S I M U L A T I O N T R A I N I N G MedPro Group

S I M U L A T I O N T R A I N I N G Medpro Group-Free PDF

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This document should not be construed as medical or legal advice Because the facts applicable to your. situation may vary or the laws applicable in your jurisdiction may differ please contact your attorney or. other professional advisors if you have any questions related to your legal or medical obligations or rights. state or federal laws contract interpretation or other legal questions. MedPro Group is the marketing name used to refer to the insurance operations of The Medical Protective. Company Princeton Insurance Company PLICO Inc and MedPro RRG Risk Retention Group All insurance. products are underwritten and administered by these and other Berkshire Hathaway affiliates including. National Fire Marine Insurance Company Product availability is based upon business and regulatory. approval and may differ between companies,2017 MedPro Group Inc All rights reserved. ANESTHESIA SURGICAL TEAM SCENARIO 1,Scenario Background 1. Information for the Facilitator 1,Learning Objectives 1. Target Participants 2,Expected Outcomes 2,Facilitator Notes 2. Equipment and Supplies 3,Scenario Setup 4,Scenario Commencement 4.
Handoff Report for Participants 4,Scenario Steps 5. Patient Response and Participant Actions 5,Resources 6. BEHAVIORAL HEALTH DE ESCALATION SCENARIO 9,Scenario Background 9. Information for the Facilitator 9,Learning Objectives 9. Target Participants 10,Expected Outcomes 10,Facilitator Notes 10.
Equipment and Supplies 10,Scenario Setup 10,Patient 10. Scenario Commencement 10,Handoff Report for Participants 10. Scenario Steps 11,Patient Response and Participant Actions 11. Debrief 12,Resources 12,EMERGENCY MEDICINE PEDIATRIC PATIENT SCENARIO 15. Scenario Background 15,Information for the Facilitator 15.
Learning Objectives 15,Target Participants 16,Expected Outcomes 16. Facilitator Notes 16,Equipment and Supplies 17,Scenario Setup 17. Patient 17,Scenario Commencement 17,Handoff Report for Participants 17. Scenario Steps 18,Patient Response and Participant Actions 18. Debrief 19,Resources 19,HEALTHCARE PRACTICE EMERGENCY SCENARIO 21.
Scenario Background 21,Information for the Facilitator 21. Learning Objectives 21,Target Participants 21,Expected Outcomes 22. Facilitator Notes 22,Equipment and Supplies 23,Scenario Setup 23. Patient 23,Scenario Commencement 23,Handoff Report for Participants 23. Scenario Steps 24,Patient Response and Participant Actions 24.
Debrief 25,Resources 25,MEDICAL SURGICAL NURSING SEPSIS SCENARIO 27. Scenario Background 27,Information for the Facilitator 27. Learning Objectives 27,Target Participants 28,Expected Outcomes 28. Facilitator Notes 28,Equipment and Supplies 28,Scenario Setup 29. Patient 29,Scenario Commencement 29,Handoff Report for Participants 29.
Scenario Steps 30,Patient Response and Participant Actions 30. Debrief 32,Resources 32,SENIOR CARE FALL ASSESSMENT SCENARIO 35. Scenario Background 35,Information for the Facilitator 35. Learning Objectives 35,Target Participants 35,Expected Outcomes 36. Facilitator Notes 36,Equipment and Supplies 36,Scenario Setup 37.
Resident 37,Scenario Commencement 37,Handoff Report to Participants 37. Scenario Steps 38,Resident Response and Participant Actions 38. Debrief 39,Resources 39,OBSTETRICS SHOULDER DYSTOCIA SCENARIO 41. Scenario Background 41,Information for the Facilitator 41. Learning Objectives 41,Target Participants 41,Expected Outcomes 42.
Facilitator Notes 42,Equipment and Supplies 43,Scenario Setup 44. Patient 44,Scenario Commencement 45,Handoff Report to Participants 45. Scenario Steps 45,Patient Response and Participant Actions 45. Debrief 46,Resources 47,DENTAL PRACTICE AGGRESSIVE PATIENT SCENARIO 49. Scenario Background 49,Information for the Facilitator 49.
Learning Objectives 49,Target Participants 49,Expected Outcomes 50. Facilitator Notes 50,Equipment and Supplies 50,Scenario Setup 50. Patient 50,Scenario Commencement 51,Handoff Report for Participants 51. Scenario Steps 51,Patient Response and Participant Actions 51. Debrief 52,Resources 52,ANESTHESIA,SURGICAL TEAM SCENARIO.
Simulation Scenarios 1,ANESTHESIA SURGICAL TEAM SCENARIO. The purpose of this scenario is to practice effective communication and efficient teamwork. skills such as those defined in crew resource management programs and the Agency for. Healthcare Research and Quality s AHRQ s TeamSTEPPS program For more details refer to. the Facilitator Notes on page 2, This scenario is designed for an OR setting however the setting can be adjusted based on. individual facility practices,Scenario Background,Information for the Facilitator. The patient is being admitted to the hospital because of end. stage renal failure Her past medical history is significant for. diabetes hypertension severe anemia and suspected sepsis. On admission the patient s BP is 150 160 100, During the admission the patient receives dialysis on five. occasions It is then determined that the access catheter needs. to be changed An anesthesiologist evaluates the patient and. determines that she is ASA IV The patient is dialyzed prior to. the procedure, At 1430 the anesthesiologist administers IV sedation with.
midazolam 1 mg Pulse oximetry and ECG monitoring are in. place BP is 120 60 at 1430 110 60 at 1435 and 100 60 at. 1445 Normal saline is administered at 100 mL hr At 1450 the patient s BP drops to 80 60 The. anesthesiologist administers atropine 0 5 mg The surgeon replaces the catheter in 10 minutes. At the end of the procedure the patient becomes bradycardic 30 40 beats per minute and. then asystolic The circulating nurse administers epinephrine 1 mg IV the anesthesia provider. intubates the patient and a code is called at 1456 simultaneously. Learning Objectives,During this scenario participants will. Recognize risks for complications and plan for appropriate monitoring. Provide appropriate and timely interventions response to changes in physiological. Exhibit proficient technical performance of interventions code response. Simulation Scenarios 2, Demonstrate effective communication with team members. Integrate resourceful teamwork in providing patient care. Target Participants,OR staff surgeon s and anesthesia providers staff. Expected Outcomes, Short term Implement effective communication and efficient teamwork concepts. TeamSTEPPS specific tools should include brief huddle situation awareness cross. monitoring CUS and the two challenge rule, Long term Demonstrate improved patient outcomes for similar patient types.
Facilitator Notes, Below are tips to help the facilitator conduct the simulation. Throughout this scenario participants will be tasked with identifying opportunities to apply. effective communication and efficient teamwork skills such as the ones recommended by. TeamSTEPPS The tools and strategies specific to this scenario include brief huddle situation. awareness cross monitoring CUS and the two challenge rule Visit AHRQ s website for more. information about TeamSTEPPS, Give each participant his her own patient chart to NOTE. review This enables him her to obtain basic, information about the patient However prevent If you prefer not to use the TeamSTEPPS. discussion among members of the patient care tools a description of what is expected. team prior to the administration of midazolam from the participants is provided Simply. This puts the team members in a situation in disregard the words in parentheses in the. which no focus is on potential complications for paragraphs below. this highly compromised patient, Again the goal is to have patient care team members proactively initiate a discussion brief. prior to the procedure so that everyone is aware of what to look for situation awareness. and ready to assist each other in performing their tasks as needed cross monitoring. Once a complication is recognized and shared with the team and treatment efforts are initiated. attention to the patient s treatment response is paramount situation awareness When. information regarding complications isn t shared and interventions aren t effective to the level. desired a team discussion about additional options huddle should take place Continuing. with the initial procedure should elicit a response from team members i e questioning or. stating concern about the patient s safety CUS and or two challenge rule. Simulation Scenarios 3, It is recommended that participants perform this DEFINITIONS.
scenario twice in the same training session so, that learning and re enforcement of CUS is a tool to use when a conflict of. communication and teamwork skills can be information is identified that warrants a. applied to their clinical practice team member voicing his her Concern. that he she is Uncomfortable and a, Throughout the scenario the facilitator will need Safety issue exists Each facility or. to provide data for the patient s vital signs see practice may develop a unique word. Scenario Steps on page 5 The data should be phrase or signal to alert the other. displayed on a card paper or placard located team members without alarming the. near the actual monitor patient family, Additionally to facilitate the time needed for The two challenge rule is a tool to. each scenario session the facilitator has the use when a conflict of information is. option to compress speed up time as needed identified that warrants a team member. Make the participants aware of the time by either speaking up alerting and or. displaying the time in a visible location or stating questioning other team members at. the time throughout the scenario least twice before proceeding any. further with a task or intervention,Equipment and Supplies. Operating room bed and bed sheet, Cardiac monitor anesthesia machine and pulse oximetry with displays demonstrating.
patient s hemodynamic baseline and subsequent decompensation. Endotracheal tube ETT with lubricant,ETT holder, Hemodialysis catheters old one to be removed new one to be inserted. IV cannula fluid and tubing, Paper tape to secure IV dialysis catheter and IV cannula. Scrub gowns scrub caps and shoe covers, Surgical procedure supplies sterile field drapes etc. Syringes labeled midazolam atropine and epinephrine. Simulation Scenarios 4,Scenario Setup, Hospital gown and slipper socks for the actor NOTE. Hemodialysis catheter secure to the patient s upper An actor along with a. right chest current catheter to be removed separate airway task trainer. IV cannula secure to either of the patient s forearms or simulator with ETT. capability can be used,IV fluid with tubing connect to the IV cannula.
Place bed sheet on the bed, Position patient actor with airway task trainer or simulator on the bed. Assemble sterile surgical table with new hemodialysis catheter syringes and procedural. instruments as needed,Position sterile surgical table near the bed. Position cardiac monitor anesthesia machine at the head of the bed. Connect cardiac monitor anesthesia machine leads and pulse oximetry to patient. Scenario Commencement,Handoff Report for Participants. The patient is being admitted to the hospital because of end stage renal failure Her past. medical history is significant for diabetes hypertension severe anemia and suspected sepsis. On admission the patient s BP is 150 160 100, During the admission the patient receives dialysis. on five occasions It is then determined that the Provide the handoff information in. access catheter needs to be changed patient chart form only Discourage. verbal discussion prior to the start of, An anesthesiologist evaluates the patient and the scenario see the Facilitator.
determines that she is ASA IV The patient is Notes on page 2. dialyzed prior to the procedure,Simulation Scenarios 5. Scenario Steps,Patient Response and Participant Actions. TIME CONDITION PARTICIPANT ACTIONS TASKS COMPLETED. 1430 BP 120 60 Patient status and concerns Patient status and concerns. discussed with team discussed with team members,Cardiac rhythm. members brief prior to midazolam,normal sinus,administration. Anesthesiologist administers,midazolam 1 mg IV Yes No.
1435 BP 110 60 Anesthesiologist alerts the Information about decreasing. team about the patient s BP communicated,decreasing BP. 1445 BP 100 60 Anesthesiologist alerts the Team members alerted about. team about the patient s the patient s decreasing BP. decreasing BP situation awareness,cross monitoring. Anesthesiologist leads a,quick discussion about Yes No. potential emergency,interventions Quick discussion about. Anesthesiologist infuses,potential emergency,interventions conducted.
normal saline 100 ml hr, 1450 BP 80 60 Anesthesiologist discusses Discussion conducted about. concern regarding patient patient status and continuing. status and continuing with with procedure CUS and or. procedure two challenge rule,Anesthesiologist administers. atropine 0 5 mg IV,Simulation Scenarios 6, TIME CONDITION PARTICIPANT ACTIONS TASKS COMPLETED. 1455 Heart rate Surgeon completes new N A,30 40 BPM catheter placement. Cardiac rhythm,bradycardia, 1456 Heart rate N A Epinephrine 1 mg IV Timely CPR initiated.
Simulation Scenarios 4 Scenario Setup Patient Hospital gown and slipper socks for the actor Hemodialysis catheter secure to the patient s upper right chest current catheter to be removed IV cannula secure to either of the patient s forearms IV fluid with tubing connect to the IV cannula Room Place bed sheet on the bed Position patient actor with airway

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