEETS FUNCTION

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

TYPES OF ROOMS

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

• Controlling the operations in the clinical room– Recommended

12-24 sq meters

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

Other rooms

• Multipurpose class room

• Supply/preparation• storage room

PROJECT DEVELOPMENT

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

Design considerations: phone

Budgeting

• Simulation is NOT a low-cost, low-maintenance activity!

Support: Design phase

• Architectural project:– Initial– Final with technical details (instalations)

• Building phase

• Purchasing process:– Simulation equipment– Supplementary equipment

Support: Design phase

• Training:– Faculty Development– Staff/ Technician training

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

MEDICAL SIMULATION CENTER

Poznan University of Medical Sciences

• April 2009 – Rector with visit @ Virginia Commonwealth University in Richmond, Virginia.

• May 2010 Grant obtained

• October, 2010 Simulation Center Opened

Works

Closet space

Control Room

Control Room

SIMULATION AND CLINICAL SKILLS CENTER

Est. completion 2017

Clinical Skills Center

Clinical Skills Room

Medical floor

Pre-medical Floor

Detail

Apartment

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• lgasior@ump.edu.pl

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