Steps In Situ (1090-003839) (Award Winning SimVentors Entry)
Start time: Tuesday, January 19, 2021, 11:30 AM End time: Tuesday, January 19, 2021, 12:30 PM CE Hours: 0.25 Session Type: SimVentors
Steps Insitu is a software platform intended to provide an easy to use tool for facilitators to conduct their simulation training. This tool will start out with five unique scenarios involving various high-risk neonatal deliveries with the hopes of one day expanding not only the library of scenarios, but utilizing different departments of medicine within those scenarios. Steps Insitu will provide the Situation, Background, Assessment, and Recommendation for the training team. Additionally, to stimulate and promote critical thinking, outcomes of the scenarios are programmed to change based on the team’s chosen actions. Actions are entered on a tablet by the facilitator. When an action is selected, the program records the vital signs, oxygen settings, and current assessment of the patient at the precise time the action takes place. Participants have their own tablet which is connected through either Bluetooth or Wi-Fi. The tablet acts as a visual of the patient’s monitor, the participant’s tablet displays patient data and images that provide clues about potential problems with the patient. The participants can change the oxygen settings on their own tablet which directly effects patient outcomes. Together with a mannequin of one’s choosing, participants have the tools needed to provide a satisfactory simulation experience. Steps Insitu is an objective based simulation scenario tool. Objectives are selected for each scenario, as well as the team’s skill level and oxygen delivery source to the patient. These entries provide the ruleset for each scenario giving the users a customized scenario, rarely experiencing the same outcome twice. For example, if a team of participants are experienced NICU staff, I would select objectives such as 2 rounds of epinephrine, 2 rounds of chest compressions, and needle the chest to evacuate a pneumothorax at an “Advanced Skill Level”. What this means is that the scenario will not end until each of those specific objectives are met. The time of the pneumothorax occurrence is programmed to reveal itself at a specific time within the scenario. The Advanced Team Skill level will judge the team’s success of intubation attempts, as well as PPV success and response time to vital sign decompensation. The purpose of this program is to challenge the participants’ level of comfort and skill set without completely overwhelming them. Not only does the program react to the actions of the participants, but it is building a debriefing screen in real time for the team to review after the scenario is completed. When participants decide to perform a skill (such as intubation or umbilical line catheterization), a skill check-off screen pops up for the facilitator to follow along by checking off each task as it is performed. When the team completes the scenario, the skill check-off box is incorporated into the debriefing screen to identify potential learning opportunities. This application is intended to be used by anyone who wishes to provide a team with a unique way to provide insitu simulation. It was created with the purpose of providing everyone, including those in low resource institutions, with a high-fidelity simulation experience. I believe in the value of quality education tools to push our knowledge of care, and to create a safer environment for the patients for whom we care. Many organizations exist who simply do not have the budget to have access to advanced and expensive simulation tools. Likewise, many companies work hard to service the medical community but, due to logistics, they must charge for the use of their products. By providing an unrestricted version of Steps Insitu at no cost, all the user needs in one or two tablets and a couple of the most basic mannequins.