Integration of Mixed Reality and Manikin Simulation during an OR Fire Scenario (1090-003919) (Technical Proceedings Manuscript Oral Presentations: Simulation Design and Innovation)
Start time: Thursday, January 21, 2021, 11:00 AM End time: Thursday, January 21, 2021, 12:00 PM Session Type: Technical Proceedings
INTRODUCTION Recent advances in mixed reality (MR) technologies present a unique opportunity to combine the integration of MR and hands-on physical simulations. We report a feasibility study incorporating MR during an anesthesia simulation and management of a sudden Operating Room fire. METHODS Using a posttest design, an OR fire simulation scenario was designed with key trigger events embedded into the scenario. Participants wore a Magic LeapTM mixed reality headset, programmed to display visual overlay images of smoke, fire, or water during a traditional mannequin simulation. Participants had to respond to the simulated fire using best practice strategies. Following a post-scenario debriefing, participants completed a usability and feasibility questionnaire. RESULTS Following IRB approval, thirty-four, first-year nurse anesthesia students participated in the simulations. In a post-session survey of participants, 53% were very satisfied or satisfied, 41% somewhat satisfied or neutral, and 6% were somewhat dissatisfied with the combined MR and mannequin experience. Nearly 65% of the participants found that the utilization of the MR goggles in the airway fire experience was extremely or moderately helpful. Of the participants, 70.5% rated the use of MR as extremely or very acceptable as a new addition to the curriculum and 65% rated MR as a useful learning strategy, with 82.3% reporting that the MR addition made the subject more interesting and helped them apply what they learned. CONCLUSIONS The MR goggles and mannequin simulation were successful in providing realistic imagery including smoke and fire to elicit the quick thinking and responses for the students. This application was found to be a feasible adjunct to augment training for OR fire prevention and management. Learners were able to experience low frequency/high acuity events with enhanced levels of realism.
Co-Presenter: Dr. Greta Mitzova-Vladinov, DNP, University of Miami About the co-presenter: Dr. Vladinov has earned Bachelors Degree in Science of Nursing from California State University Northridge (2001), Masters in Science of Nursing with Specialty in Anesthesia from Florida International University (2006) and a Doctoral of Nursing Practice from University of Miami (2013).
Dr. Vladinov has been serving as the Associate Program Director of the Nurse Anesthesia Program at University of Miami (UM) School of Nursing and Health Studies since 2014 and holds dual appointment as an Assistant Professor of Clinical and staff CRNA, UHealth Department of Anesthesia. She is involved in numerous interprofessional and interdisciplinary initiatives across the university. Her joint work with faculty from UM Miller School of Medicine covers topics such as the effects of transcatheter aortic valve replacement on cerebral oxygenation, safe central venous access, and anesthesia for supraventricular ablations.
Her academic interests are in the area of students’ clinical performance evaluation and the impact of visual thinking strategies on student’s performance.
Dr. Vladinov has completed the simulation instructor course with the Institute for Medical Simulation, Boston, MA, and is Certified Health Care Simulator Educator (CHSE). She has been involved with planning, conducting and evaluation of nurse anesthesia students’ simulation education for over 7 years. She is one of the founders of the simulation subcommittee with the Education committee of the American Association of Nurse Anesthetists and has planned and presented on nurse anesthesia students’ simulation education during the Assembly of Didactic and Clinical Faculty 2019. She has served as abstract reviewer and as faculty for Professor Rounds: Learner Assessment during IMSH 2019, as well as reviewer with the SSH Research Committee to determine the Most Influential Articles in Healthcare Simulation (2017-2018)
Disclosure: No financial relationships with ineligible companies.